Psychological, behavioural and biological factors associated with gastrointestinal symptoms in autistic adults and adults with autistic traits.


Journal

Autism : the international journal of research and practice
ISSN: 1461-7005
Titre abrégé: Autism
Pays: England
ID NLM: 9713494

Informations de publication

Date de publication:
10 2023
Historique:
medline: 18 9 2023
pubmed: 17 2 2023
entrez: 16 2 2023
Statut: ppublish

Résumé

Little is known about factors related to the increased risk for gastrointestinal symptoms in adults with an autism spectrum disorder (ASD), while the negative impact of gastrointestinal symptoms is evident. Especially, the relationship between gastrointestinal symptoms and psychological, behavioural, and biological risk factors in adults with ASD (traits) is unclear. Autistic peer support workers and autism-advocates also emphasised the importance of identifying risk factors, because of the high prevalence of gastrointestinal problems in people with ASD. Therefore, our study investigated which psychological, behavioural, and biological factors are associated with gastrointestinal symptoms in adults with ASD or with autistic traits. We analysed data from 31,185 adults in the Dutch Lifelines Study. Questionnaires were used to evaluate the presence of an autism spectrum disorder diagnosis, autistic traits, gastrointestinal symptoms, psychological and behavioural factors. Biological factors were examined with body measurements. We found that not only adults with ASD but also adults with higher levels of autistic traits were at increased risk for gastrointestinal symptoms. Adults with ASD who experienced psychological problems (psychiatric problems, worse perceived health, chronic stress) had a higher risk for gastrointestinal symptoms than adults with ASD without these psychological problems. Moreover, adults with higher levels of autistic traits were less physically active, which was also associated with gastrointestinal symptoms. In conclusion, our study highlights the relevance of identifying psychological problems and evaluating physical activity when trying to help adults with ASD or autistic traits and gastrointestinal symptoms. This suggests that healthcare professionals should be more aware of behavioural and psychological risk factors when evaluating gastrointestinal symptoms in adults with ASD (traits).

Identifiants

pubmed: 36794469
doi: 10.1177/13623613231155324
pmc: PMC10504819
doi:

Substances chimiques

Biological Factors 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2173-2186

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Auteurs

E B Warreman (EB)

Leiden University Medical Center, The Netherlands.

L A Nooteboom (LA)

Leiden University Medical Center, The Netherlands.

M B Terry (MB)

Columbia University, USA.

H W Hoek (HW)

Columbia University, USA.
University Medical Center Groningen, The Netherlands.
Parnassia Group, The Netherlands.

Pjm Leenen (P)

Erasmus University Medical Center, The Netherlands.

Efc van Rossum (E)

Erasmus University Medical Center, The Netherlands.

D Ramlal (D)

Parnassia Group, The Netherlands.

Rrjm Vermeiren (R)

Leiden University Medical Center, The Netherlands.
Parnassia Group, The Netherlands.

W A Ester (WA)

Leiden University Medical Center, The Netherlands.
Parnassia Group, The Netherlands.

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