Medical Symptoms and Conditions in Autistic Women

Autor/inn/en	Simantov, Tslil; Pohl, Alexa; Tsompanidis, Alexandros; Weir, Elizabeth; Lombardo, Michael V; Ruigrok, Amber; Smith, Paula; Allison, Carrie; Baron-Cohen, Simon; Uzefovsky, Florina
Titel	Medical Symptoms and Conditions in Autistic Women
Quelle	In: Autism: The International Journal of Research and Practice, 26 (2022) 2, S.373-388 (16 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Simantov, Tslil) ORCID (Allison, Carrie) ORCID (Uzefovsky, Florina)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613211022091
Schlagwörter	Females; Autism; Pervasive Developmental Disorders; Symptoms (Individual Disorders); Clinical Diagnosis; Drug Therapy; Puberty; Birth; Pregnancy; Physiology; Diseases; Age Differences; Body Composition; Body Weight; Body Height; Metabolism; Correlation + Suchen Sie Ihr Suchwort? Weibliches Geschlecht; Autismus; Psychiatrische Symptomatik; Pubertät; Geburt; Schwangerschaft; Physiologie; Disease; Krankheit; Age; Difference; Age difference; Altersunterschied; Körpergewicht; Körpergröße; Stoffwechsel; Korrelation
Abstract	The sex bias in autism diagnosis suggests the involvement of sex-specific endocrine mechanisms during prenatal development, but these hormones affect health throughout life. Therefore, the current study examined the association of autism and autistic traits with conditions and symptoms related to the sex-steroid system in adult women. In total, 1230 women (361 autistic), aged 15-77 years, reported on autistic traits and medical history. Medical diagnoses and symptoms were grouped by unsupervised factor analysis, and associations with autism diagnosis and autistic traits were explored. Higher rates of reproductive system diagnoses (odds ratio = 1.035, p = 0.024), prediabetes symptoms (odds ratio = 1.319, p = 0.001), irregular puberty onset (odds ratio = 1.458, p = 0.009), and menstrual length (odds ratio = 1.368, p = 0.034) and lower rates of metabolic and vascular conditions (odds ratio = 0.654, p = 0.013) were associated with diagnosis. Reproductive system diagnoses ([beta] = 0.114, p = 0.000), prediabetes symptoms ([beta] = 0.188, p = 0.000), menstrual length ([beta] = 0.071, p = 0.014), irregular puberty onset ([beta] = 0.149, p = 0.000), excessive menstruation symptoms ([beta] = 0.097, p = 0.003), and hyperandrogenism symptoms ([beta] = 0.062, p = 0.040) were also associated with autistic traits. Many of the conditions and symptoms found to be associated with autism or autistic traits are also related to conditions of steroid hormones and, specifically, the sex-steroid system. The study suggests an important role for steroids in autistic women, beyond prenatal development. Clinical implications are discussed. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01