Gender differences in aggression and self-injurious behavior among individuals with autism spectrum disorder
Kosonen, Roni (2024-06-07)
Kosonen, Roni
R. Kosonen
07.06.2024
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202406074294
https://urn.fi/URN:NBN:fi:oulu-202406074294
Tiivistelmä
This systematic literature review aims to explore gender differences in aggression and self- injurious behavior (SIB) among individuals with autism spectrum disorder (ASD). This re-view analyzed thirteen studies identified from the Scopus database to explore these gender differences, focusing on studies published between 2013 and 2023. The included studies predominantly originated from North America but featured samples from around the world with varied sample sizes and demographics.
Autism spectrum disorder (ASD) is a neurodevelopmental disorder marked by heterogeneity, which hampers the acquisition of generalizable research findings. Both aggression and self-injury are frequent yet poorly understood behaviors in ASD. Aggression presents significant challenges including safety concerns in institutional settings and familial stress, while SIB is linked to severe outcomes such as hospitalizations and enduring health issues. Notably, a lack of research can be seen especially in how these behaviors manifest in females and how it differs from the more frequently studied manifestations in males.
Contrary to findings in neurotypical populations, this review found no gender difference in aggression rates among individuals with ASD. This finding is interesting since it suggests different mechanisms behind aggressive behaviors between ASD and non-ASD individuals. On the other hand, despite variability across studies, the results of SIB rates in ASD were more aligned with those in neurotypical populations, with indications that females exhibit higher rates of SIB. Additionally, this review identified some qualitative gender differences in the phenotypes of aggression and SIB.
The variability in the results highlight the complexity of ASD and how gender affects its behavioral manifestations. This review underscores the need for further research into gender differences to better understand the mechanisms behind aggression and SIB, which could enable more effective interventions for both males and females.
Autism spectrum disorder (ASD) is a neurodevelopmental disorder marked by heterogeneity, which hampers the acquisition of generalizable research findings. Both aggression and self-injury are frequent yet poorly understood behaviors in ASD. Aggression presents significant challenges including safety concerns in institutional settings and familial stress, while SIB is linked to severe outcomes such as hospitalizations and enduring health issues. Notably, a lack of research can be seen especially in how these behaviors manifest in females and how it differs from the more frequently studied manifestations in males.
Contrary to findings in neurotypical populations, this review found no gender difference in aggression rates among individuals with ASD. This finding is interesting since it suggests different mechanisms behind aggressive behaviors between ASD and non-ASD individuals. On the other hand, despite variability across studies, the results of SIB rates in ASD were more aligned with those in neurotypical populations, with indications that females exhibit higher rates of SIB. Additionally, this review identified some qualitative gender differences in the phenotypes of aggression and SIB.
The variability in the results highlight the complexity of ASD and how gender affects its behavioral manifestations. This review underscores the need for further research into gender differences to better understand the mechanisms behind aggression and SIB, which could enable more effective interventions for both males and females.
Kokoelmat
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