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Effects of age on the hippocampus and verbal memory in adults with autism spectrum disorder: Longitudinal versus cross-sectional findings / Broc A. PAGNI in Autism Research, 15-10 (October 2022)
[article]
Titre : Effects of age on the hippocampus and verbal memory in adults with autism spectrum disorder: Longitudinal versus cross-sectional findings Type de document : Texte imprimé et/ou numérique Auteurs : Broc A. PAGNI, Auteur ; Melissa J. M. WALSH, Auteur ; Edward OFORI, Auteur ; Kewei CHEN, Auteur ; Georgia SULLIVAN, Auteur ; Jocelyn ALVAR, Auteur ; Leanna MONAHAN, Auteur ; Nicolas GUERITHAULT, Auteur ; Shanna DELANEY, Auteur ; B. Blair BRADEN, Auteur Article en page(s) : p.1810-1823 Langues : Anglais (eng) Mots-clés : aging/ASD in adults executive functioning hippocampus longitudinal data analysis magnetic resonance imaging - structural memory neuroimaging Index. décimale : PER Périodiques Résumé : Research studying aging in adults with autism spectrum disorder (ASD) is growing, but longitudinal work is needed. Autistic adults have increased risk of dementia, altered hippocampal volumes and fornix integrity, and verbal memory difficulties compared with neurotypical (NT) adults. This study examined longitudinal aging in middle-age adults with ASD versus a matched NT group, and compared findings with cross-sectional age effects across a broad adult age range. Participants were 194 adults with (n = 106; 74 male) and without (n = 88; 52 male) ASD, ages 18-71. Participants (n = 45; 40-70 age range) with two visits (2-3 years apart) were included in a longitudinal analysis. Hippocampal volume, fornix fractional anisotropy (FA), and verbal memory were measured via T1-weighted MRI, diffusion tensor imaging, and the Rey Auditory Verbal Learning Test, respectively. Longitudinal mixed models were used for hippocampal system variables and reliable change index categories were used for Auditory Verbal Learning Test analyses. Multivariate regression was used for cross-sectional analyses. Middle-age adults with ASD had greater longitudinal hippocampal volume loss and were more likely to show clinically meaningful decline in short-term memory, compared with NT. In contrast, cross-sectional associations between increasing age and worsening short-term memory were identified in NT, but not autistic adults. Reduced fornix FA and long-term memory in ASD were found across the broad cross-sectional age range. These preliminary longitudinal findings suggest accelerated hippocampal volume loss in ASD and slightly higher rates of clinically-meaningful decline in verbal short-term memory. Contradictory cross-sectional and longitudinal results underscore the importance of longitudinal aging research in autistic adults. LAY SUMMARY: Autistic adults have increased risk of dementia, differences in brain memory structures, and difficulty with memory compared with neurotypical (NT) adults. However, there are no publications that follow the same middle-age autistic adults over time to see how their brain and memory change. Our preliminary findings in a small middle-age autism sample suggest a key memory brain structure, the hippocampus, may shrink faster over 2-3 years compared with NT, and short-term memory may become more challenging for some. Across a broad adult range, autistic adults also had reduced integrity of connections to the hippocampus and greater challenges with long-term memory. In our larger sample across a broad age range, the results did not hint at this aforementioned pattern of accelerated aging. This underscores the importance of more aging research in autism, and especially research where people are followed over time. En ligne : http://dx.doi.org/10.1002/aur.2797 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488
in Autism Research > 15-10 (October 2022) . - p.1810-1823[article] Effects of age on the hippocampus and verbal memory in adults with autism spectrum disorder: Longitudinal versus cross-sectional findings [Texte imprimé et/ou numérique] / Broc A. PAGNI, Auteur ; Melissa J. M. WALSH, Auteur ; Edward OFORI, Auteur ; Kewei CHEN, Auteur ; Georgia SULLIVAN, Auteur ; Jocelyn ALVAR, Auteur ; Leanna MONAHAN, Auteur ; Nicolas GUERITHAULT, Auteur ; Shanna DELANEY, Auteur ; B. Blair BRADEN, Auteur . - p.1810-1823.
Langues : Anglais (eng)
in Autism Research > 15-10 (October 2022) . - p.1810-1823
Mots-clés : aging/ASD in adults executive functioning hippocampus longitudinal data analysis magnetic resonance imaging - structural memory neuroimaging Index. décimale : PER Périodiques Résumé : Research studying aging in adults with autism spectrum disorder (ASD) is growing, but longitudinal work is needed. Autistic adults have increased risk of dementia, altered hippocampal volumes and fornix integrity, and verbal memory difficulties compared with neurotypical (NT) adults. This study examined longitudinal aging in middle-age adults with ASD versus a matched NT group, and compared findings with cross-sectional age effects across a broad adult age range. Participants were 194 adults with (n = 106; 74 male) and without (n = 88; 52 male) ASD, ages 18-71. Participants (n = 45; 40-70 age range) with two visits (2-3 years apart) were included in a longitudinal analysis. Hippocampal volume, fornix fractional anisotropy (FA), and verbal memory were measured via T1-weighted MRI, diffusion tensor imaging, and the Rey Auditory Verbal Learning Test, respectively. Longitudinal mixed models were used for hippocampal system variables and reliable change index categories were used for Auditory Verbal Learning Test analyses. Multivariate regression was used for cross-sectional analyses. Middle-age adults with ASD had greater longitudinal hippocampal volume loss and were more likely to show clinically meaningful decline in short-term memory, compared with NT. In contrast, cross-sectional associations between increasing age and worsening short-term memory were identified in NT, but not autistic adults. Reduced fornix FA and long-term memory in ASD were found across the broad cross-sectional age range. These preliminary longitudinal findings suggest accelerated hippocampal volume loss in ASD and slightly higher rates of clinically-meaningful decline in verbal short-term memory. Contradictory cross-sectional and longitudinal results underscore the importance of longitudinal aging research in autistic adults. LAY SUMMARY: Autistic adults have increased risk of dementia, differences in brain memory structures, and difficulty with memory compared with neurotypical (NT) adults. However, there are no publications that follow the same middle-age autistic adults over time to see how their brain and memory change. Our preliminary findings in a small middle-age autism sample suggest a key memory brain structure, the hippocampus, may shrink faster over 2-3 years compared with NT, and short-term memory may become more challenging for some. Across a broad adult range, autistic adults also had reduced integrity of connections to the hippocampus and greater challenges with long-term memory. In our larger sample across a broad age range, the results did not hint at this aforementioned pattern of accelerated aging. This underscores the importance of more aging research in autism, and especially research where people are followed over time. En ligne : http://dx.doi.org/10.1002/aur.2797 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 Work and well-being: Vocational activity trajectories in young adults with autism spectrum disorder / Elaine B. CLARKE in Autism Research, 14-12 (December 2021)
[article]
Titre : Work and well-being: Vocational activity trajectories in young adults with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Elaine B. CLARKE, Auteur ; K. STERRETT, Auteur ; C. LORD, Auteur Article en page(s) : p.2613-2624 Langues : Anglais (eng) Mots-clés : Adolescent Adult Autism Spectrum Disorder Employment Happiness Humans Longitudinal Studies Young Adult adults aging/ASD in adults developmental psychology longitudinal data analysis phenotype Index. décimale : PER Périodiques Résumé : Young adults with autism spectrum disorder (ASD) experience limited social connectedness, difficulty living independently, and other poor outcomes at high rates. Vocational activities, including employment and postsecondary education, are associated with increased positive outcomes and subjective well-being in typical adults. This study identified vocational activity trajectory groups in adults with ASD, examined change in these trajectories from ages 18 to 28, and compared levels of parent- and self-report subjective well-being across trajectory groups. One hundred fifty-one adults with ASD were drawn from an ongoing longitudinal study. Data on psychosocial outcomes and vocational activities were compiled from parent-report demographic forms. Vocational activities were scored using the vocational index (VDI). There was no significant effect of age on the slope of vocational trajectories (p =?0.787). Participants in the Independent Activities group had significantly higher parent-report happiness factor scores than participants in the No Activities group (F [3, 107] = 3.56, p =?0.017) and significantly higher self-report happiness factor scores than participants in the Volunteer Activities group (F [2, 35] = 6.46, p =?0.004). The Independent Activities group was also significantly more likely to have at least one social contact (X(2) [3, 118] = 10.54, p =?0.014), however, there was no difference in trajectories groups in the likelihood of living independently (X(2) [3, 120] = 1.71, p =?0.634). The results of this study indicate vocational activities in young adults with ASD are stable across time. In the current sample, participation in independent vocational activities was associated with increased levels of subjective well-being. En ligne : http://dx.doi.org/10.1002/aur.2606 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450
in Autism Research > 14-12 (December 2021) . - p.2613-2624[article] Work and well-being: Vocational activity trajectories in young adults with autism spectrum disorder [Texte imprimé et/ou numérique] / Elaine B. CLARKE, Auteur ; K. STERRETT, Auteur ; C. LORD, Auteur . - p.2613-2624.
Langues : Anglais (eng)
in Autism Research > 14-12 (December 2021) . - p.2613-2624
Mots-clés : Adolescent Adult Autism Spectrum Disorder Employment Happiness Humans Longitudinal Studies Young Adult adults aging/ASD in adults developmental psychology longitudinal data analysis phenotype Index. décimale : PER Périodiques Résumé : Young adults with autism spectrum disorder (ASD) experience limited social connectedness, difficulty living independently, and other poor outcomes at high rates. Vocational activities, including employment and postsecondary education, are associated with increased positive outcomes and subjective well-being in typical adults. This study identified vocational activity trajectory groups in adults with ASD, examined change in these trajectories from ages 18 to 28, and compared levels of parent- and self-report subjective well-being across trajectory groups. One hundred fifty-one adults with ASD were drawn from an ongoing longitudinal study. Data on psychosocial outcomes and vocational activities were compiled from parent-report demographic forms. Vocational activities were scored using the vocational index (VDI). There was no significant effect of age on the slope of vocational trajectories (p =?0.787). Participants in the Independent Activities group had significantly higher parent-report happiness factor scores than participants in the No Activities group (F [3, 107] = 3.56, p =?0.017) and significantly higher self-report happiness factor scores than participants in the Volunteer Activities group (F [2, 35] = 6.46, p =?0.004). The Independent Activities group was also significantly more likely to have at least one social contact (X(2) [3, 118] = 10.54, p =?0.014), however, there was no difference in trajectories groups in the likelihood of living independently (X(2) [3, 120] = 1.71, p =?0.634). The results of this study indicate vocational activities in young adults with ASD are stable across time. In the current sample, participation in independent vocational activities was associated with increased levels of subjective well-being. En ligne : http://dx.doi.org/10.1002/aur.2606 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 Factors associated with age at autism diagnosis in a community sample of Australian adults / Y. HUANG in Autism Research, 14-12 (December 2021)
[article]
Titre : Factors associated with age at autism diagnosis in a community sample of Australian adults Type de document : Texte imprimé et/ou numérique Auteurs : Y. HUANG, Auteur ; Samuel R. C. ARNOLD, Auteur ; K. R. FOLEY, Auteur ; L. P. LAWSON, Auteur ; A. L. RICHDALE, Auteur ; J. N. TROLLOR, Auteur Article en page(s) : p.2677-2687 Langues : Anglais (eng) Mots-clés : Adult Aged Australia/epidemiology Autism Spectrum Disorder Autistic Disorder/diagnosis/epidemiology Child Cross-Sectional Studies Female Humans Longitudinal Studies adults aging/ASD in adults diagnosis gender/female ASD Index. décimale : PER Périodiques Résumé : Autism diagnosis in adulthood has become increasingly common due to a range of factors including changes in awareness, diagnostic criteria, and professional practices. Past research identified a range of demographic and autism-related factors associated with autism diagnosis age in children. However, it is unclear whether these apply to autistic adults. This study aimed to examine predictors of autism diagnosis age in adults while controlling for current age and autistic traits. We used a cross-sectional sample of 657 adults aged 15-80 from three self and carer-report studies: the Australian Longitudinal Study of Autism in Adulthood (ALSAA), Study of Australian School-Leavers with Autism (SASLA) and Pathways, Predictors and Impact of Receiving an Autism Spectrum Diagnosis in Adulthood (Pathways). Using hierarchical multiplicative heteroscedastic regression, we found that older current age and higher self-reported autistic traits predicted older diagnosis age, and that female gender, lack of intellectual disability, language other than English, family history of autism, lifetime depression, and no obsessive-compulsive disorder predicted older diagnosis age beyond current age and autistic traits. The paradoxical relationship between high autistic traits and older diagnosis age requires further investigation. Based on these findings, we recommended strategies to improve autism recognition in women and people from non-English-speaking backgrounds. Future studies could extend the findings by examining the effects of childhood and adulthood socioeconomic status on adult diagnosis age. LAY SUMMARY: We studied the relationship between age at autism diagnosis and other characteristics in adults. We found that both older current age and higher autistic traits, female gender, language other than English, family history of autism, and history of depression were related to older age at diagnosis, while intellectual disability and history of obsessive-compulsive disorder were related to younger age at diagnosis. Our findings suggest more work is needed to help recognize autism in women and people from non-English-speaking backgrounds. En ligne : http://dx.doi.org/10.1002/aur.2610 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450
in Autism Research > 14-12 (December 2021) . - p.2677-2687[article] Factors associated with age at autism diagnosis in a community sample of Australian adults [Texte imprimé et/ou numérique] / Y. HUANG, Auteur ; Samuel R. C. ARNOLD, Auteur ; K. R. FOLEY, Auteur ; L. P. LAWSON, Auteur ; A. L. RICHDALE, Auteur ; J. N. TROLLOR, Auteur . - p.2677-2687.
Langues : Anglais (eng)
in Autism Research > 14-12 (December 2021) . - p.2677-2687
Mots-clés : Adult Aged Australia/epidemiology Autism Spectrum Disorder Autistic Disorder/diagnosis/epidemiology Child Cross-Sectional Studies Female Humans Longitudinal Studies adults aging/ASD in adults diagnosis gender/female ASD Index. décimale : PER Périodiques Résumé : Autism diagnosis in adulthood has become increasingly common due to a range of factors including changes in awareness, diagnostic criteria, and professional practices. Past research identified a range of demographic and autism-related factors associated with autism diagnosis age in children. However, it is unclear whether these apply to autistic adults. This study aimed to examine predictors of autism diagnosis age in adults while controlling for current age and autistic traits. We used a cross-sectional sample of 657 adults aged 15-80 from three self and carer-report studies: the Australian Longitudinal Study of Autism in Adulthood (ALSAA), Study of Australian School-Leavers with Autism (SASLA) and Pathways, Predictors and Impact of Receiving an Autism Spectrum Diagnosis in Adulthood (Pathways). Using hierarchical multiplicative heteroscedastic regression, we found that older current age and higher self-reported autistic traits predicted older diagnosis age, and that female gender, lack of intellectual disability, language other than English, family history of autism, lifetime depression, and no obsessive-compulsive disorder predicted older diagnosis age beyond current age and autistic traits. The paradoxical relationship between high autistic traits and older diagnosis age requires further investigation. Based on these findings, we recommended strategies to improve autism recognition in women and people from non-English-speaking backgrounds. Future studies could extend the findings by examining the effects of childhood and adulthood socioeconomic status on adult diagnosis age. LAY SUMMARY: We studied the relationship between age at autism diagnosis and other characteristics in adults. We found that both older current age and higher autistic traits, female gender, language other than English, family history of autism, and history of depression were related to older age at diagnosis, while intellectual disability and history of obsessive-compulsive disorder were related to younger age at diagnosis. Our findings suggest more work is needed to help recognize autism in women and people from non-English-speaking backgrounds. En ligne : http://dx.doi.org/10.1002/aur.2610 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 Suicidal Ideation and Self-inflicted Injury in Medicare Enrolled Autistic Adults With and Without Co-occurring Intellectual Disability / Brittany N. HAND in Journal of Autism and Developmental Disorders, 50-10 (October 2020)
[article]
Titre : Suicidal Ideation and Self-inflicted Injury in Medicare Enrolled Autistic Adults With and Without Co-occurring Intellectual Disability Type de document : Texte imprimé et/ou numérique Auteurs : Brittany N. HAND, Auteur ; Teal W. BENEVIDES, Auteur ; Henry J. CARRETTA, Auteur Article en page(s) : p.3489-3495 Langues : Anglais (eng) Mots-clés : Adults Aging/ASD in adults Intellectual disability Suicidal ideation Suicidality Suicide Suicide attempts Index. décimale : PER Périodiques Résumé : Suicidality is significantly more common in autistic adults than the general population, yet the factors that increase risk for suicidality among autistic adults remain largely unknown. We identified characteristics associated with suicidal ideation and suicide attempts/self-inflicted injury in a U.S. national sample of Medicare-enrolled autistic adults. We conducted a case-control study of autistic adults aged 18-59 years (n?=?21,792). Younger age, white race, depression disorders, and psychiatric healthcare utilization were associated with increased odds of suicidal ideation and suicide attempts. Co-occurring intellectual disability was associated with significantly greater odds of a suicide attempt, but lower odds of suicidal ideation. Findings underscore the need for improved methods to identify ideation prior to attempt among adults with autism and intellectual disability. En ligne : http://dx.doi.org/10.1007/s10803-019-04345-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432
in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3489-3495[article] Suicidal Ideation and Self-inflicted Injury in Medicare Enrolled Autistic Adults With and Without Co-occurring Intellectual Disability [Texte imprimé et/ou numérique] / Brittany N. HAND, Auteur ; Teal W. BENEVIDES, Auteur ; Henry J. CARRETTA, Auteur . - p.3489-3495.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3489-3495
Mots-clés : Adults Aging/ASD in adults Intellectual disability Suicidal ideation Suicidality Suicide Suicide attempts Index. décimale : PER Périodiques Résumé : Suicidality is significantly more common in autistic adults than the general population, yet the factors that increase risk for suicidality among autistic adults remain largely unknown. We identified characteristics associated with suicidal ideation and suicide attempts/self-inflicted injury in a U.S. national sample of Medicare-enrolled autistic adults. We conducted a case-control study of autistic adults aged 18-59 years (n?=?21,792). Younger age, white race, depression disorders, and psychiatric healthcare utilization were associated with increased odds of suicidal ideation and suicide attempts. Co-occurring intellectual disability was associated with significantly greater odds of a suicide attempt, but lower odds of suicidal ideation. Findings underscore the need for improved methods to identify ideation prior to attempt among adults with autism and intellectual disability. En ligne : http://dx.doi.org/10.1007/s10803-019-04345-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432 Associations between co-occurring conditions and age of autism diagnosis: Implications for mental health training and adult autism research / Nikita JADAV in Autism Research, 15-11 (November 2022)
[article]
Titre : Associations between co-occurring conditions and age of autism diagnosis: Implications for mental health training and adult autism research Type de document : Texte imprimé et/ou numérique Auteurs : Nikita JADAV, Auteur ; Vanessa H. BAL, Auteur Article en page(s) : p.2112-2125 Langues : Anglais (eng) Mots-clés : Adult Female Infant, Newborn Humans Adolescent Young Adult Middle Aged Aged Aged, 80 and over Autistic Disorder/complications/diagnosis/epidemiology Autism Spectrum Disorder/complications/diagnosis/epidemiology Mental Health Surveys and Questionnaires adults aging/ASD in adults clinical psychology co-morbid conditions Psychological Services and has received honoraria and/or consulting fees from Regeneron, Janssen and Simons Foundation for unrelated work. Index. décimale : PER Périodiques Résumé : Adult autism studies are increasingly comprised of later-diagnosed adults, yet little is known about how these adults compare to those diagnosed earlier in life. The present study examines medical and psychiatric conditions endorsed by autistic adults and documents differences between those diagnosed with ASD in childhood versus adulthood, as well as across age groups and sex at birth. 4657 legally independent adults (ages 18-85, M =Â 33.4 years) with professional ASD diagnoses who completed a medical questionnaire were drawn from the Simons Powering Autism Research Knowledge (SPARK) study. Chi square analyses, t-tests, and logistic regressions were used to compare medical and psychiatric conditions between age groups, sex at birth and adults diagnosed in childhood (before age 21) versus adulthood (at or after 21 years). Overall number of conditions endorsed as being diagnosed by a professional was high, with an average of 1.69 (SDÂ =Â 2.01) medical or developmental and 2.98 (SDÂ =Â 2.29) psychiatric conditions reported across the sample. Females were more likely to endorse psychiatric conditions (ORÂ =Â 1.68). Adult-diagnosed adults were more likely to endorse psychiatric conditions (ORÂ =Â 2.71) and reported more lifetime psychiatric diagnoses (MÂ =Â 3.15, SDÂ =Â 2.23) than their childhood-diagnosed counterparts (MÂ =Â 2.81, SDÂ =Â 2.33). These findings underscore the need for research to better understand and treat co-occurring psychiatric conditions in autistic adults and report and consider the age of diagnosis in adult autism samples. Moreover, results suggest it is imperative that mental health professionals receive autism training to promote accurate differential diagnosis and equitable access to mental health care for autistic adults with co-occurring psychiatric conditions. En ligne : http://dx.doi.org/10.1002/aur.2808 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488
in Autism Research > 15-11 (November 2022) . - p.2112-2125[article] Associations between co-occurring conditions and age of autism diagnosis: Implications for mental health training and adult autism research [Texte imprimé et/ou numérique] / Nikita JADAV, Auteur ; Vanessa H. BAL, Auteur . - p.2112-2125.
Langues : Anglais (eng)
in Autism Research > 15-11 (November 2022) . - p.2112-2125
Mots-clés : Adult Female Infant, Newborn Humans Adolescent Young Adult Middle Aged Aged Aged, 80 and over Autistic Disorder/complications/diagnosis/epidemiology Autism Spectrum Disorder/complications/diagnosis/epidemiology Mental Health Surveys and Questionnaires adults aging/ASD in adults clinical psychology co-morbid conditions Psychological Services and has received honoraria and/or consulting fees from Regeneron, Janssen and Simons Foundation for unrelated work. Index. décimale : PER Périodiques Résumé : Adult autism studies are increasingly comprised of later-diagnosed adults, yet little is known about how these adults compare to those diagnosed earlier in life. The present study examines medical and psychiatric conditions endorsed by autistic adults and documents differences between those diagnosed with ASD in childhood versus adulthood, as well as across age groups and sex at birth. 4657 legally independent adults (ages 18-85, M =Â 33.4 years) with professional ASD diagnoses who completed a medical questionnaire were drawn from the Simons Powering Autism Research Knowledge (SPARK) study. Chi square analyses, t-tests, and logistic regressions were used to compare medical and psychiatric conditions between age groups, sex at birth and adults diagnosed in childhood (before age 21) versus adulthood (at or after 21 years). Overall number of conditions endorsed as being diagnosed by a professional was high, with an average of 1.69 (SDÂ =Â 2.01) medical or developmental and 2.98 (SDÂ =Â 2.29) psychiatric conditions reported across the sample. Females were more likely to endorse psychiatric conditions (ORÂ =Â 1.68). Adult-diagnosed adults were more likely to endorse psychiatric conditions (ORÂ =Â 2.71) and reported more lifetime psychiatric diagnoses (MÂ =Â 3.15, SDÂ =Â 2.23) than their childhood-diagnosed counterparts (MÂ =Â 2.81, SDÂ =Â 2.33). These findings underscore the need for research to better understand and treat co-occurring psychiatric conditions in autistic adults and report and consider the age of diagnosis in adult autism samples. Moreover, results suggest it is imperative that mental health professionals receive autism training to promote accurate differential diagnosis and equitable access to mental health care for autistic adults with co-occurring psychiatric conditions. En ligne : http://dx.doi.org/10.1002/aur.2808 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 Permalink