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Autism spectrum disorder in adults: diagnosis, management, and health services development

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)1669-1686
JournalNeuropsychiatric Disease and Treatment
VolumeVolume 12
DOIs
StatePublished - 7 Jul 2016

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  • Autism spectrum disorder in_MURPHY_Accepted 6Feb2016_GOLD VoR

    Autism_spectrum_disorder_in_MURPHY_Accepted_Feb2016_GOLD_VoR.pdf, 360 KB, application/pdf

    28/07/2016

    Final published version

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King's Authors

Abstract

Autism spectrum disorder (ASD) is a common neurodevelopmental disorder characterized by pervasive difficulties since early childhood across reciprocal social communication and restricted, repetitive interests and behaviors. Although early ASD research focused primarily on children, there is increasing recognition that ASD is a lifelong neurodevelopmental disorder. However, although health and education services for children with ASD are relatively well established, service provision for adults with ASD is in its infancy. There is a lack of health services research for adults with ASD, including identification of comorbid health difficulties, rigorous treatment trials (pharmacological and psychological), development of new pharmacotherapies, investigation of transition and aging across the lifespan, and consideration of sex differences and the views of people with ASD. This article reviews available evidence regarding the etiology, legislation, diagnosis, management, and service provision for adults with ASD and considers what is needed to support adults with ASD as they age. We conclude that health services research for adults with ASD is urgently warranted. In particular, research is required to better understand the needs of adults with ASD, including health, aging, service development, transition, treatment options across the lifespan, sex, and the views of people with ASD. Additionally, the outcomes of recent international legislative efforts to raise awareness of ASD and service provision for adults with ASD are to be determined. Future research is required to identify high-quality, evidence-based, and cost-effective models of care. Furthermore, future health services research is also required at the beginning and end of adulthood, including improved transition from youth to adult health care and increased understanding of aging and health in older adults with ASD.

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