Unique perspectives: the autistic spectrum in women
DOI:
https://doi.org/10.22201/cuaieed.16076079e.2023.24.6.18Keywords:
Autism, women, late diagnosisAbstract
The autism spectrum disorder, characterized by alterations in social communication and restricted behaviors, exhibits a prevalence that highlights a ratio of 1 woman to every 3 men, indicating a female underrepresentation. Women express autism traits uniquely, posing challenges in identification and diagnosis. Two profiles are observed: the externalizing, with seemingly sociable yet deficient interaction, and the internalizing, marked by shyness and focus on activities such as reading and painting. During the preschool and school stages, girls display a more developed symbolic play and greater social interests compared to boys under similar conditions. Challenges emerge in adolescence, including perfectionism, school bullying, and mild self-injurious behaviors. Many women receive late diagnoses, exemplified by figures like Ladyhawke, Susan Boyle, and Mexican psychologist Yeimy Molina. Diagnostic instruments for autism lack gender sensitivity. Conducting research, developing instruments, and implementing clinical interventions with a gender perspective is of utmost importance.
References
American Psychiatric Association. (Ed). (2022). Diagnóstic ans statical Manual of mental Disorders (5° Ed. Rev.). American Psychiatric Association
Antezana, L., Factor, R. S., Condy, E., Strege, M. V., Scarpa, A., y Richey, J. A. (2018). Gender differences in restricted and repetitive behaviors and interests in youth with autism. Autism Research, 12(2), 274-283. https://doi.org/10.1002/aur.2049
Asperger, H. (1991). ‘Autistic psychopathy’ in childhood. En Cambridge University Press eBooks (pp. 37-92). https://doi.org/10.1017/cbo9780511526770.002
Brown, C. M., Attwood, T., Garnett, M., y Stokes, M. A. (2020). Am I autistic? Utility of the Girl’s Questionnaire for Autism Spectrum Condition as an autism Assessment in adult women. Autism in adulthood, 2(3), 216-226. https://doi.org/10.1089/aut.2019.0054
Deveney, C. (2013, 8 diciembre). Susan Boyle: My relief at discovering that I have Asperger’s. the Guardian. https://www.theguardian.com/music/2013/dec/08/susan-boyle-autism
Dworzynski, K., Ronald, A., Bolton, P., y Happé, F. (2012). How different are girls and boys above and below the diagnostic threshold for autism spectrum disorders? Journal of the American Academy of Child and Adolescent Psychiatry, 51(8), 788-797. https://doi.org/10.1016/j.jaac.2012.05.018
Hervás, A. (2022). Género femenino y autismo: infra detección y mis diagnósticos. Medicina. 82 (supl.I) 37-42. https://www.medicinabuenosaires.com/revistas/vol82-22/s1/37s.pdf
Kanner, L. (1943). Autistic Disturbances of Affective Contact. Nervous Child: Journal of Psychopathology, Psychotherapy, Mental Hygiene, and Guidance of the Child 2. https://n9.cl/lnp99
Lai, M., Lombardo, M., Auyeung, B., Chakrabarti, B., y Baron-Cohen, S. (2015). Sex/Gender Differences and Autism: Setting the scene for future research. Journal of the American Academy of Child and Adolescent Psychiatry, 54(1), 11-24. https://doi.org/10.1016/j.jaac.2014.10.003
Lockwood Estrin, G., Milner, V., Spain, D., Happé, F., y Colvert, E. (2020). Barriers to Autism Spectrum Disorder diagnosis for Young Women and Girls: A Systematic review. Review Journal of Autism and Developmental Disorders, 8(4), 454-470. https://doi.org/10.1007/s40489-020-00225-8
Loomes, R., Hull, L., y Mandy, W. (2017). What is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 56(6), 466-474. https://doi.org/10.1016/j.jaac.2017.03.013
Merino, M., D’Agostino, C., de Sousa, V., Gutierrez, A., Morales, P., Pérez, L., Camba, O., Garrote, L. y Amat, C. (2018). Guía de buenas prácticas en niñas, adolescentes y mujeres con tratorno del espectro del autismo. aetapi. https://n9.cl/4kubp
Moreno-Ramírez, D.Y. [A lo Aspergiano]. (22 de abril de 2022). Psicóloga explica como es el autismo en mujeres. [Video]. Youtube. https://www.youtube.com/watch?v=ecD5VRYbStU
Sutherland, R., Hodge, A., Bruck, S., Costley, D., y Klieve, H. (2017). Parent-reported differences between school-aged girls and boys on the autism spectrum. Autism, 21(6), 785-794. https://doi.org/10.1177/1362361316668653
Ssucharewa, G.E. (1996). The first account of the syndrome Asperger described? (Wolff S. Trans.). Eur Child Adolesc Psychiatry. 5(3):119-32. (Trabajo original publicado en 1926. https://doi.org/10.1007/BF00571671
Sukhareva, G.E., (2020). The first account of the syndrome Asperger described? Part 2: the girls. (Simmonds C, Trans.) Eur Child Adolesc Psychiatry. 29(4):549-564. (Trabajo original publicado en 1927). https://doi.org/10.1007/s00787-019-01371-z
The Newsroom, (2012). Interview: Ladyhawke, musician. The scotsman. https://n9.cl/r87f3
Van Wijngaarden-Cremers, P. J. M., Van Eeten, E., Groen, W. B., Van Deurzen, P. A., Oosterling, I. J., y Van Der Gaag, R. J. (2013). Gender and Age Differences in the core triad of Impairments in Autism Spectrum Disorders: A Systematic Review and Meta-analysis. Journal of Autism and Developmental Disorders, 44(3), 627-635. https://doi.org/10.1007/s10803-013-1913-9
Wood-Downie, H., Wong, B., Kovshoff, H., Mandy, W., Hull, L., y Hadwin, J. A. (2020). Sex/Gender differences in camouflaging in children and adolescents with autism. Journal of Autism and Developmental Disorders, 51(4), 1353-1364. https://doi.org/10.1007/s10803-020-04615-z
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