聋儿童和青少年的自闭症评估：改编与建议。

文献信息

中文摘要

背景： 同时患有耳聋和自闭症的个体构成了一个庞大但服务不足的临床人群，聋儿童和青少年（DCYP）的自闭症评估仍然是一个复杂的过程。本范围综述梳理了针对DCYP自闭症评估的筛查和评估阶段特异性以及更广泛的改编和建议。方法：系统数据库检索最初获得851条记录，其中17项发表于2010年至2025年之间的原始研究符合纳入标准。文章涉及自闭症和非自闭症儿童、父母/家庭单元和专业人员，跨越三个国家（英国=7，美国=9，巴西=1），并使用了定量（n=13）和定性方法（n=4）。结果：我们的发现以三个主题呈现：（i）筛查，（ii）评估，以及（iii）更广泛的过程层面改编或建议。大多数研究集中在评估阶段，特别是对听力儿童自闭症评估金标准工具的改编。结论：本综述最后提出了未来探索的建议，例如对DCYP自闭症诊断后支持的综述。

英文摘要

Individuals with co-occurring deafness and autism represent a substantial yet underserved clinical population, and autism assessment in deaf children and young people (DCYP) remains a complex process. This scoping review mapped screening and assessment phase-specific and broader adaptations and recommendations for autism assessment of DCYP. Systematic database searches initially yielded 851 records, of which 17 primary studies published between 2010 and 2025 met inclusion criteria. Articles featured autistic and non-autistic children, parents/family units and professionals, across three countries (UK = 7, US = 9, Brazil = 1) and used quantitative (n = 13) and qualitative approaches (n = 4). Our findings are presented as three themes: (i) screening, (ii) assessment, and (iii) broader process-level adaptations or recommendations. Most studies focused on the assessment phase, particularly adaptations of gold-standard tools for autism assessment in hearing children. The review concludes with recommendations for future exploration, such as a review of post-autism diagnosis support for DCYP.