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cover of episode Bonus episode: The Autism Curve

Bonus episode: The Autism Curve

2025/5/5
logo of podcast More or Less: Behind the Stats

More or Less: Behind the Stats

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Ginny Russell
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Joshua Stott
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Ginny Russell: 我是伦敦大学学院精神病学副教授。我的研究表明,1998年至2018年间,英国的自闭症诊断数量增加了800%,增长速度惊人,呈指数级增长。这在欧洲其他国家也普遍存在。虽然美国疾病控制中心的数据也显示自闭症诊断数量大幅增加,但全球范围内的确切数据仍然匮乏,尤其是在非英语和欧洲国家。自闭症的诊断标准基于DSM-5,包含社交沟通障碍和重复性行为或兴趣狭窄两大类症状,且症状严重程度存在差异。我们需要意识到,自闭症的表达方式高度异质性,这使得对自闭症的计数变得复杂。 Joshua Stott: 我是伦敦大学学院ADAPT实验室的老年和临床心理学教授,也是一名荣誉顾问临床心理学家。我在临床工作中发现,一些老年人被误诊为痴呆症,实际上是自闭症患者。这促使我们进行了一项大规模研究,分析了英国全科医生提交的数据。研究结果显示,青少年自闭症的诊断率远高于老年人,这表明存在大量的未诊断病例。根据我们的估计,2018年英国可能有多达120万未诊断的自闭症患者。这并非意味着儿童自闭症被过度诊断,而是老年自闭症患者被严重漏诊。

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An interruption to your regular podcast feed: the first episode of a new BBC Radio 4 series investigating the steep rise in autism diagnoses.

The Autism Curve looks into the data that has prompted arguments - and conspiracy theories - about what’s behind the rapid rise. It goes on to explore changes in what autism is, who gets to define it, and whose experience counts.

In this first episode, Ginny Russell discusses her 20-year study that showed an astonishing eightfold rise in new autism diagnoses in the UK on an exponential curve. And Professor Joshua Stott explains how a surprising discovery at a dementia clinic led him to calculate that that enormous rise in diagnoses may still undercount the country’s autistic population by as much as 1.2 million.

Listen to the rest of The Autism Curve here: https://www.bbc.co.uk/sounds/play/m002bszl

Archive: BBC; CSPAN; Fox News; CNN.

Presenter: Michael Blastland Series Producer: Simon Maybin Editor: Clare Fordham Sound mix: Neil Churchill Production Co-ordinator: Gemma Ashman