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Repercussions of the COVID-19 pandemic for people with autism and their family members: A scoping review.

Revista latino-americana de enfermagem2022

Teixeira Olga Feitosa Braga, Xavier Samyra Paula Lustoza, Félix Nuno Damácio de Carvalho, Silva José Wagner Martins da, Abreu Rogéria Mônica Seixas Xavier de, Miranda Karla Corrêa Lima

What this study means for families

This review looked at how COVID-19 affected autistic people and their families. The pandemic was especially hard because it disrupted daily routines that autistic people rely on and made it difficult to access school, therapy, and support services. Families experienced more stress, and both autistic children and their parents had more emotional and behavioral difficulties. The pandemic made existing challenges worse for autism families.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This scoping review analyzed 46 publications examining COVID-19 pandemic impacts on autistic individuals and their families. The review found that pandemic restrictions severely disrupted established routines and limited access to essential services including education, therapies, and social support. These disruptions particularly affected the autism community due to their reliance on predictable routines and structured support systems. The evidence indicates the pandemic intensified pre-existing inequalities, resulting in negative consequences across emotional, psychological, behavioral, and social domains.

Quality of life and mental health deteriorated for both autistic individuals and their family members during this period, highlighting the vulnerability of this population during public health crises.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Pandemic restrictions caused serious difficulties due to changes in scheduled routines for autistic individuals

    Confidence: moderateRelevance: High - routine disruption is a major stressor for autistic individuals
  • 2

    Limited access to education, therapies, and social support during pandemic

    Confidence: moderateRelevance: High - essential services were compromised affecting development and wellbeing
  • 3

    Negative consequences observed in emotional, psychological, behavioral and social aspects

    Confidence: moderateRelevance: High - multiple domains of functioning were impacted
  • 4

    Pandemic intensified pre-existing inequalities for autism community

    Confidence: moderateRelevance: High - highlights systemic vulnerabilities requiring targeted support

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Findings emphasize need for crisis preparedness planning that maintains routine and service access for autistic individuals. Clinicians should prioritize routine preservation and alternative service delivery methods during emergencies. Mental health support for both autistic individuals and families should be enhanced during public health crises.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

This is a scoping review without meta-analysis of quantitative outcomes. Sample sizes of included studies not reported. No specific statistical analysis of effect sizes. Limited to publications available by September 2021, potentially missing later pandemic impacts.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

to map the diverse scientific evidence available about the repercussions of the COVID-19 pandemic for people with Autism Spectrum Disorder and their family members. a scoping review conducted in the following databases: MEDLINE, CINAHL, SciELO, SCOPUS, EMBASE and Wiley Online Library, in August and September 2021. The protocol of this review was registered at the Open Science Framework under DOI 10.17605/OSF.IO/JYTVD. The data were analyzed and synthesized in a narrative way. a total of 46 publications identified indicate that the pandemic period brought about countless repercussions for the population with autism and their family members when experiencing serious difficulties in the changes or irregularities of the scheduled routines and limited access to education, therapies and social support. the diverse evidence suggests that the COVID-19 pandemic intensified the inequalities already experienced by individuals with autism and their family members, with negative consequences in the emotional, psychological, behavioral and social aspects, interfering with the quality of life and mental health of this population segment. Future studies on individuals with autism and their families during public health crisis periods are of fundamental importance for planning psychiatric, psychosocial and educational interventions.

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Evidence Grade

Emerging

moderate

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Type
Review
Journal
Revista latino-americana de enfermagem
Year
2022
PMID
36629727
DOI
10.1590/1518-8345.5965.3729

MeSH Terms

HumansCOVID-19Autistic DisorderPandemicsAutism Spectrum DisorderQuality of LifeFamily