自閉症の人々に対する更年期支援の必要性を示す新たな研究レビュー(New review highlights need for menopause support for autistic people)

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2025-09-02 スウォンジー大学

スウォンジー大学の研究チームは『Autism in Adulthood』に、自閉スペクトラム症の人々に対する閉経期支援の不足を指摘するレビューを発表した。既存研究と当事者の声を分析した結果、①閉経に関する情報不足により多くが初めての症状を理解できずオンラインに頼っている、②感覚過敏や気分変調など症状が一般より強く現れる場合がある、③医療支援が乏しく自己対処や否定的な受診体験が多いことが明らかとなった。さらに、泌尿生殖器症状やホルモン補充療法(HRT)の有効性に関する知見不足、特定の自閉集団への影響の理解不足など研究ギャップも判明した。著者らは、共同制作による高品質な情報資源、ピアサポートの導入、医療従事者への専門研修など、特性に配慮した支援体制の整備を求めている。

<関連情報>

自閉症と更年期移行期:混合手法による系統的レビュー Autism and the Menopause Transition: A Mixed-Methods Systematic Review

Aimee Grant, Harriet Axbey, Willow Holloway, Selena Caemawr, Monique Craine, Hazel Lim, Sebastian C.K. Shaw, and Rebecca Ellis
Autism in Adulthood  Published:1 September 2025

Abstract

Background: The menopause transition commonly occurs between the ages of 45 and 55 years. In a general population, hormonal shifts result in a range of biological, psychological, and social changes. Recently, research has begun to focus on Autistic people’s experiences of the menopause.

Methods: We undertook a prospectively registered (PROSPERO: CRD42023450736) systematic review of research and firsthand accounts from grey literature related to Autism and menopause. We utilized the Joanna Briggs Institute convergent integrated synthesis approach.

Results: Our search identified eight studies and seven pieces of grey literature, primarily comprising Autistic people. No studies evaluated interventions or provided data from those supporting Autistic people. We developed three themes. First, “knowledge of the menopause transition and peer support” focused on Autistic people’s lack of knowledge of menopause symptoms, including differences for Autistic people, and the role of peer support in obtaining knowledge. Second, “Autistic people’s experiences of menopausal symptoms” describes a broad range of negative symptoms, which sometimes had significant impacts on mental health and daily activities. Limited quantitative evidence highlighted increased menopause symptom severity for Autistic people compared with non-Autistic comparison groups. Menopause symptoms impacted on work and relationships, and there was an interrelationship between menopausal symptoms and Autistic identities. Third, “treatment of menopause symptoms” describes nonmedical and medical approaches, including hormone replacement therapy, to reduce symptom impacts. Most reports of medical treatment highlighted barriers to access, or negative experiences of appointments.

Conclusion: There is a clear need for better menopause supports for Autistic people. This should include Autism-friendly information to increase knowledge of menopause and how it may impact Autistic people. Corresponding information should also be available for health professionals, with systemic barriers to health care also reduced to allow the best chance for Autistic people to receive menopause support. Autism-specific menopause peer support may be worthy of evaluation.

医療・健康
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