Sexuality in adolescents with autistic spectrum disorder (ASD): An integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.15558

Keywords:

Autístic disorder; Sex education; Sexuality; Adolescent.

Abstract

Introduction: Autism spectrum disorder (ASD) is considered a global development disorder affecting language, cognition and social interaction. The immaturity, especially perceived by their families, exacerbates the difficulty to handle issues about sexuality, causing difficulty in accepting that the autistic has rights in relation to his/her sexual desires and manifestations. Objective: to analyze the scientific evidence concerning the sexual development in autistic teenagers. Methodological Approach: an integrative literature review was conducted by searching and synthesizing the findings of published studies regarding sexuality and autism. In a search conducted in the Virtual Health Library (VHL) database, it was used the following search strategy: Sexual Education, Sexuality, Adolescent and Autistic Disorder, as indexed in the Descriptors in Health Sciences (DeCS) and in the medical methods system of the English language Medical Subject Headings (MeSH). Furthermore, for the advanced search, the Boolean terminology "and" was applied. Hence, covering the period from 2015 to June 2020, in Portuguese, English and Spanish. Results: 05 articles have met the eligibility criteria, being selected and analyzed. The results indicate that the theme should be discussed considering the effective possibility of manifestation and experience of sexuality by those affected by ASD, thereby contributing to the improvement of their quality of life. Conclusion: although complex, it is fundamental to discuss the sexuality of people with some disabilities, limitations or other special needs, in order to question misconceptions, myths and exclusions.

References

Beddows, N. & Brooks, R. (2015). Inappropriate sexual behaviour in adolescents with autism spectrum disorder: what education is recommended and why. EarlyIntervention in Psychiatry, 10(4), 282 – 289.

Bernstein, N. R. (1992). A sexualidade em adolescentes deficientes mentais. Em M. Sugar, Adolescência atípica e sexualidade. Porto Alegre: Artes Médicas.

BRASIL. LEI Nº 13.146, DE 6 DE JULHO DE 2015. Lei Brasileira de Inclusão da Pessoa com Deficiência (Estatuto da Pessoa com Deficiência). Presidência da República. Secretaria-Geral. Subchefia para Assuntos Jurídicos, 2015.

Brilhante A. V. M., Filgueira, L. M. A., Lopes, S. V. M. U., Vilar, N. B. S., Nóbrega, L. R. M., Pouchain, A. J. M. V. & Sucupira L. C. G. (2021). “Eu não sou um anjo azul”: a sexualidade na perspectiva de adolescentes autistas. Ciência & Saúde Coletiva, 26(2), 417 – 423.

Cedano, Y. M., Rivera-Caquías, N., Alvarez-Alvarez, M. & Vega-Carrero, M. (2020). Transtorno del espectro autista en féminas. Revista Caribeña de Psicología, 4(3), 281 - 294.

Çelikkol, C. & Bilgiç, A. (2018). Excessive Masturbation Successfully Treated with Fluoxetine in an Adolescent with Autism Spectrum Disorder and Coexisting Depression. Journal of Child and Adolescent Psychopharmacology, 28(7), 491 – 492.

Cividini-Motta, C., Moore, K., Fish, L. M., Priehs, J. C. & Ahearn W. H. (2020). Reducing Public Masturbation in Individuals With ASD: An Assessment of Response Interruption Procedures. Behavior Modification, 44(3), 429 - 448.

Cooper, K., Smith, L. G. & Russel, A. J. (2018). Gender identity in autism: sex differences in social affiliation with gender groups. Journal of Autism and Development Disorders, 48(12), 3995 - 4006.

Curtis, A. (2017). Why Sex Education Matters for Adolescents with Autism Spectrum Disorder. American Journal of Nursing, 117(6), 11.

Davis, T. N., Machalicek, W., Scalzo, R., Kobylecky, A., Campbell, V., Pinkelman, S., Chan, J. M. & Sigafoos, J. (2016).A Review and Treatment Selection Model for Individuals with Developmental Disabilities Who Engage in Inappropriate Sexual Behavior.BehaviorAnalysis in Practice, 9(4), 389 – 402.

De Tilio, R. (2017). Transtornos do Espectro Autista e sexualidade: um relato de caso na perspectiva do cuidador. Psicología, Conocimiento y Sociedad, 7(1), 36 - 58.

Dekker, L. P., Vegt, E. J. M., Visser, K.,Tick, N., Boudesteijn, F. C. V., Maras, A. &Greaves-Lord, K. (2015). Improving Psychosexual Knowledge in Adolescents with Autism Spectrum Disorder: Pilot of the Tackling Teenage Training Program.Journal of Autism Development and Disorders, 45(6), 1532 – 1540.

Dewinter, J. Vermeiren, R., Vanwesenbeeck, I. & Van Nieuwenhuizen, Ch. (2016). Parental Awareness of Sexual Experience in Adolescent Boys With Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 46(2), 713 - 719.

Dickerson, M. U. (1982). New challenges for parents of the mentally retarded in the l980s. The Exceptional Child, 29 (l), 5 - l2.

Eckerd, M. (2020).Detection and diagnosis of ASD in females.Journal of Health Service Psychology, 46(1), 37 - 47.

Fernandes, L. C., Gillberg, C. I., Cederlund, M., Hagberg, B., Gillberg, C. & Billstedt, E. (2016). Aspects of sexuality in adolescents and adults diagnosed with autism spectrum disorders in childhood. Journal of Autism and Developmental Disorders, 46(9), 3155 - 3165.

Foucault, M. (1999). História da Sexualidade I: A Vontade do Saber. Rio de Janeiro: Graal.

Ginevra, M. C., Nota, L. & Stokes, M. A. (2016).The differential effects of Autism and Down's syndrome on sexual behavior.Autism Research, 9(1), 131 – 140.

Hirosawa, T., Kontani, K., Fukai, M., Kameya, M., Soma, D., Hino, S., Kitamura, T., Hasegawa, C., Na, K., Takahashi, T., Yoshimura., Y. & Kikuchi, M. (2020). Different associations between intelligence and social cognition in children with and without autism spectrum disorders.PLoS One, 15(8), 01 – 18.

Holmes, L. G., Himle, M. B. & Strassberg, D. S. (2015). Parental romantic expectations and parent-child sexuality communication in autism spectrum disorders. Autism, 20(6), 687 - 699.

Holmes, L. G., Strassberg, D. S. & Himle, M. B. (2019).Family sexuality communication for adolescent girls on the autism spectrum.Journal of Autism Development and Disorders, 49(6), 2403 – 2416.

Kaltiala-Heino, R., Tiolajarvi, M. & Lindberg, N. (2019). Sexual experiences of clinically referred adolescents with features of gender dysphoria. Clinical Child Psychology and Psychiatry, 24(2), 365 – 378.

Lacerda, M. R. & Costenaro, R. G. S. (2016). Metodologia da pesquisa para a enfermagem e saúde: da teoria à prática. Porto Alegre: Moriá.

Lipp, M. N. (1988). Sexo para deficientes mentais. Sexo e excepcional dependente e não dependente. São Paulo: Cortez.

Mackin, M. L., Loew, N., Gonzalez, A., Tykol, H. & Christensen.(2016). Parent perceptions of sexual education needs for their children with autism.Journal ofPediatricNursing, 31(6), 608 - 618.

Meeus, W. (2016). Adolescent Psychosocial Development: A review of longitudinal models and research. Developmental Psychology, 52(12), 1969 - 1993.

Mendes, K. D. S., Silveira, R. C. de C. P. & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17(4), 758 – 764.

Moraes, A. L., Costa, S. C. S., Silva, S. S., Boulhosa, M. F., Feitosa E. S. & Costa, C. M. L. (2019). O adolescente e sua sexualidade: uma abordagem em educação e saúde na escola. Enfermagem em Foco, 10(2), 149 - 154.

Nascimento, T. R. C. & Bruns, M. A. T. (2020). A família e a de sexualidade de filhos/as autistas: o que a literatura científica nacional oferece?.Revista Brasileira de Sexualidade Humana, 30(1), 8 – 13.

Nosek, M. A., & Simmons, D. K. (2007). Sexual and Reproductive Health Disparities Experienced by People with Disabilities: Myth versus Reality. Californian Journal of Health Promotion, 5(1), 68 - 81.

Oliveira, A. A. & Machado F. C. L. (2018). Adolescência, suicídio e o luto dos pais. Revista UNINGÁ, 55(2), 141 - 153.

Ottoni, A. C. V. & Maia, A. C. B. (2019). Considerações sobre a sexualidade e educação sexual de pessoas com transtorno do espectro autista. Revista Ibero-Americana de Estudos em Educação, 14(2), 1265 – 1283.

Pecora, L. A., Hancock, G. I.,Hooley, M., Demmer, D. H., Attwood, T., Mesibov, G. B. & Stokes, M. A. (2020). Gender identity, sexual orientation and adverse sexual experiences in autistic females.Molecular Autism, 11(1), 1 – 16.

Pinheiro, J. C. & Filho, E. L. L. (2020). Afetividade na aprendizagem do aluno com transtorno do espectro autista. Revista Expressão Católica, 9(1), 71 - 79.

Da Rocha, M. V. & De Mesquita, A. C. C. (2018). Liberdade Sexual: autismo e a disposição ao próprio corpo. Revista Duc In Altum Cadernos de Direito, 10(22), 05 - 23.

Souza, M. T., Silva, M. D. & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. Einstein, 8(1), 102 - 106.

Turner, D., Briken, P. & Schottle, D. (2017). Autism-spectrum disorders in adolescence and adulthood: focus on sexuality. CurrentOpinion in Psychiatry, 30(6), 409 – 416.

Villamayo, V. L. (2020). Expresión sexual de las personas con TEA: percepción de los profesionales de la educación. Siglo Cero, 51(2), 33 – 53.

Visser, K.,Greaves-Lord, K., Tick, N. T., Verhulst, F. C., Maras, A. & Van Der Vegt, E. J. M. (2017). A randomized controlled trial to examine the effects of the Tackling Teenage psychosexual training program for adolescents with autism spectrum disorder.Journal of Child Psychology and Psychiatry, 58(7), 840 – 850.

Zerbinatti, J. P. & Bruns, M. A. T. (2017). Sexualidade e Educação: revisão sistemática da literatura científica nacional. Revista Travessias, 11(1), 76 - 92.

Published

22/05/2021

How to Cite

AREND, M. H. R. de F. .; MACIEL, E. T. .; FANTINELLI, A. A. .; EGGRES, D.; GRAUP, S.; BALK, R. de S. . Sexuality in adolescents with autistic spectrum disorder (ASD): An integrative review. Research, Society and Development, [S. l.], v. 10, n. 6, p. e11810615558, 2021. DOI: 10.33448/rsd-v10i6.15558. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15558. Acesso em: 20 jun. 2021.

Issue

Section

Health Sciences