自閉症類群個案面對COVID-19疫情之衝擊與因應

Impacts and Recommendations for Autistic Spectrum Disorder During the COVID-19 Pandemic

新型冠狀肺炎（COVID-19）疫情已對全球心理健康造成諸多威脅與深遠影響。其中，尤以自閉症類群障礙症（autism spectrum disorder, ASD），對於疫情帶來之不確定性及作息改變更為敏感。從停課、隔離到照護系統的調整，相關限制都可能引發情緒行為問題。本文將回顧PubMed、MEDLINE與EMBASE資料庫之相關文獻，借鏡國際實務經驗，探討疫情對於ASD個案與照顧者之心理衝擊、因應方式及有效的介入措施。藉由整合行為增強系統、遠距醫療、可近且持續性的照護，期望能擬定相關策略，調適疫情帶來的巨大衝擊，動盪時刻中建立對ASD個案友善的環境。

The COVID-19 pandemic has posed countless threats and far-reaching repercussions to global mental health, especially for individuals with autism spectrum disorder (ASD) due to their vulnerability to the uncertainty and disrupted routines. With school closure, isolation, and upheaval of healthcare systems, these restrictions have raised the concerns of emotional and behavioral problems. A comprehensive search was performed in the PubMed, MEDLINE, and the EMBASE databases, highlighting the international experiences of psychological impacts, coping strategies and effective interventions for ASD and their caregivers. By integration of reinforcement systems, telehealth, together with accessible and continued support, we aimed to develop strategies to mitigate the huge impact of the pandemic and build an autism-friendly environment in the changing world.