{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T03:08:04Z","timestamp":1790564884744,"version":"4.1.0"},"reference-count":88,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"unspecified","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec id=\"S205647242400824X_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alcohol use in autism spectrum disorder (ASD) is under-researched. Previous reviews have explored substance use as a whole, but this neglects individual characteristics unique to different substances. Alcohol use in non-clinical samples is associated with diverse responses. To advance practice and policy, an improved understanding of alcohol use among people with ASD is crucial to meet individual needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242400824X_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This was a narrative systematic review of the current literature on the association between alcohol use and ASD, focusing on aetiology (biological, psychological, social and environmental risk factors) and implications (consequences and protective factors) of alcohol use in autistic populations who utilise clinical services. We sought to identify priority research questions and offer policy and practice recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242400824X_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>PROSPERO Registration: CRD42023430291. The search was conducted across five databases: CINAHL, EMBASE, MEDLINE, PsychINFO and Global Health. Included studies explored alcohol use and ASD within clinical samples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242400824X_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 22 studies was included in the final review. The pooled prevalence of alcohol use disorder in ASD was 1.6% and 16.1% in large population registers and clinical settings, respectively. Four components were identified as possible aetiological risk factors: age, co-occurring conditions, gender and genetics. We identified ten implications for co-occurring alcohol use disorder in ASD, summarised as a concept map.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242400824X_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Emerging trends in the literature suggest direction and principles for research and practice. Future studies should use a standardised methodological approach, including psychometrically validated instruments and representative samples, to inform policy and improve the experience for autistic populations with co-occurring alcohol use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2024.824","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T01:41:38Z","timestamp":1736732498000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":9,"title":["Alcohol use among populations with autism spectrum disorder: narrative systematic review"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0728-4734","authenticated-orcid":false,"given":"William","family":"Barber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7421-5245","authenticated-orcid":false,"given":"Betul","family":"Aslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0661-5391","authenticated-orcid":false,"given":"Tim","family":"Meynen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1307-2498","authenticated-orcid":false,"given":"John","family":"Marsden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7014-8121","authenticated-orcid":false,"given":"Samuel R.","family":"Chamberlain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2223-9210","authenticated-orcid":false,"given":"Vigneshwar","family":"Paleri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1905-2025","authenticated-orcid":false,"given":"Julia M.A.","family":"Sinclair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"S205647242400824X_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13505"},{"key":"S205647242400824X_ref78","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.5371"},{"key":"S205647242400824X_ref53","doi-asserted-by":"publisher","DOI":"10.1089\/aut.2019.0051"},{"key":"S205647242400824X_ref67","first-page":"50","article-title":"Beyond childhood: psychiatric comorbidities and social background of adults with Asperger syndrome","volume":"27","author":"Roy","year":"2015","journal-title":"Psychiatr Danubina"},{"key":"S205647242400824X_ref34","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agw046"},{"key":"S205647242400824X_ref51","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-022-01970-3"},{"key":"S205647242400824X_ref61","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000001357"},{"key":"S205647242400824X_ref71","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2021.103987"},{"key":"S205647242400824X_ref40","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.139006"},{"key":"S205647242400824X_ref38","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2012.787"},{"key":"S205647242400824X_ref57","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"S205647242400824X_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/13623613211059674"},{"key":"S205647242400824X_ref1","volume-title":"International Classification of Diseases, Eleventh Revision (ICD-11)","year":"2021"},{"key":"S205647242400824X_ref46","doi-asserted-by":"publisher","DOI":"10.1080\/00048674.2010.501759"},{"key":"S205647242400824X_ref47","doi-asserted-by":"publisher","DOI":"10.1089\/aut.2020.0008"},{"key":"S205647242400824X_ref20","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"S205647242400824X_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106671"},{"key":"S205647242400824X_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyp261"},{"key":"S205647242400824X_ref73","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-011-0220-2"},{"key":"S205647242400824X_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30289-5"},{"key":"S205647242400824X_ref58","volume-title":"Guidance on the Conduct of Narrative Synthesis in Systematic Reviews. 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