Factors associated with subjective quality of life of adults with autism spectrum disorder: self-report versus maternal reports
Open accessAbstract
We examined factors related to subjective quality of life (QoL) of adults with autism spectrum disorder (ASD) aged 25-55 (n = 60), using the World Health Organization Quality of Life measure (WHOQOL-BREF). We used three different assessment methods: adult self-report, maternal proxy-report, and maternal report. Reliability analysis showed that adults with ASD rated their own QoL reliably. QoL scores derived from adult self-reports were more closely related to those from maternal proxy-report than from maternal report. Subjective factors such as perceived stress and having been bullied frequently were associated with QoL based on adult self-reports. In contrast, level of independence in daily activities and physical health were significant predictors of maternal reports of their son or daughter's QoL.
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Experiences of non-accepting environments in earlier education can have long-lasting impacts and contribute to a negative sense of self, affected wellbeing and reduced quality of life for older students and adults.
“Experiences of non-accepting environments in earlier education can have long-lasting impacts, and can contribute to a negative sense of self, affected wellbeing and reduced quality of life for older students and adults (Hong et al., 2016).”
From Compassionate pedagogy for neurodiversity in higher education: A conceptual analysis (2023) · cites this paper as Hong et al., 2016
The Discussion (page unavailable) links frequent bullying in childhood or adolescence with poorer subjective quality of life in adults with autism and calls for more accepting school environments. The Results (page unavailable) also associate bullying with lower psychological-health scores. The paper does not establish that non-accepting educational environments cause these outcomes, or report a negative sense of self or outcomes for older students. (LLM, conf=0.87)
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“Experiences of non-accepting environments in earlier education can have long-lasting impacts, and can contribute to a negative sense of self, affected wellbeing and reduced quality of life for older students and adults (Hong et al., 2016).”
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“, 2017), psychological health (e.g. positive/negative affect, selfesteem, cognition; Hong et al., 2016) and – for autistic young people – school functioning (Kuhlthau et al.”
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- Authors
- Hong, J., Bishop-Fitzpatrick, L., Smith, L. E., Greenberg, J. S., & Mailick, M. R.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Hong, Jinkuk
- ORCID
- Hong, Jinkuk
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2015-12-26
- Volume
- 46
- Issue
- 4
- Pages
- 1368-1378
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC4788526
- OpenAlex
- W2203061867
- Cited by
- 178
- References
- 9
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 27 · 2023: 18 · 2022: 17 · 2021: 40 · 2020: 20 · 2019: 13 · 2018: 11 · 2017: 13 · 2016: 1
- FWCI
- 5.01
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01 AG08768)
- National Institute of Child Health and Human Development (T32 HD07489)
- Autism Speaks (7724)
- Waisman Center (P30 HD03352)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Keywords
- autism spectrum disorder, subjective quality of life, autistic adults, self-report, maternal report, proxy reports, WHOQOL-BREF, perceived stress, bullying, independence in daily activities, physical health
- MeSH terms
- Autism Spectrum Disorder, Adult, Female, Humans, Male, Middle Aged, Mothers, Quality of Life, Self Report
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