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Outcomes in adults with autism spectrum disorders: a historical perspective
Open accessAbstract
In this review, we examine the ways in which researchers have defined successful adult outcomes for individuals with autism spectrum disorders (ASDs) from the first systematic follow-up reports to the present day. The earliest outcome studies used vague and unreliable outcome criteria, and institutionalization was a common marker of poor outcomes. In the past decade, researchers have begun to standardize the measurement of adult outcomes with specific criteria based on friendships, employment, and living arrangements. Although nearly all of these studies have agreed that the majority of adults with ASD have poor outcomes, evolving concepts of what it means to be an adult could have an impact on outcomes measured. For example, some researchers have suggested that taking into account the person-environment fit could reveal a more optimistic picture of outcomes for these adults. Suggestions for future research are discussed.
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“Meta-analysis have suggested that across the lifespan, subjective QOL tends to be lower among individuals with ASD compared to typically-developing peers 228 , but is often more positive than indicators of objective QOL 223,229 .”
From Autism spectrum disorder (2020) · cites this paper as [229]
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Metadata
- Authors
- Henninger, N. A., & Taylor, J. L.
- Affiliations
- Vanderbilt University (US)
- Monroe Carell Jr. Children's Hospital (US)
- ORCID
- Taylor, Julie Lounds
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2012-08-21
- Volume
- 17
- Issue
- 1
- Pages
- 103-116
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- PMC
- PMC3769945
- OpenAlex
- W2109872026
- Cited by
- 267
- References
- 38
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 15 · 2023: 11 · 2022: 19 · 2021: 29 · 2020: 27 · 2019: 31 · 2018: 22 · 2017: 23 · 2016: 18 · 2015: 23 · 2014: 18 · 2013: 10
- FWCI
- 8.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K01MH092598)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD015052, P30 HD-15052)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Education › Disability Education and Employment
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- autism spectrum disorder, adult outcomes, outcome measurement, institutionalization, employment, friendship, living arrangements, person-environment fit
- MeSH terms
- Adult, Child, Child Development Disorders, Pervasive, Employment, Humans, Outcome Assessment, Health Care, Friends, History, 20th Century, History, 21st Century, Independent Living
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