Loneliness, friendship, and well-being in adults with autism spectrum disorders
Abstract
This study examined the relations among loneliness, friendship, and emotional functioning in adults ( N = 108) with autism spectrum disorders. Participants completed self-report measures of symptoms of autism spectrum disorders, loneliness, number and nature of friendships, depression, anxiety, life satisfaction, and self-esteem. The results indicated that loneliness was associated with increased depression and anxiety and decreased life satisfaction and self-esteem, even after controlling for symptoms of autism spectrum disorders. In addition, greater quantity and quality of friendships were associated with decreased loneliness among adults with autism spectrum disorders. Multivariate models indicated that friendship did not moderate the relationship between loneliness and well-being; however, number of friends provided unique independent effects in predicting self-esteem, depression, and anxiety above and beyond the effects of loneliness. This was the first study to examine the relations among these aspects of social and emotional functioning in adults with autism spectrum disorders, and the results indicate that this topic warrants further clinical and research attention.
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Depression and anxiety have significant negative effects on well-being, quality of life, and day-to-day functioning in autistic adults.
“Depression and anxiety have significant negative effects on well-being, quality of life, and day-to-day functioning (Gotham, Brunwasser, & Lord, 2015;Mason et al., 2018;Mazurek, 2014;Oakley et al., 2021)”
From A mixed methods study of autistic adults' mental health therapy experiences (2023) · cites this paper as Mazurek, 2014
Individuals on the autism spectrum who reported having more friends experienced fewer feelings of loneliness, as well as fewer anxious and depressive symptoms.
“individuals on the autism spectrum who reported having more friends experienced fewer feelings of loneliness, as well as fewer anxious and depressive symptoms (Mazurek 2014).”
From Experiences of autism acceptance and mental health in autistic adults (2018) · cites this paper as Mazurek 2014
High rates of loneliness reported by people with ASD suggest that a basic need for some social bonds remains.
“Again, however, while the motivation for social connection may be lower, the high rates of loneliness reported by people with ASD suggest that a basic need for some social bonds remains (151).”
From A transdiagnostic perspective on social anhedonia (2019) · cites this paper as [151]
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- Authors
- Mazurek, M. O.
- Affiliations
- University of Missouri (US)
- Corresponding author
- Mazurek, Micah O
- ORCID
- Mazurek, Micah O
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2013-10-03
- Volume
- 18
- Issue
- 3
- Pages
- 223-232
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- OpenAlex
- W2161515436
- Cited by
- 401
- References
- 69
- Citations by year
- 2026: 27 · 2025: 43 · 2024: 36 · 2023: 40 · 2022: 54 · 2021: 41 · 2020: 34 · 2019: 41 · 2018: 29 · 2017: 26 · 2016: 11 · 2015: 11 · 2014: 7 · 2013: 1
- FWCI
- 5.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- loneliness, friendship, autism spectrum disorder, autistic adults, well-being, depression, anxiety, life satisfaction, self-esteem, social functioning, emotional functioning, friendship quality, number of friends
- MeSH terms
- Adolescent, Adult, Anxiety, Child Development Disorders, Pervasive, Depression, Employment, Female, Humans, Loneliness, Male, Middle Aged, Personal Satisfaction, Surveys and Questionnaires, Residence Characteristics, Self Concept, Social Behavior, Marital Status, Friends, Young Adult
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