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The combined impact of social support and perceived stress on quality of life in adults with autism spectrum disorder and without intellectual disability
Open accessAbstract
Identifying modifiable correlates of good quality of life in adults with autism spectrum disorder is of paramount importance for intervention development as the population of adults with autism spectrum disorder increases. This study sought to examine social support and perceived stress as potential modifiable correlates of quality of life in adults with autism spectrum disorder. We hypothesized that adults with autism spectrum disorder without co-occurring intellectual disabilities ( N = 40; aged 18–44 years) would report lower levels of social support and quality of life than typical community volunteers who were matched for age, sex, and race ( N = 25). We additionally hypothesized that social support would buffer the effect of perceived stress on quality of life in adults with autism spectrum disorder. Results indicated that adults with autism spectrum disorder reported significantly lower levels of social support and quality of life than matched typical community volunteers. In addition, findings showed significant direct effects of social support and perceived stress on quality of life in adults with autism spectrum disorder. Social support did not buffer the effect of perceived stress on quality of life. Interventions that teach adults with autism spectrum disorder skills to help them better manage stress and cultivate supportive social relationships have the potential to improve quality of life.
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“many people feel that social change is required 235 , whereas other individuals want therapies to meet a range of their needs 236 .”
From Autism spectrum disorder (2020) · cites this paper as [236]
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“Autistic individuals experience both more stress in everyday life (Bishop-Fitzpatrick et al., 2018; Hirvikoski & Blomqvist, 2015) and more stressful major life events than non-autistic adults (Moseley et al., 2021).”
From Mindfulness-based stress reduction for autistic adults: A feasibility study in an outpatient context. (2024) · cites this paper as Bishop-Fitzpatrick et al., 2018
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“research suggesting that they experience less social support from others as well as perceiving more stress (Bishop-Fitzpatrick et al. 2017).”
From Experiences of autism acceptance and mental health in autistic adults (2018) · cites this paper as Bishop-Fitzpatrick et al. 2017
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Citations
Cites
R: A Language and Environment for Statistical Computing
R Core Team (2000) · doi:10.32614/r.manuals · Cited by 355,893
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807
Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152
Missing data: our view of the state of the art
Schafer, J. L., & Graham, J. W. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.2.147 · Cited by 11,638
Lord, C., Rutter, M., & Le Couteur, A. (1994) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02172145 · Cited by 9,065
Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment
THE WHOQOL GROUP (1998) · Psychological Medicine · doi:10.1017/s0033291798006667 · Cited by 7,933
The environment and disease: association or causation?
Hill, A. B. (2015) · Journal of the Royal Society of Medicine · doi:10.1177/0141076814562718 · Cited by 7,804
Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., Pickles, A., & Rutter, M. (2000) · Journal of Autism and Developmental Disorders · doi:10.1023/a:1005592401947 · Cited by 7,520
Social Relationships and Mortality Risk: A Meta-analytic Review
Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010) · PLoS Medicine · doi:10.1371/journal.pmed.1000316 · Cited by 7,272 · cited 1×
“Indeed, findings from a recent meta-analysis suggest that the impact of increased social support on health and well-being may be larger than that of other health-promoting factors such as increasing physical activity or reducing smoking and alcohol consumption (Holt-Lunstad et al., 2010).”
BackgroundThe Environment and Disease: Association or Causation?
Hill, A. B. (1965) · Proceedings of the Royal Society of Medicine · doi:10.1177/003591576505800503 · Cited by 6,974
Social support as a moderator of life stress
Cobb, S. (1976) · Psychosomatic Medicine · doi:10.1097/00006842-197609000-00003 · Cited by 6,936
Skevington, S. M., Lotfy, M., & O'Connell, K. A. (2004) · Quality of Life Research · doi:10.1023/b:qure.0000018486.91360.00 · Cited by 4,686
(1988) · Cited by 4,111
Journal of the American Statistical Association
Fildes, R. A. (1989) · International Journal of Forecasting · doi:10.1016/0169-2070(89)90106-4 · Cited by 3,956
Amelia II: A Program for Missing Data
Honaker, J., King, G., & Blackwell, M. (2011) · Journal of Statistical Software · doi:10.18637/jss.v045.i07 · Cited by 2,552
Measuring the Functional Components of Social Support
Cohen, S., Mermelstein, R., Kamarck, T., & Hoberman, H. M. (1985) · Social Support: Theory, Research and Applications · doi:10.1007/978-94-009-5115-0_5 · Cited by 2,296 · cited 2×
“Perceived social support was measured using the Interpersonal Support Evaluation List (ISEL; Cohen et al., 1985), a 40-item, self-report inventory.”
BackgroundMethodInfluentialCassel, J. C. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117515 · Cited by 1,948
THE CONTRIBUTION OF THE SOCIAL ENVIRONMENT TO HOST RESISTANCE1
CASSEL, J. (1976) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112281 · Cited by 1,816 · cited 2×
“This was unexpected given the large body of research in the general population that finds a buffering effect of social support on the association between perceived stress and well-being (Cassel, 1976; Cobb, 1976; Cohen and McKay, 1984).”
BackgroundAdult outcome for children with autism
Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00215.x · Cited by 1,813
The social psychology of health
(1989) · Choice Reviews Online · doi:10.5860/choice.26-5686 · Cited by 1,797
Handbook of Psychology and Health
Gatchel, R. J., Baum, A. E., & Singer, J. E. (2021) · Routledge eBooks · doi:10.4324/9781003161530 · Cited by 1,321
COHEN, S., & JANICKI‐DEVERTS, D. (2012) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.2012.00900.x · Cited by 1,187
Magiati, I., Tay, X. W., & Howlin, P. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.11.002 · Cited by 632
Klin, A., Saulnier, C. A., Sparrow, S. S., Cicchetti, D. V., Volkmar, F. R., & Lord, C. (2007) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0229-4 · Cited by 585
Outcomes in adolescents and adults with autism: A review of the literature
Levy, A. K., & Perry, A. (2011) · Research in Autism · doi:10.1016/j.rasd.2011.01.023 · Cited by 465
Howlin, P., Moss, P., Savage, S., & Rutter, M. L. (2013) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.02.017 · Cited by 462
Social Participation Among Young Adults with an Autism Spectrum Disorder
Orsmond, G. I., Shattuck, P. T., Cooper, B. P., Sterzing, P. R., & Anderson, K. A. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1833-8 · Cited by 415
A Critique of Some Ridge Regression Methods: Comment
Marquardt, D. W. (1980) · Journal of the American Statistical Association · doi:10.1080/01621459.1980.10477430 · Cited by 403
Anderson, D. K., Liang, J. W., & Lord, C. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12178 · Cited by 401
Loneliness, friendship, and well-being in adults with autism spectrum disorders
Mazurek, M. O. (2014) · Autism · doi:10.1177/1362361312474121 · Cited by 401
National Autism Prevalence Trends From United States Special Education Data
Newschaffer, C. J., Falb, M. D., & Gurney, J. G. (2005) · PEDIATRICS · doi:10.1542/peds.2004-1958 · Cited by 316
Alternative models of the stress buffering hypothesis
Landerman, R., George, L. K., Campbell, R. T., & Blazer, D. G. (1989) · American Journal of Community Psychology · doi:10.1007/bf00922639 · Cited by 313
Renty, J. O., & Roeyers, H. (2006) · Autism · doi:10.1177/1362361306066604 · Cited by 302
Psychobiology of social support: The social dimension of stress buffering
Ditzen, B., & Heinrichs, M. (2014) · Restorative Neurology and Neuroscience · doi:10.3233/rnn-139008 · Cited by 298 · cited 2×
“…1970s and 1980s in both the United States and Scandinavia that identify reductions in medical risk factors and risk of mortality (e.g. high blood pressure and high cholesterol) of as much as 50% among those individuals with high levels of social support (for review, see Ditzen and Heinrichs, 2014).”
BackgroundAddressing the Needs of Adolescents and Adults with Autism: A Crisis on the Horizon
Gerhardt, P. F., & Lainer, I. (2010) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-010-9160-2 · Cited by 275
Humphrey, N., & Symes, W. (2010) · European Journal of Special Needs Education · doi:10.1080/08856250903450855 · Cited by 273
Steinhausen, H., Jensen, C. M., & Lauritsen, M. B. (2016) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12559 · Cited by 232
Symes, W., & Humphrey, N. (2010) · School Psychology International · doi:10.1177/0143034310382496 · Cited by 218
Hong, J., Bishop-Fitzpatrick, L., Smith, L. E., Greenberg, J. S., & Mailick, M. R. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2678-0 · Cited by 178
Bishop, L., Minshew, N. J., Mazefsky, C. A., & Eack, S. M. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2910-6 · Cited by 165
Self-citationEack, S. M., Bahorik, A. L., McKnight, S. A. F., Hogarty, S. S., Greenwald, D. P., Newhill, C. E., Phillips, M. L., Keshavan, M. S., & Minshew, N. J. (2013) · Schizophrenia Research · doi:10.1016/j.schres.2013.05.013 · Cited by 144
Self-citationBishop-Fitzpatrick, L., Hong, J., Smith, L. E., Makuch, R. A., Greenberg, J. S., & Mailick, M. R. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2816-3 · Cited by 142
Social support and schizophrenia: A review of the literature
Buchanan, J. (1995) · Archives of Psychiatric Nursing · doi:10.1016/s0883-9417(95)80003-4 · Cited by 137
Clarifying the links between social support and health: Culture, stress, and neuroticism matter
Park, J., Kitayama, S., Karasawa, M., Curhan, K. B., Markus, H. R., Kawakami, N., Miyamoto, Y., Love, G. D., Coe, C. L., & Ryff, C. D. (2012) · Journal of Health Psychology · doi:10.1177/1359105312439731 · Cited by 132
Hirvikoski, T., & Blomqvist, M. (2015) · Autism · doi:10.1177/1362361314543530 · Cited by 128
Bishop‐Fitzpatrick, L., Mazefsky, C. A., Minshew, N. J., & Eack, S. M. (2015) · Autism Research · doi:10.1002/aur.1433 · Cited by 127
Self-citationPerceptions of social challenges of adults with autism spectrum disorder
Sperry, L. A., & Mesibov, G. B. (2005) · Autism · doi:10.1177/1362361305056077 · Cited by 126
Bishop, L., DaWalt, L. S., Greenberg, J. S., & Seltzer, M. M. (2017) · Autism Research · doi:10.1002/aur.1753 · Cited by 96
Eack, S. M., Greenwald, D. P., Hogarty, S. S., Bahorik, A. L., Litschge, M. Y., Mazefsky, C. A., & Minshew, N. J. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1834-7 · Cited by 85
Self-citationHelles, A., Gillberg, I. C., Gillberg, C., & Billstedt, E. (2016) · Autism · doi:10.1177/1362361316650090 · Cited by 79
Williams, V. P., Bishop, L., Lane, J. D., Gwyther, L. P., Ballard, E. L., Vendittelli, A., Hutchins, T. C., & Williams, R. B. (2010) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181fc2d09 · Cited by 78
Adolescents and Adults with Autism Spectrum Disorders
Seltzer, M. M., Greenberg, J. S., Taylor, J. L., Smith, L. E., Orsmond, G. I., Esbensen, A. J., & Hong, J. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780195371826.003.0016 · Cited by 63
Psychosocial Benefits of Three Formats of a Standardized Behavioral Stress Management Program
Kirby, E. D., Williams, V. P., Hocking, M. C., Lane, J. D., & Williams, R. B. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000238452.81926.d3 · Cited by 40
First, J. M., Cheak‐Zamora, N., & Teti, M. (2016) · Journal of Family Social Work · doi:10.1080/10522158.2016.1185074 · Cited by 28
Research works printed but not linked: 4
- Bishop-Fitzpatrick L, Autism Research
- First M, 2002, Structured Clinical Interview for the DSM-IV-TR Axis I Disorders, Research Version
- Helles A, Autism
- Wechsler D, 2008, Wechsler Adult Intelligence Scale® (WAIS®-IV)
Cited by
Sorted by citations
Lord, C., Brugha, T. S., Charman, T., Cusack, J., Dumas, G., Frazier, T., Jones, E. J. H., Jones, R. M., Pickles, A., State, M. W., et al. (2020) · Nature Reviews Disease Primers · doi:10.1038/s41572-019-0138-4 · Cited by 1,859
Experiences of autism acceptance and mental health in autistic adults
Cage, E., Di Monaco, J., & Newell, V. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3342-7 · Cited by 538
“However, autistic individuals may struggle to feel accepted by various individuals - with research suggesting that they experience less social support from others as well as perceiving more stress (Bishop-Fitzpatrick et al. 2017).”
BackgroundBenevides, T. W., Shore, S. M., Palmer, K., Duncan, P., Plank, A., Andresen, M.-L., Caplan, R., Cook, B., Gassner, D., Hector, B. L., et al. (2020) · Autism · doi:10.1177/1362361320908410 · Cited by 258
Umucu, E., & Lee, B. (2020) · Rehabilitation Psychology · doi:10.1037/rep0000328 · Cited by 281
Griffiths, S., Allison, C., Kenny, R., Holt, R., Smith, P., & Baron‐Cohen, S. (2019) · Autism Research · doi:10.1002/aur.2162 · Cited by 246
Metadata
- Authors
- Bishop-Fitzpatrick, L., Mazefsky, C. A., & Eack, S. M.
- Affiliations
- University of Wisconsin–Madison, USA
- University of Pittsburgh (US)
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2017-06-30
- Volume
- 22
- Issue
- 6
- Pages
- 703-711
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- PMC
- PMC5711618
- OpenAlex
- W2733243365
- Cited by
- 142
- References
- 57
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 13 · 2023: 17 · 2022: 29 · 2021: 23 · 2020: 9 · 2019: 8 · 2018: 6 · 2017: 2
- FWCI
- 3.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (MH-85851, U54HD090256, T32HD007489, MH-95783)
- Pennsylvania Department of Health
- U.S. Department of Defense (AR10034)
- Autism Speaks (5703, 8568)
- 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, social support, perceived stress, quality of life, autistic adults, intellectual disability, stress buffering, interpersonal relationships, stress management skills
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Adult, Female, Humans, Male, Quality of Life, Social Support, Stress, Psychological, Linear Models, Case-Control Studies, Young Adult
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