Gotham Katherine, Marvin Alison R, Taylor Julie Lounds, Warren Zachary, Anderson Connie M, Law Paul A, Law Jessica K, Lipkin Paul H
Vanderbilt University, USA
Kennedy Krieger Institute, USA.
Autism. 2015 Oct;19(7):794-804. doi: 10.1177/1362361315583818. Epub 2015 May 11.
Using online survey data from a large sample of adults with autism spectrum disorder and legal guardians, we first report outcomes across a variety of contexts for participants with a wide range of functioning, and second, summarize these stakeholders' priorities for future research. The sample included n = 255 self-reporting adults with autism spectrum disorder aged 18-71 years (M = 38.5 years, standard deviation = 13.1 years) and n = 143 adults with autism spectrum disorder aged 18-58 years (M = 25.0 years, standard deviation = 8.2 years) whose information was provided by legal guardians. Although the self-reporting subsample had much higher rates of employment, marriage/partnership, and independent living than are typically seen in autism spectrum disorder outcome studies, they remained underemployed and had strikingly high rates of comorbid disorders. Data on both descriptive outcomes and rated priorities converged across subsamples to indicate the need for more adult research on life skills, treatments, co-occurring conditions, and vocational and educational opportunities. Stakeholders also placed priority on improving public services, health care access, and above all, public acceptance of adults with autism spectrum disorder. Findings must be interpreted in light of the self-reporting subsample's significant proportion of females and of later-diagnosed individuals. This study underscores the need for lifespan research; initiatives will benefit from incorporating information from the unique perspectives of adults with autism spectrum disorder and their families.
利用来自大量患有自闭症谱系障碍的成年人及其法定监护人的在线调查数据,我们首先报告了功能范围广泛的参与者在各种情况下的结果,其次,总结了这些利益相关者对未来研究的优先事项。样本包括n = 255名年龄在18 - 71岁(中位数 = 38.5岁,标准差 = 13.1岁)的自我报告患有自闭症谱系障碍的成年人,以及n = 143名年龄在18 - 58岁(中位数 = 25.0岁,标准差 = 8.2岁)的由法定监护人提供信息的患有自闭症谱系障碍的成年人。尽管自我报告的子样本在就业、婚姻/伴侣关系和独立生活方面的比例远高于自闭症谱系障碍结果研究中的典型比例,但他们仍然就业不足,并且共病率极高。描述性结果和优先事项评分的数据在子样本中趋于一致,表明需要针对成年人在生活技能、治疗、并发疾病以及职业和教育机会方面开展更多研究。利益相关者还将改善公共服务、医疗保健可及性放在优先位置,最重要的是,提高公众对患有自闭症谱系障碍成年人的接受度。研究结果必须结合自我报告子样本中女性和较晚诊断个体占相当比例这一情况来解读。本研究强调了开展全生命周期研究的必要性;相关举措将受益于纳入来自患有自闭症谱系障碍的成年人及其家庭独特视角的信息。