Demographic and Cognitive Profile of Individuals Seeking a Diagnosis of Autism Spectrum Disorder in Adulthood

J Autism Dev Disord. 2016 Nov;46(11):3469-3480. doi: 10.1007/s10803-016-2886-2.

Abstract

Little is known about ageing with autism spectrum disorder (ASD). We examined the characteristics of adults referred to a specialist diagnostic centre for assessment of possible ASD, 100 of whom received an ASD diagnosis and 46 did not. Few demographic differences were noted between the groups. Comorbid psychiatric disorders were high in individuals with ASD (58 %) and non-ASD (59 %). Individuals who received an ASD diagnosis had higher self-rated severity of ASD traits than non-ASD individuals. Within the ASD group, older age was associated with higher ratings of ASD traits and better cognitive performance. One interpretation is that general cognitive ability and the development of coping strategies across the lifespan, do not necessarily reduce ASD traits but may mitigate their effects.

Keywords: Adulthood; Ageing; Autism spectrum disorders; Autism traits; Diagnosis; Psychiatric comorbidity.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Analysis of Variance
  • Autism Spectrum Disorder / classification
  • Autism Spectrum Disorder / diagnosis*
  • Autism Spectrum Disorder / epidemiology*
  • Autism Spectrum Disorder / psychology
  • Cognitive Dysfunction / classification
  • Cognitive Dysfunction / diagnosis*
  • Cognitive Dysfunction / epidemiology*
  • Cognitive Dysfunction / psychology
  • Comorbidity
  • Female
  • Humans
  • Male
  • Mental Disorders / classification
  • Mental Disorders / diagnosis*
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology
  • Middle Aged
  • Referral and Consultation
  • Self Report
  • Young Adult