Contextual Factors Predict Patterns of Change in Functioning over 10 Years Among Adolescents and Adults with Autism Spectrum Disorders

J Autism Dev Disord. 2016 Jan;46(1):176-189. doi: 10.1007/s10803-015-2561-z.

Abstract

In the present study, we jointly employ and integrate variable- and person-centered approaches to identify groups of individuals with autism spectrum disorders (ASD) who have similar profiles of change over a period of 10 years across three critical domains of functioning: maladaptive behaviors, autism symptoms, and daily living skills. Two distinct developmental profiles were identified. Above and beyond demographic and individual characteristics, aspects of both the educational context (level of inclusion) and the family context (maternal positivity) were found to predict the likelihood of following a positive pattern of change. Implementing evidence-based interventions that target the school and home environments during childhood and adolescence may have lasting impacts on functioning into adulthood for individuals with ASD.

Keywords: Adulthood; Autism spectrum disorders; Autism symptoms; Daily living skills; Longitudinal; Maladaptive behaviors.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Activities of Daily Living / psychology
  • Adolescent
  • Adult
  • Autism Spectrum Disorder / diagnosis*
  • Autism Spectrum Disorder / psychology*
  • Child
  • Family
  • Female
  • Humans
  • Male
  • Middle Aged
  • Problem Behavior / psychology
  • Prognosis
  • Risk Factors
  • Schools
  • Time Factors
  • Young Adult