Abstract
The advances in research and treatment of autism spectrum disorders (ASD) over the past three decades have focused largely on early childhood and school-age years. Although ASD is a lifelong condition, there has been relatively little attention paid to ASD during the adolescent and adulthood periods. As the population of those with ASD continues to rise and age, the need to provide research and treatment for this group has become increasingly evident. This paper reviews the current literature available on symptoms, functioning, and treatment of adolescents and adults with ASD, as well as the unique issues that arise for individuals with ASD after childhood. Adulthood outcomes for ASD are generally poor, even for those with average to above average cognitive ability. Further research and additional clinical resources are needed for this rapidly increasing group.
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Newschaffer CJ, Croen LA, Daniels J, Giarelli E, Grether JK, Levy SE, Mandell DS, Miller LA, Pinto-Martin J, Reaven J, Reynolds AM, Rice CE, Schendel D, Windham GC. The epidemiology of autism spectrum disorders. Ann Rev Public Health, 2007, 28: 235–258
Rice C. Prevalence of autism spectrum disorders: Autism and developmental disabilities monitoring network, United States, 2006. Surveil Sum, 2009, 58: 1–20
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders-text Revision. (4th ed, text revision). Washington, DC: American Psychiatric Association, 2000
McGovern CW, Sigman M. Continuity and change from early childhood to adolescence in autism. J Child Psychol Psychiat, 2005, 46: 401–408
Eaves LC, Ho HH. Young adult outcome of autism spectrum disorders. J Aut Dev Disord, 2008, 38: 739–747
Engstrom I, Ekstrom L, Emilsson B. Psychosocial functioning in a group of Swedish adults with Asperger syndrome or high-functioning autism. Autism, 2003, 7: 99–110
Howlin P, Goode S, Hutton J, Rutter M. Adult outcome for children with autism. J Child Psychol Psychiat, 2004, 45: 212–229
Kobayashi R, Murata T, Yoshinaga K. A follow-up study of 201 children with autism in Kyushu and Yamaguchi areas, Japan. J Aut Dev Disord, 1992, 22: 395–411
Farley MA, McMahon WM, Fombonne E, Jenson WR, Miller J, Gardner M, Block H, Pingree CB, Ritvo ER, Ritvo RA, Coon H. Twenty-year outcome for individuals with autism and average or near-average cognitive abilities. Aut Res, 2009, 2: 109–118
Seltzer MM, Shattuck P, Abbeduto L, Greenberg JS. Trajectory of development in adolescents and adults with autism. Ment Retard Dev Disabil Res Rev, 2004, 10: 234–247
Nordin V, Gillberg C. The long-term course of autistic disorders: Update on follow-up studies. Acta Psych Scand, 1998, 97: 99–108
Piven J, Harper J, Palmer P, Arndt S. Course of behavioral change in autism: A retrospective study of high-IQ adolescents and adults. J Am Acad Child Adoles Psychiat, 1996, 35: 523–529
Shattuck PT, Seltzer MM, Greenberg JS, Orsmond GI, Bolt D, Kring S, Lounds J, Lord C. Change in autism symptoms and maladaptive behaviors in adolescents and adults with an autism spectrum disorder. J Aut Dev Disord, 2007, 37: 1735–1747
Billstedt E, Gillberg IC, Gillberg C. Autism after adolescence: Population based 13- to 22-year follow-up study of 120 individuals with autism diagnosed in childhood. J Aut Dev Disord, 2005, 35: 351–360
Seltzer MM, Krauss MW, Shattuck PT, Orsmond G, Swe A, Lord C. The symptoms of autism spectrum disorders in adolescence and adulthood. J Aut Dev Disord, 33, 2003: 565–581
Ballaban-Gil K, Rapin I, Tuchman R, Shinnar S. Longitudinal examination of the behavioral, language, and social changes in a population of adolescents and young adults with autistic disorder. Pediatr Neurol, 1996, 15: 217–223
Cederlund M, Hagberg B, Billstedt E, Gillberg IC, Gillberg C. Asperger syndrome and autism: A comparative longitudinal follow-up study more than 5 years after original diagnosis. J Aut Dev Disord, 2008, 38: 72–85
Billstedt E, Gillberg IC, Gillberg C. Autism in adults: symptoms patterns and early childhood predictors. Use of the DISCO in a community sample followed from childhood. J Child Psychol Psychiat, 2007, 48: 1102–1110
Golan O, Baron-Cohen S, Hill J. The Cambridge Mindreading (CAM) face voice battery: Testing complex emotion recognition in adults with and without Asperger syndrome. J Aut Dev Disord, 2006, 36: 169–183
Happé F, Booth R, Charlton R, Hughes C. Executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder: Examining profiles across domains and ages. Brain Cogn, 2006, 61: 25–39
Landa RJ, Goldberg MC. Language, social, and executive functions in high-functioning autism: A continuum of performance. J Aut Dev Disord, 2005, 35: 557–573
Luna B, Doll SK, Hegedus SJ, Minshew NJ, Sweeney JA. Maturation of executive function in autism. Biol Psychiat, 2006, 61: 474–481
Ozonoff S, McEvoy R. A longitudinal study of executive function and theory of mind development in autism. Dev Psychopathol, 1994, 6: 415–431
Sparrevohn R, Howie PM. Theory of mind in children with autistic disorder: Evidence of developmental progression and the role of verbal ability. J Child Psychol Psychiat, 1995, 36: 249–263
Baron-Cohen S, Jolliffe T, Mortimore C, Robertson M. Another advanced test of theory of mind: Evidence from very high functioning adults with autism or Asperger syndrome. J Child Psychol Psychiat, 1997, 38: 813–822
James IA, Mukaetova-Ladinska E, Reichelt FK, Briel R, Scully A. Diagnosing Aspergers syndrome in the elderly: A series of case presentations. Int J Geriatr Psychiatry, 2006, 21: 951–960
Muller E, Schuler A, Burton BA, Yates G. Meeting the vocational support needs of individuals with Asperger syndrome and other autism spectrum disabilities. J Voc Rehab, 2003, 18: 163–175
Moxon L, Gates D. Children with autism: Supporting the transition to adulthood. Educ Child Psychol, 2001, 18: 28–40
Nuehring ML, Sitlington PL. Transition as a vehicle: Moving from high school to an adult vocational service provider. J Disabil Policy Studies, 2003, 14: 23–35
Garcia-Villamisar D, Hughes C. Supported employment improves cognitive performance in adults with autism. J Intell Disabil Res, 2007, 51: 142–150
Keel JH, Mesibov GB, Woods AV. TEACCH-supported employment program. J Aut Dev Disord, 1997, 27: 3–9
Mawhood L, Howlin P. The outcome of a supported employment scheme for high-functioning adults with autism or Asperger syndrome. Autism, 1999, 3: 229–254
Smith MD, Coleman D. Managing the behavior of adults with autism in the job setting. J Aut Dev Disord, 1986, 16: 145–154
Schaller J, Yang NK. Competitive employment for people with autism: Correlates of successful closure in competitive and supported employment. Rehab Couns Bull, 2005, 49: 4–16
Hurlbutt K, Chalmers L. Adults with autism speak out: Perceptions of their life experiences. FOCUS, 2002, 17: 103–111
Jennes-Coussens M, Magill-Evans J, Koning C. The quality of life of young men with Asperger syndrome. Autism, 2006, 10: 403–414
Lasgaard M, Nielsen A, Eriksen ME, Goossens L. Loneliness and social support in adolescent boys with autism spectrum disorders. J Aut Dev Disord, 2010, 40: 218–226
Muller E, Schuler A, Yates GB. Social challenges and supports from the perspective of individuals with Asperger syndrome and other autism spectrum disabilities. Autism, 2008, 12: 173–190
Abrahams BS, Geschwind DH. Advances in autism genetics: On the threshold of a new neurobiology. Nat Rev Genetics, 2008, 9: 341–355
Danielsson S, Gillberg IC, Billstedt E, Gillberg C, Olsson I. Epilepsy in young adults with autism: A prospective population-based follow- up study of 120 individuals diagnosed in childhood. Epilepsia, 2005, 46: 918–923
Rossi PG, Posar A, Parmeggiani A. Epilepsy in adolescents and young adults with autistic disorder. Brain Dev, 2000, 22: 102–106
Ghaziuddin M, Ghaziuddin N, Greden J. Depression in persons with autism: Implications for research and clinical care. J Aut Dev Disord, 2002, 32: 299–306
Tantam D. Psychological disorder in adolescents and adults with Asperger syndrome. Autism, 2000, 4: 47–62
Stokes MA, Kaur A. High-functioning autism and sexuality: A parental perspective. Autism, 2005, 9: 266–289
Ousley OY, Mesibov GB. Sexual attitudes and knowledge of high-functioning adolescents and adults with autism. J Aut Dev Disord, 1991, 21: 471–481
van Bourgondien M, Reichle NC, Palmer A. Sexual behavior in adults with autism. J Aut Dev Disord, 1997, 27: 113–125
Koller R. Sexuality and adolescents with autism. Sexual Disabil, 2000, 18: 125–135
Mesibov GB. Sex education for people with autism: Matching programs to levels of functioning. Paper presented at the meeting of the National Society for Children and Adults with Autism, Omaha, NE, 1982
Servais L. Sexual health care in persons with intellectual disabilities. Ment Retard Dev Disabil Res Rev, 2006, 12: 48–56
Petersilia JR. Crime victims with developmental disabilities: A review essay. Crim Just Beh, 2001, 28: 655–694
Cashin A, Newman C. Autism in the criminal justice detention system: A review of the literature. J Forensic Nurs, 2009, 5: 70–75
Langstrom N, Grann M, Ruchkin V, Sjöstedt G, Fazel S. Risk factors for violent offending in autism spectrum disorder: A national study of hospitalized individuals. J Interpers Violence, 2009, 24: 1358–1370
Newman SS, Ghaziuddin M. Violent crime in Asperger syndrome: The role of psychiatric comorbidity. J Aut Dev Disord, 2008, 38: 1848–1852
Mayes TA. Persons with autism and criminal justice: Core concepts and leading cases. J Pos Beh Interventions, 2003, 5: 92–100
Solomon M, Goodlin-Jones BL, Anders TF. A social adjustment enhancement intervention for high functioning autism, Asperger’s syndrome, and pervasive developmental disorder NOS. J Aut Dev Disord, 2004, 34: 649–668
Duncan AW, Klinger LG. Autism spectrum disorders: Building social skills in group, school, and community settings. Social Work Groups, 2010, 33: 175–193
Reichow B, Volkmar FR. Social skills interventions for individuals with autism: Evaluation for evidence-based practices within a best evidence synthesis framework. J Aut Dev Disord, 2010, 40: 149–166
Tse J, Strulovtich J, Tagalakis V, Meng L, Fombonne E. Social skills training for adolescents with Asperger syndrome and high-functioning autism. J Aut Dev Disord, 2007, 37: 1960–1968
Turner-Brown LM, Perry TD, Dichter GS, Bodfish JW, Penn DL. Brief report: Feasibility of social cognition and interaction training for adults with high functioning autism. J Aut Dev Disord, 2008, 38: 1777–1784
Williams S, Keonig K, Scahill L. Social skills development in children with autism spectrum disorders: A review of the intervention research. J Aut Dev Disord, 2007, 37: 1858–1868
Cobb S, Beardon L, Eastgate R, Glover T, Kerr S, Neale H. Applied virtual environments to support learning of social interaction skills in users with Asperger’s syndrome. Digital Creativity, 2002, 13: 11–22
Parsons S, Leonard A, Mitchell P. Virtual environments for social skills training: Comments from two adolescents with autistic spectrum disorder. Comput Educ, 2006, 47: 186–206
Rajendran G, Mitchell P. Computer mediated interaction in Asperger’s syndrome: The Bubble Dialogue program. Comput Educ, 2000, 35: 189–207
Bellini S. The development of social anxiety in adolescents with autism spectrum disorders. Autism, 2006, 21: 138–145
Farrugia S, Hudson J. Anxiety in adolescents with Asperger syndrome: Negative thoughts, behavioral problems, and life interference. FOCUS, 2006, 21: 25–35
Kuusikko S, Pollock-Wurman R, Jussila K, Carter AS, Mattila ML, Ebeling H, Pauls DL, Moilanen I. Social anxiety in high-functioning children and adolescents with autism and Asperger syndrome. J Aut Dev Disord, 2008, 38: 1697–1709
White SW, Roberson-Nay R. Anxiety, social deficits, and loneliness in youth with autism spectrum disorders. J Aut Dev Disord, 2009, 39: 1006–1013
White SW, Albano AM, Johnson CR, Kasari C, Ollendick T, Klin A, Oswald D, Scahill L. Development of a cognitive-behavioral intervention program to treat anxiety and social deficits in teens with high-functioning autism. Clin Child Family Psych Rev, 2010, 13: 77–90
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Ratto, A.B., Mesibov, G.B. Autism spectrum disorders in adolescence and adulthood: Long-term outcomes and relevant issues for treatment and research. Sci. China Life Sci. 58, 1010–1015 (2015). https://doi.org/10.1007/s11427-012-4295-x
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DOI: https://doi.org/10.1007/s11427-012-4295-x