Journal of Autism and Developmental Disorders

, Volume 44, Issue 6, pp 1447–1460 | Cite as

Engagement in Vocational Activities Promotes Behavioral Development for Adults with Autism Spectrum Disorders

  • Julie Lounds Taylor
  • Leann E. Smith
  • Marsha R. Mailick
Original Paper

Abstract

This study examined the bidirectional relations over time between behavioral functioning (autism symptoms, maladaptive behaviors, activities of daily living) and vocational/educational activities of adults with autism spectrum disorders (ASD). Participants were 153 adults with ASD (M age = 30.2 years) who were part of a larger longitudinal study. Data were collected at two time points separated by 5.5 years. Cross-lag models were used, which accounted for stability over time while testing both directions of cross-lagged effects. Results suggested that greater vocational independence and engagement was related to subsequent reductions in autism symptoms and maladaptive behaviors, and improvements in activities of daily living. Relations between earlier behavioral variables (symptoms, behaviors, and activities of daily living) and later vocational independence were not statistically significant.

Keywords

Autism spectrum disorder Adult Vocation Autism symptoms Behavior problems Activities of daily living 

References

  1. Aman, M. G., Lam, K. S. L., & Collier-Crespin, A. (2003). Prevalence and patterns of use of psychoactive medicines among individuals with autism in the Autism Society of Ohio. Journal of Autism and Developmental Disorders, 33(5), 527–534.PubMedCrossRefGoogle Scholar
  2. American Association on Intellectual and Developmental Disabilities. (2010). Intellectual disability: Definition, classification, and systems of supports (11th ed.). Washington, DC: American Association on Intellectual and Developmental Disabilities.Google Scholar
  3. Baker, J. K., Seltzer, M. M., & Greenberg, J. S. (2011). Longitudinal effects of adaptability on behavior problems and maternal depression in families of adolescents with autism. Journal of Family Psychology, 25(4), 601–609.PubMedCrossRefPubMedCentralGoogle Scholar
  4. Ballaban-Gil, K., Rapin, I., Tuchman, T., & Shinnar, S. (1996). Longitudinal examination of the behavioral, language, and social changes in a population of adolescent and young adults with autistic disorder. Pediatric Neurology, 15(3), 217–223.PubMedCrossRefGoogle Scholar
  5. Baltes, P. B., Reese, H. W., & Lipsitt, L. P. (1980). Life-span developmental-psychology. Annual Review of Psychology, 31, 65–110.PubMedCrossRefGoogle Scholar
  6. Billstedt, E., Gillberg, I. C., & Gillberg, C. (2007). Autism in adults: Symptom patterns and early childhood predictors. Use of the DISCO in a community sample followed from childhood. Journal of Child Psychology and Psychiatry, 48(11), 1102–1110.PubMedCrossRefGoogle Scholar
  7. Blustein, D. L. (2008). The role of work in psychological health and well-being: A conceptual, historical, and public policy perspective. American Psychologist, 63(4), 228–240.PubMedCrossRefGoogle Scholar
  8. Bollen, K. A., & Curran, P. J. (2006). Latent curve models: A structural equation perspective. Hoboken, NJ: Wiley.Google Scholar
  9. Bradley, R. H., Caldwell, B. M., & Elardo, R. (1979). Home environment and cognitive development in the first 2 years: A cross-lagged panel analysis. Developmental Psychology, 15(3), 246–250.CrossRefGoogle Scholar
  10. Bruininks, R. H., Woodcock, R. W., Weatherman, R. F., & Hill, B. K. (1996). Scales of independent behaviorRevised. Itasca, IL: Riverside Publishing.Google Scholar
  11. Cederlund, M., Hagberg, B., Billstedt, E., Gillberg, I. C., & Gillberg, C. (2008). Asperger syndrome and autism: A comparative longitudinal follow-up study more than 5 years after original diagnosis. Journal of Autism and Developmental Disorders, 38(1), 72–85.PubMedCrossRefGoogle Scholar
  12. Centers for Disease Control and Prevention. (2012). Prevalence of autism spectrum disorders—Autism and developmental disabilities monitoring network, United States, 2008. Morbidity and Mortality Weekly Report (MMWR), 61(SS03), 1–19.Google Scholar
  13. Cicchetti, D., & Toth, S. L. (2009). The past achievements and future promises of developmental psychopathology: The coming of age of a discipline. Journal of Child Psychology and Psychiatry and Allied Disciplines, 50(1–2), 16–25.CrossRefGoogle Scholar
  14. Clarke-Stewart, K. A. (1973). Interactions between Mothers and their young children: Characteristics and consequences. Monographs of the Society for Research in Child Development, 38(6/7), 1–109.PubMedCrossRefGoogle Scholar
  15. Dawson, G. (2008). Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Development and Psychopathology, 20(3), 775–803.PubMedGoogle Scholar
  16. Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), e17–e23.PubMedCrossRefGoogle Scholar
  17. DeNavas-Walt, C., Proctor, B. D., & Mills, R. J. (2004). Income, poverty, and health insurance coverage in the United States: 2003. Washington, DC: U.S. Government Printing Office.Google Scholar
  18. Dooley, D., & Catalano, R. (1980). Economic change as a cause of behavioral disorder. Psychological Bulletin, 87(3), 450–468.PubMedCrossRefGoogle Scholar
  19. Dove, D., Warren, Z., McPheeters, M. L., Taylor, J. L., Sathe, N. A., & Veenstra-VanderWeele, J. (2012). Medications for adolescents and young adults with autism spectrum disorders: A systematic review. Pediatrics, 130(4), 717–726.PubMedCrossRefGoogle Scholar
  20. Eaves, L. C., & Ho, H. H. (2008). Young adult outcome of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(4), 739–747.PubMedCrossRefGoogle Scholar
  21. Esbensen, A. J., Mailick, M. R., & Silverman, W. (2013). Long-term impact of parental well-being on adult outcomes and dementia status in individuals with down syndrome. American Journal on Intellectual and Developmental Disabilities, 118(4), 294–309.PubMedCrossRefGoogle Scholar
  22. Farley, M. A., McMahon, W. M., Fombonne, E., Jenson, W. R., Miller, J., Gardner, M., et al. (2009). Twenty-year outcome for individuals with autism and average or near-average cognitive abilities. Autism Research, 2(2), 109–118.PubMedCrossRefGoogle Scholar
  23. Fecteau, S., Mottron, L., Berthiaume, C., & Burack, J. A. (2003). Developmental changes of autistic symptoms. Autism, 7(3), 255–268.PubMedCrossRefGoogle Scholar
  24. Feldman, D. C. (1996). The nature, antecedents and consequences of underemployment. Journal of Management, 22(3), 385.CrossRefGoogle Scholar
  25. Feldman, D. C., & Turnley, W. H. (1995). Underemployment among recent business college graduates. Journal of Organizational Behavior, 16(6), 691–706.CrossRefGoogle Scholar
  26. Friedland, D. S., & Price, R. H. (2003). Underemployment: Consequences for the health and well-being of workers. American Journal of Community Psychology, 32(1–2), 33–45.PubMedCrossRefGoogle Scholar
  27. Garcia-Villamisar, D., Ross, D., & Wehman, P. (2000). Clinical differential analysis of persons with autism in a work setting: A follow-up study. Journal of Vocational Rehabilitation, 14, 183–185.Google Scholar
  28. Garcia-Villamisar, D., Wehman, P., & Navarro, M. D. (2002). Changes in the quality of autistic people’s life that work in supported and sheltered employment: A 5-year follow-up study. Journal of Vocational Rehabilitation, 17, 309–312.Google Scholar
  29. Gillberg, C., & Steffenburg, S. (1987). Outcome and prognostic factors in infantile autism and similar conditions: A population-based study of 46 cases followed through puberty. Journal of Autism and Developmental Disorders, 17(2), 273–287.PubMedCrossRefGoogle Scholar
  30. Greenberg, J. S., Seltzer, M. M., Hong, J., & Orsmond, G. I. (2006). Bidirectional effects of expressed emotion and behavior problems and symptoms in adolescents and adults with autism. American Journal on Mental Retardation, 111(4), 229–249.PubMedCrossRefGoogle Scholar
  31. Hansen, H. T. (2005). Unemployment and marital dissolution—A panel data study of Norway. European Sociological Review, 21(2), 135–148.CrossRefGoogle Scholar
  32. Harris, S. L., & Handleman, J. S. (2000). Age and IQ at intake as predictors of placement for young children with autism: A four- to six-year follow-up. Journal of Autism and Developmental Disorders, 30(2), 137–142.PubMedCrossRefGoogle Scholar
  33. Hastings, R. P. (2003). Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. Journal of Intellectual Disability Research, 47(Pt 4–5), 231–237.PubMedCrossRefGoogle Scholar
  34. Hastings, R. P., & Brown, T. (2002). Behavior problems of children with autism, parental self-efficacy, and mental health. American Journal on Mental Retardation, 107(3), 222–232.PubMedCrossRefGoogle Scholar
  35. Hill, A., Bolte, S., Petrova, G., Beltcheva, D., Tacheva, S., & Poustka, F. (2001). Stability and interpersonal agreement of the interview-based diagnosis of autism. Psychopathology, 34(4), 187–191.PubMedCrossRefGoogle Scholar
  36. Hollander, E., Novotny, S., Hanratty, M., Yaffe, R., DeCaria, C. M., Aronowitz, B. R., et al. (2003). Oxytocin infusion reduces repetitive behaviors in adults with autistic and Asperger’s disorders. Neuropsychopharmacology, 28(1), 193–198.PubMedCrossRefGoogle Scholar
  37. Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45(2), 212–229.PubMedCrossRefGoogle Scholar
  38. Howlin, P., Mawhood, L., & Rutter, M. (2000). Autism and developmental receptive language disorder—A follow-up comparison in early adult life. II: Social, behavioural, and psychiatric outcomes. Journal of Child Psychology and Psychiatry, 41(5), 561–578.PubMedCrossRefGoogle Scholar
  39. Howlin, P., Moss, P., Savage, S., & Rutter, M. (2013). Social outcomes in mid- to later adulthood among individuals diagnosed with autism and average nonverbal IQ as children. Journal of the American Academy of Child and Adolescent Psychiatry, 52(6), 572–581.e1.Google Scholar
  40. Kenny, D. A. (1975). Cross-lagged panel correlation: A test for spuriousness. Psychological Bulletin, 82(6), 887–903.CrossRefGoogle Scholar
  41. Landa, R. J., Holman, K. C., & Garrett-Mayer, E. (2007). Social and communication development in toddlers with early and later diagnosis of autism spectrum disorders. Archives of General Psychiatry, 64(7), 853–864.PubMedCrossRefGoogle Scholar
  42. Lecavalier, L. (2006). Behavioral and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism and Developmental Disorders, 36(8), 1101–1114.PubMedCrossRefGoogle Scholar
  43. Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behavior problems on caregiving stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(3), 172–183.PubMedCrossRefGoogle Scholar
  44. Lord, C., & Bailey, A. (2002). Autism spectrum disorders. In M. Rutter & E. Taylor (Eds.), Child and adolescent psychiatry (pp. 664–681). Oxford: Blackwell Scientific.Google Scholar
  45. Lord, C., Pickles, A., McLennan, J., Rutter, M., Bregman, J., Folstein, S., et al. (1997). Diagnosing autism: Analyses of data from the Autism Diagnostic Interview. Journal of Autism and Developmental Disorders, 27(5), 501–517.PubMedCrossRefGoogle Scholar
  46. Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview—Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.PubMedCrossRefGoogle Scholar
  47. Lounds, J. J., Seltzer, M. M., Greenberg, J. S., & Shattuck, P. T. (2007). Transition and change in adolescents and young adults with autism: Longitudinal effects on maternal well-being. American Journal on Mental Retardation, 112(6), 401–417.PubMedCrossRefGoogle Scholar
  48. Maenner, M. J., Smith, L. E., Hong, J., Makuch, R., Greenberg, J. S., & Mailick, M. R. (2013). Evaluation of an activities of daily living scale for adolescents and adults with developmental disabilities. Disability and Health Journal, 6(1), 8–17.PubMedCrossRefPubMedCentralGoogle Scholar
  49. Mawhood, L., Howlin, P., & Rutter, M. (2000). Autism and developmental receptive language disorder—A comparative follow-up in early adult life. I: Cognitive and language outcomes. Journal of Child Psychology and Psychiatry, 41(5), 547–559.PubMedCrossRefGoogle Scholar
  50. McGovern, C. W., & Sigman, M. (2005). Continuity and change from early childhood to adolescence in autism. Journal of Child Psychology and Psychiatry, 46(4), 401–408.PubMedCrossRefGoogle Scholar
  51. McKee-Ryan, F. M., Song, Z. L., Wanberg, C. R., & Kinicki, A. J. (2005). Psychological and physical well-being during unemployment: A meta-analytic study. Journal of Applied Psychology, 90(1), 53–76.PubMedCrossRefGoogle Scholar
  52. Mink, I. T., & Nihira, K. (1986). Family life-styles and child behaviors: A study of direction of effects. Developmental Psychology, 22(5), 610–616.CrossRefGoogle Scholar
  53. Mink, I. T., & Nihira, K. (1987). Direction of effects: Family life styles and behavior of TMR children. American Journal of Mental Deficiency, 92(1), 57–64.PubMedGoogle Scholar
  54. Murphy, G. C., & Athanasou, J. A. (1999). The effect of unemployment on mental health. Journal of Occupational and Organizational Psychology, 72, 83–99.CrossRefGoogle Scholar
  55. Muthen, L. K., & Muthen, B. O. (2009). Mplus 5.21: Statistical analysis with latent variables [software]. Los Angeles, CA: Author.Google Scholar
  56. Nihira, K., Meyers, C. E., & Mink, I. T. (1983). Reciprocal relationship between home environment and development of TMR adolescents. American Journal of Mental Deficiency, 88(2), 139–149.PubMedGoogle Scholar
  57. Nihira, K., Mink, I. T., & Meyers, C. E. (1985). Home environment and development of slow-learning adolescents: Reciprocal relations. Developmental Psychology, 21(5), 784–794.CrossRefGoogle Scholar
  58. Paul, K. I., & Moser, K. (2009). Unemployment impairs mental health: Meta-analyses. Journal of Vocational Behavior, 74(3), 264–282.CrossRefGoogle Scholar
  59. Piven, J., Harper, J., Palmer, P., & Arndt, S. (1996). Course of behavioral change in autism: A retrospective study of high-IQ adolescents and adults. Journal of the American Academy of Child and Adolescent Psychiatry, 35(4), 523–529.PubMedCrossRefGoogle Scholar
  60. Robins, L. N., & Rutter, M. (1990). Straight and devious pathways from childhood to adulthood. Cambridge; New York: Cambridge University Press.Google Scholar
  61. Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7(2), 147–177.PubMedCrossRefGoogle Scholar
  62. Schulenberg, J. E., Bryant, A. L., & O’Malley, P. M. (2004). Taking hold of some kind of life: How developmental tasks relate to trajectories of well-being during the transition to adulthood. Development and Psychopathology, 16(4), 1119–1140.PubMedGoogle Scholar
  63. Seltzer, M. M., Greenberg, J. S., Taylor, J. L., Smith, L. E., Orsmond, G. I., Esbensen, A. J., et al. (2011). Adolescents and adults with autism spectrum disorders. In D. G. Amaral, G. Dawson, & D. H. Geschwind (Eds.), Autism spectrum disorders (pp. 241–252). New York: Oxford University Press.CrossRefGoogle Scholar
  64. Seltzer, M. M., Krauss, M. W., Shattuck, P. T., Orsmond, G., Swe, A., & Lord, C. (2003). The symptoms of autism spectrum disorders in adolescence and adulthood. Journal of Autism and Developmental Disorders, 33(6), 565–581.PubMedCrossRefGoogle Scholar
  65. Shattuck, P. T., Narendorf, S. C., Cooper, B., Sterzing, P. R., Wagner, M., & Taylor, J. L. (2012). Postsecondary education and employment among youth with an autism spectrum disorder. Pediatrics, 129(6), 1042–1049.PubMedCrossRefPubMedCentralGoogle Scholar
  66. Shattuck, P. T., Seltzer, M. M., Greenberg, J. S., Orsmond, G. I., Bolt, D., Kring, S., et al. (2007). Change in autism symptoms and maladaptive behaviors in adolescents and adults with an autism spectrum disorder. Journal of Autism and Developmental Disorders, 37(9), 1735–1747.PubMedCrossRefPubMedCentralGoogle Scholar
  67. Shea, V., & Mesibov, G. B. (2005). Adolescents and adults with autism. In F. R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (3rd ed., Vol. 1, pp. 312–334). Hoboken, NJ: Wiley.Google Scholar
  68. Shepperdson, B. (1995). Two longitudinal studies of the abilities of people with Down Syndrome. Journal of Intellectual Disability Research, 39(5), 419–431.PubMedCrossRefGoogle Scholar
  69. Smith, L. E., Greenberg, J. S., Seltzer, M. M., & Hong, J. (2008). Symptoms and behavior problems of adolescents and adults with autism: Effects of mother-child relationship quality, warmth, and praise. American Journal on Mental Retardation, 113(5), 387–402.PubMedCrossRefPubMedCentralGoogle Scholar
  70. Smith, L. E., Maenner, M. J., & Seltzer, M. M. (2012). Developmental trajectories in adolescents and adults with autism: The case of daily living skills. Journal of the American Academy of Child and Adolescent Psychiatry, 51(6), 622–631.PubMedCrossRefPubMedCentralGoogle Scholar
  71. Sparrow, S. S., Carter, A. S., & Cicchetti, D. (1993). Vineland screener. New Haven, CT: Yale University, Child Study Center.Google Scholar
  72. Sroufe, L. A., & Rutter, M. (1984). The domain of developmental psychopathology. Child Development, 55(1), 17–29.PubMedCrossRefGoogle Scholar
  73. Taylor, J. L., & Mailick, M. R. (2013). A longitudinal examination of 10-year change in vocational and educational activities for adults with autism spectrum disorders. Developmental Psychology. doi:10.1037/a0034297.
  74. Taylor, J. L., McPheeters, M. L., Sathe, N. A., Dove, D., Veenstra-VanderWeele, J., & Warren, Z. (2012). A systematic review of vocational interventions for young adults with autism spectrum disorders. Pediatrics, 130(3), 531–538.PubMedCrossRefGoogle Scholar
  75. Taylor, J. L., & Seltzer, M. M. (2010). Change in the autism phenotype during the transition to adulthood. Journal of Autism and Developmental Disorders, 40(12), 1431–1446.PubMedCrossRefPubMedCentralGoogle Scholar
  76. Taylor, J. L., & Seltzer, M. M. (2011). Employment and post-secondary education activities for young adults with autism spectrum disorders during the transition to adulthood. Journal of Autism and Developmental Disorders, 41(5), 566–574.PubMedCrossRefPubMedCentralGoogle Scholar
  77. Taylor, J. L., & Seltzer, M. M. (2012). Developing a vocational index for adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(12), 2669–2679.PubMedCrossRefPubMedCentralGoogle Scholar
  78. Tomanik, S., Harris, G. E., & Hawkins, J. (2004). The relationship between behaviours exhibited by children with autism and maternal stress. Journal of Intellectual & Developmental Disability, 29(1), 16–26.CrossRefGoogle Scholar
  79. Tonge, B. J., & Einfeld, S. L. (2003). Psychopathology and intellectual disability: The Australian child to adult longitudinal study. In L. M. Glidden (Ed.), International review of research in mental retardation (Vol. 26, pp. 61–91). San Diego, CA: Academic Press.Google Scholar
  80. Woodman, A. C., Mailick, M. R., & Greenberg, J. S. (under review). Trajectories of psychopathology among adults with autism.Google Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Julie Lounds Taylor
    • 1
    • 2
  • Leann E. Smith
    • 3
  • Marsha R. Mailick
    • 3
  1. 1.Vanderbilt Kennedy CenterNashvilleUSA
  2. 2.Department of PediatricsVanderbilt University School of Medicine and the Monroe Carell Jr. Children’s Hospital at VanderbiltNashvilleUSA
  3. 3.Waisman CenterUniversity of Wisconsin-MadisonMadisonUSA

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