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.
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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.
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.
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.
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.
Baltes, P. B., Reese, H. W., & Lipsitt, L. P. (1980). Life-span developmental-psychology. Annual Review of Psychology, 31, 65–110.
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.
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.
Bollen, K. A., & Curran, P. J. (2006). Latent curve models: A structural equation perspective. Hoboken, NJ: Wiley.
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.
Bruininks, R. H., Woodcock, R. W., Weatherman, R. F., & Hill, B. K. (1996). Scales of independent behavior—Revised. Itasca, IL: Riverside Publishing.
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.
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.
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.
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.
Dawson, G. (2008). Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Development and Psychopathology, 20(3), 775–803.
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.
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.
Dooley, D., & Catalano, R. (1980). Economic change as a cause of behavioral disorder. Psychological Bulletin, 87(3), 450–468.
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.
Eaves, L. C., & Ho, H. H. (2008). Young adult outcome of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(4), 739–747.
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.
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.
Fecteau, S., Mottron, L., Berthiaume, C., & Burack, J. A. (2003). Developmental changes of autistic symptoms. Autism, 7(3), 255–268.
Feldman, D. C. (1996). The nature, antecedents and consequences of underemployment. Journal of Management, 22(3), 385.
Feldman, D. C., & Turnley, W. H. (1995). Underemployment among recent business college graduates. Journal of Organizational Behavior, 16(6), 691–706.
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.
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.
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.
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.
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.
Hansen, H. T. (2005). Unemployment and marital dissolution—A panel data study of Norway. European Sociological Review, 21(2), 135–148.
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.
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.
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.
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.
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.
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.
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.
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.
Kenny, D. A. (1975). Cross-lagged panel correlation: A test for spuriousness. Psychological Bulletin, 82(6), 887–903.
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.
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.
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.
Lord, C., & Bailey, A. (2002). Autism spectrum disorders. In M. Rutter & E. Taylor (Eds.), Child and adolescent psychiatry (pp. 664–681). Oxford: Blackwell Scientific.
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.
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.
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.
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.
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.
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.
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.
Mink, I. T., & Nihira, K. (1986). Family life-styles and child behaviors: A study of direction of effects. Developmental Psychology, 22(5), 610–616.
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.
Murphy, G. C., & Athanasou, J. A. (1999). The effect of unemployment on mental health. Journal of Occupational and Organizational Psychology, 72, 83–99.
Muthen, L. K., & Muthen, B. O. (2009). Mplus 5.21: Statistical analysis with latent variables [software]. Los Angeles, CA: Author.
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.
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.
Paul, K. I., & Moser, K. (2009). Unemployment impairs mental health: Meta-analyses. Journal of Vocational Behavior, 74(3), 264–282.
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.
Robins, L. N., & Rutter, M. (1990). Straight and devious pathways from childhood to adulthood. Cambridge; New York: Cambridge University Press.
Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7(2), 147–177.
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.
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.
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.
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.
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.
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.
Shepperdson, B. (1995). Two longitudinal studies of the abilities of people with Down Syndrome. Journal of Intellectual Disability Research, 39(5), 419–431.
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.
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.
Sparrow, S. S., Carter, A. S., & Cicchetti, D. (1993). Vineland screener. New Haven, CT: Yale University, Child Study Center.
Sroufe, L. A., & Rutter, M. (1984). The domain of developmental psychopathology. Child Development, 55(1), 17–29.
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.
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.
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.
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.
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.
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.
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.
Woodman, A. C., Mailick, M. R., & Greenberg, J. S. (under review). Trajectories of psychopathology among adults with autism.
This project was supported by two grants from Autism Speaks (J.L. Taylor, PI; M.R. Mailick, PI), the National Institute on Aging (R01 AG08768, M.R. Mailick, PI), and the National Institute of Mental Health (K01 MH92598, J.L. Taylor, PI). Core support was provide by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30 HD15052, E.M. Dykens, PI: P30 HD03352, M.R. Mailick, PI) and the National Center for Research Resources (1 UL1 RR024975).
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Taylor, J.L., Smith, L.E. & Mailick, M.R. Engagement in Vocational Activities Promotes Behavioral Development for Adults with Autism Spectrum Disorders. J Autism Dev Disord 44, 1447–1460 (2014). https://doi.org/10.1007/s10803-013-2010-9
- Autism spectrum disorder
- Autism symptoms
- Behavior problems
- Activities of daily living