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Differences in Romantic Relationship Experiences for Individuals with an Autism Spectrum Disorder

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Individuals with an autism spectrum disorder (ASD) experience varying difficulties, for many this includes romantic relationships. Existing research in this area is mixed and suggests that compared to typically developing (TD) individuals, those with ASD have a similar level of romantic interest, but less relationship success and lower satisfaction with romantic connections. We aimed to explore one of the many pathways to positive relationship experience, and how these may differ for individuals with an ASD. We recruited 459 individuals (232 diagnosed with ASD) internationally, with 64% being female, a result of the internet-based sampling method. Each participant completed an online battery including the Sexual Behaviour Scale—third edition. Compared to TD individuals, those with ASD reported a similar level of interest in relationships, but reported fewer opportunities to meet potential new partners, had shorter relationship duration, and greater concern about their future relationships. Peer social engagement was found to partially mediate the relationship between diagnostic status and relationship difficulties. This was true for both males and females. Additionally, those with ASD reported learning less about sexuality from their peers and experiencing greater anxiety when meeting a potential partner. The current study identifies some factors and pathways that lead to positive relationship functioning among those with ASD. This will be useful for clinician’s who support individuals on the autism spectrum, as it will assist those individuals seeking to establish or maintain positive romantic relationships.

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  1. Centers for Disease Control and Prevention: Prevalence of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morb. Mortal. Wkly. Rep. 63(2), 1–22 (2014)

    Google Scholar 

  2. Johnson, C.P., Myers, S.M.: Identification and evaluation of children with autism spectrum disorders. Pediatrics 120(5), 1183–1215 (2007).

    Article  PubMed  Google Scholar 

  3. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). American Psychiatric Association, Washington, DC (2013)

    Book  Google Scholar 

  4. Byers, E.S., Nichols, S., Voyer, S.D., Reilly, G.: Sexual well-being of a community sample of high-functioning adults on the autism spectrum who have been in a romantic relationship. Autism Int. J. Res. Pract. 17(4), 418–433 (2013).

    Article  Google Scholar 

  5. Haracopos, D., & Pedersen, L. (1992). Sexuality and autism: danish report. Society for the Autistically Handicapped. Accessed 1 May 2014

  6. Hellemans, H., Colson, K., Verbraeken, C., Vermeiren, R., Deboutte, D.: Sexual behavior in high-functioning male adolescents and young adults with autism spectrum disorder. J. Autism and Dev Disord 37(2), 260–269 (2007)

    Article  Google Scholar 

  7. Strunz, S., Schermuck, C., Ballerstein, S., Ahlers, C.J., Dziobek, I., Roepke, S.: Romantic relationships and relationship satisfaction among adults with asperger syndrome and high-functioning autism. J. Clin. Psychol. 73(1), 113–125 (2017)

    Article  Google Scholar 

  8. Dewinter, J., Vermeiren, R., Vanwesenbeeck, I., Lobbestael, J., Van Nieuwenhuizen, C.: Sexuality in adolescent boys with autism spectrum disorder: self-reported behaviours and attitudes. J. Autism Dev Disord. 45(3), 731 (2015)

    Article  Google Scholar 

  9. Dewinter, J., De Graaf, H., Begeer, S.: Sexual Orientation, gender identity, and romantic relationships in adolescents and adults with autism spectrum disorder. J. Autism Dev. Dis. (2017).

    Article  Google Scholar 

  10. Byers, E.S., Nichols, S., Voyer, S.D.: Challenging stereotypes: sexual functioning of single adults with high functioning autism spectrum disorder. J. Autism Dev. Dis. 43(11), 2617–2627 (2013).

    Article  Google Scholar 

  11. Parks, M. (2006). Poll results. In: 2006 Workplace Romance: Poll Findings, pp. 1–9. Society for Human Resource Management, Alexandria, VA. Retrieved July 16, 2017, from Human Resource Management Online.

  12. Howlin, P., Goode, S., Hutton, J., Rutter, M.: Adult outcome for children with autism. J. Child Psychol. Psychiatry 45, 212–229 (2004)

    Article  Google Scholar 

  13. Eaves, L.C., Ho, H.H.: Young adult outcomes of autism spectrum disorders. J. Autism Dev. Dis. 38, 739–747 (2008)

    Article  Google Scholar 

  14. Shattuck, P.T., Narendorf, S.C., Cooper, B., Sterzing, P.R., Wagner, M., Taylor, J.L.: Postsecondary education and employment among youth with an autism spectrum disorder. Pediatrics 129(6), 1042–1049 (2012)

    Article  Google Scholar 

  15. U.S. Census Bureau. (2015). 2011–2015 American community survey 5-year estimates. Accessed 9 July 2017

  16. Stokes, M., Newton, N., Kaur, A.: Stalking, and social and romantic functioning among adolescents and adults with autism spectrum disorder. J. Autism Dev. Dis. 37(10), 1969–1986 (2007).

    Article  Google Scholar 

  17. Attwood, T.: The Complete Guide to Asperger’s Syndrome. Jessica Kingsley Publishers, London (2006)

    Google Scholar 

  18. McIlwee Myers, J.: Dating, relationships and marriage. In Attwood, T., Grandin, T., Bolick, T., Faherty, C., Iland, L., McIlwee Myers, J., et al. (eds.) Asperger's and Girls, pp. 106–145. Future Horizons Inc, Arlington (2006).

  19. Mendes, E.: Marriage and Lasting Relationships with Asperger's Syndrome (Autism Spectrum Disorder): Successful Strategies for Couples or Counselors. Jessica Kingsley Publishers, Philadelphia (2015)

    Google Scholar 

  20. Birt, K. (2015). Adult Autism Spectrum Disorder and Intimate Relationships. Doctoral thesis, Deakin University, Burwood, Australia.

  21. Australian Dept of Health (2009). 2007 national survey of mental health. Accessed 21 July 2018

  22. Harvard Medical School. (2007). National comorbidity survey (NCS). Data Table 1: Lifetime prevalence DSM-IV/WMH-CIDI disorders by sex and cohort. Accessed 21 July 2018

  23. Joshi, G., Wozniak, J., Petty, C., Martelon, M.K., Fried, R., Bolfek, A., Kotte, A., Stevens, J., Furtak, S.L., Bourgeois, M., Caruso, J.: Psychiatric comorbidity and functioning in a clinically referred population of adults with autism spectrum disorders: a comparative study. J. Autism Dev. Dis. 43(6), 1314–1325 (2013)

    Article  Google Scholar 

  24. Lugnegård, T., Hallerbäck, M.U., Gillberg, C.: Psychiatric comorbidity in young adults with a clinical diagnosis of Asperger syndrome. Res. Dev. Disabil. 32(5), 1910–1917 (2011)

    Article  Google Scholar 

  25. Roth, M.E., Gillis, J.M.: Convenience with the click of a mouse: a survey of adults with autism spectrum disorder on online dating. Sex. Disabil. 33(1), 133–150 (2015)

    Article  Google Scholar 

  26. Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A.S., Mattila, M.L., Ebeling, H., Pauls, D.L., Moilanen, I.: Social anxiety in high-functioning children and adolescents with autism and Asperger syndrome. J. Autism Dev. Dis. 38(9), 1697–1709 (2008)

    Article  Google Scholar 

  27. Cummins, R.A.: Subjective wellbeing, homeostatically protected mood and depression: a synthesis. J. Happiness Stud. 11(1), 1–17 (2010).

    Article  Google Scholar 

  28. Cummins, R.A., Li, N., Wooden, M., Stokes, M.: A demonstration of set-points for subjective wellbeing. J. Happiness Stud. 15, 183–206 (2014)

    Article  Google Scholar 

  29. Glickman, A.R., La Greca, A.M.: The dating anxiety scale for adolescents: Scale development and associations with adolescent functioning. J. Clin. Child Adolesc. Psychol. 33(3), 566–578 (2004)

    Article  Google Scholar 

  30. La Greca, A.M., Harrison, H.M.: Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression? J. Clin. Child Adolesc. Psychol. 34(1), 49–61 (2005)

    Article  Google Scholar 

  31. Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., Clubley, E.: The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J. Autism Dev. Dis. 31(1), 5–17 (2001).

    Article  Google Scholar 

  32. Merikangas, K.R., He, J.P., Burstein, M., Swanson, S.A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., Swendsen, J.: Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). J. Am. Acad. Child Adolesc. Psychiatry 49(10):980–989 (2010).

    Article  Google Scholar 

  33. Australian Bureau of Statistics. (2008). National Survey of Mental Health and Wellbeing: Summary of Results, 2007 (4326.0). Australian Bureau of Statistics, Canberra.

  34. World Health Organisation. (2001). World Health Report 2001 Press Kit. Accessed 23 July 2018

  35. Leyfer, O.T., Folstein, S.E., Bacalman, S., Davis, N.O., Dinh, E., Morgan, J., Tager-Flusberg, H., Lainhart, J.E.: Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. J. Autism Dev. Dis. 36(7), 849–861 (2006)

    Article  Google Scholar 

  36. Baron-Cohen, S., Hoekstra, R.A., Knickmeyer, R., Wheelwright, S.: The autism-spectrum quotient (AQ)—adolescent version. J. Autism Dev. Dis. (2006).

    Article  Google Scholar 

  37. Hancock, G. I. (2017). Socio-sexual functioning in Autism Spectrum Disorder. Doctoral Thesis, Deakin University.

  38. Stokes, M.A., Kaur, A.: High-functioning autism and sexuality: a parental perspective. Autism 9(3), 266–289 (2005).

    Article  PubMed  Google Scholar 

  39. Hancock, G.I., Stokes, M.A., Mesibov, G.B.: Socio-sexual functioning in autism spectrum disorder: a systematic review and meta-analyses of existing literature. Autism Res. 10(11), 1823–1833 (2017)

    Article  Google Scholar 

  40. Osburn, H.G.: Coefficient alpha and related internal consistency reliability coefficients. Psychol. Methods 5(3), 343–355 (2000).

    Article  PubMed  Google Scholar 

  41. Sijtsma, K.: On the use, the misuse, and the very limited usefulness of Cronbach’s alpha. Psychometrika 74(1), 107–120 (2009)

    Article  Google Scholar 

  42. Barrett, P. (2001). Assessing the reliability of rating data. Accessed 5 July 2015

  43. Pallant, J.F., Tennant, A.: An introduction to the Rasch measurement model: an example using the Hospital Anxiety and Depression Scale (HADS). Br. J. Clin. Psychol. 46(1), 1–18 (2007)

    Article  Google Scholar 

  44. Hendriks, J., Fyfe, S., Styles, I., Skinner, S.R., Merriman, G.: Scale construction utilising the Rasch unidimensional measurement model: a measurement of adolescent attitudes towards abortion. Australas. Med. J. 5(5), 251–261 (2012)

    Article  Google Scholar 

  45. IBM SPSS Statistics for Windows, Version 24.0. IBM Corp, Armonk, NY.

  46. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd edn). Lawrence Earlbaum Associates, Hillsdale. Retrieved from Accessed 2 Nov 2016

  47. Faul, F., Erdfelder, E., Buchner, A., Lang, A.-G.: Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav. Res. Methods 41, 1149–1160 (2009)

    Article  Google Scholar 

  48. Hayes, A. F. (2012). PROCESS: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling [White paper]. Accessed 15 Mar 2017

  49. Hayward, S., Stokes, M., McVilly, K.: Challenges for females with high functioning autism in the workplace: a systematic review. Disabil. Rehabil. 40(3), 249–258 (2016).

    Article  PubMed  Google Scholar 

  50. Mehzabin, P., Stokes, M.A.: Self-assessed sexuality in young adults with high-functioning autism. Res. Autism Spectr. Disord. 5(1), 614–621 (2011).

    Article  Google Scholar 

  51. Visser, K., Greaves-Lord, K., Tick, N.T., Verhulst, F.C., Maras, A., van der Vegt, E.J.: Study protocol: a randomized controlled trial investigating the effects of a psychosexual training program for adolescents with autism spectrum disorder. BMC Psychiatry 15(1), 207 (2015)

    Article  Google Scholar 

  52. Bauminger, N., Solomon, M., Aviezer, A., Heung, K., Gazit, L., Brown, J., Rogers, S.J.: Children with autism and their friends: a multidimensional study of friendship in high-functioning autism spectrum disorder. J. Abnorm. Child Psychol. 36(2), 135–150 (2008).

    Article  PubMed  Google Scholar 

  53. Bauminger, N., Shulman, C.: The development and maintenance of friendship in high-functioning children with autism: maternal perceptions. Autism 7(1), 81–97 (2003)

    Article  Google Scholar 

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Hancock, G., Stokes, M.A. & Mesibov, G. Differences in Romantic Relationship Experiences for Individuals with an Autism Spectrum Disorder. Sex Disabil 38, 231–245 (2020).

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