Factors Affecting Outcomes
The outcome for individuals with autism is very variable and depends not only on the characteristics of the individual but on many family and environmental factors and external support systems. Childhood factors that are associated with later outcome include early language development, IQ, severity of autism symptoms, and access to appropriate autism-specific intervention. In adolescence and adulthood, the onset of comorbid mental health problems and the lack of adequate support and interventions are associated with poorer outcomes.
It has been evident since the very earliest follow-up studies of Eisenberg (1956), Rutter et al. (1967), Kanner (1973), and others that outcome in autism is highly variable. Many individuals remain highly dependent on support throughout their lives; others are able to live independently and some go on to make significant achievements. Both Asperger (1944) and Kanner (1971) were struck by the wide heterogeneity in outcome...
References and Reading
- Asperger, H. (1944). “Autistic psychopathy” in childhood (U. Frith, Trans., and annotated in Autism and Asperger syndrome (1991)). In U. Frith (Ed.), Autism and asperger syndrome (1st ed., pp. 37–92). Cambridge: Cambridge University Press.Google Scholar
- Kanner, L. (1943). Autistic disturbances of affective contact. The Nervous Child, 2, 217–250.Google Scholar
- Kanner, L. (1973). How far can autistic children go in matters of social adaptation? In L. Kanner (Ed.), Childhood psychosis: Initial studies and new insights (pp. 189–213). New York: V. H. Winston.Google Scholar