[Well Educated Unemployed--On Education, Employment and Comorbidities in Adults with High-Functioning Autism Spectrum Disorders in Germany]

Psychiatr Prax. 2016 Jan;43(1):38-44. doi: 10.1055/s-0034-1387494. Epub 2015 Apr 17.
[Article in German]

Abstract

Background: Based on clinical experience there is a discrepancy between the educational records and vocational performance in patients with high functioning autism spectrum disorder (ASD).

Method: In order to assess psychosocial and vocational specificities of adult ASD patients we analyzed the demographic and hospital data of consecutively diagnosed patients employing descriptive statistics.

Results: We were able to include 255 patients into our sample who were consecutively diagnosed between October 2009 and October 2011. The gender ratio was 162:93 in favor of male patients. The educational records of our patient sample was comparatively good [50 % highest level of German schooling system (allgemeine Hochschulreife), 39 % university degree], however, the vocational records were poor with 58 % of our patients being unemployed. The psychiatric comorbidity was high, 57 % of the patients suffered from depression.

Conclusion: There is a high need for special support programs for adult high functioning ASD patients focusing on adaptive vocational skills to avoid unemployment and secondary psychiatric problems.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Asperger Syndrome / epidemiology
  • Asperger Syndrome / psychology*
  • Asperger Syndrome / rehabilitation*
  • Autism Spectrum Disorder / epidemiology
  • Autism Spectrum Disorder / psychology*
  • Autism Spectrum Disorder / rehabilitation*
  • Comorbidity
  • Cross-Sectional Studies
  • Educational Status*
  • Female
  • Germany
  • Humans
  • Intelligence*
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology*
  • Mental Disorders / rehabilitation*
  • Middle Aged
  • Rehabilitation, Vocational*
  • Sex Factors
  • Social Adjustment
  • Surveys and Questionnaires
  • Unemployment / psychology*
  • Unemployment / statistics & numerical data*
  • Young Adult