The Autism Constellation and Neurodiversity: Long-Term and Adult Outcomes in Autism Spectrum Disorder

Pediatr Clin North Am. 2024 Apr;71(2):327-341. doi: 10.1016/j.pcl.2024.01.003. Epub 2024 Jan 29.

Abstract

Research on autistic adults suggests significant heterogeneity in outcomes. A significant proportion of individuals struggle with intellectual disability and limited communication skills. Of the 67% who have age-appropriate cognitive skills, around half are expected to attain a college education, and 25% are likely to hold a full-time job. Outcomes have been improving over time, in part because of earlier diagnosis and earlier intervention. Indeed, an estimated 10% to 20% are expected to lose all symptoms of autism by adolescence.

Keywords: Behavioral outcomes; Developmental trajectory; Early intervention; Neural changes in autism; Self-reported priorities in autistic adults.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Autism Spectrum Disorder* / diagnosis
  • Autism Spectrum Disorder* / therapy
  • Autistic Disorder*
  • Humans
  • Intellectual Disability*