How do core autism traits and associated symptoms relate to quality of life? Findings from the Longitudinal European Autism Project

Autism. 2021 Feb;25(2):389-404. doi: 10.1177/1362361320959959. Epub 2020 Oct 7.

Abstract

Previous studies suggest that some autistic individuals report lower satisfaction, or well-being, with different aspects of everyday life than those without autism. It is unclear whether this might be partly explained by symptoms of anxiety and/or depression, which affect at least 20%-50% of autistic people. In this study, we measured individual differences in well-being in 573 six to thirty-year-olds with and without a diagnosis of autism. We investigated whether individual differences in well-being were explained by autism traits (e.g. social-communication difficulties) and/or anxiety and depression symptoms. We showed that, though well-being was lower for some autistic individuals, compared to those without autism, many autistic individuals reported good well-being. Where well-being was reduced, this was particularly explained by depression symptoms, across all ages. For children/adolescents, anxiety and social-communication difficulties were also related to some aspects of well-being. Our study suggests that support and services for improving mental health, especially depression symptoms, may also improve broader outcomes for autistic people.

Keywords: anxiety; autism; depression; quality of life; well-being.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anxiety Disorders
  • Autism Spectrum Disorder*
  • Autistic Disorder*
  • Child
  • Humans
  • Personal Satisfaction
  • Quality of Life