Developmental Trajectories in Adolescents and Adults With Autism: The Case of Daily Living Skills

Objective This study aimed to investigate the longitudinal course of daily living skills in a large, community-based sample of adolescents and adults with autism spectrum disorders (ASD) over a 10-year period. Method Adolescents and adults with ASD (n = 397) were drawn from an ongoing, longitudinal...

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Veröffentlicht in:Journal of the American Academy of Child and Adolescent Psychiatry 2012-06, Vol.51 (6), p.622-631
Hauptverfasser: Smith, Leann E., Ph.D, Maenner, Matthew J., Ph.D, Seltzer, Marsha Mailick, Ph.D
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container_issue 6
container_start_page 622
container_title Journal of the American Academy of Child and Adolescent Psychiatry
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creator Smith, Leann E., Ph.D
Maenner, Matthew J., Ph.D
Seltzer, Marsha Mailick, Ph.D
description Objective This study aimed to investigate the longitudinal course of daily living skills in a large, community-based sample of adolescents and adults with autism spectrum disorders (ASD) over a 10-year period. Method Adolescents and adults with ASD (n = 397) were drawn from an ongoing, longitudinal study of individuals with ASD and their families. A comparison group of 167 individuals with Down syndrome (DS) were drawn from a linked longitudinal study. The Waisman Activities of Daily Living Scale was administered four times over a 10-year period. Results We used latent growth curve modeling to examine change in daily living skills. Daily living skills improved for the individuals with ASD during adolescence and their early 20s, but plateaued during their late 20s. Having an intellectual disability was associated with lower initial levels of daily living skills and a slower change over time. Individuals with DS likewise gained daily living skills over time, but there was no significant curvature in the change. Conclusions Future research should explore what environmental factors and interventions may be associated with continued gains in daily living skills for adults with ASD.
doi_str_mv 10.1016/j.jaac.2012.03.001
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Method Adolescents and adults with ASD (n = 397) were drawn from an ongoing, longitudinal study of individuals with ASD and their families. A comparison group of 167 individuals with Down syndrome (DS) were drawn from a linked longitudinal study. The Waisman Activities of Daily Living Scale was administered four times over a 10-year period. Results We used latent growth curve modeling to examine change in daily living skills. Daily living skills improved for the individuals with ASD during adolescence and their early 20s, but plateaued during their late 20s. Having an intellectual disability was associated with lower initial levels of daily living skills and a slower change over time. Individuals with DS likewise gained daily living skills over time, but there was no significant curvature in the change. 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Method Adolescents and adults with ASD (n = 397) were drawn from an ongoing, longitudinal study of individuals with ASD and their families. A comparison group of 167 individuals with Down syndrome (DS) were drawn from a linked longitudinal study. The Waisman Activities of Daily Living Scale was administered four times over a 10-year period. Results We used latent growth curve modeling to examine change in daily living skills. Daily living skills improved for the individuals with ASD during adolescence and their early 20s, but plateaued during their late 20s. Having an intellectual disability was associated with lower initial levels of daily living skills and a slower change over time. Individuals with DS likewise gained daily living skills over time, but there was no significant curvature in the change. Conclusions Future research should explore what environmental factors and interventions may be associated with continued gains in daily living skills for adults with ASD.</description><subject>Activities of daily living</subject><subject>Activities of Daily Living - psychology</subject><subject>Adaptation, Psychological</subject><subject>Adolescence</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>adulthood</subject><subject>Adults</subject><subject>Autism</subject><subject>Autistic adolescents</subject><subject>Autistic spectrum disorders</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Child development</subject><subject>Child Development Disorders, Pervasive - psychology</subject><subject>Comparative Analysis</subject><subject>Daily Living Skills</subject><subject>Data Analysis</subject><subject>Developmental disorders</subject><subject>Disabilities</subject><subject>Down Syndrome</subject><subject>Down Syndrome - psychology</subject><subject>Down's syndrome</subject><subject>Environmental aspects</subject><subject>Environmental factors</subject><subject>Environmental Influences</subject><subject>Female</subject><subject>Growth curves</subject><subject>Humans</subject><subject>Infantile autism</subject><subject>Intellectual Disability - psychology</subject><subject>Intellectual Disability - rehabilitation</subject><subject>Intervention</subject><subject>Lifestyles</subject><subject>Living skills</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental retardation</subject><subject>Mentally Disabled Persons - psychology</subject><subject>Mentally Disabled Persons - rehabilitation</subject><subject>Middle Aged</subject><subject>Pediatrics</subject><subject>Prognosis</subject><subject>Psychiatry</subject><subject>Psychology. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Skills</topic><topic>Teenagers</topic><topic>Time Factors</topic><topic>trajectories</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Leann E., Ph.D</creatorcontrib><creatorcontrib>Maenner, Matthew J., Ph.D</creatorcontrib><creatorcontrib>Seltzer, Marsha Mailick, Ph.D</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Leann E., Ph.D</au><au>Maenner, Matthew J., Ph.D</au><au>Seltzer, Marsha Mailick, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ967355</ericid><atitle>Developmental Trajectories in Adolescents and Adults With Autism: The Case of Daily Living Skills</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>51</volume><issue>6</issue><spage>622</spage><epage>631</epage><pages>622-631</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>Objective This study aimed to investigate the longitudinal course of daily living skills in a large, community-based sample of adolescents and adults with autism spectrum disorders (ASD) over a 10-year period. 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Conclusions Future research should explore what environmental factors and interventions may be associated with continued gains in daily living skills for adults with ASD.</abstract><cop>Maryland Heights, MO</cop><pub>Elsevier Inc</pub><pmid>22632621</pmid><doi>10.1016/j.jaac.2012.03.001</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of daily living
Activities of Daily Living - psychology
Adaptation, Psychological
Adolescence
Adolescent
Adolescents
Adult
adulthood
Adults
Autism
Autistic adolescents
Autistic spectrum disorders
Biological and medical sciences
Child
Child clinical studies
Child development
Child Development Disorders, Pervasive - psychology
Comparative Analysis
Daily Living Skills
Data Analysis
Developmental disorders
Disabilities
Down Syndrome
Down Syndrome - psychology
Down's syndrome
Environmental aspects
Environmental factors
Environmental Influences
Female
Growth curves
Humans
Infantile autism
Intellectual Disability - psychology
Intellectual Disability - rehabilitation
Intervention
Lifestyles
Living skills
Longitudinal Studies
Male
Medical sciences
Mental retardation
Mentally Disabled Persons - psychology
Mentally Disabled Persons - rehabilitation
Middle Aged
Pediatrics
Prognosis
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Skills
Teenagers
Time Factors
trajectories
title Developmental Trajectories in Adolescents and Adults With Autism: The Case of Daily Living Skills
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