The quality of life and the future of young adults with Asperger syndrome

Disabil Rehabil. 2020 Jul;42(14):1987-1994. doi: 10.1080/09638288.2018.1544297. Epub 2019 Jan 22.

Abstract

Purpose: This pilot study describes the socio-professional development and quality of life of young adults with Asperger syndrome in France.Methods: Those young adults, between 18 and 30 years old, receiving care in a child psychiatry department for autistic spectrum disorder, were requested to respond to the Ad Hoc, World Health Organization Quality Of Life - Bref and Copenhagen psychosocial questionnaires regarding their socio-professional background and feelings about their future.Results: Of the 79 eligible subjects, 24 were selected to participate in our study. Their average age at the time of the pilot study was 22.2 years (standard deviation 3.4 years), and their average age when they were diagnosed was 17.5 years (standard deviation 3.7 years.). There were 54% who reported a psychiatric comorbidity anxiety disorder. Half stated they had completed secondary school and benefitted from being professionally employed. During this study, only six were employed, while the others remained financially dependent on their parents. The group's quality of life self-assessment scores were significantly lower compared to the French general population in overall psychology (43.6 versus 68.7) and social relationships (48.9 versus 76.5). However, the study's participants perceived work as an important means to their personal development. Hence, in order to cope with their difficulties, they hoped to benefit from customized support adapted to their autistic disorder and for their workplace colleagues to be better informed about Asperger syndrome.Conclusions: Our results are in line with international data. Additional studies need to be done in order to determine socio-professional integration factors and, in particular, the integration of potential contributions by occupational health departments with those social and medical teams supporting these young adults.Implications for rehabilitationYoung adults with Asperger syndrome benefit from the support of their family in determining their professional goals.Support may be required to enhance social and communicative abilities to help integration.Employees would benefit from information on the syndrome and how best to support.

Keywords: Asperger syndrome; World Health Organization Quality of Life-Bref; adults; autistic spectrum disorder; employment; outcome; quality of life; young adults.

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Anxiety / epidemiology
  • Anxiety / psychology
  • Anxiety Disorders / epidemiology*
  • Anxiety Disorders / psychology
  • Asperger Syndrome / epidemiology
  • Asperger Syndrome / psychology*
  • Autistic Disorder / psychology*
  • Child
  • Comorbidity
  • Cross-Sectional Studies
  • Family / psychology
  • Female
  • France / epidemiology
  • Humans
  • Interpersonal Relations
  • Male
  • Pilot Projects
  • Quality of Life / psychology*
  • Social Skills
  • Surveys and Questionnaires
  • Young Adult