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Predicting Post-School Outcomes in Autistic Young Adults One Year after High School Graduation.
Gael I Orsmond1, Sharada G Krishnan2, Elizabeth G S Munsell3
1Department of Occupational Therapy, Boston University, 635 Commonwealth Ave., Boston, MA, 02215, USA. gorsmond@bu.edu.
Journal of Autism and Developmental Disorders
|March 13, 2025
Summary
Depressive symptoms in autistic high school students are key predictors of post-school success. Interventions targeting executive functions, daily task responsibility, and mental health can improve outcomes for autistic youth.
Area of Science:
- Neurodevelopmental Disorders
- Psychology
- Education
Background:
- Autistic youth often face challenges transitioning to post-school life.
- Identifying factors that promote successful outcomes is crucial for this population.
Purpose of the Study:
- To identify malleable factors in the final year of high school predicting post-school outcomes for autistic youth.
- To examine if depressive symptoms mediate the relationship between these factors and outcomes.
Main Methods:
- Longitudinal study of 32 autistic youth and parents over one year post-high school.
- Surveys assessed social communication, executive functions, daily task responsibility, and depressive symptoms (T1).
- Post-school outcomes (T2) included productivity, social well-being, and autonomy.
Main Results:
- Executive functions, daily task responsibility, and depressive symptoms predicted 40.2% of variance in young adult outcomes.
- Depressive symptoms uniquely predicted outcomes and mediated the effect of executive functioning.
- Social communication skills did not significantly correlate with outcomes.
Conclusions:
- Depressive symptoms are a critical intervention target for autistic adolescents.
- Cognitive behavioral approaches addressing executive functions, daily task responsibility, and mental health may enhance post-school success.
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