Work and well-being: Vocational activity trajectories in young adults with autism spectrum disorder.

Abstract

Young adults with autism spectrum disorder (ASD) experience limited social connectedness, difficulty living independently, and other poor outcomes at high rates. Vocational activities, including employment and postsecondary education, are associated with increased positive outcomes and subjective well-being in typical adults. This study identified vocational activity trajectory groups in adults with ASD, examined change in these trajectories from ages 18 to 28, and compared levels of parent- and self-report subjective well-being across trajectory groups. One hundred fifty-one adults with ASD were drawn from an ongoing longitudinal study. Data on psychosocial outcomes and vocational activities were compiled from parent-report demographic forms. Vocational activities were scored using the vocational index (VDI). There was no significant effect of age on the slope of vocational trajectories (p= 0.787). Participants in the Independent Activities group had significantly higher parent-report happiness factor scores than participants in the No Activities group (F [3, 107]=3.56, p= 0.017) and significantly higher self-report happiness factor scores than participants in the Volunteer Activities group (F [2, 35]=6.46, p= 0.004). The Independent Activities group was also significantly more likely to have at least one social contact (X2 [3, 118]=10.54, p= 0.014), however, there was no difference in trajectories groups in the likelihood of living independently (X2 [3, 120]=1.71, p= 0.634). The results of this study indicate vocational activities in young adults with ASD are stable across time. In the current sample, participation in independent vocational activities was associated with increased levels of subjective well-being.