OTCohortAutism : the international journal of research and practice2026

Autistic young people's psychological well-being in school.

Hazel Greer, Caitlin A Williams, Afia Ali and 1 others

PMID 41840809

WHAT IT FOUND

Autistic teenagers like school less and are unhappy there more often than non-autistic peers, but those gaps disappear once academic self-concept, bullying and peer problems are accounted for.

How autistic students rate their own academic ability tracked most closely with how they felt at school.

Key findings

01In unadjusted analyses, autistic adolescents liked school less and were more often unhappy there than their non-autistic peers, but after accounting for academic self-concept, bullying, peer problems, social support and family socioeconomic status, both differences were no longer statistically significant.

02Among autistic adolescents, how they rated their own academic ability was linked both to liking school more and to being unhappy less often.

03Autistic adolescents who experienced more bullying or more peer problems were more likely to be unhappy at school, although neither was clearly linked to how much they liked school.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study only looks at age 14, so the findings may not hold for younger or older students. The data were collected between January 2015 and March 2016, so they may not reflect what autistic students experience now. The sample was predominantly White and male, so the results may not generalise to more diverse groups. The measures in the cohort were not designed for autistic respondents, and some questions may have been hard to interpret. Important influences were not measured at all, including whether the school met the student's needs, sensory processing differences, and whether the student attended a mainstream or special school. Well-being was measured with two single questions about happiness at school rather than a fuller measure. The factors linked with well-being were identified using an approach the authors themselves describe as pragmatic and not always considered theoretically helpful. The design is correlational, so it shows which things go together, not what causes what.

Declared interests

The authors received no financial support for the research, authorship or publication of the article, and declared no potential conflicts of interest.

The easy way to misread this

Do not read the adjusted result as showing that autistic students are doing fine at school. The unadjusted difference was real; it disappeared only once bullying, peer problems and how students felt about their schoolwork were taken into account. This is also a snapshot of one age group, so it cannot show that changing those things would change how a student feels at school.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →