OTSLPCohortAutism : the international journal of research and practice2025

Correlates of self-reported life satisfaction among autistic youth with and without intellectual disability.

Carly Moser, Leann Smith DaWalt, Meghan M Burke and 1 others

PMID 40130591

WHAT IT FOUND

Autistic youth with ID reported higher life satisfaction than those without ID, though not significantly.

Support needs, parent stress, and social participation linked to satisfaction in youth with ID, while self-determination mattered more for youth without ID.

Key findings

01Autistic youth with ID reported slightly higher life satisfaction than those without ID, but the difference was not statistically significant.

02For autistic youth with ID, lower parent stress and fewer unmet service needs were strongly associated with higher life satisfaction.

03Higher self-determination was associated with higher life satisfaction for autistic youth without ID, but not for those with ID.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

The sample of youth with ID was small (n=35), limiting the power to detect differences and requiring cautious interpretation of null findings in this group. The study only included youth capable of self-reporting, excluding those with severe to profound ID, so findings do not generalize to the full spectrum of intellectual disability. Participants were recruited from families interested in a parent advocacy program and were generally highly educated, which may limit generalizability to broader populations. The design is cross-sectional, so it identifies associations but cannot prove that changes in stress or services cause changes in life satisfaction.

Declared interests

The authors declared no conflicts of interest. The work was funded by the National Institute of Mental Health and the National Institute of Child Health and Human Development.

The easy way to misread this

Do not conclude that autistic youth with ID have inherently higher life satisfaction. The difference between groups was not statistically significant, and the sample excluded those with severe ID who cannot self-report, potentially biasing the results toward higher-functioning individuals.

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