"I'm Trying to Reach Out, I'm Trying to Find My People": A Mixed-Methods Investigation of the Link Between Sensory Differences, Loneliness, and Mental Health in Autistic and Nonautistic Adults.
Lisa Qdtua, Gemma Williams, James Mulcahy and 5 others
PMID 39371359WHAT IT FOUND
Autistic adults reported more loneliness, distress, anxiety, depression, and sensory differences than nonautistic adults.
But loneliness was linked to distress similarly in both groups. Qualitative accounts described practical barriers, yearning for connection, and needing solitude after overwhelm.
Key findings
01Autistic adults reported more loneliness, loneliness distress, anxiety, depression, and sensory differences than nonautistic adults.
02Loneliness was linked to loneliness distress in both groups, and loneliness mediated the relationship between sensory hyperreactivity and anxiety or depression.
03Autistic participants described practical barriers to social access, a deeper yearning for connection, and needing solitude after social or sensory overwhelm.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Study A used baseline data from a trial and had no separate sample size calculation or preregistration. The sample was not representative of all autistic adults because people with moderate to severe intellectual impairment were excluded, and most participants used spoken language and could travel. Study A also excluded people with past head injury, organic brain disorders, epilepsy, or psychotic experiences. Nonautistic controls were not screened for autism, although excluding those above the Autism Quotient cutoff did not change results. Ethnicity was not recorded, and most participants were reported as Caucasian or British; all Study B participants were White. Study A relied on self-report questionnaires, so some associations may be inflated by the measurement method. The added distress question on the UCLA Loneliness Scale was not formally validated. The sensory questionnaire measured affective reactivity rather than sensory seeking or avoidance directly. Study B had only eight core participants plus a ninth familiar partner and used conversations collected for a different linguistic study. The paper reports associations and experiences, not tested interventions.
Declared interests
No funding or conflict of interest statement is included in the supplied text. Study A was conducted with the sponsorship of Sussex Partnership NHS Foundation Trust.
The easy way to misread this
Do not conclude that autistic adults are content with chosen solitude or lack social motivation. Loneliness and distress were linked similarly in autistic and nonautistic adults, and qualitative accounts described yearning for connection.