PTOTSLPCohortJournal of autism and developmental disorders2023

Is quality of life related to high autistic traits, high ADHD traits and their Interaction? Evidence from a Young-Adult Community-Based twin sample.

Simone J Capp, Jessica Agnew-Blais, Alex Lau-Zhu and 10 others

PMID 35802291

WHAT IT FOUND

Young adults with high autistic traits reported lower quality of life across all domains, even after accounting for ADHD traits and mental health difficulties.

High ADHD traits were also linked to poorer physical and psychological quality of life. The combination of both traits did not worsen outcomes beyond their individual effects.

Key findings

01Participants with high autistic traits had significantly lower quality of life in physical, psychological, and environmental domains compared to those with low traits, independent of ADHD grouping.

02Participants with high ADHD traits had significantly lower quality of life in physical, psychological, and environmental domains compared to those with low traits, independent of autistic grouping.

03The interaction between high autistic and high ADHD traits was not significant, meaning having both did not amplify the negative effect on quality of life beyond the independent effects of each trait group.

STILL TO COME

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

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What it does not show

The sample was community-based but enriched for high traits and excluded individuals with an estimated IQ below 70, limiting generalizability to those with intellectual disabilities. The study used a cross-sectional design, so causal relationships between traits and quality of life cannot be determined. Data relied heavily on self-report for traits and quality of life, raising the possibility of response bias where individuals with higher traits may also report lower quality of life. The sample consisted of twins, who may have different social support structures compared to the general population, potentially influencing quality of life outcomes. Parental socioeconomic status was measured when participants were 18 months old, which may not reflect their current socioeconomic circumstances.

Declared interests

The study was funded by the UKRI Medical Research Council, the Economic and Social Research Council, the Foundation for the National Institutes of Health, and MQ: Transforming Mental Health. No specific conflicts of interest were declared by the authors in the provided text.

The easy way to misread this

Do not assume that the co-occurrence of high autistic and high ADHD traits creates a uniquely worse quality of life profile than either trait alone. The study found no significant interaction, meaning the effects of each trait on quality of life were independent and additive rather than synergistic.

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