Abstract
Previous research indicates that although those with ASD desire sexual relationships, they may not effectively engage in romantic and intimate interactions. The purpose of this study was to compare reports from young adults with ASD and parents from the same families on the young adult’s sexual behavior, experiences, knowledge, and communication. 100 young adults (18–30 years) and parents completed an online survey. Results indicated that young adults reported more typical privacy and sexual behaviors, and higher sexual victimization than their parents reported on their behalf. Our findings indicated that individuals with ASD desire and pursue sexual relationships typical of most people and suggest the need for sex education and communication about topics generally covered for neurotypically develo** young adults.
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References
Allison, C., Auyeung, B., & Baron-Cohen, S. (2012). Toward brief “Red Flags” for autism screening: The short autism spectrum quotient and the short quantitative checklist in 1,000 cases and 3,000 controls. Journal of the American Academy of Child and Adolescent Psychiatry, 51(2), 202–212. https://doi.org/10.1016/j.jaac.2011.11.003.
Ballan, M. S. (2012). Parental perspectives of communication about sexuality in families of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(5), 676–684. https://doi.org/10.1007/s10803-011-1293-y.
Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5–17.
Booth, T., Murray, A. L., McKenzie, K., Kuenssberg, R., O’Donnell, M., & Burnett, H. (2013). Brief report: An evaluation of the AQ-10 as a brief screening instrument for ASD in adults. Journal of Autism and Developmental Disorders, 32(12), 2997–3000. https://doi.org/10.1007/s10803-013-1844-5.
Brown-Lavoie, S. M., Viecili, M. A., & Weiss, J. A. (2014). Sexual knowledge and victimization in adults with autism spectrum disorders. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-014-2093-y.
Byers, E. S., Nichols, S., & Voyer, S. D. (2013). Challenging stereotypes: Sexual functioning of single adults with high functioning autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(11), 2617–2627. https://doi.org/10.1007/s10803-013-1813-z.
Byers, E. S., Nichols, S., Voyer, S. D., & Reilly, G. (2012). Sexual well-being of a community sample of high functioning adults on the autism spectrum who have been in a romantic relationship. Autism, 17(4), 418–433. https://doi.org/10.1177/1362361311431950.
Caputo, R. K. (2009). Adolescent sexual debut: A multi-system perspective of ethnic and racial differences. Journal of Human Behavior in the Social Environment, 19(4), 330–358. https://doi.org/10.1080/10911350902787437.
Cridland, E. K., Jones, S. C., Caputi, P., & Magee, C. A. (2014). Being a girl in a boys’ world: Investigating the experiences of girls with autism spectrum disorders during adolescence. Journal of Autism and Developmental Disorders, 44(6), 1261–1274. https://doi.org/10.1007/s10803-013-1985-6.
D’Augelli, A. R., Grossman, A. H., & Starks, M. T. (2005). Parents’ awareness of lesbian, gay, and bisexual youths’ sexual orientation. Journal of Marriage and Family, 67, 474–482. https://doi.org/10.1111/j.0022-2445.2005.00129.x.
Dewinter, J., Vermeiren, R., Vanwesenbeeck, I., Lobbestael, J., & Van Nieuwenhuizen, C. (2015). Sexuality in adolescent boys with autism spectrum disorder: Self-reported behaviours and attitudes. Journal of Autism and Developmental Disorders, 45(3), 731–741. https://doi.org/10.1007/s10803-014-2226-3.
Dewinter, J., Vermeiren, R., Vanwesenbeeck, I., & Van Nieuwenhuizen, C. (2016). Parental awareness of sexual experience in adolescent boys with autism spectrum disorder. Journal of Autism and Developmental Disorders, 46(2), 713–719. https://doi.org/10.1007/s10803-015-2622-3.
Doornwaard, S. M., Bickham, D. S., Rich, M., Vanwesenbeeck, I., van den Eijnden, R. J., & ter Bogt, T. F. (2014). Sex-related online behaviors and adolescents’ body and sexual self-perceptions. Pediatrics, 134(6), 1103–1110. https://doi.org/10.1542/peds.2014-0592.
Eastgate, G., Scheermeyer, E., van Driel, M. L., & Lennox, N. (2012). Intellectual disability, sexuality and sexual abuse prevention—A study of family members and support workers. Australian Family Physician, 41(3), 135–139.
Gardella, J. H., Nichols-Hadeed, C. A., Mastrocinque, J. M., Stone, J. T., Coates, C. A., Sly, C. J., et al. (2015). Beyond Clery Act statistics: A closer look at college victimization based on self-report data. Journal of Interpersonal Violence, 30(4), 640–658. https://doi.org/10.1177/0886260514535257.
George, R., & Stokes, M. A. (2018). Gender identity and sexual orientation in autism spectrum disorder. Autism, 22(8), 970–982. https://doi.org/10.1177/1362361317714587.
Gilmour, L., Schalomon, P. M., & Smith, V. (2011). Sexuality in a community based sample of adults with autism spectrum disorder. Research in Autism Spectrum Disorders, 6, 313–318. https://doi.org/10.1016/j.rasd2011.06.003.
Gilmour, L., Smith, V., & Schalomon, M. (2014). Sexuality and ASD: Current state of research. In V. Patel, V. Preedy, & C. Martin (Eds.), Comprehensive guide to autism. New York: Springer.
Hannah, L. A., & Stagg, S. D. (2016). Experiences of sex education and sexual awareness in young adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 46, 3678–3687. https://doi.org/10.1007/s10803-016-2906-2.
Hellemans, H., Colson, K., Verbraeken, C., Vermeiren, R., & Deboutte, D. (2007). Sexual behavior in high-functioning male adolescents and young adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 37(2), 260–269. https://doi.org/10.1007/s10803-006-0159-1.
Hellemans, H., Roeyers, H., Leplae, W., Dewaele, T., & Deboutte, D. (2010). Sexual behavior in male adolescents and young adults with autism spectrum disorder and borderline/mild mental retardation. Sexuality and Disability, 28(2), 93–104. https://doi.org/10.1007/s11195-009-9145-9.
Hockenberry-Eaton, M., Richman, M. J., DiIorio, C. K., Rivero, T., & Maibach, E. (1996). Mother and adolescent knowledge of sexual development: The effects of gender, age, and sexual experience. Adolescence, 31(121), 35–47.
Holmes, L. G., & Himle, M. B. (2014). Brief report: Parent-child sexuality communication and autism spectrum disorders. Journal of Autism and Developmental Disorders.. https://doi.org/10.1007/s10803-014-2146-2.
Holmes, L. G., Strassberg, D. S., & Himle, M. B. (2019). Family sexuality communication for adolescent girls on the autism spectrum. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-019-03904-6.
Kellaher, D. C. (2015). Sexual behavior and autism spectrum disorders: An update and discussion. Current Psychiatry Reports. https://doi.org/10.1007/s11920-015-0562-4.
Klein, F. (1993). The bisexual option (2nd ed.). Binghamton, NY: The Haworth Press.
Klein, F., Sepekoff, B., & Wolf, T. J. (1985). Sexual orientation: A multi-variable dynamic process. Journal of Homosexuality, 11(1–2), 35–49. https://doi.org/10.1300/J082v11n01_04.
Koss, M. P., & Oros, C. J. (1982). Sexual experiences survey: A research instrument investigating sexual aggression and victimization. Journal of Consulting and Clinical Psychology, 50(3), 455–457. https://doi.org/10.1037/0022-006X.50.3.455.
Mehzabin, P., & Stokes, M. A. (2011). Self-assessed sexuality in young adults with high-functioning autism. Research in Autism Spectrum Disorders, 5, 614–621. https://doi.org/10.1016/j.rasd.2010.07.006.
Nixon, M., Thomas, S. D. M., Daffern, M., & Ogloff, J. R. P. (2017). Estimating the risk of crime and victimization in people with intellectual disability: A data-linkage study. Social Psychiatry and Psychiatric Epidemiology, 52(5), 617–626. https://doi.org/10.1007/s00127-017-1371-3.
Pecora, L. A., Mesibov, G. B., & Stokes, M. A. (2016). Sexuality in high-functioning autism: A systematic review and meta-analysis. Journal of Autism and Developmental Disorders, 46(11), 319–3556. https://doi.org/10.1007/s10803-016-2892-4.
Qualls, L. R., Hartmann, K., & Paulson, J. F. (2018). Broad autism phenotypic traits and the relationship to sexual orientation and sexual behavior. Journal of Autism and Developmental Disorders, 48(12), 3974–3983. https://doi.org/10.1007/s10803-018-3556-3.
Shapiro, G. K., Tatar, O., Sutton, A., Fisher, W., Naz, A., Perez, S., et al. (2017). Correlates of Tinder use and risky sexual behaviors in young adults. Cyberpsychology, Behavior, and Social Networking, 20(12), 727–734. https://doi.org/10.1089/cyber.2017.0279.
Stokes, M. A., & Kaur, A. (2005). High-functioning autism and sexuality: A parental perspective. Autism: The International Journal of Research and Practice, 9(3), 266–289. https://doi.org/10.1177/1362361305053258.
Stokes, M. A., Newton, N., & Kaur, A. (2007). Stalking, and social and romantic functioning among adolescents and adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 37, 1969–1986. https://doi.org/10.1007/s10803-006-0344-2.
Sullivan, A., & Caterino, L. C. (2008). Addressing the sexuality and sex education of individuals with autism spectrum disorders. Education and Treatment of Children, 31(1), 381–394. https://doi.org/10.1353/etc.0.0001.
Talbot, T. J., & Langdon, P. E. (2006). A revised sexual knowledge assessment tool for people with intellectual disabilities: Is sexual knowledge related to sexual offending behaviour? Journal of Intellectual Disability Research: JIDR, 50(Pt 7), 523–531. https://doi.org/10.1111/j.1365-2788.2006.00801.x.
Tanton, C., Jones, K. G., Macdowall, W., Clifton, S., Mitchell, K. R., Datta, J., et al. (2015). Patterns and trends in sources of information about sex among young people in Britain: Evidence from three national surveys of sexual attitudes and lifestyles. British Medical Journal Open, 5(3), e007834. https://doi.org/10.1136/bmjopen-2015-007834.
Twenge, J. M., Sherman, R. A., & Wells, B. E. (2016). Sexual inactivity during young adulthood is more common among U.S. millennials and iGen: Age, period, and cohort effects on having no sexual partners after age 18. Archives of Sexual Behavior.. https://doi.org/10.1007/s10508-016-0798-z.
Van Bourgondien, M. E., Reichle, N. C., & Palmer, A. (1997). Sexual behavior in adults with autism. Journal of Autism and Developmental Disorders, 27(2), 113–125. https://doi.org/10.1023/A:1025883622452.
Warren, C. (2006). Communicating about sex with parents and partners. In K. M. Galvin & P. J. Cooper (Eds.), Making connections: Readings in relational communication (4th ed., pp. 319–326). New York: Oxford University Press.
Warren, C. (2011). Family sex communication quotient. In T. D. Fisher, C. M. Davis, W. L. Yarber, & S. L. Davis (Eds.), Handbook of sexuality related measures (3rd ed., pp. 140–142). New York: Routledge.
Warren, C., & Neer, M. (1986). Family sex communication orientation. Journal of Applied Communication Research, 14(2), 86–107. https://doi.org/10.1080/00909888609360307.
Warren, C., & Warren, L. K. (2015). Family and partner communication about sex. In L. H. Turner & R. West (Eds.), The SAGE handbook of family communication (pp. 184–201). Los Angeles: SAGE. https://doi.org/10.4135/9781483375366.n12.
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Hartmann, K., Urbano, M.R., Raffaele, C.T. et al. Sexuality in the Autism Spectrum Study (SASS): Reports from Young Adults and Parents. J Autism Dev Disord 49, 3638–3655 (2019). https://doi.org/10.1007/s10803-019-04077-y
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DOI: https://doi.org/10.1007/s10803-019-04077-y