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March 14, 2026Autism in Adulthood0 citationsOpen Access

Associations Between Aspects of Employment and Psychological Health Among Autistic Adults

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SMSophia Brandl MuellerVanderbilt University Medical CenterNLNatalie LibsterVanderbilt University Medical CenterVSVirginia SullivanMenlo School

Key Points

  • This research examines the connection between employment aspects and psychological health in autistic adults.
  • Participants included 109 autistic adults aged 18-43 employed in community settings.
  • Data was collected via online surveys and interviews about employment aspects and psychological health.
  • Focus areas included perceived workplace climate, employment type, and occupational contact.
  • Positive workplace climate was significantly linked to better psychological health outcomes.
  • Higher psychological quality of life (PQOL) was reported by those in supportive work environments.
  • Associations varied by age and daily living skills, with older adults showing greater benefits.

Abstract

Background: Autistic adults frequently have negative workplace experiences, as well as challenges with their psychological health, yet few studies have examined the linkages among aspects of employment and mental health in this group. To address this gap, we drew from the Job Demands-Resources model to investigate which aspects of employment were associated with psychological health outcomes in autistic adults. Methods: Participants were autistic adults ( n = 109; 18–43 years old) employed in community settings, who completed online surveys and interviews about aspects of employment (perceived workplace climate, part-time vs. full-time employment, and occupational contact with others) and psychological health (depressive symptoms, psychological quality of life PQOL). Results: Perceived workplace climate was the only aspect of employment significantly associated with psychological health; adults who reported more positive workplace climates had higher PQOL. Workplace climate was more strongly associated with PQOL among adults in this sample who were older (vs. younger) and had lower (vs. higher) daily living skills. Conclusion: These findings highlight the importance of safe and supportive workplace climates for autistic adults, especially for those who have more challenges with daily living skills and are further into adulthood. Importantly, results may not generalize to those from racial or ethnically diverse backgrounds, nor to autistic adults who are minimally verbal or would otherwise be unable to self-report.

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Cite This Study

Mueller et al. (2026) studied this question.

synapsesocial.com/papers/69b4b9db18185d8a39802024https://doi.org/10.1177/25739581261418877
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