Une méta-analyse des études sur les résultats chez les adultes autistes : quantification de la taille d'effet, de la qualité et méta-régression

Titre original en anglais : A Meta-analysis of Outcome Studies of Autistic Adults: Quantifying Effect Size, Quality, and Meta-regression

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Mason, D., Capp, S. J., Stewart, G. R., Kempton, M. J., Glaser, K., Howlin, P., & Happé, F. (2020). A Meta-analysis of Outcome Studies of Autistic Adults: Quantifying Effect Size, Quality, and Meta-regression. Journal of Autism and Developmental Disorders, 51(9), 3165-3179. https://doi.org/10.1007/s10803-020-04763-2

Date de publication: 17/11/2020 Ajout dans AutiHub: 18/09/2026 Type: Article Langue de l’article: Anglais
Source éditeur (DOI) Texte intégral Source OpenAlex

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Auteurs

Auteur·ices des publications
7
Auteur·ices de la publication identifié·es comme autistes
1 / 7 (14,3 %)
  1. David Mason *
  2. Simone J. Capp
  3. Gavin Robert Stewart
  4. Matthew J. Kempton
  1. Karen Glaser
  2. Patricia Howlin
  3. Francesca Happé

Résumé

Résumé Les études longitudinales ont généralement fait état de résultats médiocres à l'âge adulte pour la majorité des personnes (environ 50-60 %) autistes. Plusieurs facteurs prédiraient les résultats (p. ex., le QI), mais les conclusions restent mitigées. Cet article présente une méta-analyse actualisée des études sur les résultats de l'autisme et étend les résultats antérieurs par des analyses supplémentaires (y compris une méta-régression). Au total, 4 088 dossiers ont été examinés et 18 études, impliquant 1 199 personnes, ont été incluses dans l'analyse quantitative. Les pourcentages estimés indiquaient que 20,0 % des participants étaient évalués comme ayant un bon résultat, 26,6 % un résultat passable et 49,3 % un mauvais résultat. La méta-régression a indiqué qu'un QI plus faible à l'âge adulte prédisait un mauvais résultat ; les autres modèles de méta-régression n'ont pas résisté à la correction pour comparaisons multiples. Globalement, les résultats pour les personnes autistes sont en moyenne médiocres, et un QI plus élevé semble protéger contre un mauvais résultat. Les limites des conceptualisations actuelles du résultat sont discutées.

Abstract Longitudinal studies have generally reported poor outcomes in adulthood for the majority of individuals (c.50–60%) with autism. Several factors putatively predict outcome (e.g. IQ), but findings remain mixed. This paper presents an updated meta-analysis of autism outcome studies and extends previous findings with additional analyses (including meta-regression). A total of 4088 records was screened and 18 studies, involving 1199 individuals, were included in the quantitative analysis. Estimated percentages indicated that 20.0% of participants were rated as having a good outcome, 26.6% a fair outcome, and 49.3% a poor outcome. Meta-regression indicated that lower IQ in adulthood was predictive of poor outcome; other meta-regression models did not survive correction for multiple comparisons. Overall, outcomes for autistic people are on average poor, and higher IQ appears to be protective against having a poor outcome. The limitations of current constructs of outcome are discussed.

Bibliographie citée par cette référence

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Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 02/10/2026 01:01.

Références citées
67
Avec un DOI
59
Sans DOI, à partir du texte brut de la bibliographie
5
2 / 67 (3,0 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
4 / 67 (6,0 %)
Références avec noms d’auteurices détectés
65 / 67 (97,0 %)
Sans nom d’auteurice détecté
2
Sans titre structuré
4
Sans identifiant stable
5
Références avec noms bruts d’auteurices restant à vérifier
0
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
245
À partir du DOI ou de métadonnées externes
245
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
0
78 / 245 (31,8 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 167 / 245 (68,2 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
2 / 245 (0,8 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 2 / 78 (2,6 %). Personnes distinctes identifiées comme autistes : 2 / 201 (1,0 %).
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