The Impact of the COVID-19 Pandemic on Young Adults with Autism Spectrum Disorder: A Systematic Review
Open Access
- 22 May 2025
- journal article
- review article
- Published by MDPI AG in Healthcare
- Vol. 13 (11) , 1216
Abstract
Background/Objectives: The COVID-19 pandemic and related public health measures significantly disrupted daily life, with profound consequences for individuals with Autism Spectrum Disorder (ASD). Young adults with ASD faced unique challenges due to disruptions in routines, employment instability, limited access to essential services, and increased social isolation. While some individuals benefited from reduced social pressures and the adoption of remote work, many experienced heightened anxiety, behavioral difficulties, and declines in autonomy. This systematic review examines the impact of the pandemic on young adults with ASD, focusing on key domains such as autonomy, employment, service accessibility, socialization, emotional regulation, and overall well-being. Methods: This review followed the PRISMA 2020 guidelines, and its protocol was pre-registered in the PROSPERO database. A search was conducted in four databases—PubMed, Scous, Web of Science, and PsycInfo—as well as in specialized journals in the field. Results: Eight studies met the inclusion criteria and were included in the final synthesis. The findings highlight significant disruptions in daily life, increased dependence on caregivers, and difficulties in maintaining structured activities. However, technology-assisted interventions, including virtual therapies and remote work opportunities, played a role in mitigating some adverse effects. Conclusions: Despite the heterogeneity in methodologies, this review underscores the urgent need for targeted interventions to support young adults with ASD during crises. Future research should focus on long-term consequences and developing inclusive policies that enhance resilience, access to services, and social integration.Keywords
This publication has 91 references indexed in Scilit:
- Job loss predicts worsening depressive symptoms for young adults with autism: A COVID‐19 natural experimentAutism Research, 2021
- Psychological distress among caregivers raising a child with autism spectrum disorder during the COVID‐19 pandemicAutism Research, 2021
- Addressing mental health needs: an integral part of COVID‐19 responseWorld Psychiatry, 2020
- Association Between Renin-Angiotensin System Blockade Discontinuation and All-Cause Mortality Among Persons With Low Estimated Glomerular Filtration RateJAMA Internal Medicine, 2020
- Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019JAMA Network Open, 2020
- Overview and Introduction to Autism Spectrum Disorder (ASD)2020
- Early Weight Loss with Liraglutide 3.0 mg Predicts 1‐Year Weight Loss and is Associated with Improvements in Clinical MarkersObesity, 2016
- Stability and individual change in depressive symptoms among mothers raising young children with ASD: maternal and child correlatesJournal of Clinical Psychology, 2009
- Visual Fixation Patterns During Viewing of Naturalistic Social Situations as Predictors of Social Competence in Individuals With AutismArchives of General Psychiatry, 2002
- Die „Autistischen Psychopathen” im KindesalterEuropean Archives of Psychiatry and Clinical Neuroscience, 1944