Determinants of adult functional outcome in adolescents receiving special educational assistance.
Challenging behavior in high school predicts adult independence better than IQ or autism traits.
01Research in Context
What this study did
McGeown et al. (2013) followed teenagers who were getting special-education help. They wanted to know what best predicts how well these teens will function as adults.
They looked at three things: challenging behavior scores, IQ, and autistic traits. Then they checked which of those numbers lined up with adult living skills.
What they found
Challenging behavior in high school was the clearest crystal ball. More behavior problems meant weaker adult independence.
IQ mattered, but only a little. Autistic traits did not predict adult outcome at all.
How this fits with other research
Clarke et al. (2025) extend this picture. They show that for autistic teens with IQ under 70, teaching personal daily-living skills (tooth brushing, dressing) pays off later. For those with IQ over 70, community skills like ordering food or using buses matter more.
Hodge et al. (2021) seem to disagree at first. They found that in preschoolers with autism, IQ strongly predicts adaptive skills. The gap closes by adolescence: R et al. show IQ fades while behavior becomes the key. Age and sample mix explain the shift.
Donoso et al. (2024) add a twist. They found that stronger socialization skills cut both anxiety and externalizing problems. This supports R et al.: fewer behavior problems today likely mean smoother adult functioning tomorrow.
Why it matters
If you write transition plans for high-schoolers in special ed, put behavior regulation at the top. Teaching a teen to ask for a break instead of screaming may do more for their future apartment life than another IQ test or autism-symptom checklist. Start functional behavior assessments early and embed self-management goals in the IEP.
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02At a glance
03Original abstract
BACKGROUND: This study investigates the role of IQ, autistic traits and challenging behaviours in affecting adult outcomes among adolescents who receive special educational assistance. METHODS: A total of 58 participants were recruited from an ongoing longitudinal study. All received assessments of IQ, behavioural patterns (using the Childhood Behaviour Checklist - CBCL) and autistic traits (using the Social Communication Questionnaire - SCQ) during adolescence and were followed up 6 years later (at a mean age of 22 years) using the World Health Organization Disability Assessment Schedule II (WHO-DAS II) to assess functional outcome. RESULTS: A significant positive relationship was found between CBCL score and WHO-DAS II score (β = 0.511, P = 0.001). IQ score showed a negative relationship with total WHO-DAS II score (β = -0.247, P = 0.04). SCQ score was not found to significantly influence total WHO-DAS II score (β = -0.028, P = 0.84). CONCLUSIONS: Although the role of global intellectual ability is important, these results stress the highly predictive value of adolescent behaviours on functional outcomes in adult life among young adults receiving special educational assistance.
Journal of intellectual disability research : JIDR, 2013 · doi:10.1111/j.1365-2788.2011.01533.x