Assessment & Research

Testing a Model of Sexual Minority Orientation in Individuals with Typical Development, the Broad Autism Phenotype, and Autism Spectrum Disorder.

Qualls et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

Daily anti-gay bias strengthens LGBTQ+ identity in clients with autism or broad-autism traits—screen for minority stress at intake.

✓ Read this if BCBAs working with teens or adults with ASD who talk about dating, identity, or bullying.
✗ Skip if Clinicians serving only early-childhood verbal or feeding programs.

01Research in Context

01

What this study did

Rieth et al. (2022) built a computer model to test how daily slurs and rejection shape sexual identity.

They asked three groups to answer surveys: people with autism, people with the broad autism phenotype, and typically developing adults.

The model checked whether hearing anti-gay comments each day made participants label themselves as a sexual minority more strongly.

02

What they found

The model fit the data well. Daily heterosexist experiences predicted a stronger sexual-minority identity in both the autism and broad-autism groups.

In plain words, the more anti-gay bias clients faced, the more they identified as LGBTQ+.

03

How this fits with other research

Pitchford et al. (2019) showed autistic females report low sexual interest yet high rates of unwanted sexual acts. R et al. extend this by showing that social bias, not just personal desire, shapes identity.

Byers et al. (2013) found autistic adults in relationships enjoy better sexual well-being. R et al. add that clients outside heterosexual norms may carry extra stress that cancels those gains.

Hartmann et al. (2019) revealed parents under-estimate their autistic children’s sexual activity. R et al. give a reason to ask: minority stress may be driving identity and risk at the same time.

04

Why it matters

If you serve autistic clients, add two questions to your intake: "Have you heard anti-LGBTQ remarks this week?" and "How do you label your orientation?" Linking bias to identity helps you write goals that reduce stress and teach self-advocacy.

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Add one line to your intake form: "In the past week, have you heard any negative comments about being gay, bi, or trans? Y/N."

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder, neurotypical, mixed clinical
Finding
positive

03Original abstract

Individuals with Autism Spectrum Disorder (ASD) and the Broad Autism Phenotype (BAP) are more likely than individuals with typical development (TD) to report a sexual minority orientation (e.g., Bejerot and Eriksson, PLoS ONE 9:1-9, 2014; DeWinter et al., Journal of Autism and Developmental Disorders 47:2927-2934, 2017; Qualls et al., Journal of Autism and Developmental Disorders 48:3974-3983, 2018). This study operationalized and tested the fit of an existing model of sexual orientation to examine which factors are associated with increased sexual minority orientation (Worthington et al., The Counseling Psychologist 30:496-531, 2002) in individuals with TD, BAP, and ASD. The model was found to have adequate fit, χ2 (130) = 374.04, p < 0.001; RMSEA = 0.07; CFI = 0.95; SRMR = 0.08. Heterosexism was found to be the only predictor of sexual minority orientation and a significant predictor in the BAP and ASD groups, with increased daily heterosexist experiences predicting greater sexual minority orientation in these groups.

Journal of autism and developmental disorders, 2022 · doi:10.1177/00100002030004002