Brief Report: Developmental Trajectories of Adaptive Behavior in Children and Adolescents with ASD.
Adaptive skills flatten in adolescence for all IQ levels—so keep teaching daily living and social skills through high school.
01Research in Context
What this study did
Fujiura et al. (2018) tracked the kids with ASD for up to 10 years. Parents filled out the ABAS-3 every year. The team split the kids into three IQ groups and watched how daily-living, social, and communication skills changed.
The study ran at a large autism clinic. Kids entered between ages 2 and 9 and stayed through age 16. No one got a special treatment; the study just watched natural growth.
What they found
Adaptive scores climbed fast before age 8, then flattened. The plateau hit all IQ groups—high, medium, and low. Daily-living skills showed the biggest stall.
Girls and boys followed the same curve. Early talkers and late talkers both slowed down in middle school. The gap between autistic kids and same-age peers widened after age 10.
How this fits with other research
Charman et al. (2004) and Van Hanegem et al. (2014) saw steady preschool gains; T et al. now show those gains stop later. The story extends Giserman-Kiss et al. (2020), who found cognitive scores keep rising—so IQ growth does not guarantee adaptive growth.
Lin et al. (2026) add that teens with poor communication join fewer community activities. Together the papers say: skills and participation both freeze when teaching slows.
Reichard et al. (2019) tracked vocabulary and saw a small but steady climb through age 8. T et al. show the climb in real-life skills ends at about the same age, linking language and adaptive plateaus.
Why it matters
Do not assume teens will “grow into” daily tasks. Keep running goal plans for laundry, texting friends, and ordering food. Use middle-school IEP meetings to lock in adaptive goals, not just academic ones. Brief parent coaching each quarter can keep skills moving instead of stalling.
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02At a glance
03Original abstract
Research suggests that individuals with autism spectrum disorder (ASD) have significant difficulties with adaptive behavior skills including daily living and functional communication skills. Few studies have examined the developmental trajectory of adaptive behavior across childhood and adolescence. The present study examined longitudinal trajectories of adaptive behavior in a community-based clinic sample of 186 individuals with ASD. The overall pattern indicated an initial increase in adaptive behavior during early childhood followed by a plateau in skills during adolescence for individuals of all IQ groups. Given the importance of adaptive behavior for employment and quality of life, this study emphasizes the importance of targeting adaptive behavior during adolescence to insure continued gains.
Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-018-3538-5