Autism & Developmental

Family Sexuality Communication: Parent Report for Autistic Young Adults Versus a Comparison Group.

Graham Holmes et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Parents of autistic young adults cover the same sex-ed topics as other parents, but they doubt their child’s readiness—so BCBAs should step in and teach the skills.

✓ Read this if BCBAs doing transition or adult-life programs with 18-young learners autistic clients.
✗ Skip if Clinicians who only serve early-childhood cases.

01Research in Context

01

What this study did

Delgado-Lobete et al. (2020) asked 219 parents how often they talk with their young adult about sex. Half had an autistic son or daughter . The other half had a neurotypical child the same age.

Parents filled out an online list of 14 topics. The list ranged from dating rules to birth control. They checked which ones they had ever discussed.

02

What they found

Both groups ticked the same number of boxes. Autistic and non-autistic families talked about about nine topics on average.

The difference was how ready parents thought their child was. Parents of autistic young adults were twice as likely to say, "My kid isn’t interested" or "Not mature enough yet."

03

How this fits with other research

Kirby (2016) showed that parent expectations shape real-life outcomes. When parents expect more, autistic adults get better jobs and live more independently. Low expectations may feed the "not ready" story found here.

Lai et al. (2015) found these same parents are already stressed and tired. Extra worry about sex talks can add to that load.

Saré et al. (2020) saw fathers drop out of speech therapy. Likewise, Laura’s study hints that moms may carry the sex-ed job alone.

04

Why it matters

You can raise the topic even if parents stay quiet. Use role-play, visual schedules, or social stories in sessions. Track skills like asking for a date or saying "no." Share small wins with parents to shift their "not ready" view. Over time, higher expectations and open talk build safer, more independent adult lives.

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Add one 5-minute sexuality skill to the session plan—for example, practicing how to ask someone out for coffee.

02At a glance

Intervention
not applicable
Design
survey
Sample size
436
Population
autism spectrum disorder, neurotypical
Finding
null

03Original abstract

Families are a critical context for healthy sexuality development. This study characterized family sexuality communication for autistic adults (age 18-30) without intellectual disability (n = 117) versus a neurotypical comparison group (n = 319). Parent-reported number of sexuality topics covered did not significantly differ by gender or autism/comparison group. Parents of autistic adults who covered few or no topics (31%) reported higher religiosity, lower comfort and self-efficacy, and were less likely to say that the adult expressed attraction or desire for relationships. Parents of autistic adults were more likely than comparison parents to perceive their young person as being uninterested or not ready to learn about sexuality topics. These results suggest that families of autistic people require support to convey sexuality-related knowledge and values.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-020-04398-3