Autism & Developmental

The Experiences of College Students on the Autism Spectrum: A Comparison to Their Neurotypical Peers.

McLeod et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Autistic college students fare no worse than other disabled students, so fix the campus climate for everyone, not just the autism program.

✓ Read this if BCBAs consulting to disability services or running college transition programs.
✗ Skip if Clinicians who work only with elementary or middle-school clients.

01Research in Context

01

What this study did

Wormald et al. (2019) ran an online survey at one U.S. university. They asked autistic students, students with other disabilities, and neurotypical students about grades, friendships, and health. Then they compared the three groups.

02

What they found

Both autistic students and students with other disabilities reported lower grades, fewer friends, and more health problems than neurotypical peers. The struggles looked the same across disability types. The authors say the cause is shared disability stigma, not autism-specific traits.

03

How this fits with other research

Jackson et al. (2025) later counted exact numbers: two-thirds of autistic students scored in the clinical range for anxiety, six times the rate of peers. Their hard numbers back up the softer ‘poor health’ hint in Wormald et al. (2019).

Cruz-Montecinos et al. (2024) interviewed autistic students and heard why stigma hurts: many hide their diagnosis and limit disclosure to survive campus life. Their stories add depth to the survey stats in Wormald et al. (2019).

DeNigris et al. (2018) seems to disagree at first glance—they found autistic students felt less bullied in college and even gained pride from past bullying. Yet both can be true: overt bullying may drop while quiet stigma (poor grades, fewer friends) remains, exactly what Wormald et al. (2019) captured.

04

Why it matters

If you advise college students or run a campus support program, think ‘universal design’ instead of autism-only groups. Push for disability-wide tutoring centers, flexible deadlines, and stigma-reduction campaigns that include all diagnoses. One quick move: add a disability-inclusive statement on every syllabus and train professors to use it.

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Add a disability-affirming statement to your syllabus or program handbook and share it with faculty.

02At a glance

Intervention
not applicable
Design
survey
Sample size
3073
Population
autism spectrum disorder, mixed clinical, neurotypical
Finding
negative

03Original abstract

This study describes the academic, social, and health experiences of college students on the autism spectrum as they compare to students with other disabilities and their non-disabled, neurotypical peers. Data were from an online survey of college students at 14 public institutions (N = 3073). There were few significant differences between students on the spectrum and students with other disabilities. Both groups of students reported significantly worse outcomes than neurotypical students on academic performance, social relationships and bullying, and physical and mental health. The findings suggest that some of the challenges students on the spectrum face in college result from the stigma and social rejection associated with disability rather than from the unique characteristics of autism.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-03910-8