Evidence map›Paper›PMID 42635014›Full record

SynthesisAutism research : official journal of the International Society for Autism Research2026

Quality of Life in Autism: A Systematic Review and Meta-Analysis of Patients and Caregivers.

Kamila Castro, Camila Kümmel Duarte, Eduarda Silva, Laura Hoffmann, Jenifer Lopes Borchardt, Laura Pohl, Josiane Luçardo, Myrella Lapschies, Andreia Morales Cascaes, Ana Amélia Freitas-Vilela and 2 more

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Autism research : official journal of the International Society for Autism Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kamila CastroGraduate Program in Nutrition and Food, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0003-0100-1788
Camila Kümmel DuarteDepartment of Nutrition, School of Nursing, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0003-1930-3282
Eduarda SilvaGraduate Program in Nutrition and Food, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0002-7965-540X
Laura HoffmannGraduate Program in Nutrition and Food, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0003-3539-1008
Jenifer Lopes BorchardtGraduate Program in Nutrition and Food, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0001-8806-329X
Laura PohlGraduate Program in Nutrition and Food, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0009-0008-7748-7896
Josiane LuçardoGraduate Program in Nutrition and Food, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0002-8208-0678
Myrella LapschiesCenter for the Arts, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0009-0009-4403-4310
Andreia Morales CascaesDepartment of Public Health, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil.ORCID https://orcid.org/0000-0001-9412-8299
Ana Amélia Freitas-VilelaFaculty of Medicine, Federal University of Jataí (UFJ), Jataí, Goiás, Brazil.ORCID https://orcid.org/0000-0002-1122-3846
Adriane CenciEducation Center, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil.ORCID https://orcid.org/0000-0003-1945-7206
Juliana S VazGraduate Program in Nutrition and Food, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0002-2880-767X

Funding

Brazilian National Council for Scientific and Technological Development (CNPq) 444574/2023-9Coordination for the Improvement of Higher Education Personnel (CAPES) 001
6 · The paper itself

Abstract

Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition associated with significant challenges in daily functioning and well-being. Caregivers often experience substantial psychological and physical burden. However, comprehensive synthesis of quality of life (QoL) outcomes for both individuals with ASD and their caregivers remains limited. This study evaluated QoL in individuals with ASD and their caregivers and examined key psychological, social, and economic determinants. A systematic review and meta-analysis were conducted following PRISMA guidelines (PROSPERO: CRD42024538872). PubMed, Scopus, Embase, PsycINFO, and preprint repositories were searched for studies published between January 2013 and July 2025. Eligible studies assessed QoL using validated instruments in individuals with ASD aged ≤ 19 years and/or their caregivers. Random-effects meta-analysis was used to estimate pooled mean differences. Of 14,368 records identified, 216 studies were included. Quantitative meta-analyses included up to 173 studies, depending on the outcome and availability of comparable data. Individuals with ASD scored 21.7 points lower than peers (95% CI: -26.9 to -16.5; p < 0.0001). Caregivers scored 13.64 points lower than controls (95% CI: -19.21 to -8.06; p < 0.0001). Emotional and social domains were most affected. Higher Human Development Index was associated with better QoL. QoL is markedly reduced in individuals with ASD and their caregivers, underscoring the need for multidimensional and equitable interventions.

Indexed as

Autism Spectrum DisorderAutistic DisorderCaregiversQuality of LifeChildHumans

Identifiers

PMID42635014

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.