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Sense of Coherence and the Relation to Autistic Traits in Autistic Adults
Örebro University, School of Medical Sciences. Örebro University Hospital.ORCID iD: 0000-0003-2320-4973
Örebro University, School of Medical Sciences.ORCID iD: 0000-0002-3587-6075
Karolinska Institutet, Stockholm, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital.ORCID iD: 0000-0001-9500-7763
2026 (English)In: Autism, ISSN 1362-3613, E-ISSN 1461-7005, article id 13623613261469916Article in journal (Refereed) Epub ahead of print
Abstract [en]

Sense of coherence reflects the ability to comprehend and interpret one's environment as coherent and to experience life as manageable and meaningful. Sense of coherence is predictive of quality of life in several populations, but this relation has not been investigated among autistic individuals. Even though autistic individuals often describe difficulties perceiving the world in a coherent way, the sense of coherence concept is relatively unexplored in autism. The aim of this study was to explore the relationship between autistic traits, sense of coherence and quality of life in autistic individuals in Sweden. A total of 81 adults with autism completed questionnaires covering their sense of coherence, quality of life and autistic traits. The results showed that sense of coherence predicted quality of life and that autistic traits predicted sense of coherence levels in our sample. Based on the results, we suggest that sense of coherence may be important for the understanding of autistic functioning and that sense of coherence is essential for quality of life in this group. The study contributes to the understanding of autistic functioning and adds useful knowledge for the development of appropriate interventions for autistic individuals. Interventions that address aspects aimed at increasing the individual's sense of coherence may therefore be warranted.

Sense of coherence reflects a person's sense that their environment is understandable, that they can manage life's challenges and that they judge it to be meaningful. In many populations, a strong sense of coherence is linked to a higher quality of life, but this relation has not been studied among autistic individuals. Even though autistic individuals often describe difficulties perceiving the world in a coherent way, the concept of sense of coherence is relatively unexplored among individuals with autism. This study explored the links between autistic traits, sense of coherence and quality of life in 81 autistic adults in Sweden who completed a series of questionnaires. We found that sense of coherence was a strong predictor of quality of life. We also discovered that having more autistic traits was linked to a weak sense of coherence. Based on our results, we suggest that sense of coherence may be important to understand autistic functioning. We also conclude that sense of coherence is important for quality of life in this group. This suggests that interventions designed to help individuals see their world as more coherent and manageable could be a valuable way to improve their quality of life.

Place, publisher, year, edition, pages
Sage Publications, 2026. article id 13623613261469916
Keywords [en]
autism, central coherence, quality of life, sense of coherence
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-130465DOI: 10.1177/13623613261469916ISI: 001837050300001PubMedID: 42538774OAI: oai:DiVA.org:oru-130465DiVA, id: diva2:2090556
Funder
Region Örebro County, OLL-935396Region Örebro County, OLL-879651Region Örebro County, OLL-887401Region Örebro County, OLL-833131Region Örebro County, OLL-785501Region Örebro County, OLL-736321Region Örebro County, OLL-878311Region Örebro County, OLL-785311Region Örebro County, OLL-985129Stiftelsen Professor Bror Gadelius Minnesfond, 23003Available from: 2026-08-07 Created: 2026-08-07 Last updated: 2026-08-14Bibliographically approved

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Westerberg, BrittaBejerot, SusanneHolländare, Fredrik
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