An exploration of the judgement of sexual situations by adolescents with autism spectrum disorders versus typically developing adolescents

Background Inappropriate sexual behaviour, sexual problems and sexual victimization in adolescents with autism spectrum disorders (ASD) is regularly reported in previous research, but little is known about factors associated with these problems, nor about factors associated with a healthy sexuality development in adolescents with ASD. Investigating the judgement of sexual behaviour can be a first step in acquiring insight into inappropriate sexual behaviour in adolescents with ASD. Methods We assessed how 94 cognitively-able adolescents with ASD and 94 typically developing (TD) adolescents judged the appropriateness of different illustrations of sexual situations and we investigated the differences between the two groups. Results The highest level of agreement between the judgements of adolescents with ASD and the judgements of an expert panel was found for severely inappropriate sexual behaviours (89.2%) and the lowest agreement was found for appropriate (31.7%) and slightly inappropriate sexual behaviours (26.1%). No significant differences were found between the judgements of the adolescents with ASD and the TD adolescents. Regarding the divergent judgements, adolescents with and without ASD were mostly more strict (i.e., more conservative) than the expert panel in their judgement of sexual situations. Finally, a small percentage of adolescents with and without ASD showed milder (i.e., less conservative) judgements of sexual situations portraying behaviour that was considered severely inappropriate by an expert panel. Conclusions Our findings showed that, overall, judgement of illustrations of sexual situations does not seem to be hampered in adolescents with ASD. More research is needed to clarify whether this also holds true for their judgements of – and actions in – more complex real life situations