Journal of Autism and Developmental Disorders

, Volume 38, Issue 2, pp 353–361

Social Skills Interventions for Children with Asperger’s Syndrome or High-Functioning Autism: A Review and Recommendations

  • Patricia A. Rao
  • Deborah C. Beidel
  • Michael J. Murray
Original Paper

Abstract

This paper reviews the literature examining social skills training (SST) programs for youth with AS/HFA, with an emphasis on critically evaluating efficacy and highlighting areas of future research. The review highlights the disparity between SST programs described in the extant literature, including lack of a universal definition of social skills, various levels of intensity and duration of treatment, divergent theoretical backgrounds, and variety in services provided in clinic or classroom settings. Overall, it is clear that, despite their widespread clinical use, empirical support for SST programs for children with AS/HFA is minimal at this time. Based on this critical review, a “roadmap” for future research, consistent with recommendations put forth by a leading group of autism researchers, is presented.

Keywords

Asperger’s syndrome High-functioning autism Social skills Intervention Review 

References

  1. Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985). The aberrant behavior checklist: A behavior rating scale for assessment of treatment effects. Journal of Mental Deficiency, 89, 485–491.Google Scholar
  2. Aman, M. G., Tasse, M. J., Rojahn, J., & hammer, D. (1996). The Nisonger child behavior rating form: A child behavior rating form for children with developmental disabilities. Research in Developmental Disabilities, 17, 41–57.PubMedCrossRefGoogle Scholar
  3. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, text revision (DSM-IV-TR). Washington, DC: Author.Google Scholar
  4. Ashler, S. R., & Wheeler, V. A. (1985). Children’s loneliness: A comparison of rejected and neglected peer status. Journal of Consulting and Clinical Psychology, 53, 500–505.CrossRefGoogle Scholar
  5. *Barnhill, G. P., Cook, K. T., Tebbenkamp, K., & Myles, B. S. (2002). The effectiveness of social skills intervention targeting nonverbal communication for adolescents with asperger syndrome and related pervasive developmental delays. Focus on Autism and Other Developmental Disabilities, 17(2), 112–118.Google Scholar
  6. *Barry, T. D., Klinger, L. G., Lee, J. M., Palardy, N., Gilmore, T., & Bodin, S.D. (2003). Examining the effectiveness of an outpatient clinic-based social skills group for high-functioning children with autism. Journal of Autism and Developmental Disorders, 33(6), 685–701.Google Scholar
  7. *Bauminger, N. (2002). The facilitation of social-emotional understanding and social interaction in high-functioning children with autism: Intervention outcomes. Journal of Autism and Developmental Disorders, 32(4), 283–298.Google Scholar
  8. Beidel, D. C., & Turner, S. M. (2005). Childhood anxiety disorders. NY, New York: Routledge Taylor & Francis Group.Google Scholar
  9. Beidel, D. C., Turner, S. M., & Morris, T. L. (2000). Behavioral treatment of childhood social phobia. Journal of Consulting and Clinical Psychology, 68, 1072–1080.PubMedCrossRefGoogle Scholar
  10. Church, C., Alisanski, S., & Amanullah, S. (2000). The social, behavioral, and academic experiences of children with Asperger syndrome. Focus on Autism and Other Developmental Disabilities, 15(1), 12–20.CrossRefGoogle Scholar
  11. Constantino, J. N., Przybeck, T., Friesen, D., & Todd, R. D. (2000). Reciprocal social behavior in children with and without pervasive developmental disorders. Journal of Developmental & Behavioral Pediatrics, 21, 2–11.CrossRefGoogle Scholar
  12. Crager, D. E., & Harvath, L. S., (2003). The application of social skills training in the treatment of Asperger’s disorder. Clinical Case Studies, 2(1), 34–49.CrossRefGoogle Scholar
  13. DiSalvo, D. A., & Oswald, D. P. (2002). Peer-mediated interventions to increase the social interaction of children with autism: Consideration of peer expectancies. Focus on Autism and Other Developmental Disabilities, 17(4), 198–208.Google Scholar
  14. Elliott, S. N., & Gresham, F. M. (1987). Children’s social skills: assessment and classification practices. Journal of Counseling and Development, 66, 96–99.Google Scholar
  15. Fombonne, E. (2005). Epidemiology of autistic disorder and other pervasive developmental disorders. Journal of Clinical Psychiatry, 66, 3–8.PubMedGoogle Scholar
  16. Gresham, F. M. (1986). Conceptual and definitional issues in the assessment of children’s social skills: Implications for classification and training. Journal of Clinical Child Psychology, 15(1), 3–15.CrossRefGoogle Scholar
  17. Gresham, F. M., & Elliott, S. N. (1990). Social skills rating system. Circle Pines, MN: American Guidance Service.Google Scholar
  18. Gutstein, S. E., & Whitney, T. (2002). Asperger syndrome and the development of social competence. Focus on Autism and Other Developmental Disabilities, 17(3), 161–171.Google Scholar
  19. Harter, S. (1985). Social support scale for children. Denver, CO: University of Denver.Google Scholar
  20. Hartup, W. W. (1989). Social relationships and their developmental significance. American Psychologist, 44(2), 120–126.CrossRefGoogle Scholar
  21. *Kamps, D., Leonard, B., Vernon, S., Dugan, E., Delquadri, J., Gershon, B., Wade, L., & Folk, L. (1992). Teaching social skills to students with autism to increase peer interactions in an integrated first-grade classroom. Journal of Applied Behavior Analysis, 25, 281–288.Google Scholar
  22. Knott, F., Dunlop, A. W., & Mackay, T. (2006). Living with ASD. Autism, 10(6), 609–617.PubMedCrossRefGoogle Scholar
  23. Krasny, L., Williams, B. J, Provencal, S., & Ozonoff, S. (2003). Social skills interventions for the autism spectrum: essential ingredients and a model curriculum. Child and Adolescent Psychiatric Clinics in North America, 12(1), 107–122.CrossRefGoogle Scholar
  24. Lord, C., Wagner, A., Rogers, S., Szatmari, P., Aman, M., & Charman, T. (2005). Challenges in evaluating psychosocial interventions for autistic spectrum disorders. Journal of Autism and Developmental Disorders, 35(6), 695–708.PubMedCrossRefGoogle Scholar
  25. Macintosh, K., & Dissanayake, C. (2006). Social skills and problem behaviours in school aged children with high functioning autism and Asperger’s disorder. Journal of Autism and Developmental Disorders, 36(8), 1065–1076.PubMedCrossRefGoogle Scholar
  26. *Marriage, K. J., Gordon, V., & Brand, L. (1995). A social skills group for boys with Asperger’s. Australian and New Zealand Journal of Psychiatry, 29, 58–62.Google Scholar
  27. *Ozonoff, S., & Miller, J. N. (1995). Teaching theory of mind: A new approach to social skills training for individuals with autism. Journal of Autism and Developmental Disorders, 25(4), 415–433.Google Scholar
  28. Rogers, S. J. (2000). Interventions that facilitate socialization in children with autism. Journal of Autism and Developmental Disorders, 30(5), 399–409.PubMedCrossRefGoogle Scholar
  29. *Sansosti, F. J., & Powell-Smith, K. A. (2006a). Using social stories to improve the social behavior of children with Asperger syndrome. Journal of Positive Behavior Interventions, 8(1), 43–57.Google Scholar
  30. Sansosti, F. J., & Powell-Smith, K. A. (2006). High-functioning autism and Asperger’s syndrome. In G. G. Bear, & K. M. Minke (Eds.), Children’s needs III: Development, prevention, and intervention, (pp. 949–963). Washington DC: National Association of School Psychologists.Google Scholar
  31. Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., & Odom, S., Rogers, S., & Wagner, A. (in press). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders.Google Scholar
  32. *Soloman, M., Goodlin-Jones, B. L., & Anders, T. F. (2004). A social adjustment enhancement intervention for high functioning autism, Asperger’s syndrome, and pervasive developmental disorder NOS. Journal of Autism and Developmental Disorders, 34(6), 649–668.Google Scholar
  33. Szatmari, P., Bartolucci, G., & Bremmer, R. (1989). Asperger’s syndrome and autism: Comparison of early history and outcome. Developmental Medicine and Child Neurology, 31, 709–720.PubMedCrossRefGoogle Scholar
  34. *Tse, T., Strulovitch, J., Tagalakis, V., Meng, L., & Fombonne, E. (in press). Social skills training for adolescents with Asperger syndrome and high-functioning autism. Journal of Autism and Developmental Disorders.Google Scholar
  35. Venter, A., Lord, C., & Schopler, E. (1992). A follow-up study of high-functioning autistic children. Journal of Child Psychology & Psychiatry & Allied Disciplines, 33(3), 489–507.CrossRefGoogle Scholar
  36. *Webb, B. J., Miller, S. P., Pierce, T. B., Strawser, S., & Jones, P. (2004). Effects of social skill instruction for high-functioning adolescents with Autism Spectrum Disorders. Focus on Autism and Other Developmental Disabilities, 19(1), 53–62.Google Scholar
  37. Weiss, M. J., & Harris, S. L. (2001). Teaching social skills to people with autism. Behavior Modification, 25(5), 785–802.PubMedCrossRefGoogle Scholar
  38. White, S. W., Keonig, K., & Scahill, L. (in press). Social skills development in children with autism spectrum disorders: A review of the intervention research. Journal of Autism and Developmental Disorders.Google Scholar
  39. *Studies included in the review.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Patricia A. Rao
    • 1
  • Deborah C. Beidel
    • 1
  • Michael J. Murray
    • 1
  1. 1.Hershey Medical CenterPennsylvania State Hershey College of MedicineHersheyUSA

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