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Promoting Social Skill Development in Children With Pervasive Developmental Disorders: A Feasibility and Efficacy Study

Journal of Autism and Developmental Disorders volume 40, pages 1209–1218 (2010)Cite this article

Abstract

A randomized controlled design was employed to evaluate a social skills intervention for children with pervasive developmental disorders. Aims included evaluating the acceptability of the program and gathering preliminary evidence on efficacy. Forty-four children, ages 8–11 years, were randomly assigned to treatment or wait list. Treatment consisted of a 16-week group intervention designed to teach appropriate social behavior. Between group comparisons showed that children in treatment were rated as improved on the primary outcome measure, (unblinded parent report), but not on the secondary outcome measure, a parent questionnaire. Parents reported a high level of satisfaction with the intervention. The study supports the feasibility of this intervention to families and highlights challenges for future research in social skills intervention.

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Fig. 1

Notes

  1. Group leaders included an advance practice registered nurse, two social workers, and four clinical psychologists.

References

  • Achenbach, T. (1991). Manual for the Child Behavior Checklist/4–18 & 1991 Profiles. Burlington: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Aman, M., Singh, N., Nirbhay, N., Stewart, A., & Field, C. (1985). Psychometric characteristics of the aberrant behavior checklist. American Journal of Mental Deficiency, 89, 492–502.

    PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed.) Washington DC: American Psychiatric Association.

  • Arnold, E., Vitiello, B., McDougle, C., Scahill, L., Shah, B., Gonzalez, N., et al. (2003). Parent defined target symptoms in response to risperidone in the RUPP autism study: A customer approach to clinical trials. Journal of the American Academy of Child and Adolescent Psychiatry, 42(12), 1443–1450.

    Article  PubMed  Google Scholar 

  • Barnhill, G., Tapscott-Cook, K., Tebbenkamp, K., & Smith Myles, B. (2002). The effectiveness of social skills targeting nonverbal communication for adolescents with Asperger syndrome and related pervasive development delays. Focus on Autism and Other Developmental Disabilities, 17, 112–118.

    Article  Google Scholar 

  • 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, 685–701.

    Article  PubMed  Google Scholar 

  • Bauminger, N. (2002). The faciliation of social-emotional understanding and social interaction in high-functioning children with autism: Intervention outcomes. Journal of Autism and Developmental Disorders, 32, 283–298.

    Article  PubMed  Google Scholar 

  • Bauminger, N. (2007). Brief report: Individual social-multi-modal intervention for HFASD. Journal of Autism and Developmental Disorders, 37, 1593–1604.

    Article  PubMed  Google Scholar 

  • Beelman, A., Phingsten, U., & Loesel, F. (1994). Effects of training social competence in children: A meta-analysis of recent evaluation studies. Journal of Clinical Child Psychology, 23, 260–271.

    Article  Google Scholar 

  • Boutot, E. A., Guenther, T., & Crozier, S. (2005). Let’s play: Teaching play skills to young children with autism. Education and Training and Developmental Disabilities, 40, 285–292.

    Google Scholar 

  • Campbell, J. (2006). Changing children’s attitudes toward autism: A process of persuasive communiction. Journal of Developmental and Physical Disorders [online serial].

  • Chung, K., Reavis, S., Mosconi, M., Drewry, J., Matthews, T., & Tasse, M. (2007). Peer mediated social skills training programs for young children with high functioning autism. Research in Developmental Disabilities, 28(4), 423–436.

    Article  PubMed  Google Scholar 

  • Cohen, I. (2003). Criterion-related validity of the PDD-Behavior Inventory. Journal of Autism and Developmental Disorders, 33, 47–53.

    Article  PubMed  Google Scholar 

  • Cohen, I., Schmidt-Lackner, S., Romanczyk, R., & Sudhalter, V. (2003). The PDD-Behavior Inventory: A rating scale for assessing response to intervention in children with pervasive developmental disorder. Journal of Autism and Developmental Disorders, 33, 31–45.

    Article  PubMed  Google Scholar 

  • Corsello, C., Hus, V., Pickles, A., Risi, S., Cook, E., Levental, B., et al. (2007). Between a ROC and a hard place: Decision making and making decisions about using the SCQ. Journal of Child Psychology and Psychiatry, 48(9), 932–940.

    Article  PubMed  Google Scholar 

  • Cotugno, A. (2009). Social competence and social skills training and intervention for children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1268–1277.

    Article  PubMed  Google Scholar 

  • Crager, D. E., & Horvath, L. (2003). The application of social skills training in the treatment of a child with Asperger’s disorder. Clinical Case Studies, 2, 34–49.

    Article  Google Scholar 

  • De Los Reyes, A., & Kazdin, A. (2006). Conceptualizing changes in behavior in intervention research: The Range of possible changes model. Psychological Review, 113(3), 554–583.

    Article  PubMed  Google Scholar 

  • Delano, M., & Snell, M. E. (2006). The effects of social stories on the social engagement of children with autism. Journal of Positive Behavior Intervention, 8, 29–42.

    Article  Google Scholar 

  • Fombonne, E. (2005). Epidemiology of autistic disorder and other pervasive developmental disorders. Journal of Clinical Psychiatry, 66, 3–8.

    PubMed  Google Scholar 

  • Frankel, F., & Myatt, R. (2003). Children’s friendship training. New York, NY: Brunner Routledge.

    Google Scholar 

  • Golan, O., & Baron-Cohen, S. (2006). Systemizing empathy: Teaching adults with Asperger syndrome or high-functioning autism to recognize complex emotions using interactive multimedia. Development and Psychopathology, 18, 591–617.

    Article  PubMed  Google Scholar 

  • Gresham, F., & Elliot, S. (1990). Social skills rating system. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Guy, W. (1976). ECDEU assessment manual for psychopharmacology. Rockville, MD: U.S. National Institute of Health, Psychopharmacology Research Branch.

    Google Scholar 

  • Hess, L. (2006). I would like to play but I don't know how: A case study of pretend play in autism. Child Language Teaching & Therapy, 22(1), 97–116.

    Article  Google Scholar 

  • IDEA. (2004). Individuals with Disabilities Education Act, 20 U.S.C. § 1400 et seq. 2004.

  • Kratochvil, C., Emslie, G., Silva, S., McNulty, S., Walkup, J., Curry, J., et al. (2006). Acute time to response in the treatment for adolescents with depression study (TADS). Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1412–1418.

    Article  PubMed  Google Scholar 

  • Kroeger, K., Schultz, J., & Newsom, C. (2007). A comparison of two group-delivered social skills programs for young children with autism. Journal of Autism and Developmental Disorders, 37, 808–817.

    Article  PubMed  Google Scholar 

  • Lopata, C., Thomeer, M., Volker, M., Nida, R., & Lee, G. (2008). Effectiveness of a manualized summer social treatment program for high-functioning children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(5), 890–904.

    Article  PubMed  Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). The Autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., & LeCouteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.

    Article  PubMed  Google Scholar 

  • Lord, C., Wagner, A., Rogers, S., Szatmari, P., Aman, M., Charman, T., et al. (2005). Challenges in evaluating psychosocial interventions for autistic spectrum disorders. Journal of Autism and Developmental Disorders, 35(6), 695–708.

    Article  PubMed  Google Scholar 

  • Machalicek, W., O'Reilly, M. F., Beretvas, N., Sigafoos, J., Lancioni, G., Sorrells, A., et al. (2008). A review of school-based instructional interventions for students with autism spectrum disorders. Research in Autism Spectrum Disorders, 2, 395–416.

    Article  Google Scholar 

  • MacKay, T., Knott, F., & Dunlop, A. (2007). Developing social interaction and understanding in individuals with autism spectrum disorder: A groupwork intervention. Journal of Intellectual and Developmental Disability, 32(4), 279–290.

    Article  PubMed  Google Scholar 

  • McGrath, A. M., Bosch, S., Sullivan C. L., & Fuqua, R. W. (2003). Training reciprocal social interaction between preschoolers and a child with autism. Journal of Positive Behavior Interventions, 5(1), 47–54.

    Article  Google Scholar 

  • McLeod, B., Sotharn-Gerow, M., & Weisz, J. (2009). Conceptual and methodological issues in treatment integrity measurement. School Psychology Review, 38(4), 541–546.

    Google Scholar 

  • Morrison, L., Kamps, D., Garcia, J., & Parker, D. (2001). Peer mediation and monitoring strategies to improve initiations and social skills for students with autism. Journal of Positive Behavior Interventions, 3(4), 237–250.

    Article  Google Scholar 

  • Mowbray, C., Holter, M., Teague, G. B., & Bybee, D. (2003). Fidelity criteria: Development, measurement, and validiation. American Journal of Evaluation, 24(3), 314–340.

    Google Scholar 

  • Nikopoulos, C. K., & Keenan, M. (2003). Promoting social initiation children with autism using video modeling. Behavioral Interventions, 18(2), 87–108.

    Article  Google Scholar 

  • Ozonoff, S., & Miller, J. (1995). Teaching theory of mind: A new approach to social skills training for individuals with autism. Journal of Autism and Developmental Disorders, 25, 415–433.

    Article  PubMed  Google Scholar 

  • Pierce, K., & Schreibman, L. (1997). Multiple peer use of pivotal response training to increase social behaviors of classmates with autism: Results from trained and untrained peers. Journal of Applied Behavior Analysis, 30, 157–160.

    Article  PubMed  Google Scholar 

  • Rao, P., Beidel, D., & Murray, M. (2008). Social skills interventions for children with Asperger’s syndrome or high-functioning autism: A review and recommendations. Journal of Autism and Developmental Disorders, 38, 353–361.

    Article  PubMed  Google Scholar 

  • Research Units on Pediatric Psychopharmacology Autism Network. (2002). A double blind, placebo-controlled trial of risperidone in children with autistic disorder. New England Journal of Medicine, 347(8), 314–321.

    Google Scholar 

  • Rutter, M., Bailey, A., & Lord, C. (2003). Social Communication Questionnaire. Los Angeles, CA: Western Psychological Services.

  • Rydell, A., Hadekull, B., & Bohlin, G. (1997). Measurement of two social competence aspects in middle childhood. Developmental Psychology, 33, 824–833.

    Article  PubMed  Google Scholar 

  • Sanetti, L., & Kratochwill, T. (2009). Introduction to the special series: Toward developing a science of treatment integrity: Implications for research, practice, and policy. School Psychology Review, 38, 445–459.

    Google Scholar 

  • Schneider, B. (1992). Didactic methods for enhancing children’s peer relations: A quantitative review. Clinical Psychology Review, 12, 363–382.

    Article  Google Scholar 

  • Simpson, A., Langone, J., & Ayres, K. (2004). Embedded video and computer based instruction to improve social skills for students with autism. Education and Training in Developmental Disabilities, 39(3), 240–252.

    Google Scholar 

  • Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., et al. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37(2), 354–366.

    Article  PubMed  Google Scholar 

  • Solomon, M., Goodlin-Jones, B., & Anders, T. (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, 649–668.

    Article  PubMed  Google Scholar 

  • Sprafkin, J., Gadow, K., Salisbury, H., Schneider, J., & Loney, J. (2002). Further evidence of reliability and validity of the Child Symptom Inventory-4: Parent checklist in clinically referred boys. Journal of Clinical Child and Adolescent Psychology, 31, 513–524.

    PubMed  Google Scholar 

  • Storch, E., Geffken, G., Merlo, L., Mann, G., Duke, D., Munson, M., et al. (2007). Family-based cognitive behavioral therapy for pediatric obsessive-compulsive disorder: Comparison of intensive and weekly approaches. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 469–478.

    Article  PubMed  Google Scholar 

  • Tse, J., Strulovitch, J., Tagalakis, V., Meng, L., & Fombonne, E. (2007). Social skills training for adolescents with asperger syndrome and high functioning autism. Journal of Autism and Developmental Disorders [serial online], 37(10), 1960–1968.

  • Webb, B., Miller, S., Pierce, T., Strawser, S., & Jones, W. P. (2004). Effects of social skill instruction for high functioning adolescents with autism spectrum disorders. Focus on Autism and other Developmental Disorders, 19(1), 53–62.

    Article  Google Scholar 

  • White, S., Koenig, K., & Scahill, L. (2007). Social skills development in children with autism spectrum disorders: A review of the intervention research. Journal of Autism and Developmental Disorders, 37(10), 1858–1868.

    Article  Google Scholar 

  • Yang, N. K., Schaller, J. L., Huang, T. A., Wang, M. H., & Tsai, S. F. (2003). Enhancing appropriate social behaviors for children with autism in general education classrooms: An analysis of six cases. Education and Training in Developmental Disabilities, 38(4), 405–416.

    Google Scholar 

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Acknowledgments

Organization for Autism Research; Beatrice Renfield- Yale School of Nursing Clinical Initiatives Fund; Research Units on Pediatric Psychopharmacology, National Institute of Mental Health.

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The authors report no conflicts of interest.

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Affiliations

  1. Yale Child Study Center, Yale School of Medicine, P.O. Box 207900, New Haven, CT, 06520-7900, USA

    Kathleen Koenig, Susan Williams White, Maryellen Pachler, Monika Lau, Moira Lewis, Ami Klin & Lawrence Scahill

Authors
  1. Kathleen Koenig
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  2. Susan Williams White
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  3. Maryellen Pachler
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  4. Monika Lau
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  5. Moira Lewis
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  6. Ami Klin
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  7. Lawrence Scahill
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Correspondence to Kathleen Koenig.

Appendix

Appendix

See Table 3.

Table 3 Fidelity to treatment checklist
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Koenig, K., White, S.W., Pachler, M. et al. Promoting Social Skill Development in Children With Pervasive Developmental Disorders: A Feasibility and Efficacy Study. J Autism Dev Disord 40, 1209–1218 (2010). https://doi.org/10.1007/s10803-010-0979-x

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Keywords

  • Autism
  • Developmental disorders
  • Social skills
  • Intervention