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Social Skills Training for Young Adults with High-Functioning Autism Spectrum Disorders: A Randomized Controlled Pilot Study

Journal of Autism and Developmental Disorders volume 42, pages 1094–1103 (2012)Cite this article

Abstract

Despite the psychosocial difficulties common among young adults with autism spectrum disorders (ASD), little to no evidence-based social skills interventions exist for this population. Using a randomized controlled trial (RCT) design, the current study tested the effectiveness of an evidence-based, caregiver-assisted social skills intervention known as PEERS for Young Adults with high-functioning young adults with ASD (ages 18–23) using self- and caregiver-report measures. Results revealed that treated young adults reported significantly less loneliness and improved social skills knowledge, while caregivers reported significant improvements in young adults’ overall social skills, social responsiveness, empathy, and frequency of get-togethers. Results support the effectiveness of using this caregiver-assisted, manualized intervention for young adults with ASD.

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References

  • Anckarsäter, H., Stahlberg, O., Larson, T., Hakansson, C., Jutblad, S. B., Niklasson, L., et al. (2006). The impact of ADHD and autism spectrum disorders on temperament, character, and personality development. American Journal of Psychiatry, 163, 1239–1244.

    Article  PubMed  Google Scholar 

  • Barnhill, G. P. (2007). Outcomes in adults with Asperger syndrome. Focus on Autism and Other Developmental Disabilities, 22, 116–126.

    Article  Google Scholar 

  • Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: An investigation of adults with Asperger’s disorder or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34, 163–175.

    Article  PubMed  Google Scholar 

  • Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism spectrum quotient (AQ): Evidence from Asperger syndrome/high functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31, 5–17.

    Article  PubMed  Google Scholar 

  • Barry, C. M., Madsen, S. D., Nelson, L. J., Carroll, J. S., & Badger, S. (2009). Friendship and romantic relationship qualities in emerging adulthood: Differential associations with identity development and achieved adulthood criteria. Journal of Adult Development, 16, 209–222.

    Article  Google Scholar 

  • Bauminger, N., Shulman, C., & Agam, G. (2003). Peer interaction and loneliness in high-functioning children with autism. Journal of Autism and Developmental Disorders, 33, 489–507.

    Article  PubMed  Google Scholar 

  • Bowler, D. M., Gaigg, S. B., & Gardiner, J. M. (2008). Subjective organization in the free recall learning of adults with Asperger’s syndrome. Journal of Autism and Developmental Disorders, 38, 104–113.

    Article  PubMed  Google Scholar 

  • Cederlund, M., Hagberg, B., & Gillberg, C. (2010). Asperger syndrome in adolescent and young adult males. Interview, self- and parent assessment of social, emotional, and cognitive problems. Research in Developmental Disabilities, 31, 287–298.

    Article  PubMed  Google Scholar 

  • Collins, W. A., & Madsen, S. D. (2006). Personal relationships in adolescence and early adulthood. In A. L. Vangelisti & D. Perlman (Eds.), The Cambridge handbook of personal relationships (pp. 191–209). New York: Cambridge University Press.

    Google Scholar 

  • Constantino, J. N. (2005). Social responsiveness scale. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Constantino, J. N., & Todd, R. D. (2005). Intergenerational transmission of subthreshold autistic traits in the general population. Biological Psychiatry, 57, 655–660.

    Article  PubMed  Google Scholar 

  • DiTommaso, E., & Spinner, B. (1993). The development and initial validation of the social and emotional loneliness scale for adults (SELSA). Personality and Individual Differences, 14, 127–134.

    Article  Google Scholar 

  • Fraley, R., & Davis, K. E. (1997). Attachment formation and transfer in young adults’ close friendships and romantic relationships. Personal Relationships, 4, 131–144.

    Article  Google Scholar 

  • Frankel, F., Myatt, R., Sugar, C., Whitham, C., Gorospe, C. M., & Laugeson, E. (2010). A randomized controlled study of parent-assisted children’s friendship training with children having autism spectrum disorders. Journal of Autism and Developmental Disorders, 40, 827–842.

    Article  PubMed  Google Scholar 

  • Gresham, F. M., & Elliott, S. (1990). The social skills rating system. Minnesota: American Guidance Service.

    Google Scholar 

  • Hill, E. L. (2004). Executive dysfunction in autism. Trends in Cognitive Sciences, 8, 26–32.

    Article  PubMed  Google Scholar 

  • Hillier, A., Fish, T., Cloppert, P., & Beversdorf, D. Q. (2007). Outcomes of a social and vocational skills support group for adolescents and young adults on the autism spectrum. Focus on Autism and Other Developmental Disabilities, 22, 107–115.

    Article  Google Scholar 

  • Howlin, P. (2000). Outcome in adult life for more able individuals with autism or Asperger syndrome. Autism, 4, 63–83.

    Article  Google Scholar 

  • Humphrey, N., & Symes, W. (2010). Perceptions of social support and experience of bullying among pupils with autistic spectrum disorders in mainstream secondary schools. European Journal of Special Needs Education, 25, 77–91.

    Article  Google Scholar 

  • Jennes-Coussens, M., Magill-Evans, J., & Koning, C. (2006). The quality of life of young men with Asperger syndrome: A brief report. Autism, 10, 511–524.

    Article  Google Scholar 

  • Johnson, S. A., Blaha, L. M., Houpt, J. W., & Townsend, J. T. (2010). Systems factorial technology provides new insights on global-local information processing in autism spectrum disorders. Journal of Mathematical Psychology, 54, 53–72.

    Article  Google Scholar 

  • Kaufman, A. S., & Kaufman, N. L. (2005). Kaufman brief intelligence test–second edition (K-BIT-2). Circle Pines: American Guidance Service.

    Google Scholar 

  • Koning, C., & Magill-Evans, J. (2001). Social and language skills in adolescent boys with Asperger syndrome. Autism, 5, 23–36.

    Article  PubMed  Google Scholar 

  • Lasgaard, M., Nielsen, A., Eriksen, M. E., & Goossens, L. (2009). Loneliness and social support in adolescent boys with autism spectrum disorders. Journal of Autism and Developmental Disorders, 40, 218–226.

    Article  PubMed  Google Scholar 

  • Laugeson, E. A., & Frankel, F. (2010). Social skills for teenagers with developmental and autism spectrum disorders: The PEERS treatment manual. New York: Routledge.

    Google Scholar 

  • Laugeson, E. A., Frankel, F., Mogil, C., & Dillon, A. R. (2009). Parent-assisted social skills training to improve friendships in teens with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 596–606.

    Article  PubMed  Google Scholar 

  • Le Couteur, A., Lord, C., & Rutter, M. (2003). The autism diagnostic interview—revised (ADI-R). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P. D., & Risi, S. (2001). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services.

    Google Scholar 

  • McKenzie, R., Evans, J. S. B. T., & Handley, S. J. (2010). Conditional reasoning in autism: Activation and integration of knowledge and belief. Developmental Psychology, 46, 391–403.

    Article  PubMed  Google Scholar 

  • Mehzabin, P., & Stokes, M. A. (2011). ) Self-assessed sexuality in young adults with high-functioning autism. Research in Autism Spectrum Disorders, 5, 614–621.

    Article  Google Scholar 

  • Miller, P. M., & Ingham, J. G. (1976). Friends, confidants and symptoms. Social Psychiatry, 11, 51–58.

    Article  Google Scholar 

  • Müller, E., Schuler, A., & Yates, G. B. (2008). Social challenges and supports from the perspective of individuals with Asperger syndrome and other autism spectrum disabilities. Autism, 12, 173–190.

    Article  PubMed  Google Scholar 

  • Orsmond, G. L., Krauss, M. W., & Selzter, M. M. (2004). Peer relationships and social and recreational activities among adolescents and adults with autism. Journal of Autism and Developmental Disorders, 34, 245–256.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Remington, A., Swettenham, J., Campbell, R., & Coleman, M. (2009). Selective attention and perceptual load in autism spectrum disorder. Psychological Science, 20, 1388–1393.

    Article  PubMed  Google Scholar 

  • Riggio, R. (1989). Assessment of basic social skills. Journal of Personality and Social Psychology, 51, 649–660.

    Article  Google Scholar 

  • Shattuck, P., Seltzer, M., Greenberg, M. M., Orsmond, G. I., Bolt, D., Kring, S., et al. (2007). Change in autism symptoms and maladaptive behaviors in adolescents and adults with an autism spectrum disorder. Journal of Autism and Developmental Disorders, 37, 1735–1747.

    Article  PubMed  Google Scholar 

  • Shtayermman, O. (2007). Peer victimization in adolescents and young adults diagnosed with Asperger’s syndrome: A link to depressive symptomatology, anxiety symptomatology and suicidal ideation. Issues in Comprehensive Pediatric Nursing, 30, 87–107.

    Article  PubMed  Google Scholar 

  • Sparrow, S., Balla, D., & Cicchetti, D. V. (2005). The Vineland adaptive behavior scales (2nd ed.). Circle Pines: American Guidance Service.

    Google Scholar 

  • Spek, A. A., Scholte, E. M., & Van Berckelaer-Onnes, I. A. (2010). Theory of mind in adults with HFA and Asperger syndrome. Journal of Autism and Developmental Disorders, 40, 280–289.

    Article  PubMed  Google Scholar 

  • Sterling, L., Dawson, G., Estes, A., & Greenson, J. (2008). Characteristics associated with presence of depressive symptoms in adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 38, 1011–1018.

    Article  PubMed  Google Scholar 

  • Stokes, M., Newton, N., & Kaur, A. (2007). Stalking, and social and romantic functioning among adolescents and adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 37, 1969–1986.

    Article  PubMed  Google Scholar 

  • Sullivan, A., & Caterino, L. C. (2008). Addressing the sexuality and sex education of individuals with autism spectrum disorders. Education and Treatment of Children, 31, 381–394.

    Article  Google Scholar 

  • Tantam, D. (2003). The challenge of adolescents and adults with Asperger syndrome. Child and Adolescent Psychiatric Clinics of North America, 12, 143–163.

    Article  PubMed  Google Scholar 

  • Taylor, J. L., & Seltzner, M. M. (2010). Changes in the autism behavioral phenotype during the transition to adulthood. Journal of Autism and Developmental Disorders, 40, 1431–1446.

    Article  PubMed  Google Scholar 

  • Turner-Brown, L. M., Perry, T. D., Dichter, G. S., Bodfish, J. W., & Penn, D. L. (2008). Brief report: Feasibility of social cognition and interaction training for adults with high functioning autism. Journal of Autism and Developmental Disorders, 38, 1777–1784.

    Article  PubMed  Google Scholar 

  • Walters, S., & Weaver, K. (2003). Relationships between the Kaufman brief intelligence test and the Wechsler adult intelligence scale-third edition. Psychological Reports, 92, 1111–1115.

    PubMed  Google Scholar 

  • White, S. W., & Robertson-Nay, R. (2009). Anxiety, social deficits, and loneliness in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1006–1013.

    Article  PubMed  Google Scholar 

  • Whitehouse, A. J., Durkin, K., Jaquet, E., & Ziatas, K. (2009). Friendship, loneliness and depression in adolescents with Asperger’s syndrome. Journal of Adolescence, 32, 309–322.

    Article  PubMed  Google Scholar 

  • Williams White, S., Keonig, 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, 1858–1868.

    Article  PubMed  Google Scholar 

  • Wing, L. (1983). Social and interpersonal needs. In E. Schopler & G. Mesibov (Eds.), Autism in adolescents and adults (pp. 337–354). New York: Plenum Press.

    Google Scholar 

  • Woodbury-Smith, M. R., Robinson, J., Wheelwright, S., & Baron-Cohen, S. (2005). Screening adults for Asperger syndrome using the AQ: A preliminary study of its diagnostic validity in clinical practice. Journal of Autism and Developmental Disorders, 35, 331–335.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank Connie Kasari, Fred Frankel, Andrew Leuchter, Robert Lieberman, Jennifer Sanderson, Ruth Ellingsen, Dana Lieberman, Sebastián Torres, Laura Knoll, Chloe Koeffler, Kristine McGlennen, and Siena Whitham for their valuable assistance on this study. The authors also gratefully acknowledge the hard work and dedication of the families who participated in this study. This research was supported by NIH Training Grant T32-MH17140, Andrew Leuchter, Principal Investigator. The writing of this paper was partially supported by Organization for Autism Research Grant 20093336, Alexander Gantman, Project Principal Investigator. The second author also gratefully acknowledges the generous support of the Philip and Aida Siff Educational Foundation toward work on this study and paper.

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Authors and Affiliations

  1. Department of Psychiatry, Semel Institute for Neuroscience and Human Behavior, University of California, 760 Westwood Plaza, Suite 48-243B, Los Angeles, CA, 90024, USA

    Alexander Gantman & Elizabeth A. Laugeson

  2. Division of Psychological Studies in Education, Graduate School of Education and Information Studies, UCLA, Los Angeles, CA, 90095, USA

    Steven K. Kapp

  3. California School of Professional Psychology, Alliant International University, Alhambra, CA, 91803, USA

    Kaely Orenski

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  1. Alexander Gantman
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  2. Steven K. Kapp
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  3. Kaely Orenski
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  4. Elizabeth A. Laugeson
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Correspondence to Elizabeth A. Laugeson.

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Gantman, A., Kapp, S.K., Orenski, K. et al. Social Skills Training for Young Adults with High-Functioning Autism Spectrum Disorders: A Randomized Controlled Pilot Study. J Autism Dev Disord 42, 1094–1103 (2012). https://doi.org/10.1007/s10803-011-1350-6

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  • DOI: https://doi.org/10.1007/s10803-011-1350-6

Keywords

  • ASD
  • Autism
  • Adults
  • Social skills
  • PEERS