Skip to main content
Log in

Brief Report: Feasibility of Social Cognition and Interaction Training for Adults with High Functioning Autism

  • Brief Report
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

The goal of this study was to evaluate the feasibility and utility of a group-based cognitive behavioral intervention to improve social-cognitive functioning in adults with high-functioning autism (HFA). We modified the treatment manual of a previously validated intervention, Social Cognition and Interaction Training (SCIT), for optimal use with HFA adults (SCIT-A). We then conducted a pilot study to compare SCIT-A (n = 6) to treatment as usual (TAU) (n = 5) for adults with HFA. Feasibility was supported; attendance was high (92%) and satisfaction reports were primarily positive. Participants in SCIT-A showed significant improvement in theory-of-mind skills and trend level improvements in social communication skills; TAU participants did not show these improvements. Findings indicate SCIT-A shows promise as an intervention for adults with HFA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. Washington, DC: APA (4th edition-text revision ed.).

    Google Scholar 

  • Baron-Cohen, S., & Wheelwright, S. (2003). The friendship questionnaire: An investigation of adults with Asperger syndrome or high-functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 33(5), 509–517.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Bauminger, N. (2007). Brief report: Group social-multimodal intervention for HFASD. Journal of Autism and Developmental Disorders, 37(8), 1605–1615.

    Article  PubMed  Google Scholar 

  • Bauminger, N., & Kasari, C. (1999). Brief report: Theory of mind in high-functioning children with autism. Journal of Autism and Developmental Disorders, 29(1), 81.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: L. Erlbaum Associates.

    Google Scholar 

  • Combs, D. R., Adams, S. D., Penn, D., Roberts, D. L., Tiegreen, J., & Stern, P. (2007). Social cognition and interaction training (SCIT) for inpatients with schizophrenia spectrum disorders. Schizophrenia Research, 91, 112–116.

    Article  PubMed  Google Scholar 

  • Corcoran, R. (2001). Theory of mind and schizophrenia. In D. L. Penn et al. (Eds.), Social Cognition and Schizophrenia (pp. 149–174). Washington, DC: American Psychological Association.

  • Corcoran, R., Mercer, G., & Frith, C. D. (1995). Schizophrenia, symptomatology and social inference: Investigating “theory of mind” in people with schizophrenia. Schizophrenia Research, 17(1), 5–13.

    Article  PubMed  Google Scholar 

  • Couture, S. M., Penn, D., Hurley, R., Losh, M., & Piven, J. (2005). Social cognition and social functioning in schizophrenia and high functioning autism. in preparation.

  • Couture, S. M., Penn, D. L., & Roberts, D. L. (2006). The functional significance of social cognition in schizophrenia: A review. Schizophrenia Bulletin, 32(Suppl 1), S44–S63.

    Article  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  • Gevers, C., Clifford, P., Mager, M., & Boer, F. (2006). Brief report: A theory-of-mind-based social-cognition training program for school-aged children with pervasive developmental disorders: An open study of its effectiveness. Journal of Autism and Developmental Disorders, 36(4), 567–571.

    Article  PubMed  Google Scholar 

  • Greig, T. C., Nicholls, S. S., Wexler, B. E., & Bell, M. D. (2004). Test-retest stability of neuropsychological testing and individual differences in variability in schizophrenia outpatients. Psychiatry Research, 129(3), 241–247.

    Article  Google Scholar 

  • Hadwin, J., Baron-Cohen, S., Howlin, P., & Hill, K. (1996). Can we teach children with autism to understand emotions, belief, or pretence? Development and Psychopathology, 8(2), 345–365.

    Article  Google Scholar 

  • Hadwin, J., Baron-Cohen, S., Howlin, P., & Hill, K. (1997). Does teaching theory of mind have an effect on the ability to develop conversation in children with autism? Journal of Autism and Developmental Disorders, 27(5), 519–537.

    Article  PubMed  Google Scholar 

  • Kerr, S. L., & Neale, J. M. (1993). Emotion perception in schizophrenia: Specific deficit or further evidence of generalized poor performance? Journal of Abnormal Psychology, 102(2), 312–318.

    Article  PubMed  Google Scholar 

  • Klin, A., Saulnier, C. A., Sparrow, S. S., Cicchetti, D. V., Volkmar, F. R., & Lord, C. (2006). Social and communication abilities and disabilities in higher functioning individuals with autism spectrum disorders: The Vineland and the ADOS. Journal of Autism and Developmental Disorders, 37(4), 748–759.

    Article  PubMed  Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H. Jr., 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(3), 205–223.

    Article  PubMed  Google Scholar 

  • Marjoram, D., Gardner, C., Burns, J., Miller, P., Lawrie, S. M., & Johnstone, E. C. (2005). Symptomatology and social inference: A theory of mind study of schizophrenia and psychotic affective disorder. Cognitive Neuropsychiatry, 10(5), 347–359.

    Article  PubMed  Google Scholar 

  • McGann, W., Werven, G., & Douglas, M. M. (1997). Social competence and head injury: A practical approach. Brain Injury, 11(9), 621–628.

    Article  PubMed  Google Scholar 

  • Mueser, K. T., Doonan, R., Penn, D. L., Blanchard, J. J., Bellack, A. S., Nishith, P., et al. (1996). Emotion recognition and social competence in chronic schizophrenia. Journal of Abnormal Psychology, 105(2), 271–275.

    Article  PubMed  Google Scholar 

  • Orsmond, G. I., Krauss, M. W., & Seltzer, M. M. (2004). Peer relationships and social and recreational activities among adolescents and adults with autism. Journal of Autism and Developmental Disorders, 34(3), 245–256.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Patterson, T. L., Moscona, S., McKibbin, C. L., Davidson, K., & Jeste, D. V. (2001). Social skills performance assessment among older patients with schizophrenia. Schizophrenia Research, 48(2), 351–360.

    Article  PubMed  Google Scholar 

  • Penn, D. L., Combs, D. R., Ritchie, M., Francis, J., Cassisi, J., Morris, S., et al. (2000). Emotion recognition in schizophrenia: Further investigation of generalized versus specific deficit models. Journal of Abnormal Psychology, 109(3), 512–516.

    Article  PubMed  Google Scholar 

  • Penn, D. L., Roberts, D. L., Combs, D., & Sterne, A. (2007). Best practices: The development of the social cognition and interaction training program for schizophrenia spectrum disorders. Psychiatry Services, 58(4), 449–451.

    Article  Google Scholar 

  • Penn, D. L., Roberts, D. L., Munt, E. D., Silverstein, E., Jones, N., & Sheitman, B. (2005). A pilot study of social cognition and interaction training (SCIT) for schizophrenia. Schizophrenia Research, 80(2–3), 357–359.

    Article  PubMed  Google Scholar 

  • Pinkham, A., Hopfinger, J. B., Pelphrey, K. A., Piven, J., & Penn, D. L. (in press). Schizophrenia and high functioning autism share neural abnormalities when performing a complex social cognitive task. Schizophrenia Research.

  • Roberts, D. L., Penn, D., & Combs, D. R. (2004). Social cognition and interacation training: Unpublished Treatment Manual.

  • Salem, J. E., Kring, A. M., & Kerr, S. L. (1996). More evidence for generalized poor performance in facial emotion perception in schizophrenia. Journal of Abnormal Psychology, 105(3), 480–483.

    Article  PubMed  Google Scholar 

  • Sasson, N., Tsuchiya, N., Hurley, R., Couture, S. M., Penn, D. L., Adolphs, R., et al. (2007). Orienting to social stimuli differentiates social cognitive impairment in autism and schizophrenia. Neuropsychologia, 45(11), 2580–2588.

    Article  PubMed  Google Scholar 

  • Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., et al. (2006). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37(2), 354–366.

    Article  Google Scholar 

  • Tager-Flusberg, H. (1999). A psychological approach to understanding the social and language impairments in autism. International Review of Psychiatry, 11(4), 325–334.

    Article  PubMed  Google Scholar 

  • Tantam, D. (1991). Asperger syndrome in adulthood. In U. Frith (Ed.), Autism and Asperger syndrome (pp. 147–183). Cambridge: Cambridge University Press.

    Google Scholar 

  • Wechsler, D. (1999). Wechsler abbreviated scale of intelligence (WASI). San Antonio, TX: Harcourt Assessment.

    Google Scholar 

Download references

Acknowledgments

We are grateful to the adults who generously participated in this study and would like to acknowledge the valuable contribution of Tia Holtzclaw to the project. This research was supported in part by grants from the National Institute of Mental Health (T32-HD40127and R01MH-73402), the Foundation of Hope (NC), and by North Carolina Division TEACCH. G. Dichter was supported by a career development award from UNC-Chapel Hill, NIH/NCRR K12 RR023248 (Orringer).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lauren M. Turner-Brown.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Turner-Brown, L.M., Perry, T.D., Dichter, G.S. et al. Brief Report: Feasibility of Social Cognition and Interaction Training for Adults with High Functioning Autism. J Autism Dev Disord 38, 1777–1784 (2008). https://doi.org/10.1007/s10803-008-0545-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-008-0545-y

Keywords

Navigation