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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Notes
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.
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.
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.
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.
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.
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.
Bauminger, N. (2007). Brief report: Individual social-multi-modal intervention for HFASD. Journal of Autism and Developmental Disorders, 37, 1593–1604.
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.
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.
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.
Cohen, I. (2003). Criterion-related validity of the PDD-Behavior Inventory. Journal of Autism and Developmental Disorders, 33, 47–53.
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.
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.
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.
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.
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.
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.
Fombonne, E. (2005). Epidemiology of autistic disorder and other pervasive developmental disorders. Journal of Clinical Psychiatry, 66, 3–8.
Frankel, F., & Myatt, R. (2003). Children’s friendship training. New York, NY: Brunner Routledge.
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.
Gresham, F., & Elliot, S. (1990). Social skills rating system. Circle Pines, MN: American Guidance Service.
Guy, W. (1976). ECDEU assessment manual for psychopharmacology. Rockville, MD: U.S. National Institute of Health, Psychopharmacology Research Branch.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
McLeod, B., Sotharn-Gerow, M., & Weisz, J. (2009). Conceptual and methodological issues in treatment integrity measurement. School Psychology Review, 38(4), 541–546.
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.
Mowbray, C., Holter, M., Teague, G. B., & Bybee, D. (2003). Fidelity criteria: Development, measurement, and validiation. American Journal of Evaluation, 24(3), 314–340.
Nikopoulos, C. K., & Keenan, M. (2003). Promoting social initiation children with autism using video modeling. Behavioral Interventions, 18(2), 87–108.
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.
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.
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.
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.
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.
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.
Schneider, B. (1992). Didactic methods for enhancing children’s peer relations: A quantitative review. Clinical Psychology Review, 12, 363–382.
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.
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.
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.
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.
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.
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.
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.
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.
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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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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DOI: https://doi.org/10.1007/s10803-010-0979-x