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Social Skills Deficits and Vocal Characteristics of Children with Social Phobia or Asperger’s Disorder: A Comparative Study

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Abstract

Social skills deficits are commonly reported among children with social phobia (SP) and children with Asperger’s Disorder (AD); however, a lack of direct comparison makes it unclear whether these groups, both of which endorse the presence of social anxiety, have similar or unique skills deficits. In this investigation, the social behaviors of children with SP (n = 30) or AD (n = 30) were compared to a typically developing (TD) peer group (n = 30) during structured role play interactions. Data were analyzed using blinded observers’ ratings of overt behaviors and digital vocal analysis of verbal communication. Compared to children with AD and TD children, children with SP exhibited less overall social skill, an ineffective ability to manage the conversational topic (pragmatic social behavior), and deficient speech production (speech and prosodic social behavior). There were no differences in observer ratings between children with AD and TD children. However, using digital analysis of vocal characteristics (i.e., intensity, pitch), distinct vocal patterns emerged. Specifically, children with AD spoke more softly than TD children, and had lower vocal pitch and less vocal pitch variability than children with SP. This pattern may be subjectively heard as monotonic speech. Consistent with a vocal pattern associated with heightened anxiety, children with SP spoke more softly and had less voice volume variation than TD children, and had higher vocal pitch and more vocal pitch variability (jitteriness) than children with AD. Clinical implications of these findings are discussed.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual for mental disorders (4th ed., rev.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Barnhill, G. P. (2001). Social attributions and depression in adolescents with Asperger Syndrome. Focus on Autism and Other Developmental Disabilities, 16(1), 46–53.

    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(5), 489–507.

    Article  PubMed  Google Scholar 

  • Bauminger, N., Solomon, M., Aviezer, A., Heung, K., Gazit, L., Brown, J., et al. (2008). Children with autism and their friends: a multidimensional study of friendship in high-functioning autism spectrum disorder. Journal of Abnormal Child Psychology, 36, 135–150.

    Article  PubMed  Google Scholar 

  • Beidel, D. C., & Turner, S. M. (2007). Shy children, phobic adults: The nature and treatment of social anxiety disorder. Washington, DC: American Psychological Association Press.

    Book  Google Scholar 

  • Beidel, D. C., Turner, S. M., & Morris, T. L. (1995). A new inventory to assess childhood social anxiety and phobia: The Social Phobia and Anxiety Inventory for Children. Psychological Assessment, 7(1), 73–79.

    Article  Google Scholar 

  • Beidel, D. C., Turner, S. M., & Fink, C. M. (1996). The assessment of childhood social phobia: construct, convergent, and discriminative validity of the Social Phobia and Anxiety Inventory for Children (SPAI-C). Psychological Assessment, 8, 235–240.

    Article  Google Scholar 

  • Beidel, D. C., Turner, S. M., & Morris, T. L. (1999). Psychopathology of childhood social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 38(6), 643–650.

    Article  PubMed  Google Scholar 

  • Beidel, D. C., Turner, S. M., Hamlin, K., & Morris, T. L. (2000). The Social Phobia and Anxiety Inventory for Children (SPAI-C): external and discriminative validity. Behavior Therapy, 31, 75–87.

    Article  Google Scholar 

  • Beidel, D. C., Turner, S. M., Young, B. J., Ammerman, R. T., Sallee, F. R., & Crosby, L. (2007). Psychopathology of adolescent social phobia. Journal of Psychopathology and Behavioral Assessment, 29, 47–54.

    Article  Google Scholar 

  • Beidel, D. C., Rao, P. A., Scharfstein, L. A., Wong, N., & Alfano, C. A. (2010). Social skills and social phobia: an investigation of DSM-IV subtypes. Behavior Research and Therapy, 48, 992–1001.

    Article  Google Scholar 

  • Boersma, P., & Weenink, D. (2005). Praat: doing phonetics by computer (Version 4.3.14) [Computer Program]. http://praat.org/.

  • Bradley, M. M., & Lang, P. J. (1994). Measuring emotion: the self-assessment manikin and the semantic differential. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 49–59.

    Article  PubMed  Google Scholar 

  • Eisenmajer, R., Prior, M., Leekam, S., & Wing, L. (1996). Comparison of clinical symptoms in autism and Asperger’s Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1523–1531.

    Article  PubMed  Google Scholar 

  • Elliott, S. N., & Gresham, F. M. (1987). Children’s social skills: assessment and classification practices. Journal of Counseling and Development, 66(2), 96–99.

    Google Scholar 

  • Francis, G., Last, C. G., & Strauss, C. C. (1992). Avoidant disorder and social phobia in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 31(6), 1086–1089.

    Article  PubMed  Google Scholar 

  • Fuller, B. F., Horii, Y., & Conner, D. A. (1992). Validity and reliability of nonverbal voice measures as indicators of stressor-provoked anxiety. Research in Nursing and Health, 15, 379–389.

    Article  PubMed  Google Scholar 

  • Grant, B. F., Hasin, D. S., Blanco, C., Stinson, F. S., Chou, S. P., Goldstein, R. B., et al. (2005). The epidemiology of social anxiety disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66(11), 1351–1361.

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  • Kaufman, A. S., & Kaufman, N. L. (1990). Kaufman Brief Intelligence Test manual. Circle Pines: American Guidance Service.

    Google Scholar 

  • Kendall, P. C. (1994). Treating anxiety disorders in children: results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–110.

    Article  PubMed  Google Scholar 

  • Kendall, P. C., & Southam-Gerow, M. A. (1996). Long-term follow-up of a cognitive-behavioral therapy for anxiety-disordered youth. Journal of Consulting and Clinical Psychology, 64, 724–730.

    Article  PubMed  Google Scholar 

  • Kimble, C. E., & Seidel, S. D. (1973). Vocal signs of confidence. Behavioral Assessment, 15(2), 99–105.

    Google Scholar 

  • Koning, C., & Magill-Evans, J. (2001). Social and language skills in adolescent boys with Asperger Syndrome. Autism, 5(1), 23–36.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Laukka, P., Linnman, C., Ahs, F., Pissiota, A., Frans, O., Faria, V., et al. (2008). In a nervous voice: acoustic analysis and perception of anxiety in social phobics’ speech. Journal of Nonverbal Behavior, 32, 195–214.

    Article  Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, 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(5), 659–685.

    Google Scholar 

  • 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, 1065–1076.

    Article  PubMed  Google Scholar 

  • Mueser, K. T., Bellack, A. S., Douglas, M. S., & Morrison, R. L. (1991). Prevalence and stability of social skill deficits in schizophrenia. Schizophrenia Research, 5(2), 167–176.

    Article  PubMed  Google Scholar 

  • Nijmeijer, J. S., Minderaa, R. B., Buitelaar, J. K., Mulligan, A., Hartman, C. A., & Hoekstra, P. J. (2008). Attention-deficit/hyperactivity disorder and social dysfunctioning. Clinical Psychology Review, 28, 692–708.

    Article  PubMed  Google Scholar 

  • Paul, R., Orlovski, S. M., Marcinko, H. C., & Volkmar, F. (2009). Conversational behaviors in youth with high-functioning ASD and Asperger Syndrome. Journal of Autism and Developmental Disorders, 39, 115–125.

    Article  PubMed  Google Scholar 

  • Rao, P. A., Beidel, D. C., & Murray, M. J. (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 

  • Rubin, K. H., Daniels-Beirness, T., & Bream, L. (1984). Social isolation and social problem solving: a longitudinal study. Journal of Consulting and Clinical Psychology, 52(1), 17–25.

    Article  Google Scholar 

  • Rubin, K., Dwyer, K., Booth-LaForce, C., Kim, A. H., Burgess, K. B., & Rose-Krasnor, L. (2004). Attachment, friendship, and psychosocial functioning in early adolescence. Journal of Early Adolescence, 24(4), 326–356.

    Article  PubMed  Google Scholar 

  • Rutter, M., & Le Courteur, A. (1995). Autistic diagnostic interview-revised. University of Chicago.

  • Scharfstein, L. A., Beidel, D. C., & Rendon Finnell, L. (under review). Do pharmacological and behavioral interventions differentially affect treatment outcome for children with social phobia?

  • Silverman, W. (1994). The Anxiety Disorders Interview Schedule for Children (DSM-IV). Albany: Greywind Publications.

    Google Scholar 

  • Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV-Child and parent versions. San Antonio: Psychological Corporation.

    Google Scholar 

  • Spence, S. H., Donovan, C., & Brechman-Toussaint, M. (1999). Social skills, social outcomes, and cognitive features of childhood social phobia. Journal of Abnormal Psychology, 108(2), 211–221.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). New York: Harper Collins.

    Google Scholar 

  • Tager-Flushberg, H., Paul, R., & Lord, C. (2005). Language and communication in autism. In F. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders, Vol. 1 (3rd ed., pp. 335–364). New York: Wiley.

    Google Scholar 

  • Weiss, M. J., & Harris, S. L. (2001). Teaching social skills to people with autism. Behavior Modification, 25(5), 785–802.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We sincerely thank Shane Halse and Heather Lum for their assistance with the digital vocal analysis.

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Correspondence to Lindsay A. Scharfstein.

Appendix A: Rating Scale and Anchor Points for Social Anxiety and Overall Social Skill

Appendix A: Rating Scale and Anchor Points for Social Anxiety and Overall Social Skill

Rating of Anxiety

  1. 4

    Severely anxious: Uncomfortable, gross motor signs of anxiety exhibited consistently (hand wringing, or turning, leg shaking, fidgety). Also could be manifested as extreme inhibition (“frozen with fear”)

  2. 3

    Moderately anxious: Clear signs of discomfort, awkward, some gross motor movements as above, but less extreme and/or less consistent than above.

  3. 2

    Mildly anxious: Occasional signs of anxiety, which consist primarily of facial apprehension (furrowed brow, eyes wide open), or awkward body movement (slight hand wringing, awkward seating position).

  4. 1

    Not at all anxious: No overt signs of anxiety, smiles at conversational partner, appears interested and/or enjoys the interaction.

Rating of Overall Social Skill

  1. 1

    Not effective at all: Looks awkward, no response or one word response, does not ask questions, mumbling, barely audible speech.

  2. 2

    Minimally effective: Clearly awkward, answers questions but mainly gives two or three word responses, and no further participation in conversation.

  3. 3

    Moderately effective: Only mild awkwardness, able to respond to questions fully, some degree of fluidity, and moderate effort to keep conversation going, voice volume moderate.

  4. 4

    Effective: No awkwardness, carries part of the conversation, may self-disclose, appears to enjoy the interaction, voice strong and clear.

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Scharfstein, L.A., Beidel, D.C., Sims, V.K. et al. Social Skills Deficits and Vocal Characteristics of Children with Social Phobia or Asperger’s Disorder: A Comparative Study. J Abnorm Child Psychol 39, 865–875 (2011). https://doi.org/10.1007/s10802-011-9498-2

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