Abstract
The Program for the Evaluation of the Enrichment of Relational Skills (PEERS), a social skills intervention for high functioning adolescents with autism spectrum disorder (ASD), has been proven efficacious in randomized control trials. However, the effectiveness of the PEERS program in community settings has not been studied. The present small-scale pilot study examined the effectiveness of the PEERS program in a community setting. Five adolescents and their caregivers participated in the PEERS intervention. Results indicated that the adolescents showed significant improvement in their social engagement, social cognition, social communication, social motivation, and knowledge of PEERS skills and concepts from pre- to post-intervention. Furthermore, adolescents showed significant reductions in their internalizing and autistic symptoms from pre- to post-intervention. The findings from this small-scale pilot study support the effectiveness of the PEERS program in community-based settings.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36(4), 545–553. doi:10.1097/00004583-199704000-00018.
Booker, K. W., & Starling, L. (2011). Test review: Social responsiveness scale by J. N. Constantino and C. P. Gruber. Assessment for Effective Intervention, 36(3), 192–194. doi:10.1177/1534508410380134.
Brookman-Frazee, L. I., Taylor, R., & Garland, A. F. (2010). Characterizing community-based mental health services for children with autism spectrum disorders and disruptive behavior problems. Journal of Autism and Developmental Disorders 40(10):1188–1201.
Constantino, J. N., & Gruber, C. P. (2012). Social responsiveness scale – Second edition (SRS-2). Torrance, CA: Western Psychological Services.
Dingfelder, H., & Mandell, D. (2011). Bridging the research-to-practice gap in autism intervention: An application of diffusion of innovation theory. Journal of Autism and Developmental Disorders, 41(5), 597–609. doi:10.1007/s10803-010-1081-0.
Frankel, F., & Mintz, J. (2011). Maternal reports of play dates of clinic referred and community children. Journal of Child and Family Studies, 20(5), 623–630. doi:10.1007/s10826-010-9437-9.
Gillberg, C. (1998). Asperger syndrome and high-functioning autism. The British Journal of Psychiatry: The Journal of Mental Science, 172, 200–209.
Gresham, F., & Elliott, S. (2008). Social skills improvement system rating scales manual. Minneapolis, MN: NCS Pearson.
Hallett, V., Lecavalier, L., Sukhodolsky, D. G., Cipriano, N., Aman, M. G., McCracken, J. T., et al. (2013). Exploring the manifestations of anxiety in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(10), 2341–2352. doi:10.1007/s10803-013-1775-1.
Karst, J. S., Van Hecke, A. V., Carson, A. M., Stevens, S., Schohl, K., & Dolan, B. (2015). Parent and family outcomes of PEERS: A social skills intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(3), 752–765. doi:10.1007/s10803-014-2231-6.
Kaufman, A. S., & Kaufman, N. L. (2004). Kaufman brief intelligence test (second ed.). Bloomington, MN: Pearson.
Kenny, R., Dooley, B., & Fitzgerald, A. (2013). Interpersonal relationships and emotional distress in adolescence. Journal of Adolescence, 36(2):351–360.
Kozlowski, A. M., Matson, J. L., & Belva, B. C. (2012). Social skills differences between the autism spectrum disorders. Journal of Developmental and Physical Disabilities, 24(2), 125–134. doi:10.1007/s10882-011-9260-2.
Laugeson, E. A., Frankel, F., Gantman, A., Dillon, A. R., & Mogil, C. (2012). Evidence-based social skills training for adolescents with autism spectrum disorders: The UCLA PEERS program. Journal of Autism and Developmental Disorders, 42(6), 1025–1036. doi:10.1007/s10803-011-1339-1.
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(4), 596–606. doi:10.1007/s10803-008-0664-5.
Mandelberg, J., Frankel, F., Cunningham, T., Gorospe, C., & Laugeson, E. A. (2014). Long- term outcomes of parent-assisted social skills intervention for high-functioning children with autism spectrum disorders. Autism, 18(3), 255–263. doi:10.1177/1362361312472403.
Mandell, D. S., Stahmer, A. C., Shin, S., Xie, M., Reisinger, E., & Marcus, S. C. (2013). The role of treatment fidelity on outcomes during a randomized field trial of an autism intervention. Autism 17(3):281–295.
Niditch, L. A., Varela, R. E., Kamps, J. L., & Hill, T. (2012). Exploring the association between cognitive functioning and anxiety in children with autism spectrum disorders: The role of social understanding and aggression. Journal of Clinical Child and Adolescent Psychology, 41(2), 127–137. doi:10.1080/15374416.2012.651994.
Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessment system for children: Second edition. Circle Pines, MN: AGS.
Schohl, K. A., Van Hecke, A. V., Carson, A. M., Dolan, B., Karst, J., & Stevens, S. (2014). A replication and extension of the PEERS intervention: Examining effects on social skills and social anxiety in adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44(3), 532–545. doi:10.1007/s10803-013-1900-1.
Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: Second edition (Vineland II), survey interview form/caregiver rating form. Livonia, MN: Pearson Assessments.
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, 37(10), 1960–1968.
Acknowledgements
The authors would like to thank Claire Burns and Morgan Sexton for serving as coaches in the treatment sessions and assisting with monitoring treatment fidelity.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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During the in-person intake session and prior to the completion of pre-test measures, consent and assent forms were reviewed and completed with interested participants.
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Trenesha Hill declares that she has no conflict of interest. Sarah Gray declares that she has no conflict of interest. Courtney Baker declares that she has no conflict of interest. Koren Boggs declares that she has no conflict of interest. Elizabeth Carey declares that she has no conflict of interest. Corinn Johnson declares that she has no conflict of interest. Jodi Kamps declares that she has no conflict of interest. R. Enrique Varela declares that he has no conflict of interest.
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Hill, T.L., Gray, S.A.O., Baker, C.N. et al. A Pilot Study Examining the Effectiveness of the PEERS Program on Social Skills and Anxiety in Adolescents with Autism Spectrum Disorder. J Dev Phys Disabil 29, 797–808 (2017). https://doi.org/10.1007/s10882-017-9557-x
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DOI: https://doi.org/10.1007/s10882-017-9557-x