ABSTRACT
Children diagnosed with autism spectrum disorder (ASD) struggle with social adaptation and interpersonal relationships due to limitations they experience in areas such as joint attention, theory of mind skills, imitation, and language skills during early stages. Research indicates that children diagnosed with ASD encounter difficulties in relationships requiring social interaction, particularly in school, due to their deficits in social skills. As they grow older and by facing increasingly complex social environments, these difficulties tend to become more pronounced. The negative impact of limitations in social skills, especially on peer relationships, can lead to isolation, rejection, exclusion or experiences of peer bullying for these children. This review article highlights the limitations and deficiencies experienced by children diagnosed with ASD throughout their lives and aims to emphasize the importance of social skills intervention programs that enable these children to acquire necessary skills for functional social lives independently from their families. Many studies have shown the positive effects of social skills intervention programs on children diagnosed with ASD and their families. Social skills intervention programs for children diagnosed with ASD in Türkiye are quite limited. Developing evidence-based intervention programs and social policies aimed at actively implementing these programs will be a significant step towards ensuring the healthy development of children in this diagnostic group.
Keywords:
Autism spectrum disorder (ASD), social skill, social skill training, peer relationships, intervention program
References
1Kanner L. Autistic disturbance of affective contact. Nervous Child. 1943;2:217-250.
2Baron-Cohen S. The eye direction detector (EDD) and the shared attention mechanism (SAM): Two cases for evolutionary psychology. In: Moore C, Dunham PJ, eds. Joint Attention: Its Origins and Role in Development. Hillsdale; Lawrence Erlbaum Associates. 1995:41-59.
3American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). American Psychiatric Association, Washington, DC, 2013.
4Centers for Disease Control and Prevention. (2023) Accessed at: https://www.cdc.gov/ncbddd/autism/data.html Accessed on: 03.09.2023
5Laushey KM, Heflin LJ. Enhancing social skills of kindergarten children with autism through the training of multiple peers as tutors. J Autism Dev Disord. 2000;30:183-193.
6Elliott SN, Gresham FM. Social skills interventions for children. Behav Modif. 1993;17:287-313.
7McConnell SR. Interventions to facilitate social interaction for young children with autism: Review of available research and recommendations for educational interventions and future research. J Autism Dev Disord. 2002;32:351-372.
8Tantam D. The challenge of adolescents and adults with Asperger syndrome. Child Adolesc Psychiatr Clin North Am. 2003;12:143-163.
9Magiati I, Tay XW, Howlin P. Cognitive, language, social and behavioural outcomes in adults with autism spectrum disorders: a systematic review of longitudinal follow-up studies in adulthood. Clin Psychol Rev. 2014;34:73-86.
10Hadjikhani N, Joseph RM, Snyder J, Tager-Flusberg H. Anatomical differences in the mirror neuron system and social cognition network in autism. Cereb Cortex. 2006;16:1276-1282.
11Munson J, Dawson G, Abbott R, Faja S, Webb SJ, Friedman SD, Shaw D, Artru A, Dager SR. Amygdalar volume and behavioral development in autism. Arch Gen Psychiatry. 2006;63:686-693.
12Baron-Cohen S. Mindblindness: an essay on autism and theory of mind. Cambridge; MIT Press. 1995.
13Brüne M, Brüne-Cohrs U. Theory of mind evolution, ontogeny, brain mechanisms and psychopathology. Neurosci Biobehav Rev. 2006;30:437-455.
14Chevallier C, Kohls G, Troiani V, Brodkin ES, Schultz RT. The social motivation theory of autism. Trends Cogn Sci. 2012:16:231-239.
15Santangelo SL, Tsatsanis K. What is known about autism: genes, brain, and behavior. Am J Pharmacogen. 2005;5:71-92.
16Ekas NV, Lickenbrock DM, Whitman TL. Optimism, social support, and well-being in mothers of children with autism spectrum disorder. J Autism Dev Disord. 2010;40:1274-1284.
17Karst JS, Van Hecke AV. Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation. Clin Child Fam Psychol Rev. 2012;15:247-277.
18Laugeson EA, Ellingsen R. Social skills training for adolescents and adults with autism spectrum disorder. In: Adolescents and adults with autism spectrum disorders 2014;61-85.
19Carter AS, Davis NO, Klin A, Volkmar FR. Social development in autism. In: Volkmar FR, Paul R, Klin A, Cohen D, eds. Handbook of Autism and Pervasive Developmental Disorders (3th edition). Hoboken, NJ: Wiley. 2005:312-334.
20Bauminger N, Shulman C, Agam G. Peer interaction and loneliness in high-functioning children with autism. J Autism Dev Disord. 2003;33:489-507.
21MacDonald R, Anderson J, Dube WV, Geckeler A, Green G, Holcomb W, Mansfield R, Sanchez J. Behavioral assessment of joint attention: a methodological report. Res Dev Disabil. 2006;27:138-150.
22Charman T, Swettenham J, Baron-Cohen S, Cox A, Baird G, Drew A. Infants with autism: an investigation of empathy, pretend play, joint attention, and imitation. Dev Psychol. 1997;33:781.
23Sullivan A, Caterino LC. Addressing the sexuality and sex education of individuals with autism spectrum disorders. Educ Treat Child. 2008;31:381-394.
24Tager-Flusberg H, Paul P, Lord C. Language and communication in autism. In: Volkmar FR, Klin A, Paul AR, Cohen D, eds. Handbook of Autism and Pervasive Developmental Disorders (3th ed). Haboken; Wiley. 2005;335-364.
25Charman T, Drew A, Baird C, Baird G. Measuring early language development in preschool children with autism spectrum disorder using the MacArthur communicative development ınventory (Infant Form). J Child Lang. 2003;30:213-236.
26Tager-Flusberg, H. The challenge of studying language development in children with autism. In: Menn L, Ratner NB, eds. Methods for studying language production. Mahwah, NJ: Lawrence Erlbaum Associates. 1999;317-336.
27Pijnacker J, Hagoort P, Buitelaar J, Teunisse JP, Geurts B. Pragmatic inferences in highfunctioning adults with autism and Asperger syndrome. J Autism Dev Disord. 2009;39:607-618.
28Elder LM, Caterino LC, Chao J, Shacknai D, De Simone G. The efficacy of social skills treatment for children with Asperger syndrome. Educ Treat Child. 2006;29:635-663.
29Ghaziuddin M, Gerstein L. Pedantic speaking style differentiates Asperger syndrome from high-functioning autism. J Autism Dev Disord. 1996;26:585-595.
30Persicke A, Tarbox J, Ranick J, Clair MS. Teaching children with autism to detect and respond to sarcasm. Res Autism Spectr Disord. 2013;7:193-198.
31Starr E, Szatmari P, Bryson S, Zwaigenbaum L. Stability and change among high-functioning children with pervasive developmental disorders: a 2-year outcome study. J Autism Dev Disord. 2003;33:15-22.
32Bauminger N, Solomon M, Aviezer A, Heung K, Brown J, Rogers SJ. Friendship in high-functioning children with autism spectrum disorder: Mixed and non-mixed dyads. J Autism Dev Disord. 2008;38:1211-1229.
33Bauminger N, Kasari C. Loneliness and friendship in high-functioning children with autism. Child Dev. 2000;71:447-456.
34Laugeson EA. The PEERS curriculum for school-based professionals: Social skills training for adolescents with autism spectrum disorder. New York: Routledge. 2014.
35Reichow B, Steiner AM, Volkmar F. Social skills groups for people aged 6 to 21 with autism spectrum disorders (ASD). Cochrane Database Syst Rev. 2012; 2012:CD008511.
36Humphrey N, Symes W. Perceptions of social support and experience of bullying among pupils with autistic spectrum disorders in mainstream secondary schools. Eur J Spec Needs Educ. 2010;25:77-91.
37Yoo HJ, Bahn G, Cho IH, Kim EK, Kim JH, Min JW, Lee WH, Seo JS, Jun SS, Bong G, Cho S, Shin MS, Kim BN, Kim JW, Park S, Laugeson EA. A randomized controlled trial of the korean version of the PEERS® parent‐assisted social skills training program for teens with ASD. Autism Res. 2014;7:145-161.
38Orsmond GI, Krauss MW, Seltzer MM. Peer relationships and social and recreational activities among adolescents and adults with autism. J Autism Dev Disord. 2004;34:245-256.
39Newman L, Wagner M, Knokey AM, Marder C, Nagle K, Shaver D, Wei X. The post-high school outcomes of young adults with disabilities up to 8 years after high school: A Report from the National Longitudinal Transition Study-2 (NLTS2) (NCSER 2011-3005). Washington DC; National Center for Special Education Research. 2011.
40Kim JA, Szatmari P, Bryson SE, Streiner DL, Wilson FJ. The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism. 2000;4:117-132.
41Jackson SL, Hart L, Brown JT, Volkmar FR. Brief report: self-reported academic, social, and mental health experiences of post-secondary students with autism spectrum disorder. J Autism Dev Disord. 2018;48:643-650.
42Miller PM, Ingham JG. Friends, confidants, and symptoms. Soc Psychiatry. 1976;11:51-58.
43Stokes M, Newton N, Kaur A. Stalking, and social and romantic functioning among adolescents and adults with autism spectrum disorder. J Autism Dev Disord. 2007;37:1969-1986.
44Gralinski JH, Kopp C. Everyday rules for behavior: mother’s requests to young children. Dev Psychol. 1993;29:573-584.
45Moody CT, Laugeson EA. Social skills training in autism spectrum disorder across the lifespan. Psychiatr Clin. 2020;43:687-699.
46Tse J, Strulovitch J, Tagalakis V, Meng L, Fombonne E. Social skills training for adolescents with Asperger’s syndrome and high functioning autism. J Autism Dev Disord. 2007;37:1960-1968.
47Kroeger KA, Schultz JR, Newsom C. A comparison of two group-delivered social skills programs for young children with autism. J Autism Dev Disord. 2007;37:808-817.
48Reichow B, Volkmar FR. Social skills interventions for individuals with autism: evaluation for evidence-based practices within a best evidence synthesis framework. J Autism Dev Disord. 2010;40:149-166.
49Laugeson EA, Frankel F, Gantman A, Dillon AR, Mogil C. Evidence-based social skills training for adolescents with autism spectrum disorders: the UCLA PEERS program. J Autism Dev Disord. 2012;42:1025-1036.
50Ellingsen R, Bolton C, Laugeson E. Evidence-based social skills groups for individuals with autism spectrum disorder across the lifespan. In: Leaf J, eds. Handbook of social skills and autism spectrum disorder: Assessment, curricula, and intervention. New York; Springer. 2017:343-358.
51Kamps DM, Leonard BR, Vernon S, Dugan EP, Delquadri JC, Gershon B, Wade L, Folk L. Teaching social skills to students with autism to increase peer interactions in an integrated first‐grade classroom. J Appl Behav Anal. 1992;25:281-288.
52Kamps D, Thiemann-Bourque K, Heitzman-Powell L, Schwartz I, Rosenberg N, Mason R, Cox S. A comprehensive peer network intervention to improve social communication of children with autism spectrum disorders: a randomized trial in kindergarten and first grade. J Autism Dev Disord. 2015;45:1809-1824.
53Ichikawa K, Takahashi Y, Ando M, Anme T, Ishizaki T, Yamaguchi H, Nakayama T. TEACCH-based group social skills training for children with high-functioning autism: a pilot randomized controlled trial. Bio Psycho Soc Med. 2013;7:1-8.
54Gates JA, Kang E, Lerner MD. Efficacy of group social skills interventions for youth with autism spectrum disorder: a systematic review and meta-analysis. Clin Psychol Rev. 2017;52:164-181.
55Wolstencroft J, Robinson L, Srinivasan R, Kerry E, Mandy W, Skuse D. A systematic review of group social skills interventions, and meta-analysis of outcomes, for children with high functioning ASD. J Autism Dev Disord. 2018;48:2293-2307.
56Andrews L, Attwood T, Sofronoff K. Increasing the appropriate demonstration of affectionate behavior, in children with Asperger syndrome, high functioning autism, and PDD-NOS: a randomized controlled trial. Res Autism Spectr Disord. 2013;7:1568-1578.
57Frankel F, Myatt R, Sugar C, Whitham C, Gorospe CM, Laugeson E. A randomized controlled study of parent-assisted children’s friendship training with children having autism spectrum disorders. J Autism Dev Disord. 2010;40:827-842.
58Kretzmann M, Shih W, Kasari C. Improving peer engagement of children with autism on the school playground: a randomized controlled trial. Behav Ther. 2015;46:20-28.
59Yamada T, Miura Y, Oi M, Akatsuka N, Tanaka K, Tsukidate N, Yamamoto T, Okuno H, Nakanishi M, Taniike M, Mohri I, Laugeson, EA. Examining the treatment efficacy of PEERS in Japan: improving social skills among adolescents with Autism Spectrum Disorder. J Autism Dev Disord. 2020;50:976-997.
60White SW, Ollendick T, Albano AM, Oswald D, Johnson C, Southam-Gerow MA, Kim I, Scahill L. Randomized controlled trial: multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. J Autism Dev Disord. 2013;43:382-394.
61Ozonoff S, Miller JN. Teaching theory of mind: a new approach to social skills training for individuals with autism. J Autism Dev Disord. 1995;25:415-433.
62Chamberlain B, Kasari C, Rotheram-Fuller E. Involvement or isolation? The social networks of children with autism in regular classrooms. J Autism Dev Disord. 2007;37:230-242.
63Matson JL, Matson ML, Rivet TT. Social-skills treatments for children with autism spectrum disorders: an overview. Behav Modif. 2007;31:682-707.
64Scattone D. Enhancing the conversation skills of a boy with Asperger’s disorder through Social Stories™ and video modeling. J Autism Dev Disord, 2008;38:395-400.
65Oke NJ, Schreibman L. Training social initiations to a high-functioning autistic child: Assessment of collateral behavior change and generalization in a case study. J Autism Dev Disabil. 1990;20:479-497.
66Jennes-Coussens M, Magill-Evans J, Koning C. The quality of life of young men with Asperger syndrome: A brief report. Autism. 2006;10:511-524.
67Gonzalez-Lopez A, Kamps DM. Social skills training to increase social interactions between children with autism and their typical peers. Focus Autism Other Dev Disabil. 1997;12:2-14.
68Çorapçı F, Doğan A. Önleme biliminde önemli ilkeler. In: Çorapçı F, Doğan A, eds. Çocuk ve Ergenler için Önleyici Müdahale Programları. Ankara; Nobel Yayınevi. 2023:1-23.
69Karst JS, Van Hecke AV, Carson AM, Stevens S, Schohl K, Dolan B. Parent and family outcomes of PEERS: a social skills intervention for adolescents with autism spectrum disorder. J Autism Dev Disord. 2015;45:752-765.
70Pala FC. Understanding atypical development through the abilities of ındividuals with autism spectrum disorder and Williams syndrome. In: Sönmez S, eds. Current Debates in Social, Humanities and Administrative Sciences. İzmir; Duvar Publishing. 2022:123-139.