The Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK.
Institute of Psychiatry, King's College London, 103 Denmark Hill, London, SE5 8AF, UK.
J Autism Dev Disord. 2018 Jul;48(7):2293-2307. doi: 10.1007/s10803-018-3485-1.
Group social skills interventions (GSSIs) are a commonly offered treatment for children with high functioning ASD. We critically evaluated GSSI randomised controlled trials for those aged 6-25 years. Our meta-analysis of outcomes emphasised internal validity, thus was restricted to trials that used the parent-report social responsiveness scale (SRS) or the social skills rating system (SSRS). Large positive effect sizes were found for the SRS total score, plus the social communication and restricted interests and repetitive behaviours subscales. The SSRS social skills subscale improved with moderate effect size. Moderator analysis of the SRS showed that GSSIs that include parent-groups, and are of greater duration or intensity, obtained larger effect sizes. We recommend future trials distinguish gains in children's social knowledge from social performance.
团体社交技能干预（GSSI）是一种常用于治疗高功能自闭症儿童的常见治疗方法。我们对 6-25 岁儿童的 GSSI 随机对照试验进行了批判性评估。我们对结局的荟萃分析强调了内部有效性，因此仅限于使用父母报告社交反应量表（SRS）或社交技能评定量表（SSRS）的试验。我们发现 SRS 总分以及社交沟通、受限兴趣和重复行为分量表的大的阳性效应量。SSRS 社交技能分量表的改善具有中等效应量。SRS 的调节分析表明，包含家长团体且持续时间更长或强度更大的 GSSI 获得了更大的效果量。我们建议未来的试验区分儿童社交知识和社交表现的提高。
