Department of Psychology, Stony Brook University, 11794-2500, Stony Brook, New York, United States.
Department of Psychology, Montclair State University, Little Falls, New Jersey, United States.
J Autism Dev Disord. 2023 Oct;53(10):3741-3754. doi: 10.1007/s10803-022-05559-2. Epub 2022 Jul 29.
Group social skills interventions (GSSIs) are among the most commonly used treatments for improving social competence in youth with ASD, however, results remain variable. The current study examined predictors of treatment response to an empirically-supported GSSI for youth with ASD delivered in the community (N=75). Participants completed a computer-based emotion recognition task and their parents completed measures of broad psychopathology, ASD symptomatology, and social skills. We utilized generalized estimating equations in an ANCOVA-of-change framework to account for nesting. Results indicate differential improvements in emotion recognition by sex as well as ADHD-specific improvements in adaptive functioning. Youth with both co-occurring anxiety and ADHD experienced iatrogenic effects, suggesting that SDARI may be most effective for youth with ASD without multiple co-occurring issues. Findings provide important directions for addressing variability in treatment outcomes for youth with ASD.
群体社交技能干预（GSSI）是提高 ASD 青少年社交能力最常用的治疗方法之一，但结果仍存在差异。本研究考察了在社区中为 ASD 青少年提供的一种经过实证支持的 GSSI 的治疗反应的预测因素（N=75）。参与者完成了一项基于计算机的情绪识别任务，他们的父母完成了广泛的精神病理学、ASD 症状和社交技能的测量。我们在协方差分析框架中使用广义估计方程来考虑嵌套。结果表明，情绪识别的性别差异以及 ADHD 特异性的适应功能的改善。同时患有焦虑症和 ADHD 的青少年出现了治疗性效应，这表明 SDARI 可能对没有多种共病问题的 ASD 青少年最有效。研究结果为解决 ASD 青少年治疗结果的变异性提供了重要方向。
