Utility of an Observational Social Skill Assessment as a Measure of Social Cognition in Autism.
Utility of an Observational Social Skill Assessment as a Measure of Social Cognition in Autism.
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观察性社会技能评估的效用是对自闭症社会认知的量度。
DOI：
10.1002/aur.2404
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
White SW
中科院分区：
文献类型：
--
作者：
Simmons GL;Ioannou S;Smith JV;Corbett BA;Lerner MD;White SW
自闭症谱系障碍（ASD）的社会能力受损模型突出了社会认知和社会行为的缺陷。社会技能的情境评估（卡斯）是一种基于实验室的会话能力评估，参与者与训练有素的同盟者互动，他们依次表现出兴趣（CASS-I）和无聊（CASS-B）。卡斯的生态有效性增强，可以更好地推广到现实世界的社会情况。参与者对同盟行为的看法，由卡斯会话评级量表（CRS）评估，可能提供额外的效用作为社会认知的度量。本研究考察了卡斯的同盟行为（坚持感兴趣或无聊的条件）和内部效度和收敛效度的卡斯作为一种衡量社会行为和社会认知。50名ASD青少年参与了一项多中心随机临床试验。坚持评级是一致的性别和网站，有兴趣的同盟者显着优于无聊的同盟者。区分感兴趣和无聊的同伙的能力与卡斯的社会行为和社会认知任务呈正相关，虽然在卡斯的社会行为并不总是与父母评定的社会行为。控制同盟行为并没有显着改变这些协会。研究结果表明，强大的内部效度的卡斯和，部分，外部效度的卡斯作为社会认知的措施。研究结果突出了社会行为和社会认知的细微差别。卡斯作为临床干预措施的结果指标显示出希望，应纳入多方法电池，以评估ASD患者的社会能力。社会认知和社会行为应该结合起来研究，以检查青少年自闭症患者的社会能力。卡斯是一种行为观察措施，显示了实现这一目标的希望;研究结果表明，卡斯在与会话伙伴参与度的参与者评级量表一起管理时，会挖掘社会认知和社会行为。持续的研究，包括对卡斯的检查，可能会为全面评估自闭症社交能力的最佳实践提供信息。
Models of impaired social competence in Autism Spectrum Disorder (ASD) highlight deficits in social cognition and social behavior. The Contextual Assessment of Social Skills (CASS) is a laboratory-based assessment of conversation ability in which participants interact with trained confederates who act interested (CASS-I) and bored (CASS-B), sequentially. The increased ecological validity of the CASS allows for better generalization to real-world social situations. Participants’ perceptions of confederate behavior, assessed by the CASS Conversation Rating Scale (CRS), might offer additional utility as a metric of social cognition. The current study examined CASS confederate behavior (adherence to interested or bored condition) and both internal validity and convergent validity of the CASS as a measure of social behavior and social cognition. Fifty adolescents with ASD participated as part of a multi-site randomized clinical trial. Adherence ratings were consistent across gender and site, with interested confederates significantly out-performing bored confederates. The ability to distinguish between interested and bored confederates was positively associated with CASS social behavior and social cognition tasks, although social behavior during the CASS was not consistently associated with parent-rated social behavior. Controlling for confederate behavior did not significantly alter these associations. Findings demonstrate strong internal validity of the CASS and, partially, external validity of the CASS as a measure of social cognition. Findings highlight nuanced differences in social behavior and social cognition. The CASS shows promise as an outcome measure for clinical interventions and should be incorporated into a multi-method battery to assess social competence in individuals with ASD. Social cognition and social behavior should be studied together to examine social competence in youth with autism. The CASS, a behavioral observation measure, shows promise towards this end; findings suggest the CASS taps social cognition and social behavior when administered alongside a participant rating scale of their conversation partner’s engagement. Continued research, including examination of the CASS, may inform best practices in comprehensive assessment of social competence in Autism.
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DOI：
10.1098/rstb.2002.1209
发表时间：
2003-02-28
影响因子：
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作者：
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