Examining the effectiveness of an outpatient clinic-based social skills group for high-functioning children with autism
Examining the effectiveness of an outpatient clinic-based social skills group for high-functioning children with autism
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DOI：
10.1023/b:jadd.0000006004.86556.e0
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发表时间：
2003-12-01
影响因子：
3.9
通讯作者：
Bodin, SD
中科院分区：
文献类型：
--
作者：
Barry, TD;Klinger, LG;Bodin, SD
尽管对自闭症儿童进行社交技能团体干预在门诊诊所中很常见，但很少有研究来确定此类治疗的效果。这项研究检验了对四名高功能自闭症小学生进行门诊社交技能小组干预的有效性。该小组旨在以简短的治疗形式（总共八节）教授特定的社交技能，包括问候、对话和游戏技巧。在每次技能培训课程结束时，我们都会观察自闭症儿童与典型同龄人一起进行游戏。典型的同龄人接受了关于如何与自闭症儿童互动的同伴教育。结果表明，在门诊环境中实施的社交技能小组可有效提高问候和游戏技能，但对话技能的改善不太明显。此外，自闭症儿童表示，参加该小组后，他们对学校同学的社会支持感有所增加。然而，家长报告的诊所环境之外的问候、对话和游戏技能数据表明，仅问候技能就有显着改善。因此，尽管基于临床的干预措施导致了社交技能的提高，但在推广到非临床环境方面却发现较少的变化。
Although social skills group interventions for children with autism are common in outpatient clinic settings, little research has been conducted to determine the efficacy of such treatments. This study examined the effectiveness of an outpatient clinic-based social skills group intervention with four high-functioning elementary-aged children with autism. The group was designed to teach specific social skills, including greeting, conversation, and play skills in a brief therapy format (eight sessions total). At the end of each skills-training session, children with autism were observed in play sessions with typical peers. Typical peers received peer education about ways to interact with children with autism. Results indicate that a social skills group implemented in an outpatient clinic setting was effective in improving greeting and play skills, with less clear improvements noted in conversation skills. In addition, children with autism reported increased feelings of social support from classmates at school following participation in the group. However, parent report data of greeting, conversation, and play skills outside of the clinic setting indicated significant improvements in only greeting skills. Thus, although the clinic-based intervention led to improvements in social skills, fewer changes were noted in the generalization to nonclinic settings.