Social skill training for children with autistic spectrum disorder on the uncertainty of the disease from mothers

ZU Yanfei; DU Yasong; ZHOU Yingqun; FAN Ning; ZHU Shuyi; CAO Yang; JIANG Wenqing; XU Guangxing

doi:10.16835/j.cnki.1000-9817.2022.08.029

Volume 43 Issue 8

Aug. 2022

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(8): 1249-1253

ZU Yanfei, DU Yasong, ZHOU Yingqun, FAN Ning, ZHU Shuyi, CAO Yang, JIANG Wenqing, XU Guangxing. Social skill training for children with autistic spectrum disorder on the uncertainty of the disease from mothers[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1249-1253. doi: 10.16835/j.cnki.1000-9817.2022.08.029

Citation:

ZU Yanfei, DU Yasong, ZHOU Yingqun, FAN Ning, ZHU Shuyi, CAO Yang, JIANG Wenqing, XU Guangxing. Social skill training for children with autistic spectrum disorder on the uncertainty of the disease from mothers[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1249-1253. doi: 10.16835/j.cnki.1000-9817.2022.08.029

Citation:

ZU Yanfei, DU Yasong, ZHOU Yingqun, FAN Ning, ZHU Shuyi, CAO Yang, JIANG Wenqing, XU Guangxing. Social skill training for children with autistic spectrum disorder on the uncertainty of the disease from mothers[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(8): 1249-1253. doi: 10.16835/j.cnki.1000-9817.2022.08.029

PDF( 425 KB)

Social skill training for children with autistic spectrum disorder on the uncertainty of the disease from mothers

doi: 10.16835/j.cnki.1000-9817.2022.08.029

1.
Shanghai University of Medicine & Health Sciences/Department of Applied Psychology, Shanghai (201318), China

Received Date: 2022-01-28
Rev Recd Date: 2022-03-18

Available Online: 2022-08-24

Publish Date: 2022-08-25

Abstract

Abstract

Objective To improve the social skills of children with ASD by using Program for the Education and Enrichment of Relational Skills(PEERS^Ⓡ), and to reduce the uncertainty towards ASD and negative emotions for mothers of ASD children. Methods From September to October 2017, 30 dyads of autistic mother and child were recruited and divided into intervention group and control group (15 mother-child dyads each). Based on the content of PEERS^Ⓡ social skill, cognitive behavior therapy was delivered in group format, through demonstration, role play and group exercise. At the same time, mother-child dyads were trained using parallel social technology. Mothers and children with ASD were investigated using Parents' Perception of Uncertainty Scale (PPUS), Patient Health Questionnaire-9 (PHQ-9), Chinese Version of the Beck Depression Inventory-II(BDI-Ⅱ-C), Beck Anxiety Inventory (BAI), State-Trait Anxiety Inventory(STAI-Form Y), and Autism Behavior Checklist (ABC), Cildhood Autism Rating Scale (CARS), and Social Communication Questionnaire (SCQ). Results Changes in ASD symptom score in children and emotional score of mothers in the intervention group were less than 0. The total score of mother disease uncertainty(74.93±13.58, 90.40±9.21), ambiguity(31.13±7.07, 38.93±4.73), lack of clarity information(11.93±2.09, 13.80±2.54), unpredictability(9.60±1.99, 12.07±2.89), significantly changed after intervention(t=-3.65, -3.55, -2.20, -2.72, P < 0.05). Conclusion Social PEERS^Ⓡ group intervention can enhance the social skills of children with ASD, reduce uncertainty of illness among mother of ASD children. Timely disease-related information, guidance for mothers to actively participate in child care and training, might help to reduce cognitive bias, depressive and anxiety symptoms among mothers.
- Autistic disorder,
- Interpersonal relations,
- Group processes,
- Intervention studies,
- Child

FullText(HTML)

References(24)

References

[1]	MAENNER M J, SHAW K A, BAKIAN A V, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years: autism and developmental disabilities monitoring network, 11 sites, United States, 2018[J]. MMWR Surveill Summar, 2021, 70(11): 1-16. doi: 10.15585/mmwr.ss7011a1
[2]	CAI R Y, RICHDALE A L, DISSANAYAKE C, et al. Brief report: Inter-relationship between emotion regulation, intolerance of uncertainty, anxiety, and depression in youth with autism spectrum disorder[J]. J Autism Develop Disord, 2018, 48(1): 316-325. doi: 10.1007/s10803-017-3318-7
[3]	ULJAREVIĈ M, CARRINGTON S, LEEKAM S. Brief report: effects of sensory sensitivity and intolerance of uncertainty on anxiety in mothers of children with autism spectrum disorder[J]. J Autism Develop Disord, 2016, 46(1): 315-319. doi: 10.1007/s10803-015-2557-8
[4]	SOUTH M, HANLEY M, NORMANSELL-MOSSA K, et al. "Intolerance of uncertainty" mediates the relationship between social profile and anxiety in both Williams syndrome and autism[J]. Autism Res, 2021, 14(9): 1986-1995. doi: 10.1002/aur.2554
[5]	RODGERS J, HODGSON A, SHIELDS K, et al. Towards a treatment for intolerance of uncertainty in young people with autism spectrum disorder: development of the coping with uncertainty in everyday situations (CUES^Ⓒ) programme[J]. J Autism Develop Disord, 2017, 47(12): 3959-3966. doi: 10.1007/s10803-016-2924-0
[6]	NEIL L, OLSSON N C, PELLICANO E. The relationship between intolerance of uncertainty, sensory sensitivities, and anxiety in autistic and typically developing children[J]. J Autism Dev Disord, 2016, 46(6): 1962-1973. doi: 10.1007/s10803-016-2721-9
[7]	CAI R Y, ULJAREVIC M, LEEKAM S R. Predicting mental health and psychological wellbeing in mothers of children with autism spectrum disorder: roles of intolerance of uncertainty and coping[J]. Autism Res, 2020, 13(10): 1797-1801. doi: 10.1002/aur.2341
[8]	MISHEL M H. Parents' perception of uncertainty concerning their hospitalized child[J]. Nurs Res, 1983, 32(6): 324.
[9]	LE COUTEUR A. Autism diagnostic interview: a semi-structured interview for parents and caregivers of autistic persons[J]. J Autism Dev Disord, 1989, 19: 363-387. doi: 10.1007/BF02212936
[10]	LORD C, RUTTER M, LE COUTEUR A. Autism diagnostic interview-revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders[J]. J Autism Dev Disord, 1994, 24(5): 659-685. doi: 10.1007/BF02172145
[11]	RUTTER M, BAILEY A, LORD C. The social communication questionnaire: manual[M]. Los Angeles: Western Psychological Services, 2003.
[12]	杨晓玲, 黄悦勤, 贾美香, 等. 孤独症行为量表试测报告[J]. 中国心理卫生杂志, 1993, 7(6): 279-280. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS199306017.htm YANG X L, HUANG Y Q, JIA M X, et al. Autistic Behavior Scale test report[J]. Chin Ment Health J, 1993, 7(6): 279-280. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS199306017.htm
[13]	SCHOPLER E, REICHLER R J, DEVELLIS R F, et al. Toward objective classification of childhood autism: childhood Autism Rating Scale(CARS)[J]. J Autism Develop Disord, 1980, 10(1): 91-103.
[14]	BECK A T, STEER R A, BALL R, et al. Comparison of Beck Depression Inventories-IA and-Ⅱ in psychiatric outpatients[J]. J Person Assess, 1996, 67(3): 588-597.
[15]	BECK A T, EPSTEIN N, BROWN G, et al. An inventory for measuring clinical anxiety: psychometric properties[J]. J Consult Clin Psychol, 1988, 56(6): 893.
[16]	SPIELBERGER C D, GORSUCH R L. State-trait anxiety inventory for adults manual and sample manual, instrument and scoring guide[M]. Palo Alto: Consulting Psychologists Press, 1983.
[17]	李文利, 钱铭怡. 状态特质焦虑量表中国大学生常模修订[J]. 北京大学学报(自然科学版), 1995, 31(1): 108-114. https://www.cnki.com.cn/Article/CJFDTOTAL-BJDZ501.013.htm LI W L, QIAN M Y. Revision of the state trait anxiety inventory with sample of Chinese college students[J]. Acta Scientiarum Naturalium Univ Pekin, 1995, 31(1): 108-114. https://www.cnki.com.cn/Article/CJFDTOTAL-BJDZ501.013.htm
[18]	KROENKE K, SPITZER R L, WILLIAMS J B W. The PHQ-9: validity of a brief depression severity measure[J]. J General Intern Med, 2001, 16(9): 606-613.
[19]	LAUGESON E A, FRANKEL F, MOGIL C, et al. Parent-assisted social skills training to improve friendships in teens with autism spectrum disorder[J]. J Autism Develop Disord, 2009, 39(4): 596-606.
[20]	LAUGESON E A, FRANKEL F, GANTMAN A, et al. Evidence-based social skills training for adolescents with autism spectrum disorders: The UCLA PEERS program[J]. J Autism Develop Disord, 2012, 42(6): 1025-1036.
[21]	MOULTON E, LAUGESON E. The Program for the Education and Enrichment of Relational Skills (PEERS)[M]. New York: Academic Press, 2020: 255-273.
[22]	ZHENG S, KIM H, SALZMAN E, et al. Improving social knowledge and skills among adolescents with autism: systematic review and Meta-analysis of UCLA PEERS for adolescents[J]. J Autism Dev Disord, 2021, 51(12): 4488-4503.
[23]	杜亚松, 李改智. 科学交友: 应对交往困难[M]. 北京: 人民卫生出版社, 2019. DU Y S, LI G Z. The science of making friends helping soctally challenged teens and young aduls[M]. Beijing: People's Medical Publishing House, 2019.
[24]	WAYMENT H A, AL-KIRE R, BROOKSHIRE K. Challenged and changed: quiet ego and posttraumatic growth in mothers raising children with autism spectrum disorder[J]. Autism, 2019, 23(3): 607-618.