Effectiveness of group skills training intervention on social ability of high functional autism spectrum disorder children

HU Shasha; ZHAO Xiao; ZHU Zhenzhen; LIU Xiaoli; WANG Rong; HU Zhenyu; ZHANG Wenwu

doi:10.16835/j.cnki.1000-9817.2025064

Volume 46 Issue 2

Feb. 2025

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HU Shasha, ZHAO Xiao, ZHU Zhenzhen, LIU Xiaoli, WANG Rong, HU Zhenyu, ZHANG Wenwu. Effectiveness of group skills training intervention on social ability of high functional autism spectrum disorder children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 167-171. doi: 10.16835/j.cnki.1000-9817.2025064

Citation:

HU Shasha, ZHAO Xiao, ZHU Zhenzhen, LIU Xiaoli, WANG Rong, HU Zhenyu, ZHANG Wenwu. Effectiveness of group skills training intervention on social ability of high functional autism spectrum disorder children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 167-171. doi: 10.16835/j.cnki.1000-9817.2025064

Citation:

HU Shasha, ZHAO Xiao, ZHU Zhenzhen, LIU Xiaoli, WANG Rong, HU Zhenyu, ZHANG Wenwu. Effectiveness of group skills training intervention on social ability of high functional autism spectrum disorder children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 167-171. doi: 10.16835/j.cnki.1000-9817.2025064

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Effectiveness of group skills training intervention on social ability of high functional autism spectrum disorder children

doi: 10.16835/j.cnki.1000-9817.2025064

Children and Adolescents Diagnosis and Treatment Center, the Affiliated Kangning Hospital of Ningbo University, Ningbo (315201), Zhejiang Province, China

Received Date: 2024-11-08
Rev Recd Date: 2025-01-07

Available Online: 2025-03-05

Publish Date: 2025-02-25

Abstract

Abstract

Objective To evaluate the intervention efficacy of integrated group social skills training on social ability in school-age patients with high-functioning ASD, so as to provide a reference for improving social skills in children with high-functioning ASD. Methods From January 2021 to December 2023, 62 children aged 7-12 with high-functioning ASD who visited the Children's Psychiatry Outpatient Department of the Affiliated Kangning Hospital of Ningbo University were recruited, and were randomly divided into a training (n=31) and a control group (n=31) by a random number table method. The training group received a 20-week structured group social training program (mental interpretation courses and social courses), while the control group received only conventional treatment. Chinese version of Griffith Empathy Measure Parent Ratings (GEM-PR) and Social Response Scale (SRS) were used to assess the symptoms of social deficits before and after treatment. Emotional face recognition tasks and eye movement trajectories were used to test the characteristics of social visual attention in children with ASD. Group comparison was conducted using t-test and Mann-Whitney U test. Results At baseline, there were no significant differences in GEM-PR score (t=-1.20 to -0.81), SRS score (t=-0.36-1.75), emotional face recognition accuracy and reaction time (t=-0.58-1.85), and eye movement trajectory (U/t=-1.63-0.29) between the two group (P>0.05). After intervention, the total GEM-PR score and empathic cognitive factor score of training group [18.00(10.00, 24.00), 9.00(8.00, 13.00)] were significantly higher than those of the control group [12.00(-1.00, 18.00), 2.00(-2.00, 7.00)], and the total SRS score and social cognition, social perception, social communication, social motivation (73.23±14.20, 16.16±2.72, 6.58±2.50, 24.29±5.61, 9.52±3.73) were significantly lower than those of the control group (95.26±15.29, 19.90±2.84, 12.58±2.49, 31.94±6.38, 13.74±4.81) (U/t=-2.38, -4.59; -5.88, -5.29, -9.47, -5.01, -3.87, P < 0.05). The overall correct rate of emotional face recognition and the correct rate of angry, fearful and neutral faces recognition in the training group [(81.55±6.62)%, (76.86±12.06)%, (79.61±12.42)%, (94.27±6.26)%] were significantly higher than the control group [(70.55±13.82)%, (62.82±18.77)%, (67.18±18.85)%, (79.60±20.05)%], and the average reaction time [(2 226.70±274.43)ms] was lower than the control group [(2 417.27±324.10)ms] (t=4.00, 3.50, 3.07, 3.89, -2.42, P < 0.05). The time to first eye gaze [764.74 (748.64, 793.73) ms] in the training group was significantly lower than that in the control group [810.92 (782.86, 877.42) ms], and the proportion of moderate-to-high intensity attention area in the face [(37.37±1.27)%] was significantly higher than that in the control group [(30.34±1.23)%] (U/t=3.44, 8.89, P < 0.05). Conclusions Integrated group social training can significantly improve the social communication and empathy ability of high-functioning ASD children, increase active attention and recognition ability of faces, and improve mental development of children with ASD.
- Autistic disorder,
- Psychology, social,
- Intervention studies,
- Child

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References(19)

References

[1]	American Psychiatric Association. Diagnostic and statistical manual of mental disorders(DSM-V)[M]. Arlington, VA: American Psychiatric Association, 2013.
[2]	JIN P, WANG Y, LI Y, et al. The fair decision-making of children and adolescents with high-functioning autism spectrum disorder from the perspective of dual-process theories[J]. BMC Psychiatry, 2020, 20(1): 152. doi: 10.1186/s12888-020-02562-8
[3]	LI Q, LI Y, LIU B, et al. Prevalence of autism spectrum disorder among children and adolescents in the United States from 2019 to 2020[J]. JAMA Pediatr, 2022, 176(9): 943-945. doi: 10.1001/jamapediatrics.2022.1846
[4]	ZHOU H, XU X, YAN W, et al. Prevalence of autism spectrum disorder in China: a nationwide multi-center population-based study among children aged 6 to 12 years[J]. Neurosci Bull, 2020, 36(9): 961-971. doi: 10.1007/s12264-020-00530-6
[5]	HASTINGS S E, HASTINGS R P, SWALES M A, et al. Emotional and behavioural problems of children with autism spectrum disorder attending mainstream schools[J]. Int J Dev Disabil, 2021, 68(5): 633-640.
[6]	NARZISI A, SESSO G, FABBRI-DESTRO M, et al. Social skills interventions for adolescents with level 1 autism spectrum disorder: a systematic review with Meta-analysis of randomized controlled trials[J]. Clin Neuropsychiatry, 2024, 21(3): 169-181.
[7]	FRYE R E, VASSALL S, KAUR G, et al. Emerging biomarkers in autism spectrum disorder: a systematic review[J]. Ann Transl Med, 2019, 7(23): 792. doi: 10.21037/atm.2019.11.53
[8]	RANTS S, BRADISH K, CONLIN H, et al. PEERS curriculum for children with autism spectrum disorder: a scoping review[J]. Phys Occup Ther Pediatr, 2024, 44(6): 865-873. doi: 10.1080/01942638.2024.2356808
[9]	张厚粲. 韦氏儿童智力量表第四版(WISC-IV)中文版的修订[J]. 心理科学, 2009, 32(5): 1177-1179. ZHANG H C. The revision of WISC-IV Chinese version[J]. Psychol Sci, 2009, 32(5): 1177-1179. (in Chinese)
[10]	肖运华, 曹原, 朱棣, 等. 中文版格里菲斯共情测验父母评定版的信效度研究[J]. 中华行为医学与脑科学杂志, 2016, 25(6): 561-564. XIAO Y H, CAO Y, ZHU D, et al. Reliability and validity of the Chinese version of the Griffith Empathy Measure Parent Ratings[J]. Chin J Behav Med Brain Sci, 2016, 25(6): 561-564. (in Chinese)
[11]	龚俊, 邹时朴, 刘冬梅, 等. 社交反应量表的信效度分析[J]. 中国医学创新, 2019, 16(1): 19-23. GONG J, ZHOU S P, LIU D M, et al. Reliability and validity of Social Responsiveness Scale[J]. Med Innovat China, 2019, 16(1): 19-23. (in Chinese)
[12]	王妍, 罗跃嘉. 大学生面孔表情材料的标准化及其评定[J]. 中国临床心理学杂志, 2005, 13(4): 21-23. WANG Y, LUO Y J. Standardization and assessment of college students' facial expression of emotion[J]. Chin J Clin Psychol, 2005, 13(4): 21-23. (in Chinese)
[13]	WALLACE G L, DUDLEY K, ANTHONY L, et al. Divergence of age-related differences in social-communication: improvements for typically developing youth but declines for youth with autism spectrum disorder[J]. J Autism Dev Disord, 2017, 47(2): 472-479. doi: 10.1007/s10803-016-2972-5
[14]	JUNTTILA M, KIELINEN M, JUSSILA K, et al. The traits of autism spectrum disorder and bullying victimization in an epidemiological population[J]. Eur Child Adolesc Psychiatry, 2024, 33(4): 1067-1080. doi: 10.1007/s00787-023-02228-2
[15]	WOLSTENCROFT J, ROBINSON L, SRINIVASAN R, et al. A systematic review of group social skills interventions, and Meta-analysis of outcomes, for children with high functioning ASD[J]. J Autism Dev Disord, 2018, 48(7): 2293-2307. doi: 10.1007/s10803-018-3485-1
[16]	TSANG V. Eye-tracking study on facial emotion recognition tasks in individuals with high-functioning autism spectrum disorders[J]. Autism, 2018, 22(2): 161-170. doi: 10.1177/1362361316667830
[17]	JEON H, HUR A, LEE H, et al. The relationship between brain activation for taking others' perspective and interoceptive abilities in autism spectrum disorder: an fMRI study[J]. Soa Chongsonyon Chongsin Uihak, 2024, 35(3): 197-209.
[18]	陈友庆, 李菲蓉. 孤独症谱系障碍儿童的眼动特点[J]. 精神医学杂志, 2019, 32(5): 393-396. CHEN Y Q, LI F R. Eye movement characteristics of children with autism spectrum disorder[J]. J Psychiatry, 2019, 32(5): 393-396. (in Chinese)
[19]	GREENE R K, PARISH-MORRIS J, SULLIVAN M, et al. Dynamic eye tracking as a predictor and outcome measure of social skills intervention in adolescents and adults with autism spectrum disorder[J]. J Autism Dev Disord, 2021, 51(4): 1173-1187. doi: 10.1007/s10803-020-04594-1