Anxiety Mood.  2018 Oct;14(2):99-105. 10.24986/anxmod.2018.14.2.99.

The Effects of Anxiety and Depression on Treatment Outcome of Social Skills Training in Adolescents with Autism Spectrum Disorder

Affiliations
  • 1Department of Psychiatry, Seoul National University Hospital, Seoul, Korea.
  • 2Didim Psychiatric Clinic, Hwaseong, Korea.
  • 3Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Korea. hjyoo@snu.ac.kr
  • 4Seoul National University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVE
The purpose of this study was to investigate effects of depression and anxiety on treatment response of social skills training in adolescents with autism spectrum disorders (ASD).
METHODS
A total of 107 teenagers that participated in the Program for the Education and Enrichment of Relational Skills (PEERS®) between 2011 and 2015 were analyzed using linear regression. Outcome measures used were the Korean version of Social Responsiveness Scale (SRS), the Test of Adolescent Social Skills Knowledge-Revised (TASSK-R), and the Korean version of Autism Diagnostic Observation Schedule (K-ADOS). Depression and anxiety were assessed by the Korean version of Child Depression Inventory (CDI), the Korean version of State and Trait Anxiety Inventory for Children (STAIC), and the Korean version of Child Behavior Checklist (K-CBCL).
RESULTS
As a result, depressive symptoms measured by CDI (p < 0.05) and anxiety symptoms measured by STAIC (p < 0.05) had significant influence on score change of social interaction domain of ADOS. It remained significant even after the baseline score was adjusted as covariates (p < 0.05).
CONCLUSION
We observed that pre-treatment anxiety and depressive symptoms of teenagers had significant effects on the treatment outcome of PEERS®, especially in terms of face-to-face social interaction.

Keyword

PEERS®; Social skills training; Autism spectrum disorder; Adolescent; Comorbidity; Depression; Anxiety

MeSH Terms

Adolescent*
Anxiety*
Appointments and Schedules
Autism Spectrum Disorder*
Autistic Disorder*
Checklist
Child
Child Behavior
Comorbidity
Depression*
Education
Humans
Interpersonal Relations
Linear Models
Outcome Assessment (Health Care)
Social Skills*
Treatment Outcome*
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