Applicability and Effectiveness of Social Competence Group Intervention on Adults with Autism Spectrum Disorder in a Chinese Context: A Community-Based Study with Self- and Parent-Report
- 33 Downloads
Social competence training for adults with ASD were limited in comparison to intervention for children or adolescents. CBT-CSCA is a culturally-sensitive social competence training specially developed for adolescents in Hong Kong. With its demonstrated effectiveness, the current study outlined the adaptions of its adult version, CBT-CSCA (Adult) and examined its treatment effectiveness. Thirty-six adults (aged 18–29 years, with a FSIQ above 80) completed the intervention. Significant improvements were shown in overall social competence, from both self- and parent-report, and negative mood. Participants also reported satisfactory knowledge gain and confidence in applying content learnt after each session. The study provided evidence support to the applicability and effectiveness of social competence training for adults with ASD in the Chinese culture.
KeywordsAutistic spectrum disorder (ASD) Social competence Adult CBT Chinese
The authors would like to acknowledge the Hong Kong Jockey Club Charities Trust for its financial support to the Jockey Club iREACH Social Competence Development and Employment Support Center, New Life Psychiatric Rehabilitation Association. We would also like to thank Fan Mui Ying, Joe Chan, Doris Huang, Chris Lam and other colleagues for their valuable assistance on this study. We are grateful to the participants and families who participated.
RC conceived of the study, participated in its design and coordination. CL & MY developed the intervention protocol under the supervision of RC. HT wrote the first draft under the supervision of CL. CL & RC revised and finalized the manuscript.
Compliance with Ethical Standards
Conflict of interest
All authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Allison, C., Auyeung, B., & Baron-Cohen, S. (2012). Toward brief “red flags” for autism screening: The short autism spectrum quotient and the short quantitative checklist in 1000 cases and 3000 controls. Journal of the American Academy of Child and Adolescent Psychiatry, 51(2), 202–212.CrossRefGoogle Scholar
- Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5–17.CrossRefGoogle Scholar
- Berger, H. J. C., van Spaendonck, K. P. M., Horstink, M. W. I. M., Buytenhuijs, E. L., Lammers, P. W. J. M., & Cools, A. R. (1993). Cognitive shifting as a predictor of progress in social understanding in high-functioning adolescents with autism: A prospective study. Journal of Autism and Developmental Disorders, 23, 341–359.CrossRefGoogle Scholar
- Cheung, S. (2000). Psychometric properties of the Chinese version of the parental stress scale. Psychologia: An International Journal of Psychology in the Orient, 43, 253.Google Scholar
- Eack, S. M., Greenwald, D. P., Hogarty, S. S., Bahorik, A. L., Litschge, M. Y., Mazefsky, C. A., et al. (2013). Cognitive enhancement therapy for adults with autism spectrum disorder: Results of an 18-month feasibility study. Journal of Autism and Developmental Disorders, 43(12), 2866–2877.CrossRefGoogle Scholar
- Joshi, G., Wozniak, J., Petty, C., Martelon, M. K., Fried, R., Bolfek, A., ... & Caruso, J. (2013). Psychiatric comorbidity and functioning in a clinically referred population of adults with autism spectrum disorders: A comparative study. Journal of Autism and Developmental Disorders, 43(6), 1314–1325.Google Scholar
- Leung, C. (2015). The Construction and Validation of Short-Form, Chinese Autism Spectrum Quotient (Chinese-AQ-10) (Unpublished Master Dissertation). Department of Psychology, The Chinese University of Hong Kong, Hong Kong.Google Scholar
- Leung, T. Y. (2014). A psychometric study of the Chinese version of the multidimensional social competence scale (MSCS-C) on adolescents with autism spectrum disorder (ASD) in Hong Kong (Unpublished Master Dissertation). Department of Psychology, The Chinese University of Hong Kong, Hong Kong.Google Scholar
- NICE. (2013). Autism spectrum disorder in adults: Diagnosis and management, CG 142. England: NICE.Google Scholar
- Oswald, T. M., Winder-Patel, B., Ruder, S., Xing, G., Stahmer, A., & Solomon, M. (2018). A pilot randomized controlled trial of the ACCESS program: A group intervention to improve social, adaptive functioning, stress coping, and self-determination outcomes in young adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(5), 1742–1760.CrossRefGoogle Scholar
- Poon, W. K. V. (2011). Evaluation of the Psychometric Properties of the Chinese Version of Autism-Spectrum Quotient (AQ-Adult-C) (Unpublished Master Dissertation). Department of Psychology, The Chinese University of Hong Kong, Hong Kong.Google Scholar
- Shu, D. (2011). Evaluation of the Psychometric Properties of the Parent-Report Chinese Version of Autism-Spectrum Quotient (AQ-Adult-C) (Unpublished Doctoral Dissertation). Department of Psychology, The Chinese University of Hong Kong, Hong Kong.Google Scholar
- Taouk, M. L., Lovibond, P. F., & Laube, R. (2001). Psychometric properties of a Chinese version of the short Depression Anxiety Stress Scales (DASS21). Sydney: Report for New South Wales Transcultural Mental Health Centre, Cumberland Hospital.Google Scholar
- Yerys, B. E., Wallace, G. L., Harrison, B., Celano, M. J., Giedd, J. N., & Kenworthy, L. E. (2009). Set-shifting in children with autism spectrum disorders: Reversal shifting deficits on the Intradimensional/Extradimensional Shift Test correlate with repetitive behaviors. Autism, 13(5), 523–538.Google Scholar
- Yoo, H. J., Bahn, G., Cho, I. H., Kim, E. K., Kim, J. H., Min, J. W., ... & Cho, S. (2014). A randomized controlled trial of the Korean version of the PEERS® parent-assisted social skills training program for teens with ASD. Autism Research, 7(1), 145–161.Google Scholar