Journal of Autism and Developmental Disorders

, Volume 49, Issue 12, pp 5073–5077 | Cite as

Brief Report: Reductions in Parenting Stress in the Context of PEERS—A Social Skills Intervention for Adolescents with Autism Spectrum Disorder

  • Laura L. CoronaEmail author
  • Cortney Janicki
  • Anna Milgramm
  • Kristin V. Christodulu
Brief Report


Social skills intervention is an evidence-based practice for enhancing communication and interpersonal skills in individuals with autism spectrum disorder (ASD). Participation in the Program for the Education and Enrichment of Relational Skills (PEERS®), a manualized social skills intervention for adolescents with ASD, is associated with improved social skills and peer interactions, as well as decreased autism symptoms. Participation in PEERS® has also been linked to increased parent self-efficacy and decreased family chaos. The present study examined parenting stress in the context of PEERS®. Following participation in PEERS®, parents reported lower levels of parenting stress associated with adolescent mood and social isolation. These findings provide further evidence of the family-wide benefits of adolescent-focused social skills intervention.


Autism Adolescence Social skills intervention Parenting stress 



The authors wish to thank the facilitators, graduate students, and families who participated in the PEERS program at the Center for Autism and Related Disabilities.

Author Contributions

All authors contributed to the study conception and design. Data preparation and analysis were performed by AM. The first draft of the manuscript was written by LLC (Introduction and Discussion), CJ (Methods), and AM (Results). All authors edited and commented on several versions of the manuscript. All authors read and approved the final manuscript.


Funding for this project provided by a grant from the New York State Department of Education C816000.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (include name of committee + reference number) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Data used in this study came from participants enrolled in ongoing social skills programming through a university-affiliated autism center. Deidentified data was analyzed retrospectively, after groups had been completed. Institutional review board (IRB) approval for the use of this existing data was obtained. Because existing data were analyzed retrospectively, a waiver of informed consent for use of existing data was also obtained from the IRB.


  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  2. Amico, K. R. (2009). Percent total attrition: A poor metric for study rigor in hosted intervention designs. American Journal of Public Health,99(9), 1567–1575.CrossRefGoogle Scholar
  3. Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K., Edelbrock, C., & Low, C. (2003). Pre-school children with and without developmental delay: Behaviour problems and parenting stress over time. Journal of Intellectual Disability Research,47(4–5), 217–230.CrossRefGoogle Scholar
  4. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
  5. Cohen, J. (1992). A power primer. Psychological Bulletin,112(1), 155–159.CrossRefGoogle Scholar
  6. Constantino, J. N., & Gruber, C. P. (2012). Social Responsiveness Scale (2nd ed.). Los Angeles: Western Psychological Services.Google Scholar
  7. Gresham, F., & Elliot, S. N. (2008). Social skills improvement system: Rating scales. Bloomington, MN: Pearson Assessments.Google Scholar
  8. Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders,43(3), 629–642.CrossRefGoogle Scholar
  9. Hill, T. L., Gray, S. A., Baker, C. N., Boggs, K., Carey, E., Johnson, C., … Varela, R. E. (2017). A pilot study examining the effectiveness of the PEERS program on social skills and anxiety in adolescents with autism spectrum disorder. Journal of Developmental and Physical Disabilities29(5), 797–808.CrossRefGoogle Scholar
  10. Karst, J. S., Van Hecke, A. V., Carson, A. M., Stevens, S., Schohl, K., & Dolan, B. (2015). Parent and family outcomes of PEERS: A social skills intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders,45(3), 752–765.CrossRefGoogle Scholar
  11. Kasari, C., Gulsrud, A., Paparella, T., Hellemann, G., & Berry, K. (2015). Randomized comparative efficacy study of parent-mediated interventions for toddlers with autism. Journal of Consulting and Clinical Psychology,83(3), 554.CrossRefGoogle Scholar
  12. Laugeson, E. A., & Frankel, F. H. (2010). Social skills for teenagers with developmental and Autism Spectrum Disorders: The PEERS treatment manual. New York: Routledge.Google Scholar
  13. Laugeson, E. A., Frankel, F., Gantman, A., Dillon, A. R., & Mogil, C. (2012). Evidence-based social skills training for adolescents with autism spectrum disorders: The UCLA PEERS program. Journal of Autism and Developmental Disorders,42, 1025–1036.CrossRefGoogle Scholar
  14. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2003). Autism diagnostic observation schedule: ADOS. Los Angeles: Western Psychological Services.Google Scholar
  15. Mandelberg, J., Laugeson, E. A., Cunningham, T. D., Ellingsen, R., Bates, S., & Frankel, F. (2014). Long-term treatment outcomes for parent-assisted social skills training for adolescents with autism spectrum disorders: The UCLA PEERS program. Journal of Mental Health Research in Intellectual Disabilities,7(1), 45–73.CrossRefGoogle Scholar
  16. National Autism Center. (2015). Findings and conclusions: National standards project, phase 2. Randolph, MA: Author.Google Scholar
  17. Orsmond, G. I., Krauss, M. W., & Seltzer, M. M. (2004). Peer relationships and social and recreational activities among adolescents and adults with autism. Journal of Autism and Developmental Disorders,34(3), 245–256.CrossRefGoogle Scholar
  18. Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2008). Parenting stress reduces the effectiveness of early teaching interventions for autistic spectrum disorders. Journal of Autism and Developmental Disorders,38(6), 1092.CrossRefGoogle Scholar
  19. Rosenthal, R. (1991). Meta-analytic procedures for social research (2nd ed.). Newbury Park, CA: Sage.CrossRefGoogle Scholar
  20. Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview-revised (Vol. 29, p. 30). Los Angeles: Western Psychological Services.Google Scholar
  21. Schiltz, H. K., McVey, A. J., Dolan, B. K., Willar, K. S., Pleiss, S., Karst, J. S., … Van Hecke, A. V. (2018). Changes in depressive symptoms among adolescents with ASD completing the PEERS® social skills intervention. Journal of Autism and Developmental Disorders48(3), 834–843.CrossRefGoogle Scholar
  22. Schohl, K. A., Van Hecke, A. V., Carson, A. M., Dolan, B., Karst, J., & Stevens, S. (2014). A replication and extension of the PEERS intervention: Examining effects on social skills and social anxiety in adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders,44(3), 532–545.CrossRefGoogle Scholar
  23. Sheras, P. L., Abidin, R. R., & Konold, T. R. (1998). Stress index for parents of adolescents (SIPA). Odessa, FL: Psychological Assessment Resources.Google Scholar
  24. Siman-Tov, A., & Kaniel, S. (2011). Stress and personal resource as predictors of the adjustment of parents to autistic children: A multivariate model. Journal of Autism and Developmental Disorders,41(7), 879–890.CrossRefGoogle Scholar
  25. White, S. S., Keonig, K., & Scahill, L. (2007). Social skills development in children with autism spectrum disorders: A review of the intervention research. Journal of Autism and Developmental Disorders,37(10), 1858–1868.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Laura L. Corona
    • 1
    Email author
  • Cortney Janicki
    • 2
  • Anna Milgramm
    • 2
  • Kristin V. Christodulu
    • 2
  1. 1.Vanderbilt University Medical CenterNashvilleUSA
  2. 2.Center for Autism and Related DisabilitiesUniversity at Albany, State University of New YorkAlbanyUSA

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