본문 바로가기
KERD
논문KCI 등재

청소년 자폐스펙트럼장애에서 사회기술훈련의 효과에 미치는 우울, 불안 증상의 영향

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

1

조회

0

다운로드

5

인용

0

참고문헌

키워드

주제분류정신과학

초록

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. (Anxiety and Mood 2018;14(2):99-105)

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. (Anxiety and Mood 2018;14(2):99-105)

참고문헌 (44)

  1. Association Psychiatric Association, "Diagnostic and statistical manual of mental disorders: fifth edition (DSM-5)" (2013), American Psychiatric Association
  2. Schall CM, "Autism spectrum disorders in adolescence and early adulthood: Characteristics and issues", J Vocat Rehabil, 32, pp.81~88 (2010)
  3. McMahon CM, "Group-based social skills interventions for adolescents with higher-functioning autism spectrum disorder: a review and looking to the future", Adolesc Health Med Ther, 4, pp.23~28 (2013)
  4. White SW, "Social skills development in children with autism spectrum disorders: A review of the intervention research", J Autism Dev Disord, 37, pp.1858~1868 (2007)
  5. Laugeson EA, "Social skills for teenagers with developmental and autism spectrum disorders: The PEERS treatment manual" (2010), Routledge
  6. Gantman A, "Social skills training for young adults with high-functioning autism spectrum disorders:A randomized controlled pilot study", J Autism Dev Disord, 42, pp.1094~1103 (2012)
  7. Laugeson EA, "Evidencebased social skills training for adolescents with autism spectrum disorders:The UCLA PEERS program", J Autism Dev Disord, 42, pp.1025~1036 (2012)
  8. McVey AJ, "A replication and extension of the PEERS® for young adults social skills intervention: Examining effects on social skills and social anxiety in young adults with autism spectrum disorder", J Autism Dev Disord, 46, pp.3739~3754 (2016)
  9. Schiltz HK, "Changes in depressive symptoms among adolescents with ASD completing the PEERS® social skills intervention", J Autism Dev Disord, 48, pp.834~843 (2018)
  10. Schohl KA, "A replication and extension of the PEERS intervention: Examining effects on social skills and social anxiety in adolescents with autism spectrum disorders", J Autism Dev Disord, 44, pp.532~545 (2014)
  11. Yoo HJ, "A randomized controlled trial of the Korean version of the PEERS® parent-assisted social skills training program for teens with ASD", Autism Res, 7, pp.145~161 (2014)
  12. Laugeson EA, "Social skills for teenagers with developmental and autism spectrum disorders: The PEERS treatment manual" (2013), SigmaPress
  13. Leyfe OT, "Comorbid psychiatric disorders in children with autism: interview development and rates of disorders", J Autism Dev Disord, 36, pp.849~861 (2006)
  14. Simonoff E, "Psychiatric disorders in children with autism spectrum disorders:prevalence, comorbidity, and associated factors in a population-derived sample", J Am Acad Child Adolesc Psychiatry, 47, pp.921~929 (2008)
  15. van Steensel FJ, "Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis", Clin Child Fam Psychol Rev, 14, pp.302~ (2011)
  16. White SW, "Anxiety in children and adolescents with autism spectrum disorders", Clin Psychol Rev, 29, pp.216~229 (2009)
  17. Bellini S, "Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders", Focus Autism Other Dev Disabl, 19, pp.78~86 (2004)
  18. Stewart ME, "Presentation of depression in autism and Asperger syndrome: A review", Autism, 10, pp.103~116 (2006)
  19. Sterling L, "Characteristics associated with presence of depressive symptoms in adults with autism spectrum disorder", J Autism Dev Disord, 38, pp.1011~1018 (2008)
  20. Mattila ML, "Comorbid psychiatric disorders associated with Asperger syndrome", high-functioning autism: a community-and clinic-based study, 2010, pp.40, 1080~1093
  21. Farrugia S, "Anxiety in adolescents with Asperger syndrome:Negative thoughts, behavioral problems, and life interference", Focus Autism Other Dev Disabl, 21, pp.25~35 (2006)
  22. Matson JL, "Comorbid psychopathology with autism spectrum disorder in children: An overview", Res Dev Disabil, 28, pp.341~352 (2007)
  23. Gates JA, "Efficacy of group social skills interventions for youth with autism spectrum disorder: A systematic review and meta-analysis", Clin Psychol Rev, 52, pp.164~181 (2017)
  24. Antshel KM, "Comorbid ADHD and anxiety affect social skills group intervention treatment efficacy in children with autism spectrum disorders", J Dev Behav Pediatr, 32, pp.439~446 (2011)
  25. Lord C, "Autism Diagnostic Interview-Revised:a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders", J Autism Dev Disord, 24, pp.659~685 (1994)
  26. Yoo HJ, "Korean Version of Autism Diagnostic Interview-Revised (ADI-R)" (2007), Hakjisa
  27. Lord C, "Autism diagnostic observation schedule: ADOS manual" (2008), Western Psychological Services
  28. Yoo HJ, "Korean version of Autism Diagnostic Observation Schedule (ADOS)" (2007), Hakjisa
  29. Korean educational developmental institute-Wechsler intelligence scale for children (KEDIWISC), "Park KS", Korean Educational Development Institute, ~ (2002)
  30. Kwak KC, "Korean Wechsler Intelligence Scale for Children-III" (2001), Special Education Publishing Co
  31. Hwang, ST, "K-WAIS-IV Administration and Scoring Manual" (2012), Korean Psychology
  32. Development of Korean version of child behavior checklist (K-CBCL), "Oh KJ", Korean Research Foundation, ~ (1990)
  33. Constantino J, "Social Responsive Scale (SRS) manual" (2005), Western Psychological Services
  34. Frazier TW, "Confirmatory factor analytic structure and measurement invariance of quantitative autistic traits measured by the Social Responsiveness Scale-2", Autism, 18, pp.31~44 (2014)
  35. Frazier TW, "Validation of proposed DSM-5 criteria for autism spectrum disorder", J Am Acad Child Adolesc Psychiatry, 51, pp.28~40 (2012)
  36. Cho S, "Development of the Korean form of the Kovacs’ Children’s Depression Inventory", Journal of Korean Neuropsychiatry Association, 29, pp.943~956 (1990)
  37. 방영롱, "Cut-Off Scores of the Children’s Depression Inventory for Screening and Rating Severity in Korean Adolescents", PSYCHIATRY INVESTIGATION, 12(1), pp.23~28 (2015), 대한신경정신의학회[DOI]
  38. Spielberger CD, "STAIC preliminary manual for the State-Trait Anxiety Inventory for Children (“How I Feel Questionnaire”)" (1973), Consulting Psychologists Press
  39. Cho S, "Development of the Korean form of the State-Trait Anxiety Inventory for Children", Seoul Journal of Psychiatry, 14, pp.150~157 (1989)
  40. Achenbach TM, "Integrative guide for the 1991 CBCL", 4-18, YSR, and TRF profiles, 1991
  41. Locke J, "Loneliness, friendship quality and the social networks of adolescents with high-functioning autism in an inclusive school setting", J Res Spec Educ Needs, 10, pp.74~81 (2010)
  42. Ollendick TH, "Comorbidity as a predictor and moderator of treatment outcome in youth with anxiety, affective, attention deficit", hyperactivity disorder, and oppositional, Clin Psychol Rev, pp.2008, 28[DOI]
  43. Hannon G, "Suicidal behaviour in adolescents and young adults with ASD: Findings from a systematic review", Clin Psychol Rev, 33, pp.1197~1204 (2013)
  44. Corbett BA, "Adolescence, stress and cortisol in autism spectrum disorders", OA Autism, 1, pp.2~ (2014)

관련 논문AI추천

이 간행물의 다른 논문 (10건)