Assessment & Research

Relations between social skills and high-risk sexual interactions among adolescents. Current issues and future directions.

Nangle et al. (1993) · Behavior modification 1993
★ The Verdict

We still lack teen-focused tools that link specific social skills to lower sexual risk, so build your own brief role-play tests and check if they work in real dating moments.

✓ Read this if BCBAs writing social-skills goals for middle- or high-school students in health or sex-ed settings.
✗ Skip if Clinicians serving only elementary or adult clients with no sexual-risk curriculum.

01Research in Context

01

What this study did

Nangle et al. (1993) wrote a narrative review. They looked at studies linking teen social skills to risky sex. They wanted to know which skills matter and how to measure them.

The authors did not run new experiments. They summed up what was known and pointed out gaps.

02

What they found

The review found no clear tools. No one agreed on which social skills reduce sexual risk. Studies used different labels and weak tests.

The team said we need sharper tests and tighter links between skill and risk.

03

How this fits with other research

Wang et al. (2013) later counted big gains for social-skills training in autism. Their meta-analysis of single-case studies shows the field did build the data set W et al. asked for.

Hutchins et al. (2020) found moderate effects in schools, but generalization stayed low. This echoes W et al.'s worry that skills may not move to real teen moments, including sexual ones.

Szempruch et al. (1993) wrote the same year on the same problem: how to make skills last. Together the two 1993 reviews form a snapshot: everyone knew measurement and generalization were weak; the field then spent decades fixing it.

04

Why it matters

If you write sex-ed or social-skills goals for teens, first pick an assessment that spells out exact behaviors. Tie each goal to a real-life sexual risk, such as saying no without alienating peers. Then plan for generalization: practice in real places, with real people, and track if the skill travels beyond your session.

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→ Action — try this Monday

Pick one sexual-risk scenario your teen faces, script three short assertive responses, and run a five-minute role-play probe before and after lunch to see if the skill sticks.

02At a glance

Intervention
not applicable
Design
narrative review
Population
neurotypical
Finding
not reported

03Original abstract

Researchers have begun to employ social-skills training in efforts to change the sexual behavior of adolescents. However, despite the promise of social-skills training, little is known about how social skills are related to the sexual practices of adolescents. The present article reviews the current literature and proposes a conceptual framework for understanding the relations between social skills and sexual behavior of adolescents by (a) examining the relationship between sexual activity and social skills, (b) examining the development of sexual-interaction skills and deficits, (c) summarizing what is currently known about the relations between social skills and sexual behavior, (d) discussing current issues in the assessment and treatment of sexual-interaction skills deficits, and (e) proposing some directions for needed research that will add both to our current knowledge base and to the effectiveness of applied intervention efforts.

Behavior modification, 1993 · doi:10.1177/01454455930172002