Autism & Developmental

Measuring the plasticity of social approach: a randomized controlled trial of the effects of the PEERS intervention on EEG asymmetry in adolescents with autism spectrum disorders.

Van Hecke et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

PEERS rewires teen brains toward social approach while boosting real friendships.

✓ Read this if BCBAs running teen social skills groups in clinics or schools.
✗ Skip if Practitioners working with non-verbal or adult clients.

01Research in Context

01

What this study did

Van Hecke et al. (2015) tested PEERS with 28 teens who have autism. Half got the 14-week social skills class. Half stayed on the waitlist.

The team used EEG caps to watch brain activity before and after. They looked at left-right balance while teens viewed social pictures.

02

What they found

After PEERS, the trained group showed more left-brain activity. This pattern links to approach and social interest.

The same teens also made more new friends and scored lower on autism symptoms. The waitlist group did not change.

03

How this fits with other research

Barry et al. (2024) extends PEERS by teaching autistic teens to sequence social events using RFT drills. Both studies show teens can learn new social skills, but PEERS used group coaching while Deirdre used one-on-one drills.

Stewart et al. (2018) reviewed 48 studies on aided AAC modeling. Like PEERS, these interventions boosted expressive communication. PEERS adds that gains can show up in brain waves, not just behavior.

Honig et al. (1988) found peer models teach language as well as adults. PEERS builds on this by using peer coaches in every session.

Siaperas et al. (2006) used TEACCH with autistic adults years earlier. PEERS updates the idea for teens and adds brain measures.

04

Why it matters

You can now tell parents that PEERS not only improves friendships but also shifts brain activity toward social approach. If you run PEERS, add a quick EEG or simple mood check to show change. The protocol is ready to use Monday in clinic or school groups.

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→ Action — try this Monday

Start your next PEERS session with a 2-minute social approach warm-up: have teens greet three peers using the PEERS two-step hello.

02At a glance

Intervention
other
Design
randomized controlled trial
Population
autism spectrum disorder, neurotypical
Finding
positive

03Original abstract

This study examined whether the Program for the Education and Enrichment of Relational Skills (PEERS: Social skills for teenagers with developmental and autism spectrum disorders: The PEERS treatment manual, Routledge, New York, 2010a) affected neural function, via EEG asymmetry, in a randomized controlled trial of adolescents with Autism spectrum disorders (ASD) and a group of typically developing adolescents. Adolescents with ASD in PEERS shifted from right-hemisphere gamma-band EEG asymmetry before PEERS to left-hemisphere EEG asymmetry after PEERS, versus a waitlist ASD group. Left-hemisphere EEG asymmetry was associated with more social contacts and knowledge, and fewer symptoms of autism. Adolescents with ASD in PEERS no longer differed from typically developing adolescents in left-dominant EEG asymmetry at post-test. These findings are discussed via the Modifier Model of Autism (Mundy et al. in Res Pract Persons Severe Disabl 32(2):124, 2007), with emphasis on remediating isolation/withdrawal in ASD.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-013-1883-y