Autism & Developmental

Social skills and problem behaviours in school aged children with high-functioning autism and Asperger's Disorder.

Macintosh et al. (2006) · Journal of autism and developmental disorders 2006
★ The Verdict

High-functioning autism and Asperger's show equivalent social skill deficits - treat them the same in intervention planning.

✓ Read this if BCBAs working with school-age kids with high-functioning autism or Asperger's in clinic or school settings
✗ Skip if BCBAs working exclusively with optimal outcome clients or very young children

01Research in Context

01

What this study did

Dyer et al. (2006) compared kids with high-functioning autism and Asperger's to typical peers. They looked at social skills and problem behaviors in school-age children. The study used a quasi-experimental design to measure these differences.

02

What they found

Both groups - high-functioning autism and Asperger's - showed big social skill deficits. They also had more problem behaviors than typical kids. The deficits were equally large for both diagnostic groups.

03

How this fits with other research

This finding seems to contradict Lemons et al. (2015), who found that kids who lost their ASD diagnosis had normal social skills. But the difference is in the samples - Kathleen's study looked at kids who kept their diagnosis, while J et al. studied 'optimal outcome' kids who no longer qualified for ASD.

The results build on earlier work by Symons et al. (2005) and Anderson et al. (2004), who also found social deficits in autism. Kathleen's study extends this by showing the deficits are equally severe across high-functioning autism and Asperger's labels.

Allik et al. (2008) used the same quasi-experimental approach with the same population, but studied sleep instead of social skills. This shows the research method works well for comparing these diagnostic groups.

04

Why it matters

Stop treating Asperger's and high-functioning autism as different when planning social skills interventions. The social deficits are equally severe in both groups, so use the same evidence-based strategies regardless of which label is in the chart. Focus on teaching specific social skills rather than worrying about diagnostic distinctions that don't predict skill level.

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Use the same social skills intervention protocols for all high-functioning clients regardless of Asperger's vs autism labels

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
56
Population
autism spectrum disorder
Finding
negative
Magnitude
large

03Original abstract

The social skills and problem behaviours of children with high-functioning autism and Asperger's Disorder were compared using parent and teacher reports on the Social Skills Rating System. The participants were 20 children with high-functioning autism, 19 children with Asperger's Disorder, and 17 typically developing children, matched on chronological and overall mental age. The children with autism and Asperger's Disorder were not differentiated on any social skill or problem behaviour based either on teacher or parent report. However, both clinical groups demonstrated significant social skill deficits and problem behaviours relative to the typically developing children, and the original standardization sample. The findings were compatible with the view that autism and Asperger's Disorder belong on a single spectrum of disorder.

Journal of autism and developmental disorders, 2006 · doi:10.1007/s10803-006-0139-5