Social skills interventions for children with Asperger's syndrome or high-functioning autism: a review and recommendations.
Popular child social-skills programs still rest on shaky ground, so measure your own results while newer adult findings give us a roadmap.
01Research in Context
What this study did
Porter et al. (2008) read every paper they could find on social-skills groups for kids with Asperger’s or high-functioning autism. They did not run a new experiment. They simply looked at what had already been tried and asked, “Is there proof this works?”
Their review covered any program that taught conversation, friendship, or play skills in a group. Most studies were tiny and had no control group.
What they found
The team found almost no hard evidence. Most social-skills packages were popular in schools, yet data showing real child change was thin or missing.
In short, the field was using programs without solid proof they helped kids make or keep friends.
How this fits with other research
Sasson et al. (2022) now supersedes this worry—at least for adults. Their 2022 meta-analysis shows large parent-reported gains after group social-skills training with adults. The newer paper used tougher math and still found positive effects, something the 2008 review could not do for children.
Mandelberg et al. (2014) extends the story downward in age. They tracked children three years after a parent-helped program and saw lasting play-date invites and less conflict. This single long-term study begins to fill the evidence gap the 2008 paper spotted.
Humphries et al. (2009) is a conceptual replication. One year after the target review, they also said, “We measure social skills too crudely.” Both papers agree: weak rulers, not weak kids, hide true progress.
Why it matters
If you run social-skills groups for autistic students, treat the curriculum as experimental. Add simple pre-post data: peer invites at recess, brief parent rating scales, or five-minute conversation probes. Follow Mandelberg et al. (2014) and collect follow-up points. Until stronger child-level evidence arrives, let the 2008 warning keep you skeptical—and let the newer adult data keep you hopeful while you build your own proof.
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02At a glance
03Original abstract
This paper reviews the literature examining social skills training (SST) programs for youth with AS/HFA, with an emphasis on critically evaluating efficacy and highlighting areas of future research. The review highlights the disparity between SST programs described in the extant literature, including lack of a universal definition of social skills, various levels of intensity and duration of treatment, divergent theoretical backgrounds, and variety in services provided in clinic or classroom settings. Overall, it is clear that, despite their widespread clinical use, empirical support for SST programs for children with AS/HFA is minimal at this time. Based on this critical review, a "roadmap" for future research, consistent with recommendations put forth by a leading group of autism researchers, is presented.
Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0402-4