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Effects of a social recreational program for children with autism spectrum disorders - preliminary findings

Published online by Cambridge University Press:  16 April 2020

T.J. Goh
Affiliation:
Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore
M. Sung
Affiliation:
Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore
Y.P. Ooi
Affiliation:
Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore
C.M. Lam
Affiliation:
Autism Resource Centre, Singapore, Singapore
A. Chua
Affiliation:
Autism Resource Centre, Singapore, Singapore
D. Fung
Affiliation:
Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore
P. Pathy
Affiliation:
Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore

Abstract

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Introduction

Social impairments form one of the major deficits of Autism Spectrum Disorders and are frequently associated with anxiety in school-going children. Social skills programs have been most well-validated to address the issue but components of the programs require further examination.

Objectives

The study aims to develop and evaluate a group-based Social Recreational program that encourages interaction and behaviour regulation among children with High-Functioning Autism through their participation in activities that address meaningful and functional skills in a naturalistic social setting. The components of the program are described.

Methods

30 children were enrolled in the 16-sessions weekly program. Attending psychiatrists rated the children on the Clinical Global Impression - Severity scale (CGI-S) at pre-, post-, 3-month, 6-month and one-year follow-up. Anxiety levels of the children were measured by self-reports on the Spence Child Anxiety Scale - Child (SCAS-C) and parent-reports on the Spence Child Anxiety Scale - Parent (SCAS-P).

Results

Clinician ratings on the CGI-S showed significant improvements in the children upon completion of the program (Friedman, X2 = 22.69, p = .000) and the gains were maintained at follow-ups. Repeated measures ANOVA with a Greenhouse-Geisser correction showed lower self-reported anxiety in children after the program, F (2.89, 72.26) = 4.07, p = .004. Post-hoc pair-wise comparisons suggested that the children were significantly less anxious at the 6-month follow-up.

Conclusion

The program suggests promising benefits although there are no active anxiety remediation components. Its value lies in its applicability in wider community settings. Implications of its effectiveness are discussed.

Type
P01-289
Copyright
Copyright © European Psychiatric Association 2011
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