ISSN 2586-0151 (Print)
ISSN 2586-0046 (Online)
Volume 14, Number 2 (2/2018)
Original Article <page. 99-105 >

The Effects of Anxiety and Depression on Treatment Outcome of Social Skills Training in Adolescents with Autism Spectrum Disorder

Jung Kyung Hong, MD1;Dong-Hyun Noh, MD2;Miae Oh, MD3;Guiyoung Bong, MS3;Ju-Hyun Kim, MS3; and Hee Jeong Yoo, MD, PhD3,4;

1;Department of Psychiatry, Seoul National University Hospital, Seoul, 2;Didim Psychiatric Clinic, Hwaseong, 3;Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, 4;Seoul National University College of Medicine, Seoul, Korea

Objective : The purpose of this study was to investigate effects of depression and anxiety on treatment response of social skills training in adolescents with autism spectrum disorders (ASD).

Methods : A total of 107 teenagers that participated in the Program for the Education and Enrichment of Relational Skills (PEERS®) between 2011 and 2015 were analyzed using linear regression. Outcome measures used were the Korean version of Social Responsiveness Scale (SRS), the Test of Adolescent Social Skills Knowledge-Revised (TASSK-R), and the Korean version of Autism Diagnostic Observation Schedule (K-ADOS). Depression and anxiety were assessed by the Korean version of Child Depression Inventory (CDI), the Korean version of State and Trait Anxiety Inventory for Children (STAIC), and the Korean version of Child Behavior Checklist (K-CBCL).

Results : As a result, depressive symptoms measured by CDI (p<0.05) and anxiety symptoms measured by STAIC (p<0.05) had significant influence on score change of social interaction domain of ADOS. It remained significant even after the baseline score was adjusted as covariates (p<0.05).

Conclusion : We observed that pre-treatment anxiety and depressive symptoms of teenagers had significant effects on the treatment outcome of PEERS®, especially in terms of face-to-face social interaction.


Key words : PEERS®;Social skills training;Autism spectrum disorder;Adolescent;Comorbidity;Depression;Anxiety.

Anxiety and Mood

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