Defining behavioral components of social functioning in adults with autism spectrum disorder as targets for treatment.

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TitleDefining behavioral components of social functioning in adults with autism spectrum disorder as targets for treatment.
Publication TypeJournal Article
Year of Publication2018
AuthorsPallathra, AA, Calkins, ME, Parish-Morris, J, Maddox, BB, Perez, LS, Miller, J, Gur, RC, Mandell, DS, Schultz, RT, Brodkin, ES
JournalAutism Res
Volume11
Issue3
Pagination488-502
Date Published2018 Mar
ISSN1939-3806
Abstract

There is increasing recognition that adults with autism spectrum disorder (ASD) would benefit from treatment to improve social functioning, a key factor in adults' overall quality of life. However, the various behavioral components of social functioning (i.e., categories of behaviors underlying social functioning), including social motivation, social anxiety, social cognition, and social skills, have not all been assessed together in any sample of adults with ASD, making it difficult to know the relative levels of impairment in these various categories, the relationships among these categories, or promising targets for treatments. We hypothesized there would be significant correlations among measures within the same category, but fewer correlations of measures between categories, indicating the heterogeneity of impairments in adults with ASD. Twenty-nine adults with ASD without co-occurring intellectual disability completed multiple assessments measuring social motivation, social anxiety, social cognition, and social skills, as well as measures of overall ASD symptom levels and community functioning. Results revealed significant positive correlations among measures within most categories; positive correlations between measures of social motivation and all other categories, except for social cognition; as well as positive cross-domain correlations between measures of anxiety and ASD phenotype; measures of social skills and community functioning; and measures of social skills and ASD phenotype. Further studies are warranted to determine causal relationships among these behavioral categories, across developmental stages. However, the lack of correlations between many categories suggests the potential importance of multidimensional treatments that target the particular components of social functioning most in need of improvement in individuals. Autism Res 2018, 11: 488-502. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.LAY SUMMARY: The goal of this study was to measure behaviors that contribute to social functioning difficulties in adults with ASD, with the ultimate goal of guiding treatment development. We found that motivation to interact with others was significantly related to social anxiety and social skill. Our results suggest that motivation may be important to target in treatment, and that treatments should be tailored to the areas most in need of improvement in each individual.

DOI10.1002/aur.1910
Alternate JournalAutism Res
PubMed ID29341497
PubMed Central IDPMC5890924
Grant ListR34 MH104407 / MH / NIMH NIH HHS / United States
UL1 RR024134 / RR / NCRR NIH HHS / United States
UL1 TR000003 / TR / NCATS NIH HHS / United States