Group‐based cognitive behavioural psychotherapy for children and adolescents with <scp>ASD</scp>: the randomized, multicentre, controlled <scp>SOSTA</scp> – net trial

Freitag, Christine M.; Jensen, Katrin; Elsuni, Leyla; Sachse, Michael Max; Herpertz‐Dahlmann, Beate; Schulte‐Rüther, Martin; Hänig, Susann; Gontard, Alexander von; Poustka, Luise; Schad-Hansjosten, Tanja; Wenzl, Christina; Sinzig, Judith; Taurines, Regina; Geißler, Julia; Kieser, Meinhard; Cholemkery, Hannah

doi:10.1111/jcpp.12509

Cited by 59 publications

(77 citation statements)

References 33 publications

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“…Looking at changes in parent‐rated ASD behavior (assessed using the SRS) we saw stronger reduction in SRS scores in the intervention‐ compared to the TAU‐group, with a similar effect size as reported in the large scale RCT of the SOSTA‐FRA intervention [Freitag et al, ]. No nominal statistical significance could be established due to the small sample size of the present subsample, which was insufficient to detect the low to medium effect shown in the RCT.…”

Section: Discussionsupporting

confidence: 80%

Facilitation of biological motion processing by group‐based autism specific social skills training

et al. 2018

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Abnormalities in neurophysiological correlates of social perception are a well‐known feature of autism spectrum disorder (ASD). However, little is known if and how ASD specific behavioral interventions may affect neural processing in ASD. The aim of the current study was to investigate for the first time, whether the group‐based social skills training SOSTA‐FRA would elicit changes in neurophysiological correlates of social perception in high‐functioning ASD individuals aged 8–17 years. Event‐related potentials (ERPs) of a facial emotion recognition (FER) and a biological motion perception task were examined. ERPs were compared between a randomized intervention and a treatment as usual group at three time points (baseline, post‐intervention, and at 3 months follow‐up). A reduction of P100 amplitude in the right hemisphere and a trend toward reduced N200 latency in the biological motion task were found after the training only in the intervention group, whereas behavioral performance remained stable. Change in N200 latencies and parent‐rated social responsiveness showed small but statistically nonsignificant correlations. No changes were observed regarding FER. Results indicate that the intervention changed neural correlates of social perception in ASD. Especially neural correlates of biological motion perception, which is an important prerequisite for successful social interaction, were sensitive to change. ERPs of social perception tasks that are impaired in ASD can well be used to objectively measure neural processing improvement by behavioral intervention. Autism Res 2018, 11: 1376–1387. © 2018 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary It is well known that people with autism spectrum disorder (ASD) process social information differently than other people and that these differences can also be seen in their brain activity. We also know that behavioral therapies, such as group‐based social skills trainings can help people with ASD improve their behavior. But it is unclear how therapy changes social processing in the brain. The aim of our study was therefore to examine how neural processing of social stimuli changed after behavioral intervention. Comparing a group of children and adolescents that received the group‐based social skills training SOSTA‐FRA to a control group we found that the neural processing of human motion became faster and involved less brain resources after the intervention, while behavioral performance remained stable. No changes were seen for the processing of emotional facial expressions. We recommend that future studies should also analyze changes in brain function as well as behavioral changes as a secondary therapy outcome parameter.

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Section: Discussionsupporting

confidence: 80%

Facilitation of biological motion processing by group‐based autism specific social skills training

et al. 2018

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“…A search of the current literature evaluating SSGTs for adolescents via randomized controlled trials (RCTs), identified a number of design and intervention limitations. Consistent design limitations included small sample sizes (9,(27)(28)(29)(30)(31), failing to employ blinded or external observer-report measurement of dependent variables (17,20,27,29,30,(32)(33)(34)(35), failing to describe the randomization processes (27, 29-31, 33, 34) or employ allocation concealment (17,20,(27)(28)(29)(30)(31)(32)(33)(34)(35)(36), limited application of intent-to-treat data analysis (17,(27)(28)(29)(30)(32)(33)(34)(35), a lack of clarity in regard to compliance with the Consolidated Standards of Reporting Trials (CONSORT) statement (20,27,29,30,35,36), and limited examples of mixed methods studies integrating quantitative and qualitative data collection methods and analysis in understanding the outcomes of interventions…”

Section: Social Skills Group Trainingmentioning

confidence: 99%

“…A range of identified intervention shortcomings included limited consideration or incorporation of adolescents' personal goals (20, 27-31, 33, 34, 36), outcomes largely measured by parent proxy report (17,28,29,31,32,35,36), inadequate tailoring of interventions to individual activity preferences (20,29,30,(33)(34)(35)(36), failing to consider the relationship between intervention dosage (that is the number of sessions) and outcomes (20,(27)(28)(29)(30)(31)(33)(34)(35)(36), the absence of cost analysis (17,20,(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) and limited reporting of adverse events during the intervention period (20, 27-30, 32-34, 36) (Additional file 1). While comparison groups varied considerably, most examined the efficacy of SSGT interventions relative to usual care waitlist control groups, with limited description of what interventions and therapies were received by comparison groups.…”

Section: (Additional Files 1 and 2)mentioning

confidence: 99%

Afsharnejad

Falkmer

Black

et al. 2019

Preprint

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Background: Individuals diagnosed with Autism Spectrum Disorder (ASD) experience impairing challenges in social communication and interaction across multiple contexts. While social skills group training (SSGT) has shown moderate effects on various sociability outcomes in ASD, there is a need for (i) replication of effects in additional clinical and cultural contexts, (ii) designs which employ active control groups, (iii) calculation of health economic benefits, (iv) identification of the optimal training duration, and (v) measurement of individual goal and quality of life outcomes. Method/design: With the aim of investigating the efficacy and cost-effectiveness of a SSGT, KONTAKT©, a two-armed randomized control trial with adolescents aged 12 to17 years (N=90) with ASD and an intelligence quotient (IQ) of over 70 will be undertaken. Following stratification for centre and gender, participants will be randomly assigned to either KONTAKT© or to an active control group, a group-based cooking program. Participants will attend both programs in groups of 6 to 8 adolescents, over 16 one and a half hour sessions. The primary outcome examined is adolescent self-rated achievement of personally meaningful social goals as assessed via Goal Attainment Scaling during an interview with a blinded clinician. Secondary outcomes include adolescent self-reported interpersonal efficacy, quality of life, social anxiety, and loneliness, face emotion recognition performance and associated gaze behaviour, and parent proxy reports of autistic traits, quality of life, social functioning, emotion recognition and expression. Cost-effectiveness will be investigated in relation to direct and indirect societal and health care costs. Discussion: The primary outcomes of this study will be evidenced in the anticipated achievement of adolescents' personally meaningful social goals following participation in KONTAKT© as compared to the active control group. This design will enable rigours evaluation of the efficacy of KONTAKT©, exercising control over the possibly confounding effect of exposure to a social context of peers with a diagnosis of ASD.

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“…A number of interventions have been developed and studied to target the social skills of children and adolescents with ASD 2. One particularly promising group intervention, namely the Social Skills Training Autism—Frankfurt (SOSTA-FRA),3 targets social motivation, social cognition, self-regulation and peer interaction using cognitive-behavioural treatment techniques provided using multiple methods (ie, social learning, computer-based, behavioural, cognitive methods) within a structured framework. Preliminary data have shown promising treatment effects and acceptability; further study in a controlled setting is necessary.…”

Section: What Is Already Known About This Topic?mentioning

confidence: 99%

Cognitive-behavioural group therapy for youth with high-functioning autism spectrum disorders demonstrates modest effects on social responsiveness

Storch

2016

Evid Based Mental Health

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Group‐based cognitive behavioural psychotherapy for children and adolescents with ASD: the randomized, multicentre, controlled SOSTA – net trial

Cited by 59 publications

References 33 publications

Facilitation of biological motion processing by group‐based autism specific social skills training

Facilitation of biological motion processing by group‐based autism specific social skills training

KONTAKT© in Australian Adolescents on the Autism Spectrum: Protocol of a Randomized Control Trial

Cognitive-behavioural group therapy for youth with high-functioning autism spectrum disorders demonstrates modest effects on social responsiveness

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