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

청소년 자폐스펙트럼장애에서 사회기술훈련의 효과에 미치는 우울, 불안 증상의 영향

  • Hong, Jung Kyung (Department of Psychiatry, Seoul National University Hospital) ;
  • Noh, Dong-Hyun (Didim Psychiatric Clinic) ;
  • Oh, Miae (Department of Psychiatry, Seoul National University Bundang Hospital) ;
  • Kim, Ju-Hyun (Department of Psychiatry, Seoul National University Bundang Hospital) ;
  • Bong, Guiyoung (Department of Psychiatry, Seoul National University Bundang Hospital) ;
  • Yoo, Hee Jeong (Department of Psychiatry, Seoul National University Bundang Hospital)
  • 홍정경 (서울대학교 의과대학 서울대학교병원 정신건강의학과) ;
  • 노동현 (디딤정신건강의학과의원) ;
  • 오미애 (서울대학교 의과대학 분당서울대학교병원 정신건강의학과) ;
  • 김주현 (서울대학교 의과대학 분당서울대학교병원 정신건강의학과) ;
  • 봉귀영 (서울대학교 의과대학 분당서울대학교병원 정신건강의학과) ;
  • 유희정 (서울대학교 의과대학 분당서울대학교병원 정신건강의학과)
  • Received : 2018.09.13
  • Accepted : 2018.10.19
  • Published : 2018.10.31

Abstract

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$^{(R)}$) 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$^{(R)}$, especially in terms of face-to-face social interaction.

Keywords

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