Empathy in children with autism and conduct disorder: group-specific profiles and developmental aspects / Christina SCHWENCK in Journal of Child Psychology and Psychiatry, 53-6 (June 2012)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 53-6 (June 2012) . - p.651–659 Titre : Empathy in children with autism and conduct disorder: group-specific profiles and developmental aspects Type de document : Texte imprimé et/ou numérique Auteurs : Christina SCHWENCK, Auteur ; Julia MERGENTHALER, Auteur ; Katharina KELLER, Auteur ; Julie ZECH, Auteur ; Sarah SALEHI, Auteur ; Regina TAURINES, Auteur ; Marcel ROMANOS, Auteur ; Martin SCHECKELMANN, Auteur ; Wolfgang SCHNEIDER, Auteur ; Andreas WARNKE, Auteur ; Christine M. FREITAG, Auteur Année de publication : 2012 Article en page(s) : p.651–659 Langues : Anglais (eng) Mots-clés : Empathy  autism spectrum disorder  conduct disorder  callous-unemotional traits  development Index. décimale : PER Périodiques Résumé : Background:  A deficit in empathy is discussed to underlie difficulties in social interaction of children with autism spectrum disorder (ASD) and conduct disorder (CD). To date, no study has compared children with ASD and different subtypes of CD to describe disorder-specific empathy profiles in clinical samples. Furthermore, little is known about age influences on the development of empathic skills. The aim of the current study was to compare cognitive and emotional empathy in different age groups of children with ASD, CD with elevated or low callous-unemotional-traits (CU+ vs. CU−) and a matched control group (CG). Methods:  Fifty-five boys with ASD, 36 boys with CD-CU+, 34 boys with CD-CU− and 67 controls were included. The study implemented three tasks on emotion recognition, perspective taking and emotional affection induced by another person’s situation. Multivariate Analysis of variance with the factors group and age (median split) including their interaction term was performed to describe disorder-specific profiles. Results:  Empathy profiles showed differential impairment in children with ASD and CD-CU+. Boys with ASD were impaired in cognitive empathy while participants with CD-CU+ were impaired in emotional empathy. Children with CD-CU− did not differ from the CG. However, boys with CD-CU− were less emotionally reactive in response to film stimuli than children with ASD. Furthermore, we found strong age effects indicating an increase in cognitive and affective empathic skills beyond early infancy in all groups. Conclusions:  In this study, distinct empathic profiles in children with ASD and CD-CU+ were found. Furthermore, the work demonstrates improvement of empathic skills throughout childhood and adolescence, which is comparable for individuals with psychiatric disorders and control children. These results yield implications for further research as well as for therapeutic interventions. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02499.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=157 [article] Empathy in children with autism and conduct disorder: group-specific profiles and developmental aspects [Texte imprimé et/ou numérique] / Christina SCHWENCK, Auteur ; Julia MERGENTHALER, Auteur ; Katharina KELLER, Auteur ; Julie ZECH, Auteur ; Sarah SALEHI, Auteur ; Regina TAURINES, Auteur ; Marcel ROMANOS, Auteur ; Martin SCHECKELMANN, Auteur ; Wolfgang SCHNEIDER, Auteur ; Andreas WARNKE, Auteur ; Christine M. FREITAG, Auteur . - 2012 . - p.651–659. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 53-6 (June 2012) . - p.651–659 Mots-clés : Empathy  autism spectrum disorder  conduct disorder  callous-unemotional traits  development Index. décimale : PER Périodiques Résumé : Background:  A deficit in empathy is discussed to underlie difficulties in social interaction of children with autism spectrum disorder (ASD) and conduct disorder (CD). To date, no study has compared children with ASD and different subtypes of CD to describe disorder-specific empathy profiles in clinical samples. Furthermore, little is known about age influences on the development of empathic skills. The aim of the current study was to compare cognitive and emotional empathy in different age groups of children with ASD, CD with elevated or low callous-unemotional-traits (CU+ vs. CU−) and a matched control group (CG). Methods:  Fifty-five boys with ASD, 36 boys with CD-CU+, 34 boys with CD-CU− and 67 controls were included. The study implemented three tasks on emotion recognition, perspective taking and emotional affection induced by another person’s situation. Multivariate Analysis of variance with the factors group and age (median split) including their interaction term was performed to describe disorder-specific profiles. Results:  Empathy profiles showed differential impairment in children with ASD and CD-CU+. Boys with ASD were impaired in cognitive empathy while participants with CD-CU+ were impaired in emotional empathy. Children with CD-CU− did not differ from the CG. However, boys with CD-CU− were less emotionally reactive in response to film stimuli than children with ASD. Furthermore, we found strong age effects indicating an increase in cognitive and affective empathic skills beyond early infancy in all groups. Conclusions:  In this study, distinct empathic profiles in children with ASD and CD-CU+ were found. Furthermore, the work demonstrates improvement of empathic skills throughout childhood and adolescence, which is comparable for individuals with psychiatric disorders and control children. These results yield implications for further research as well as for therapeutic interventions. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02499.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=157

Group-based cognitive behavioural psychotherapy for children and adolescents with ASD: the randomized, multicentre, controlled SOSTA – net trial / Christine M. FREITAG in Journal of Child Psychology and Psychiatry, 57-5 (May 2016)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 57-5 (May 2016) . - p.596-605 Titre : Group-based cognitive behavioural psychotherapy for children and adolescents with ASD: the randomized, multicentre, controlled SOSTA – net trial Type de document : Texte imprimé et/ou numérique Auteurs : Christine M. FREITAG, Auteur ; Katrin JENSEN, Auteur ; Leyla ELSUNI, Auteur ; Michael SACHSE, Auteur ; Beate HERPERTZ-DAHLMANN, Auteur ; Martin SCHULTE-RUTHER, Auteur ; Susann HÄNIG, Auteur ; Alexander VON GONTARD, Auteur ; Luise POUSTKA, Auteur ; Tanja SCHAD-HANSJOSTEN, Auteur ; Christina WENZL, Auteur ; Judith SINZIG, Auteur ; Regina TAURINES, Auteur ; Julia GEIßLER, Auteur ; Meinhard KIESER, Auteur ; Hannah CHOLEMKERY, Auteur Article en page(s) : p.596-605 Langues : Anglais (eng) Mots-clés : Group therapy  social skills  autism spectrum disorders  randomized-controlled trial Index. décimale : PER Périodiques Résumé : Background Group-based psychotherapy in Autism Spectrum Disorder (ASD) has predominantly been studied in the United States by small studies in school-aged children without long-term follow-up. We report results of a large, confirmatory, multicentre randomized-controlled phase-III trial in children and adolescents studying the ASD specific, manualized group-based cognitive behavioural SOSTA-FRA approach. Methods High-functioning ASD individuals aged 8–19 years old were randomized to 12 sessions SOSTA-FRA or treatment as usual. Primary outcomes were change in total raw score of the parent-rated Social Responsiveness Scale (pSRS) between baseline (T2) and end of intervention (T4), and between T2 and 3 months after end of intervention (T5). Trial registration: ISRCTN94863788. Results Between 20/5/2010 and 14/2/2013, n = 320 ASD patients were screened, n = 228 patients were randomized, and N = 209 analysed. Mean pSRS difference between groups at T4 was ?6.5 (95% CI ?11.6 to – 1.4; p = .013), and at T5 ?6.4 (?11.5 to ?1.3, p = .015). Pre-treatment SRS and IQ were positively associated with stronger improvement at T4 and T5. Conclusions Short-term ASD-specific add-on group-based psychotherapy has shown postintervention efficacy with regard to parent-rated social responsiveness predominantly in male high-functioning children and adolescents with ASD. Future studies should implement blinded standardized observational measures of peer-related social interaction. En ligne : http://dx.doi.org/10.1111/jcpp.12509 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288 [article] Group-based cognitive behavioural psychotherapy for children and adolescents with ASD: the randomized, multicentre, controlled SOSTA – net trial [Texte imprimé et/ou numérique] / Christine M. FREITAG, Auteur ; Katrin JENSEN, Auteur ; Leyla ELSUNI, Auteur ; Michael SACHSE, Auteur ; Beate HERPERTZ-DAHLMANN, Auteur ; Martin SCHULTE-RUTHER, Auteur ; Susann HÄNIG, Auteur ; Alexander VON GONTARD, Auteur ; Luise POUSTKA, Auteur ; Tanja SCHAD-HANSJOSTEN, Auteur ; Christina WENZL, Auteur ; Judith SINZIG, Auteur ; Regina TAURINES, Auteur ; Julia GEIßLER, Auteur ; Meinhard KIESER, Auteur ; Hannah CHOLEMKERY, Auteur . - p.596-605. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 57-5 (May 2016) . - p.596-605 Mots-clés : Group therapy  social skills  autism spectrum disorders  randomized-controlled trial Index. décimale : PER Périodiques Résumé : Background Group-based psychotherapy in Autism Spectrum Disorder (ASD) has predominantly been studied in the United States by small studies in school-aged children without long-term follow-up. We report results of a large, confirmatory, multicentre randomized-controlled phase-III trial in children and adolescents studying the ASD specific, manualized group-based cognitive behavioural SOSTA-FRA approach. Methods High-functioning ASD individuals aged 8–19 years old were randomized to 12 sessions SOSTA-FRA or treatment as usual. Primary outcomes were change in total raw score of the parent-rated Social Responsiveness Scale (pSRS) between baseline (T2) and end of intervention (T4), and between T2 and 3 months after end of intervention (T5). Trial registration: ISRCTN94863788. Results Between 20/5/2010 and 14/2/2013, n = 320 ASD patients were screened, n = 228 patients were randomized, and N = 209 analysed. Mean pSRS difference between groups at T4 was ?6.5 (95% CI ?11.6 to – 1.4; p = .013), and at T5 ?6.4 (?11.5 to ?1.3, p = .015). Pre-treatment SRS and IQ were positively associated with stronger improvement at T4 and T5. Conclusions Short-term ASD-specific add-on group-based psychotherapy has shown postintervention efficacy with regard to parent-rated social responsiveness predominantly in male high-functioning children and adolescents with ASD. Future studies should implement blinded standardized observational measures of peer-related social interaction. En ligne : http://dx.doi.org/10.1111/jcpp.12509 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288

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