An exploration of the judgement of sexual situations by adolescents with autism spectrum disorders versus typically developing adolescents / Kirsten VISSER in Research in Autism Spectrum Disorders, 36 (April 2017)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 36 (April 2017) . - p.35-43 Titre : An exploration of the judgement of sexual situations by adolescents with autism spectrum disorders versus typically developing adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Kirsten VISSER, Auteur ; Kirstin GREAVES-LORD, Auteur ; Nouchka T. TICK, Auteur ; Frank C. VERHULST, Auteur ; Athanasios MARAS, Auteur ; Esther J. M. VAN DER VEGT, Auteur Article en page(s) : p.35-43 Langues : Anglais (eng) Mots-clés : ASD  Psychosexual development  Adolescence  Inappropriate sexual behaviour Index. décimale : PER Périodiques Résumé : Inappropriate sexual behaviour, sexual problems and sexual victimization in adolescents with autism spectrum disorders (ASD) is regularly reported in previous research, but little is known about factors associated with these problems, nor about factors associated with a healthy sexuality development in adolescents with ASD. Investigating the judgement of sexual behaviour can be a first step in acquiring insight into inappropriate sexual behaviour in adolescents with ASD. Methods We assessed how 94 cognitively-able adolescents with ASD and 94 typically developing (TD) adolescents judged the appropriateness of different illustrations of sexual situations and we investigated the differences between the two groups. Results The highest level of agreement between the judgements of adolescents with ASD and the judgements of an expert panel was found for severely inappropriate sexual behaviours (89.2%) and the lowest agreement was found for appropriate (31.7%) and slightly inappropriate sexual behaviours (26.1%). No significant differences were found between the judgements of the adolescents with ASD and the TD adolescents. Regarding the divergent judgements, adolescents with and without ASD were mostly more strict (i.e., more conservative) than the expert panel in their judgement of sexual situations. Finally, a small percentage of adolescents with and without ASD showed milder (i.e., less conservative) judgements of sexual situations portraying behaviour that was considered severely inappropriate by an expert panel. Conclusions Our findings showed that, overall, judgement of illustrations of sexual situations does not seem to be hampered in adolescents with ASD. More research is needed to clarify whether this also holds true for their judgements of – and actions in – more complex real life situations. En ligne : http://dx.doi.org/10.1016/j.rasd.2017.01.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=304 [article] An exploration of the judgement of sexual situations by adolescents with autism spectrum disorders versus typically developing adolescents [Texte imprimé et/ou numérique] / Kirsten VISSER, Auteur ; Kirstin GREAVES-LORD, Auteur ; Nouchka T. TICK, Auteur ; Frank C. VERHULST, Auteur ; Athanasios MARAS, Auteur ; Esther J. M. VAN DER VEGT, Auteur . - p.35-43. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 36 (April 2017) . - p.35-43 Mots-clés : ASD  Psychosexual development  Adolescence  Inappropriate sexual behaviour Index. décimale : PER Périodiques Résumé : Inappropriate sexual behaviour, sexual problems and sexual victimization in adolescents with autism spectrum disorders (ASD) is regularly reported in previous research, but little is known about factors associated with these problems, nor about factors associated with a healthy sexuality development in adolescents with ASD. Investigating the judgement of sexual behaviour can be a first step in acquiring insight into inappropriate sexual behaviour in adolescents with ASD. Methods We assessed how 94 cognitively-able adolescents with ASD and 94 typically developing (TD) adolescents judged the appropriateness of different illustrations of sexual situations and we investigated the differences between the two groups. Results The highest level of agreement between the judgements of adolescents with ASD and the judgements of an expert panel was found for severely inappropriate sexual behaviours (89.2%) and the lowest agreement was found for appropriate (31.7%) and slightly inappropriate sexual behaviours (26.1%). No significant differences were found between the judgements of the adolescents with ASD and the TD adolescents. Regarding the divergent judgements, adolescents with and without ASD were mostly more strict (i.e., more conservative) than the expert panel in their judgement of sexual situations. Finally, a small percentage of adolescents with and without ASD showed milder (i.e., less conservative) judgements of sexual situations portraying behaviour that was considered severely inappropriate by an expert panel. Conclusions Our findings showed that, overall, judgement of illustrations of sexual situations does not seem to be hampered in adolescents with ASD. More research is needed to clarify whether this also holds true for their judgements of – and actions in – more complex real life situations. En ligne : http://dx.doi.org/10.1016/j.rasd.2017.01.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=304

A randomized controlled trial to examine the effects of the Tackling Teenage psychosexual training program for adolescents with autism spectrum disorder / Kirsten VISSER in Journal of Child Psychology and Psychiatry, 58-7 (July 2017)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 58-7 (July 2017) . - p.840-850 Titre : A randomized controlled trial to examine the effects of the Tackling Teenage psychosexual training program for adolescents with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Kirsten VISSER, Auteur ; Kirstin GREAVES-LORD, Auteur ; Nouchka T. TICK, Auteur ; Frank C. VERHULST, Auteur ; Athanasios MARAS, Auteur ; Esther J. M. VAN DER VEGT, Auteur Article en page(s) : p.840-850 Langues : Anglais (eng) Mots-clés : Adolescence  autism spectrum disorders  sexual behavior  intervention  randomized controlled trial design Index. décimale : PER Périodiques Résumé : Background Previous research underscores the importance of psychosexual guidance for adolescents with autism spectrum disorder (ASD). Such guidance is provided in the Tackling Teenage Training (TTT) program, in which adolescents with ASD receive psycho-education and practice communicative skills regarding topics related to puberty, sexuality, and intimate relationships. This randomized controlled trial investigated the effects of the TTT program on (a) cognitive outcomes (i.e. psychosexual knowledge, and insight in interpersonal boundaries) and (b) behavioral outcomes (i.e. skills needed for romantic relationships and problematic sexual behavior). Methods A total of 189 cognitively able adolescents with ASD, aged 12–18 years old, were randomized to an intervention condition (n = 95) or a waiting-list control condition (n = 94). We assessed outcomes using self-reported as well as parent-reported questionnaires at baseline (T1), posttreatment (T2; after 6 months), and follow-up (T3; after 12 months). Results Linear mixed model analyses showed significant treatment effects for psychosexual knowledge and adequate insight in boundaries, both posttreatment and at follow-up. All adolescents increased significantly over time in their social responsiveness and decreased their problematic sexual behavior, irrespectively of condition. The TTT program was most effective for younger adolescents with ASD; following the TTT program resulted in higher psychosexual knowledge, and higher social functioning for these adolescents. Conclusions The results of this study indicate that the TTT program is effective as a psycho-educational program to provide adolescents with ASD with the knowledge and insight they need to prepare themselves for a healthy psychosexual development. Further research is needed to investigate how this increased knowledge and insight can subsequently ameliorate improvements in romantic skills and prevent the development of problematic sexual behavior and victimization. En ligne : http://dx.doi.org/10.1111/jcpp.12709 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=316 [article] A randomized controlled trial to examine the effects of the Tackling Teenage psychosexual training program for adolescents with autism spectrum disorder [Texte imprimé et/ou numérique] / Kirsten VISSER, Auteur ; Kirstin GREAVES-LORD, Auteur ; Nouchka T. TICK, Auteur ; Frank C. VERHULST, Auteur ; Athanasios MARAS, Auteur ; Esther J. M. VAN DER VEGT, Auteur . - p.840-850. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 58-7 (July 2017) . - p.840-850 Mots-clés : Adolescence  autism spectrum disorders  sexual behavior  intervention  randomized controlled trial design Index. décimale : PER Périodiques Résumé : Background Previous research underscores the importance of psychosexual guidance for adolescents with autism spectrum disorder (ASD). Such guidance is provided in the Tackling Teenage Training (TTT) program, in which adolescents with ASD receive psycho-education and practice communicative skills regarding topics related to puberty, sexuality, and intimate relationships. This randomized controlled trial investigated the effects of the TTT program on (a) cognitive outcomes (i.e. psychosexual knowledge, and insight in interpersonal boundaries) and (b) behavioral outcomes (i.e. skills needed for romantic relationships and problematic sexual behavior). Methods A total of 189 cognitively able adolescents with ASD, aged 12–18 years old, were randomized to an intervention condition (n = 95) or a waiting-list control condition (n = 94). We assessed outcomes using self-reported as well as parent-reported questionnaires at baseline (T1), posttreatment (T2; after 6 months), and follow-up (T3; after 12 months). Results Linear mixed model analyses showed significant treatment effects for psychosexual knowledge and adequate insight in boundaries, both posttreatment and at follow-up. All adolescents increased significantly over time in their social responsiveness and decreased their problematic sexual behavior, irrespectively of condition. The TTT program was most effective for younger adolescents with ASD; following the TTT program resulted in higher psychosexual knowledge, and higher social functioning for these adolescents. Conclusions The results of this study indicate that the TTT program is effective as a psycho-educational program to provide adolescents with ASD with the knowledge and insight they need to prepare themselves for a healthy psychosexual development. Further research is needed to investigate how this increased knowledge and insight can subsequently ameliorate improvements in romantic skills and prevent the development of problematic sexual behavior and victimization. En ligne : http://dx.doi.org/10.1111/jcpp.12709 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=316

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