[article]
| Titre : |
Good social skills despite poor theory of mind: exploring compensation in autism spectrum disorder |
| Type de document : |
Texte imprimé et/ou numérique |
| Auteurs : |
L. A. LIVINGSTON, Auteur ; E. COLVERT, Auteur ; Patrick BOLTON, Auteur ; Francesca HAPPE, Auteur |
| Article en page(s) : |
p.102-110 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Autism spectrum disorder adaptation camouflaging compensation compensatory mechanisms executive function remediation theory of mind |
| Index. décimale : |
PER Périodiques |
| Résumé : |
BACKGROUND: It is proposed that some individuals with Autism Spectrum Disorder (ASD) can 'compensate' for their underlying difficulties (e.g. in theory of mind; ToM), thus demonstrating relatively few behavioural symptoms, despite continued core cognitive deficits. The mechanisms underpinning compensation are largely unexplored, as is its potential impact on mental health. This study aimed to estimate compensation patterns in ASD, by contrasting overt social behaviour with ToM task performance, in order to compare the characteristics of 'Low' and 'High' Compensators. METHODS: A total of 136 autistic adolescents, from the ongoing Social Relationships Study, completed a range of cognitive tasks, the Autistic Diagnostic Observation Schedule (ADOS) and a self-report anxiety questionnaire. Participants were assigned compensation group status; High Compensators demonstrated good ADOS scores despite poor ToM performance, while Low Compensators demonstrated similarly poor ToM, accompanied by poor ADOS scores. RESULTS: High Compensators demonstrated better IQ and executive function (EF), but greater self-reported anxiety, compared with Low Compensators. Such differences were not found when comparing individuals who had good versus poor ADOS scores, when ToM performance was good. Other core autistic characteristics (weak central coherence, nonsocial symptoms) did not differentiate the High and Low Compensators. CONCLUSIONS: IQ, EF and anxiety appear to be implicated in the processes by which certain autistic young people can compensate for their underlying ToM difficulties. This tendency to compensate does not appear to reflect the severity of 'hit' for ASD per se, suggesting that well-compensated individuals are not experiencing a milder form of ASD. The construct of compensation in ASD has implications for research and clinical practice. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.12886 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=374 |
in Journal of Child Psychology and Psychiatry > 60-1 (January 2019) . - p.102-110
[article] Good social skills despite poor theory of mind: exploring compensation in autism spectrum disorder [Texte imprimé et/ou numérique] / L. A. LIVINGSTON, Auteur ; E. COLVERT, Auteur ; Patrick BOLTON, Auteur ; Francesca HAPPE, Auteur . - p.102-110. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 60-1 (January 2019) . - p.102-110
| Mots-clés : |
Autism spectrum disorder adaptation camouflaging compensation compensatory mechanisms executive function remediation theory of mind |
| Index. décimale : |
PER Périodiques |
| Résumé : |
BACKGROUND: It is proposed that some individuals with Autism Spectrum Disorder (ASD) can 'compensate' for their underlying difficulties (e.g. in theory of mind; ToM), thus demonstrating relatively few behavioural symptoms, despite continued core cognitive deficits. The mechanisms underpinning compensation are largely unexplored, as is its potential impact on mental health. This study aimed to estimate compensation patterns in ASD, by contrasting overt social behaviour with ToM task performance, in order to compare the characteristics of 'Low' and 'High' Compensators. METHODS: A total of 136 autistic adolescents, from the ongoing Social Relationships Study, completed a range of cognitive tasks, the Autistic Diagnostic Observation Schedule (ADOS) and a self-report anxiety questionnaire. Participants were assigned compensation group status; High Compensators demonstrated good ADOS scores despite poor ToM performance, while Low Compensators demonstrated similarly poor ToM, accompanied by poor ADOS scores. RESULTS: High Compensators demonstrated better IQ and executive function (EF), but greater self-reported anxiety, compared with Low Compensators. Such differences were not found when comparing individuals who had good versus poor ADOS scores, when ToM performance was good. Other core autistic characteristics (weak central coherence, nonsocial symptoms) did not differentiate the High and Low Compensators. CONCLUSIONS: IQ, EF and anxiety appear to be implicated in the processes by which certain autistic young people can compensate for their underlying ToM difficulties. This tendency to compensate does not appear to reflect the severity of 'hit' for ASD per se, suggesting that well-compensated individuals are not experiencing a milder form of ASD. The construct of compensation in ASD has implications for research and clinical practice. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.12886 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=374 |
|
Good social skills despite poor theory of mind: exploring compensation in autism spectrum disorder in Journal of Child Psychology and Psychiatry, 60-1 (January 2019)
