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Considering equifinality in treatment planning for social impairment: Divergent paths in neurodevelopmental disorders.
Bulletin of the Menninger Clinic ( IF 1.476 ) Pub Date : 2019-09-01 , DOI: 10.1521/bumc.2019.83.3.278
Grace Lee Simmons 1 , Dane C Hilton 2 , Matthew A Jarrett 1 , Theodore S Tomeny 1 , Susan W White 1
Affiliation  

Youth with autism spectrum disorder (ASD) present with deficits in both social cognition and executive functioning (EF), which contribute to social impairment. Autistic youth are also frequently diagnosed with comorbid attention-deficit/hyperactivity disorder (ADHD), a disorder that, like ASD, includes impaired EF and social functioning. The comorbidity of ASD and ADHD may result in compounded social impairment, but prior research has not sufficiently evaluated the extent to which this comorbidity profile responds to evidence-based intervention targeting social deficits. It is conceivable that dually targeting EF and social cognition impairment will be more impactful than direct social skills training alone. The authors present an integrative model for intervention programming that examines pathways to social impairment in order to more effectively improve social skills and thereby impact both proximal (e.g., emotion expression, current peer relationships) and more distal outcomes (e.g., depression, self-esteem) in youth with ASD and other neurodevelopmental disorders.

中文翻译:

在社会损害的治疗计划中考虑均等性:神经发育障碍的不同路径。

患有自闭症谱系障碍(ASD)的年轻人在社交认知和执行功能(EF)方面均存在缺陷,这是造成社会障碍的原因。自闭症青年还经常被诊断出患有并发注意缺陷/多动障碍(ADHD),这种疾病与ASD一样,包括EF和社交功能受损。ASD和ADHD的合并症可能导致复合的社会损害,但是先前的研究尚未充分评估这种合并症对基于证据的针对社会缺陷的干预措施的反应程度。可以想见,针对EF和社交认知障碍的双重目标比直接进行直接社交技能培训的影响更大。
更新日期:2019-09-01
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