Measuring social communication behaviors as a treatment endpoint in individuals with autism spectrum disorder

Anagnostou, Evdokia; Jones, Nancy; Huerta, Marisela; Halladay, Alycia K; Wang, Paul; Scahill, Lawrence; Horrigan, Joseph P; Kasari, Connie; Lord, Cathy; Choi, Dennis; Sullivan, Katherine; Dawson, Geraldine

doi:10.1177/1362361314542955

Cited by 210Autism Spectrum Disorder ResearchChild Nutrition and Feeding IssuesBehavioral and Psychological Studies

Measuring social communication behaviors as a treatment endpoint in individuals with autism spectrum disorder

Anagnostou, Evdokia, Jones, Nancy, Huerta, Marisela, Halladay, Alycia K, Wang, Paul, Scahill, Lawrence, Horrigan, Joseph P, Kasari, Connie +4 more·2015·Autism

DOI 10.1177/1362361314542955

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Abstract

Social communication impairments are a core deficit in autism spectrum disorder. Social communication deficit is also an early indicator of autism spectrum disorder and a factor in long-term outcomes. Thus, this symptom domain represents a critical treatment target. Identifying reliable and valid outcome measures for social communication across a range of treatment approaches is essential. Autism Speaks engaged a panel of experts to evaluate the readiness of available measures of social communication for use as outcome measures in clinical trials. The panel held monthly conference calls and two face-to-face meetings over 14 months. Key criteria used to evaluate measures included the relevance to the clinical target, coverage of the symptom domain, and psychometric properties (validity and reliability, as well as evidence of sensitivity to change). In all, 38 measures were evaluated and 6 measures were considered appropriate for use, with some limitations. This report discusses the relative strengths and weaknesses of existing social communication measures for use in clinical trials and identifies specific areas in need of further development.

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A consensus panel found that the original ABC Lethargy-Social Withdrawal subscale had evidence supporting its use to assess social behavior in clinical trials involving persons with autism spectrum disorder.
“We used the least-squares mean change from baseline in the ABC-mSW score as the primary outcome because a consensus panel found that the original ABC Lethargy–Social Withdrawal subscale had evidence supporting its use to assess social behavior in clinical trials involving persons with autism spectrum disorder34 and because the ABC-mSW increases specificity for social interaction.”
From Intranasal Oxytocin in Children and Adolescents with Autism Spectrum Disorder (2021) · cites this paper as [34]

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Measuring Anxiety as a Treatment Endpoint in Youth with Autism Spectrum Disorder
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Autism Treatment Evaluation Checklist
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Risperidone in Preschool Children with Autistic Spectrum Disorders: An Investigation of Safety and Efficacy
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Positive Effects of Methylphenidate on Social Communication and Self-Regulation in Children with Pervasive Developmental Disorders and Hyperactivity
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BASC-2 PRS Profiles for Students with High-Functioning Autism Spectrum Disorders
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Comorbid ADHD and Anxiety Affect Social Skills Group Intervention Treatment Efficacy in Children With Autism Spectrum Disorders
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The Aberrant Behavior Checklist and the Behavior Problems Inventory: convergent and divergent validity
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Validity of the Aberrant Behavior Checklist in a Clinical Sample of Toddlers
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Targeted treatments for fragile X syndrome
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Children and adolescents with autism spectrum disorders compared to typically developing controls on the Behavioral Assessment System for Children, Second Edition (BASC-2)
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Social skills training and parent education programs for aggressive preschoolers and their parents in South Korea
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Psychometric properties of the Aberrant Behavior Checklist, the Anxiety, Depression and Mood Scale, the Assessment of Dual Diagnosis and the Social Performance Survey Schedule in adults with intellectual disabilities
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Naturalistic Developmental Behavioral Interventions: Empirically Validated Treatments for Autism Spectrum Disorder
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Music improves social communication and auditory–motor connectivity in children with autism
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Cross-sectional and longitudinal neuroanatomical profiles of distinct clinical (adaptive) outcomes in autism
Pretzsch, C. M., Floris, D. L., Schäfer, T., Bletsch, A., Gurr, C., Lombardo, M. V., Chatham, C., Tillmann, J., Charman, T., Arenella, M., et al. (2023) · Molecular Psychiatry · doi:10.1038/s41380-023-02016-z · Cited by 15 · see citing works
Development of a patient-centered conceptual model of the impact of living with autism spectrum disorder
Mcdougall, F., Willgoss, T., Hwang, S., Bolognani, F., Murtagh, L., Anagnostou, E., & Rofail, D. (2018) · Autism · doi:10.1177/1362361317718987 · Cited by 13 · see citing works
Self-citation

Social communication intervention effects vary by dependent variable type in preschoolers with autism spectrum disorders
Yoder, P. J., Bottema‐Beutel, K., Woynaroski, T. G., Chandrasekhar, R., & Sandbank, M. P. (2013) · Evidence-Based Communication Assessment and Intervention · doi:10.1080/17489539.2014.917780 · Cited by 96 · see citing works
Extending the Usefulness of the Brief Observation of Social Communication Change: Validating the Phrase Speech and Young Fluent Version
Byrne, K. (2022) · eScholarship (California Digital Library)
Sensitivity and Expected Change of Commonly Used Social Communication Measures in Longitudinal Research of Children with Autism
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Operationalizing Social Communication in Autism and Related Neurodevelopmental Research: a Scoping Review Over 20 Years
Tajik‐Parvinchi, D., Hidecker, M. J. C., Selvakumaran, S., Fan, L., Batth, S., Fang, H., Ross, B., Stone, A. C., Reed, B., Kunitz, C., et al. (2021) · Current Developmental Disorders Reports · doi:10.1007/s40474-021-00224-2 · Cited by 10 · see citing works
Relations between specific and global outcome measures in a social-communication intervention for children with autism spectrum disorder
Nordahl-Hansen, A., Fletcher-Watson, S., McConachie, H., & Kaale, A. (2016) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2016.05.005 · Cited by 43 · see citing works

Authors: Anagnostou, E., Jones, N., Huerta, M., Halladay, A. K., Wang, P., Scahill, L., Horrigan, J. P., Kasari, C., Lord, C., Choi, D., Sullivan, K., & Dawson, G.
Affiliations: University of Toronto (CA)
Neuren Pharmaceuticals Limited, USA
Weill Cornell Medicine (US)
Autism Speaks (US)
Emory University (US)
University of California, Los Angeles (US)
Stony Brook University (US)
NewYork–Presbyterian Hospital (US)
Duke University, USA
ORCID: Anagnostou, Evdokia
Jones, Nancy
Halladay, Alycia K
Wang, Paul
Scahill, Lawrence
Horrigan, Joseph P
Kasari, Connie
Choi, Dennis
Sullivan, Katherine
Venue: Autism
Publisher: SAGE Publications
Published: 2014-08-05
Volume: 19
Issue: 5
Pages: 622-636
ISSN: 1362-3613 (ISSN-L)
1461-7005
DOI: 10.1177/1362361314542955
OpenAlex: W2155746365
Cited by: 210
References: 142
Citations by year: 2026: 10 · 2025: 15 · 2024: 19 · 2023: 17 · 2022: 26 · 2021: 30 · 2020: 23 · 2019: 23 · 2018: 14 · 2017: 13 · 2016: 12 · 2015: 6 · 2014: 1
FWCI: 5.95
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Autism (publishedVersion)
PubMed (publishedVersion)
Funders: Autism Speaks
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords: autism spectrum disorder, social communication, outcome measures, treatment endpoints, clinical trials, psychometric properties, validity, reliability statistics, sensitivity to change, expert panel review
MeSH terms: Autism Spectrum Disorder, Communication, Humans, Psychometrics, Social Behavior, Social Perception, Reproducibility of Results, Treatment Outcome, Outcome Assessment, Health Care, Social Skills

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Measuring social communication behaviors as a treatment endpoint in individuals with autism spectrum disorder

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