Skip to main content
Log in

Efficacy of Community-Delivered PEERS® for Adolescents: Increases in Social Skills and Decreases in Social Anxiety and Loneliness

  • Brief Report
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Purpose

PEERS® for Adolescents is an evidence-based social skills training program developed for individuals with autism spectrum disorder (ASD), which is now widely implemented by community providers in clinics and schools. However, majority of past efficacy studies on PEERS® were conducted in controlled research settings, with limited information about its effectiveness when delivered in the community. We sought to examine the effects of PEERS® on social functioning and mental health outcomes when delivered in an outpatient autism specialty clinic.

Methods

Clinical data from 45 adolescents with social challenges (age range: 11–18 years old; 31.1% female assigned at birth) were extracted for secondary analyses. Paired t-tests were performed to examine the pre- to post-intervention changes in social and mental health outcomes. Correlations between pre- and post-change scores of outcome measures were examined.

Results

Self-reported social skills knowledge, caregiver-reported social skills (measured by the Social Skills Improvement Systems) and the number of get-togethers hosted, increased significantly from pre- to post-intervention. Additionally, caregiver-reported anxiety and self-reported loneliness significantly decreased from pre- to post-intervention. Exploratory analyses showed that increases in caregiver-reported social skills were associated with decreases in self-reported loneliness.

Conclusions

Our findings provide evidence supporting the efficacy of PEERS® for improving social knowledge and skills of adolescents with social challenges when delivered in the community. The current study also showed the potential benefit of PEERS® for improving adolescent mental health.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  • Adams, R. E., Lampinen, L., Zheng, S., Sullivan, V., Taylor, J. L., & Bishop, S. L. (2023). Associations between social activities and depressive symptoms in adolescents and young adults with autism spectrum disorder: Testing the indirect effects of loneliness. Autism, 13623613231173859.

  • Asher, S. R., & Wheeler, V. A. (1985). Children’s loneliness: A comparison of rejected and neglected peer status. Journal of Consulting and Clinical Psychology, 53(4), 500–505.

    Article  PubMed  Google Scholar 

  • Baczewski, L., & Kasari, C. (2021). Loneliness and associated mental health sequelae in individuals with autism spectrum disorder. In R. J. Coplan, J. C. Bowker, & L. J. Nelson (Eds.), The handbook of solitude: Psychological perspectives on social isolation, social withdrawal, and being alone (2nd ed., pp. 351–363). Wiley Blackwell.

  • Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36(4), 545–553.

    Article  Google Scholar 

  • Cresswell, L., Hinch, R., & Cage, E. (2019). The experiences of peer relationships amongst autistic adolescents: A systematic review of the qualitative evidence. Research in Autism Spectrum Disorders, 61, 45–60.

    Article  Google Scholar 

  • Crosby, J. W. (2011). Test review: FM Gresham & SN Elliott social skills improvement system rating scales. Minneapolis, MN: NCS Pearson, 2008. Journal of Psychoeducational Assessment, 29(3), 292–296.

    Article  Google Scholar 

  • Estabillo, J. A., Moody, C. T., Poulhazan, S. J., Adery, L. H., Denluck, E. M., & Laugeson, E. A. (2022). Efficacy of PEERS® for adolescents via telehealth delivery. Journal of Autism and Developmental Disorders, 52(12), 5232–5242.

    Article  PubMed  PubMed Central  Google Scholar 

  • Factor, R. S., Moody, C. T., Sung, K. Y., & Laugeson, E. A. (2022). Improving social anxiety and social responsiveness in autism spectrum disorder through PEERS®. Evidence-Based Practice in Child and Adolescent Mental Health, 7(1), 142–159.

    Article  Google Scholar 

  • Flanagan, D. P., Alfonso, V. C., Primavera, L. H., Povall, L., & Higgins, D. (1996). Convergent validity of the BASC and SSRS: Implications for social skills assessment. Psychology in the Schools, 33(1), 13–23.

    Article  Google Scholar 

  • Frankel, F., & Mintz, J. (2008). Measuring the quality of play dates. UCLA Parenting and Children’s Friendship Program, 300 Medical Plaza, Los Angeles.

  • Gresham, F. M., & Elliot, S. N. (2008). Social skills Improvement System: Rating scales. Pearson Assessments.

  • Hill, T. L., Gray, S. A., Baker, C. N., Boggs, K., Carey, E., Johnson, C., & Varela, E., R (2017). A pilot study examining the effectiveness of the PEERS® program on social skills and anxiety in adolescents with autism spectrum disorder. Journal of Developmental and Physical Disabilities, 29(5), 797–808.

    Article  PubMed  PubMed Central  Google Scholar 

  • Koukouriki, E., Athanasopoulou, E., & Andreoulakis, E. (2022). Feelings of loneliness and social dissatisfaction in siblings of children with autism spectrum disorders: The role of birth order and perceived social support. Journal of Autism and Developmental Disorders, 52(11), 4722–4738.

    Article  PubMed  Google Scholar 

  • Kovacs, M., & MHS Staff. (2011). &. Children’s Depression Inventory 2nd Edition (CDI 2). Technical manual. Toronto, Canada: Multi-Health Systems.

  • La Greca, A. M., & Lopez, N. (1998). Social anxiety among adolescents: Linkages with peer relations and friendships. Journal of Abnormal Child Psychology, 26(2), 83–94.

    Article  PubMed  Google Scholar 

  • Laugeson, E. A., & Frankel, F. (Eds.). (2010). Test of adolescent social skills knowledge, mental status checklist. The PEERS® treatment manual. Routledge.

  • Laugeson, E. A., & Frankel, F. (2011). Social skills for teenagers with developmental and autism spectrum disorders: The PEERS® treatment manual. Routledge.

  • Laugeson, E. A., Frankel, F., Gantman, A., Dillon, A. R., & Mogil, C. (2012). Evidence-based social skills training for adolescents with autism spectrum disorders: The UCLA PEERS program. Journal of Autism and Developmental Disorders, 42, 1025–1036.

    Article  PubMed  Google Scholar 

  • Marchica, L., & D’Amico, M. (2016). Examining the efficacy of an adapted version of the UCLA PEERS® program with Canadian adolescents. Journal of Education & Social Policy, 3(4), 54–65.

    Google Scholar 

  • Matthews, N. L., Orr, B. C., Warriner, K., DeCarlo, M., Sorensen, M., Laflin, J., & Smith, C. J. (2018). Exploring the effectiveness of a peer-mediated model of the PEERS curriculum: A pilot randomized control trial. Journal of Autism and Developmental Disorders, 48(7), 2458–2475. https://doi.org/10.1007/s10803-018-3504-2.

    Article  PubMed  Google Scholar 

  • Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455–470.

    Article  PubMed  Google Scholar 

  • Menezes, M., Harkins, C., Robinson, M. F., & Mazurek, M. O. (2020). Treatment of depression in individuals with autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 78, 101639.

    Article  Google Scholar 

  • Nader, D., Dunlop, B., Tomaszewski, B., Sam, A. M., Hume, K., Aljuaid, M., & Odom, S. L. (2023). Exploratory factor analysis of the social skills improvement system (SSIS) for autistic children: Implications for use and educational placement. Research in Autism Spectrum Disorders, 104, 102144.

    Article  Google Scholar 

  • Odom, S. L., Hall, L. J., & Suhrheinrich, J. (2020). Implementation science, behavior analysis, and supporting evidence-based practices for individuals with autism. European Journal of Behavior Analysis, 21(1), 55–73.

    Article  PubMed  Google Scholar 

  • Rasmussen, E. E., Shannon, K. L., & Pitchford, B. (2022). Adolescents’ disclosure of mental illness to parents: Preferences and barriers. Health Communication, 37(3), 346–355.

    Article  PubMed  Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior Assessment System for children: Second edition. AGS.

  • Schiltz, H. K., McVey, A. J., Dolan, B. K., Willar, K. S., Pleiss, S., Karst, J. S., & Van Hecke, A. V. (2018). Changes in depressive symptoms among adolescents with ASD completing the PEERS® social skills intervention. Journal of Autism and Developmental Disorders, 48, 834–843.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schiltz, H. K., McVey, A. J., Wozniak, D., Haendel, B., Stanley, A. D., Arias, R., & Van Hecke, A., A. V (2021). The role of loneliness as a mediator between autism features and mental health among autistic young adults. Autism, 25(2), 545–555.

    Article  PubMed  Google Scholar 

  • Schohl, K. A., Van Hecke, A. V., Carson, A. M., Dolan, B., Karst, J., & Stevens, S. (2014). A replication and extension of the PEERS intervention: Examining effects on social skills and social anxiety in adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44(3), 532–545.

    Article  PubMed  Google Scholar 

  • Shum, K. K. M., Cho, W. K., Lam, L. M. O., Laugeson, E. A., Wong, W. S., & Law, L. S. (2019). Learning how to make friends for Chinese adolescents with autism spectrum disorder: A randomized controlled trial of the Hong Kong Chinese version of the PEERS® intervention. Journal of Autism and Developmental Disorders, 49, 527–541.

    Article  PubMed  Google Scholar 

  • Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland Adaptive Behavior scales: Second edition (Vineland II), survey interview Form/Caregiver rating form. Pearson Assessments.

  • Yoo, H. J., Bahn, G., Cho, I. H., Kim, E. K., Kim, J. H., Min, J. W., & Laugeson, E. A. (2014). A randomized controlled trial of the Korean version of the PEERS® parent-assisted social skills training program for teens with ASD. Autism Research, 7(1), 145–161.

    Article  PubMed  Google Scholar 

  • Zeedyk, S. M., Cohen, S. R., Eisenhower, A., & Blacher, J. (2016). Perceived social competence and loneliness among young children with ASD: Child, parent and teacher reports. Journal of Autism and Developmental Disorders, 46, 436–449.

    Article  PubMed  Google Scholar 

  • Zheng, S., Kim, H., Salzman, E., Ankenman, K., & Bent, S. (2021). Improving social knowledge and skills among adolescents with autism: Systematic review and meta-analysis of UCLA PEERS® for adolescents. Journal of Autism and Developmental Disorders, 51(12), 4488–4503.

    Article  PubMed  Google Scholar 

Download references

Funding

Dr. Shuting Zheng is supported by a career development award from the National Institute of Mental Health of the U.S. National Institutes of Health under Award Number K99MH131841.

Author information

Authors and Affiliations

Authors

Contributions

KA, TG, JC, CEL, WE delivered the PEERS® intervention as a part of clinical services. The authors declare no conflict of interest related to the current study.

Corresponding author

Correspondence to Shuting Zheng.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Parenteau, C.I., Floyd, J., Ankenman, K. et al. Efficacy of Community-Delivered PEERS® for Adolescents: Increases in Social Skills and Decreases in Social Anxiety and Loneliness. J Autism Dev Disord (2024). https://doi.org/10.1007/s10803-024-06433-z

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10803-024-06433-z

Keywords

Navigation