OTSLPSurveyAutism research : official journal of the International Society for Autism Research2019

Flourishing in children with autism spectrum disorders.

Claudia L Hilton, Karen Ratcliff, Diane M Collins and 2 others

PMID 30912315

WHAT IT FOUND

Children with autism had lower parent-rated social competence and behavioral control than peers, but school motivation was similar.

This helps therapists target social and regulation goals, but it does not show treatment works.

Key findings

01The 10 flourishing items grouped into 3 factors: social competence, behavioral control, and school motivation.

02Children with ASD had lower adjusted flourishing factor scores than controls on social competence and behavioral control.

03School motivation did not differ significantly between children with ASD and controls.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

This was a cross-sectional survey, so it can show differences between groups but cannot show that autism causes lower flourishing or that therapy will improve it. Autism status and flourishing items were based on parent report, and the study did not confirm diagnoses. The analysis excluded children with intellectual disability, brain injury, cerebral palsy, Down syndrome, and those ever told they had autism but not currently having it, so it does not describe children with those conditions. The sample was primarily non-Hispanic white, so results may not apply equally across all backgrounds. Each flourishing item came from a small number of caregiver questions, so scores may be subjective and lack detail. The study did not examine how attention problems such as ADD or ADHD might affect diligence, reliability, or finishing tasks. Some family and neighborhood factors were not included in the flourishing comparison because the authors focused on child-level factors that could be targeted therapeutically.

Declared interests

The paper lists NIH extramural research support. The supplied text does not state author conflicts of interest.

The easy way to misread this

Do not read these results as proof that therapy can improve flourishing. This was a survey of parent reports, not a treatment study, and autism diagnoses were not confirmed.

Read it on PubMed →