Habilidades sociais de adultos com o diagnóstico de transtorno do espectro autista: uma revisão sistemática

Autores

  • Amanda Lima Rubim Eixo de Avaliação Psicológica do Laboratório de Avaliação, Pesquisa e Intervenção ao Transtorno do Espectro Autista da Universidade CEUMA. https://orcid.org/0000-0002-7773-6775
  • Ana Flávia Lima Teles da Hora Eixo de Avaliação Psicológica do Laboratório de Avaliação, Pesquisa e Intervenção ao Transtorno do Espectro Autista da Universidade CEUMA. https://orcid.org/0000-0002-7668-7502

DOI:

https://doi.org/10.33448/rsd-v9i7.4287

Palavras-chave:

habilidades sociais; adultos; autismo.

Resumo

O homem enquanto ser social necessita de um repertório comportamental que oriente suas relações em sociedade. Esse conjunto variado de comportamentos é denominado habilidade social, e pode ser aprendido durante todo o ciclo de vida. Pessoas com atraso no neurodesenvolvimento, diferente de pessoas consideradas típicas, apresentam como sintoma proeminente um déficit nas relações sociais, necessitando de espaços reforçadores que propiciem a construção de um repertório comportamental socialmente habilidoso. O Transtorno do Espectro Autista (TEA) tem despertado o interesse de diversas áreas do conhecimento, entretanto, o foco dos estudos na área ainda permanece na infância. Isto posto, o presente estudo teve como finalidade investigar as possibilidades de intervenção com adultos diagnosticados com TEA, como ferramenta para o treinamento de habilidades sociais (THS), tentativa sistemática de ensinar estratégias e habilidades interpessoais no intuito de melhorar a qualidade das interações que permeiam as relações interpessoais. Para tanto, a metodologia utilizada baseou-se em um levantamento bibliográfico na Biblioteca Virtual em Saúde (BVS), a partir dos unitermos “habilidades sociais”, “adultos” e “autismo”, nas línguas portuguesa, espanhola e inglesa. Foram incluídas produções disponíveis na íntegra, e que apresentavam no resumo intervenções com adultos com TEA e sua relação com o desenvolvimento de habilidades sociais. Foram analisados na íntegra os estudos resultantes dessa seleção. Os resultados discorrem sobre a eficácia de intervenções com adultos com TEA, para o desenvolvimento de habilidades sociais. Conclui-se que o THS é uma possibilidade de intervenção eficaz com adultos atípicos.

Biografia do Autor

Amanda Lima Rubim, Eixo de Avaliação Psicológica do Laboratório de Avaliação, Pesquisa e Intervenção ao Transtorno do Espectro Autista da Universidade CEUMA.

Psychological Assessment Axis of the Assessment, Research and Intervention on Autism Spectrum Disorder Laboratory - CEUMA University.

Ana Flávia Lima Teles da Hora, Eixo de Avaliação Psicológica do Laboratório de Avaliação, Pesquisa e Intervenção ao Transtorno do Espectro Autista da Universidade CEUMA.

Psychological Assessment Axis of the Assessment, Research and Intervention on Autism Spectrum Disorder Laboratory - CEUMA University.

Referências

Alverson, C. Y., Lindstrom, L. E., Hirano, K. A. (2015) High school to college: transition experiences of young adults with autism. Focus on Autism and Other Developmental Disabilities. doi: 10.1177/1088357615611880.

American Psychiatric Association – APA. (2013). Diagnostic and Statistical Manual of Mental Disorders – DSM-V. (5a ed.). Washington, DC: Author.

Anderson, A., Moore, D. W., Rausa, V. C., Finkelstein, S., Pearl, S., & Stevenson, M. (2017). A systematic review of interventions for adults with autism spectrum disorder to promote employment. Journal of Autism and Developmental Disorders, 4, 26‐ 38. Doi: https://doi.org/10.1007/s40489-016-0094-9

Baker-Ericzén, M. J., Fitch, M. A., Kinnear, M., Jenkins, M. M., Twamley, E. W., Smith, L., Montano, G., Feder, J., Crooke, P. J., Winner, M. G. & Leon, J. (2018). Development of the Supported Employment, Comprehensive Cognitive Enhancement and Social Skills program for adults on the autism spectrum: results of initial study. Autism, 22 (1), 6-19. doi: https://doi.org/10.1177/1362361317724294

Barneveld, P. S., Swaab, H., Fagel, S., van Engeland, H., & de Sonneville, L. M. J. (2014). Quality of life: A case‐controlled long‐term followup study, comparing young high‐functioning adults with autism spectrum disorders with adults with other psychiatric disorders diagnosed in childhood. Comprehensive Psychiatry, 55, 302‐ 310. Doi: https://doi.org/10.1016/j.comppsych.2013.08.001.

Biblioteca Virtual em Saúde – BVS. (2014). O que é a BVS. Retrieved March 17, 2020, from: http://bvsms.saude.gov.br/o-que-e-a-bvs-ms.

Billstedt, E., Gillberg, C., Gillberg, C. (2005). Autism after adolescence: population-based 13-22-year follow-up study of 120 individuals with autism diagnosed in childhood. Journal of Autism and Developmental Disorders, 351–360. Doi: DOI: 10.1007/s10803-005-3302-5.

Bolsoni-Silva, T. A. e Carrara, K. (2010). Habilidades sociais e análise do comportamento: compatibilidades e dissensões conceitual-metodológicas. Psicologia em Revista, 16 (2), 330-350. Doi: http://dx.doi.org/ 10.5752/P.1678- 9563.2010v16n2p330

Bolsoni-Silva, A. T. B. (2002). Habilidades sociais: Breve análise da teoria e da prática a luz da análise do comportamento. Interação em Psicologia, 6 (2), 233-242. Doi: http://dx.doi.org/10.5380/psi.v6i2.3311

Brereton A. V., Tonge B. J., Einfeld, S. L. (2006). Psychopathology in children and adolescents with autism compared to young people with intellectual disability. Journal of Autism and Developmental Disorders 36: 863– 870. Doi: DOI: 10.1007/s10803-006-0125-y.

Caballo, V. (2003) Manual de avaliação e treinamento das habilidades sociais. São Paulo: Santos.

Cai, R. Y., Richdale, A. L. (2016). Educational experiences and needs of higher education students with autism spectrum disorder. Journal of Autism and Developmental Disorders, 46: 31–41. Doi: 10.1007/s10803-015-2535-1.

Cassidy, S., Mitchell, P., Chapman, P. & Ropar, D. (2015). Processing of Spontaneous Emotional Responses in Adolescents and Adults with Autism Spectrum Disorders: Effect of Stimulus Type. Autism Research, v.8, issue 5, 534-544. Doi: https://doi.org/10.1002/aur.1468

Chen, J. L., Leader, G., Sung, C., & Leahy, M. (2015). Trends in employment for individuals with autism spectrum disorder: A review of the research literature. Review Journal of Autism and Developmental Disorders, 2, 115‐ 127. Doi: https://doi.org/10.1007/s40489-014-0041-6

Cimera, R. E., Cowan, R. J. (2009). The costs of services and employment outcomes achieved by adults with autism in the US. Autism, 13: 285– 302. Doi: 10.1177/1362361309103791.

Comodo, C. N. e Dias, T. P. (2017). Habilidades Sociais e competência social: Analisando conceitos ao longo das obras de Del Prette e Del Prette. Interação em Psicologia, 21 (2). Doi: http//dx.doi.org/10.5380/psi.v21i2.

Connor, A., Sung, C., Strain, A., Zeng, S. & Fabrizi, D. Building Skills, Confidence, and Wellness: Psychosocial Effects of Soft Skills Training for Young Adults with Autism. Journal of Autism and Developmental Disorders, 2019. Doi: https://doi.org/10.1007/s10803-019-03962-w.

Del Prette, Z. A. P. e Del Prette, A. (2012). Social skills and behavior analysis: Historical proximity and new issues. Perspectivas em Análise do Comportamento, 1, 104- 115. Doi: https://doi.org/10.18761/perspectivas.v1i2.33

Del Prette, A. e Del Prette, Z. A. P. (2011). Habilidades sociais: intervenções efetivas em grupo. São Paulo: Casa do Psicólogo.

Evangelista, K. C. M., Baptista, T. J. R. e Verissimo, J. F. D. O indivíduo como ser social. (2017). Revista eletrônica de ciências humanas, saúde e tecnologia, 5 (2), 61-76, ISSN: 2238-9547.

Felix, A. F., Santos, A. G. L. dos. & Asfora, R. (2017). As habilidades sociais de estudantes com transtorno do Espectro Autista (TEA) na educação infantil. Trabalho de Conclusão de Curso, Universidade Federal de Pernambuco, Recife, Brasil.

Gantman, A. Kapp, S. K., Orenski, K. & Laugeson, E. A. (2012). Social Skills Training for young adults with high-functioning autism spectrum disorder: a randomized controlled pilot study. Journal of Autism and Developmental Disorders, 42 (6), 1094-1103. Doi: https://doi.org/10.1007/s10803-011-1350-6.

Gaylord-Ross, R. J., Haring, T. G., Breen, C. & Pitts-Conway, V. (1984). The training and generalization of social interaction skills with autistic youth. Journal of Applied Behavior Analysis, 17 (2), 229-247. Doi: 10.1901/jaba.1984.17.229

Gelbar, N. W., Smith, I., Reichow, B. (2014). Systematic review of articles describing experience and supports of individuals with autism enrolled in college and university programs. Journal of Autism and Developmental Disorders, 44: 2593–2601. Doi:10.1007/s10803-014-2135-5.

Gilson, C. B. & Carter, E. W. (2016). Promoting Social Interactions and Job Independence for College Students with Autism or Intellectual Disability: A Pilot Study. Journal of Autism and Developmental Disorders, 3483-3596. Doi: https://doi.org/10.1007/s10803-016-2894-2.

Glennon, T. J. (2016). Survey of college personnel: Preparedness to serve students with autism spectrum disorder. American Journal of Occupational Therapy, 70 (2). Doi: 10.5014/ajot.2016.017921.

Grob, C. M., Lerman, D. C., Langlinais, C. A. & Villant, N. L. (2018). Assessing and teaching job-related skills to adults with autism spectrum disorder. Journal of Applied Behavior Analysis, 52 (1): 150-172. Doi: 10.1002/jaba.503.

Higgins, J. P. T. & Green, S. (2010). Cochrane Handbook for Systematic Reviews of Interventions. West Sussex, England, Wiley.

Hillier, A., Campbell, H. Mastriani, K. (2007). Two-year evaluation of a vocational support program for adults on the autism spectrum. Career Development for Exceptional Individuals, 30 (1): 35-47. Doi: 10.1177/08857288070300010501.

Hillier, A., Goldstein, J., Murphy, D., Trietsch, R., Keeves, J., Mendes, E. & Queenan, A. (2018). Supporting University students with autism spectrum disorder. Autism, v. 22, 20-28. Doi: https://doi.org/10;1177/1362361317699584.

Hood, S. A., Luczynski, K. C., & Mitteer, D. R. (2017). Toward meaningful outcomes in teaching conversation and greeting skills with individuals with autism spectrum disorder. Journal of Applied Behavior Analysis, 50, 459‐ 486. Doi: https://doi.org/10.1002/jaba.388.

Howlin, P. (1997). Interventions for people with autism: recent advances. Advances in Psychiatric Treatment 3: 94– 102. Doi: https://doi.org/10.1192/apt.3.2.94.

Howlin, P., Goode, S., Hutton, J. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45 (2): 212–229. Doi: https://10.1111/j.1469-7610.2004.00215.x.

Howlin, P., Moss, P., Savage, S. (2013). Social outcomes in mid- to later adulthood among individuals diagnosed with autism and average nonverbal IQ as children. Journal of the American Academy of Child and Adolescent Psychiatry, 52(6): 572–581. DOI: https://doi.org/10.1016/j.jaac.2013.02.017.

Hume, K., Loftin, R., Lantz, J. (2009). Increasing independence in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39: 1329-1338, doi: 10.1007/s10803-009-0751-2.

Kandalaft, M. R., Didehbani, N. Krawczyk, D. C., Allen, T. T. & Chapman, S. B. Virtual reality social cognition training for young adults with high-functioning autism. Journal of Autism and Developmental Disorders, 43, 34-44, 2013. Doi: https:/doi.org/10.1007/s10803-012-1544-6.

Koegel, L. K., Ashbaugh, K., Navab, A. & Koegel, R. L. (2016). Improving Empathic Communication Skills in Adults with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 46, 921-933. Doi: https://doi.org/10.1007/s10803-015-2633-0.

Laugeson, E. A., Gantman, A., Kapp, S. K., Orenski, K., & Ellingsen, R. (2015). A Randomized Controlled Trial to Improve Social Skills in Young Adults with Autism Spectrum Disorder: The UCLA PEERS Program. Journal of Autism and Developmental Disorders, 45, 3978-3989. Doi: https://doi.org/10.1007/s10803-015-2504-8.

Lerman, D. C., White, B., Grob, C. & Laudont, C. A clinic-based assessment for evaluating job-related social skills in adolescents and adults with autism. Behavior Analysis in Practice, 10, 323-336, 2017. Doi: https://doi.org/10.1007/s40617-017-0177-9.

Leung, C. N. W., Chan, R. W. S., Yeung, M. Y. C., & Tsui, H. C. H. (2019). Applicability and Effectiveness of Social Competence Group Intervention on Adults with Autism Spectrum Disorder in a Chinese Context: A Community-Based Study with Self- and Parent-Report. Journal of Autism and Developmental Disorders, 49, 3440-3452. Doi: https://doi.org/10.1007/s10803-019-04066-1.

Liu, K. P. Y, Wong, D., Chung, A. C. Y, Kwok, N., Lam, M. K. Y., Yuen, C. M. C., Arblaster, K., & Kwan, A. C. S. (2013). Effectiveness of a Workplace Training Programme in Improving Social, Communication and Emotional Skills for Adults with Autism and Intellectual Disability in Hong Kong – A Pilot Study. Occupational Therapy Internation, 20 (4). Doi: https://doi.org/10.1002/oti.1356.

Madriaga, M. Goodley, D. (2010). Moving beyond the minimum: Socially just pedagogies and Asperger’s syndrome in UK higher education. International Journal of Inclusive Education, 14 (2): 115-131. Doi: https://doi.org/10.1080/13603110802504168.

Marx, K. (2010). Manuscritos econômico-filosóficos. São Paulo: Boitempo.

McVey, A. J., Dolan, B. K., Willar, K. S., Pleiss, S., Karst, J. S., Casnar, C. L., Caiozzo, C., Vogt, E., Gordon, E. M., Nakia, S. & Hecke, A. V. (2016). A Replication and Extension of the PEERS for Young Adults Social Skills Intervention: Examining Effects on Social Skills and Social Anxiety in Young Adults with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 46, 3739-3754. Doi: https://doi.org/10.1007/s10803-106-2911-5.

McVey, A. J., Schiltz, H., Haendel, A., Dolan, B. K., Willar, K. S., Pleiss, S., Karst, J. S., Carson, A. M., Caiozzo, C., Vogt, E. & Hecke, A. V. (2017). Brief Report: Does Gender Matter in intervention for ASD? Examining the Impact of the PEERS Social Skills Intervention on Social Behavior Among Females with ASD. Journal of Autism Developmental Disorders, 2282-2289. Doi: https://doi.org/10.1007/s10803-017-3121-5.

Mendes, K., Silveira, R. C. C. P e Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto – Enfermagem, 17 (4), 758-764. doi: 10.1590/S0104-07072008000400018

Mesibov, G. B. (1984). Social skills training with verbal autistic adolescents and adults: a program model. Journal of Autism and Developmental Disorders, 14 (4), 395-404. doi:10.1007/bf02409830

Moher, D., Liberati, A., Tetzlaff, J. & Altman, D. G. The PRISMA Group. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement, PLoS Med, 6 (6): e1000097. doi:10.1371/journal.pmed1000097

Nuernberger, J. E., Ringdahl, J. E., Vargo, K. K., Crumpecker, A. C., & Gunnarsson, K. F. (2013). Using a behavioral skills training package to teach conversation skills to young adults with autism spectrum disorders. Research in Autism Spectrum Disorders, 7, 441‐ 417. Doi: https://doi.org/10.1016/j.rasd.2012.09.004.

Oswald, T. M., Winder-Patel, B., Ruder, S., Xing, G., Stahmer, A. & Solomon, M. (2018). A Pilot Randomized Controlled Trial of the ACCESS Program: A Group Intervention to Improve Social, Adaptive Functioning, Stress Coping, and Self-Determination Outcomes in Young Adults with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 48, 1742-1760. Doi: https://doi.org/10;1007/s10803-017-3421-9.

Ratto, A. B., Turner-Brown, L., Rupp, B. M., Mesibov, G. B., & Penn, D. L. (2011). Development of the Contextual Assessment of Social Skills (CASS): A Role Play Measure of Social Skill for Individuals with High-Functioning Autism. Journal of Autism and Developmental Disorders, 41, 1277-1286. Doi: https://doi.org/10.1007/s10803-010-1147-z.

Roux, A. M., Shattuck, P. T., Cooper, B. P. (2013) Postsecondary employment experiences among young adults with an autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry 52: 931–939. Doi: 10.1016/j.jaac.2013.05.019.

Rubim, A. L., Da Hora, A. F. L. T. & Lobato, A. L. (2020). Neuropsychological Assessment Contributions in Autism Diagnosis. Open Access Journal of Neurology and Neurosurgery, 13 (2): 555857. DOI: 10.19080/OAJNN.2020.13.555857

Saldaña D, Álvarez RM, Lobatón S, Lopez AM, Moreno M, Rojano M (2009). Objective and subjective quality of life in adults with autism spectrum disorders in southern Spain. Autism, 13: 303– 316. Doi: 10.1177/1362361309103792.

Santos, L. C., Lucchesi, F., Del Prette, A. e Almeida, A. V. (2014). Treinamento de Habilidades Sociais e Transtorno do Espectro Autista: Revisão Sistemática. Comunicação oral apresentada no Congresso Brasileiro de Educação Especial, São Paulo: São Carlos, Brasil.

Seaman, R. L., & Cannella‐Malone, H. I. (2016). Vocational skills interventions for adults with Autism Spectrum Disorder: A review of the literature. Journal of Developmental and Physical Disabilities, 28, 479‐ 494. Doi: https://doi.org/10.1007/s10882-016-9479-z

Shattuck, P. T., Seltzer, M. M., Greenberg, J. S., Orsmond, G. I., Bolt, D., Kring, S., Lounds, J., & Lord, C. (2007). Change in autism symptoms and maladaptive behaviors in adolescents and adults with an autism spectrum disorder. Journal of Autism and Developmental Disorders 37: 1735– 1747. DOI: 10.1007/s10803-006-0307-7.

Shattuck, P. T., Narendorf, S. C., & Cooper, B. (2012). Postsecondary education and employment among youth with an autism spectrum disorder. Pediatrics 129: 1042–1049. Doi: 10.1542/peds.2011-2864.

Tanaka, H., Negoro, H., Iwasaka, H. & Nakamura, S. (2017). Embodied conversational agents for multimodal automated social skills training in people with autism spectrum disorders. PLOS ONE, 12 (8): e0182151. Doi: https://doi.org/10.1371/journal.pone.0182151.

Taylor, J. L., Seltzer, M. M. (2011). Employment and post-secondary educational activities for young adults with autism spectrum disorders during the transition to adulthood. Journal of Autism and Developmental Disabilities, 41(5): 566–574. Doi: 10.1007/s10803-010-1070-3.

Van Hees, V., Moyson, T., & Roeyers, H. (2015) Higher education experiences of students with autism spectrum disorder: Challenges, benefits and support needs. Journal of Autism and Developmental Disorders, 45 (6): 1673–1688. Doi: 10.1007/s10803-014-2324-2.

Walsh, E. Holloway, J. & Lydon, H. (2018). An Evaluation of a Social Skills Intervention for Adults with Autism Spectrum Disorder and Intellectual Disabilities preparing for Employment in Ireland: A Pilot Study. Journal of Autism and Developmental Disorders, 48, 1727-1741. Doi: https://doi.org/10.1007/s10803-017-3441-5.

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20/05/2020

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RUBIM, A. L.; HORA, A. F. L. T. da. Habilidades sociais de adultos com o diagnóstico de transtorno do espectro autista: uma revisão sistemática. Research, Society and Development, [S. l.], v. 9, n. 7, p. e414974287, 2020. DOI: 10.33448/rsd-v9i7.4287. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/4287. Acesso em: 29 nov. 2024.

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