Brief Report: Relationship Between Self-Awareness of Real-World Behavior and Treatment Outcome in Autism Spectrum Disorders

• DOI: 10.1007/s10803-011-1311-0
• Publication Date: 2011-06-22T20:00:33Z
• Authors: E. W. M. Verhoeven; N. Marijnissen; H. J. C. Berger; J. Oudshoorn; A. van der Sijde; J. P. Teunisse
• Keywords: Male; Adolescent; 05 social sciences; Awareness; NCEBP 8: Psychological determinants of chronic illness; Self Concept; 3. Good health; Young Adult; Treatment Outcome; Social Perception; Adolescent Behavior; Behavior Therapy; Child Development Disorders, Pervasive; Humans; Female; 0501 psychology and cognitive sciences; Child; Social Adjustment

The aim of the present study was to investigate the influence of self-awareness of real-world behavior on treatment outcome in adolescents with ASD. For this purpose we followed 28 adolescents with ASD during their first year of specialized treatment. Results showed that better self-awareness at start of treatment was related with an increase in clinician-reported social functioning after 1 year of treatment. Additionally, an increase in self-awareness during treatment was related with a decrease of parent-reported problems in daily functioning. However, an increase in self-awareness was also related to an increase of self-reported daily and psychological problems. It is discussed that lowered self-awareness may result in an overestimation of personal real-world functioning and consequently may influence treatment course.