Effectiveness of the Five Component Approach (p5) on Behavioral Problems of Adolescents with Autism Spectrum Disorder: A Single-Subject research

Document Type : Research Paper

Authors

1 Tehran university; Associate Professor, University of Tehran

2 consultant

Abstract

Abstract
Aim: the present study aims at investigating the effectiveness of five components approach (p5) on behavioral problems of adolescents with autism spectrum disorder.
Materials and method: the present study employs an AB single-subject design. The population consists of all adolescents with ASD in the City of Isfahan. The sample size consists of 3 adolescents with ASD selected via the purposive sampling method. The research instruments are the Autism Spectrum Disorder Diagnosis Scale (ASDDS) and the Assessment of Behavioral Problems in Adolescents with Autism Checklist (AABPC). After five baseline sessions, intervention was conducted during eight weeks. Finally, three follow-up sessions were conducted as well. To interpret and make conclusions, charts, visual analyses, the trend index and stability index, Percentage of Non-Overlapping Data (PND), and Percentage of Overlapping Data (PND) were used.
Findings: after visual analyses of data charts, it was identified that the intervention was effective on the three subjects. The PND for the three subjects were 87.5, 100, and 87.5.
Conclusion: the results indicated that the five component approach (p5) reduces significantly the behavioral problems of adolescents with ASD. Therefore, besides other training and rehabilitation methods for adolescents with ASD, the p5 can be employed.

Keywords


American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders‌.5th ed. Washington, DC: American Psychiatric Association.
Bauminger, N., Solomon, M., Rogers, S.J. (2010). Externalizing and internalizing behaviors in ASD. Autism Research 3(3): 101-12.
Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M.,‌& Sukhodolsky, D. G. (2015). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: a randomized clinical trial, Jama313(15): 1524-1533.
Boonen, H., Maljaars, J., Lambrechts, G., Zink, I., Van Leeuwen, K. & Noens, I. (2014). Behavior problems among school-aged children with autism spectrum disorder: Associations with children's communication difficulties and parenting behaviors. Research in Autism Spectrum Disorders8(6): 716-725.
Carter, A. S., Martínez‐Pedraza, F. D. L. & Gray, S. A. (2009). Stability and individual change in depressive symptoms among mothers raising young children with ASD: Maternal and child correlates, Journal of clinical psychology, 65(12): 1270-1280.
Centers for Disease Control and Prevention (CDC). (2014). Prevalence of autism spectrum disorders among children aged 8 years: autism and developmental disabilities monitoring network, 11 sites, United States, 2010. MMWR Surveillance Summaries, 63(2): 1–22.
Charlop‐Christy, M. H., Carpenter, M., Le, L., LeBlanc, L. A. & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: Assessment of PECS acquisition, speech, social‐communicative behavior, and problem behavior, Journal of applied behavior analysis35(3): 213-231.
Estes, A., Olson, E., Sullivan, K., Greenson, J., Winter, J., Dawson, G. & Munson, J. (2013). Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders. Brain and Development35(2): 133-138.
Gray, K., Keating, C., Taffe, J., Brereton, A., Einfeld, S. & Tonge, B. (2012). Trajectory of behavior and emotional problems in autism. American Journal on Intellectual and Developmental Disabilities117(2): 121-133.
Hartley, S. L., Sikora, D. M. & McCoy, R. (2008). Prevalence and risk factors of maladaptive behaviour in young children with autistic disorder. Journal of Intellectual Disability Research52(10): 819-829.
Herring, S., Gray, K., Taffe, J., Tonge, B., Sweeney, D. & Einfeld, S. (2006). Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: associations with parental mental health and family functioning. Journal of Intellectual Disability Research50(12): 874-882.
Kanne, S. M. & Mazurek, M. O. (2011). Aggression in children and adolescents with ASD: Prevalence and risk factors. Journal of autism and developmental disorders41(7): 926-937.
Koegel, L. K., Singh, A. K. & Koegel, R. L. (2010). Improving motivation for academics in children with autism. Journal of autism and developmental disorders40(9): 1057-1066.
Koegel, R.L., Koegel, L.K. (2012). The PRT Pocket Guide: Pivotal Response Treatment for Autism Spectrum Disorders. Brookes Publishing Company: Baltimore.
Kuoch, H., & Mirenda, P. (2003). Social story interventions for young children with autism spectrum disorders. Focus on Autism and other developmental disabilities18(4): 219-227.
Lyons, G. (2011). Translation of evidence-based practices in a behaviour support Implementation model for youth with autism spectrum disorders. International Journal of Disability, Development and Education58(4): 409-415.
Matson, J. L., & Wilkins, J. (2007). A critical review of assessment targets and methods for social skills excesses and deficits for children with autism spectrum disorders. Research in Autism Spectrum Disorders1(1): 28-37.
McStay, R. L., Dissanayake, C., Scheeren, A., Koot, H. M. & Begeer, S. (2014). Parenting stress and autism: The role of age, autism severity, quality of life and problem behaviour of children and adolescents with autism. Autism18(5): 502-510.
Miller, L. (2009). Practical Behaviour Management Solutions for Children and Teens with Autism: The 5P Approach. Jessica Kingsley Publishers.
Miller, L.J. (2013). Developing Flexibility Skills in Children and Teens with Autism: Using the 5P Approach. Jessica Kingsley Publishers.
Mohseni Ezhiyeh, A., Abedi, A. & Behnamnejad, N. (2015). Designing and Evaluating the Psychometric Properties of Autism Spectrum Disorders Diagnosis Scale (ASDDS) According to DSM-5. Iranian Journal of Psychiatry & Clinical Psychology,21(2): 121-131 (Text in Persian).
Munson, J., Dawson, G., Sterling, L., Beauchaine, T., Zhou, A., Koehler, E. & Abbott, R. (2008). Evidence for latent classes of IQ in young children with autism spectrum disorder. American Journal on Mental Retardation113(6): 439-452.
Pritchard, D., Graham, N., Penney, H., Owen, G., Peters, S. & Mace, F. C. (2016). Multi-component behavioural intervention reduces harmful sexual behaviour in a 17-year-old male with autism spectrum disorder: a case study. Journal of sexual aggression22(3): 368-378.
Salemi-Khamene, A., Ghahari. Sh., Soltanlou, M. & Darabi, J. (2013). Effectiveness of pivotal response treatment on communicative and behavioral disorder of 8-12 years-old autistic boys. J Gorgan Univ Med Sci 15(1): 6-11 (Text in Persian).
Sikora, D., Moran, E., Orlich, F., Hall, T. A., Kovacs, E. A., Delahaye, J. & Kuhlthau, K. (2013). The relationship between family functioning and behavior problems in children with autism spectrum disorders. Research in Autism Spectrum Disorders7(2): 307-315.
Singh, N. N., Lancioni, G. E., Winton, A. S., Karazsia, B. T., Myers, R. E., Latham, L. L. & Singh, J. (2014). Mindfulness-based positive behavior support (MBPBS) for mothers of adolescents with autism spectrum disorder: Effects on adolescents’ behavior and parental stress. Mindfulness5(6): 646-657.
Sullivan, T. N., & Bradshaw, C. P. (2012). Introduction to the special issue of Behavioral Disorders: Serving the needs of youth with disabilities through school-based violence prevention efforts. Behavioral Disorders, 37(3): 129–132.
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 disorders41(5): 566-574.