The Effective of Theory of Mind Training on the Emotion Regulation and Social Skills in Autism Spectrum Disorder Children

Document Type : Original Article

Authors

1 MA Student in Psychology of Exceptional Children, Azarbaijan Shahid Madani University, East Azarbaijan, Iran.

2 Associate Professor, Department of Psychology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran.

10.22034/ceciranj.2023.389783.1756

Abstract

This study aimed to determine the effectiveness of the theory of mind on emotion regulation, and social skills in children with autism. The study was semi-experimental with a pre-test-post-test with a control group. The study population includes all children with autism spectrum disorder in Zanjan city, 30 people (25 boys and 5 girls) in the age group of 10-12 years old were selected from schools, and the autism associations of Zanjan province by non-random purposeful sampling. They were placed in the experimental, and control group of 15 people. The experimental group was taught the theory of mind individually and in groups during 60 sessions. Multivariate covariance analysis was used to examine the data, which were gathered using Billini's social skills profile and Schilder and Chikti's emotion regulation checklist (1995). The results showed that mind theory training significantly (p<0.05) improved adaptive emotion regulation skills (p<0.001), negativity, (p<0.001) reciprocal social behaviors (p<0.001), mature social behavior and worthiness (p<0.001), and social engagement (p<0.001) in the students with autism spectrum disorder. Therefore, mind theory training can be considered an appropriate educational and therapeutic method to improve the social and cognitive functioning of students with the autism spectrum disorder. Based on obtained results, mind theory training can be used as an effective intervention to improve emotion regulation, and social skills in the children with spectrum disorder. It is advisable that education specialists contribute to the enhancement of socio-emotional functioning among autistic students through the integration of mind theory training into academic curricula

Keywords


 
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Bamicha, V., & Drigas, A. (2022). ToM & ASD: The interconnection of Theory of Mind with the social-emotional, cognitive development of children with Autism Spectrum Disorder. The use of ICTs as an alternative form of intervention in ASD. Technium Social Sciences Journal. 33(1), 42-72.
Begeer, S., Howlin, P., Hoddenbach, E., Clauser, C., Lindauer, R., Clifford, P., Gevers, C., Boer, F., & Koot, H. M. (2015). Effects and moderators of a short theory of mind intervention for children with autism spectrum disorder: A randomized controlled trial. Autism Research. 8(6), 738-748.‏
Bellini, S., & Hopf, A. (2007). The development of the autism social skills profile: A preliminary analysis of psychometric properties. Focus on Autism and Other Developmental Disabilities. 22(2), 80-87.
Black, K. R., Lai, M. C., Desrocher, M. E., Lee, V., Sellitto, T., Vashi, N., & Weiss, J. A. (2023). A coping subscale for autistic children: Revisiting the dimensionality of the emotion regulation and social skills questionnaire. Research in Autism Spectrum Disorders. 105, 102167.
Blanke, E. S., Brose, A., Kalokerinos, E. K., Erbas, Y., Riediger, M., & Kuppens, P. (2020). Mix it to fix it: Emotion regulation variability in daily life. Emotion. 20(3), 473–485.
Burton, T., Ratcliffe, B., Collison, J., Dossetor, D., & Wong, M. (2020). Self-reported emotion regulation in children with autism spectrum disorder, without intellectual disability. Research in Autism Spectrum Disorders. 76, 101-599.
Chaidi, I. & Drigas, A. (2020). Autism, Expression, and Understanding of Emotions: Literature Review. International Journal of Online Engineering. 16(2), 94- 111.
Enav, Y., Erhard‐Weiss, D., Kopelman, M., Samson, A. C., Mehta, S., Gross, J. J., & Hardan, A. Y. (2019). A non randomized mentalization intervention for parents of children with autism. Autism Research. 12(7), 1077-1086.
Goldsmith, S. F., & Kelley, E. (2018). Associations between emotion regulation and social impairment in children and adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorder. 48(6), 2164-2173.
Happé, F., & Frith, U. (2020). Annual Research Review: Looking back to look forward–changes in the concept of autism and implications for future research. Journal of Child Psychology and Psychiatry. 61(3), 218-232.
Holden, R., Mueller, J., McGowan, J., Sanyal, J., Kikoler, M., Simonoff, E & Downs, J. (2020). Investigating bullying as a predictor of suicidality in a clinical sample of adolescents with autism spectrum disorder. Autism research. 13(6), 988-997.
Hudson, C. C., Hall, L., & Harkness, K. L. (2019). Prevalence of depressive disorders in individuals with autism spectrum disorder: A meta-analysis. Journal of Abnormal Child Psychology. 47, 165-175.
Hadwin, J. A., Howlin, P., & Baron-Cohen, S. (2015). Teaching children with autism to mind-read: The workbook. Wiley: New York, NY, USA.
Jacobs, E., & Nader-Grosbois, N. (2020). Affective and Cognitive Theory of Mind in children with intellectual disabilities: how to train them to foster social adjustment and emotion regulation. Journal of Education and Training Studies. 8(21), 80-97.‏
Jones, C. R., Simonoff, E., Baird, G., Pickles, A., Marsden, A. J., Tregay, J., Happé, F., & Charman, T. (2017). The association between theory of mind, executive function, and the symptoms of autism spectrum disorder. Autism Research. 11(1), 95–109.
Lombardi, E., Valle, A., Bianco, F., Castelli, I., Massaro, D., & Marchetti, A. (2022). Supporting mentalizing in primary school children: the effects of thoughts in mind project for children (TiM-C) on metacognition, emotion regulation and theory of mind. Cognition and Emotion. 36(5), 975-986.
Maenner, M. J., Warren, Z., Williams, A. R., Amoakohene, E., Bakian, A. V., Bilder, D. A., ... & Shaw, K. A. (2023). Prevalence and characteristics of autism spectrum disorder among children aged 8 years-Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2020. Morbidity and Mortality Weekly Report (MMWR)- Surveillance Summaries. 72(2), 1-14.
Park, M. N., Moulton, E. E., & Laugeson, E. A. (2023). Parent-assisted social skills training for children with autism spectrum disorder: PEERS for preschoolers. Focus on Autism and Other Developmental Disabilities. 38(2), 80-89.
Paynter, J., & Peterson, C. C. (2013). Further evidence of benefits of thought-bubble training for theory of mind development in children with autism spectrum disorders. Research in Autism Spectrum Disorders. 7(2), 344-348.
Peterson, C., Slaughter, V., Moore, C., & Wellman, H. M. (2016). Peer social skills and theory of mind in children with autism, deafness, or typical development. Developmental Psychology52(1), 46-56.
Reyes, N. M., Factor, R., & Scarpa, A. (2020). Emotion regulation, emotionality, and expression of emotions: A link between social skills, behavior, and emotion problems in children with ASD and their peers. Research in Developmental Disabilities. 106, 103770.
Rosello, B., Berenguer, C., Baixauli, I., García, R., & Miranda, A. (2020). Theory of mind profiles in children with autism spectrum disorder: Adaptive/social skills and pragmatic competence. Frontiers in Psychology. 11(23), 567401.
Schwarzer, N.-H., Nolte, T., Fonagy, P., & Gingelmaier, S. (2022). Self-rated mentalizing mediates the relationship between stress and coping in a non-clinical sample. Psychological Reports. 125(2), 742–762.
Shields, A. M., & Cicchetti, D. (1995). The development of an emotion regulation assessment battery: Reliability and validity among at-risk grade-school children. Poster session  presented at the biennial meeting of the Society for Research in Child Development. Indianapolis. 23(4), 121-145.
Waizbard-Bartov, E., & Miller, M. (2023). Does the severity of autism symptoms change over time? A review of the evidence, impacts, and gaps in current knowledge. Clinical Psychology Review. 99, 102230.
Wellman, H. M. (2017). The development of theory of mind: Historical reflections. Child Development Perspectives. 11(3), 207-214.
Zemestani, M., Hoseinpanahi, O., Salehinejad, M. A., & Nitsche, M. A. (2022). The impact of prefrontal transcranial direct current stimulation (tDCS) on theory of mind, emotion regulation and emotional‐behavioral functions in children with autism disorder: A randomized, sham‐controlled, and parallel‐group study. Autism Research. 15(10), 1985-2003.