Impact of a Structured Social Skills Training Programme on Adolescents and Young Adults with Asperger Syndrome

Background/Objectives: Asperger Syndrome (AS) is a neurodevelopmental disorder within the autism spectrum disorders (ASD). Difficulties in social and communication skills characterise it despite individuals typically having average intelligence and language development. Improving socialisation skills in individuals with ASD requires a tailored approach that addresses their specific needs and encompasses a range of targeted strategies. This study investigates the effectiveness of a structured social skills training programme for adolescents and young adults with AS; Methods: Patients diagnosed with AS, irrespective of gender, were consecutively recruited from an outpatient clinic. The programme consisted of activities within the Social Skills, Autonomy, and Awareness module, designed for adolescent and young adult groups, conducted fortnightly, with sessions lasting between 1.5 to 3 hours each over 17 months. The Vineland Adaptive Behaviour Scales (VABS) assessed adaptive behaviour at enrolment and upon intervention completion. Data were statistically analysed using SPSS version 22.0 for Windows (SPSS Inc., Chicago, IL). Statistical analysis included automatic clustering, employing the Bayesian Information Criterion (BIC) to determine the optimal number of clusters within the dataset. The Pearson Chi-square and Fisher's exact tests were applied to assess whether variable distributions among the clusters differed significantly; Results: Thirty-one individuals (77.4% female) with AS participated in the study, with a mean age of 20.1 years (SD 7.0). The TwoStep algorithm identified two distinct clusters. The mean age at enrolment was significantly higher in Cluster 1 (n. 8) than in Cluster 2 (n. 23; p = 0.005). Additionally, the mean enrolment score on the Vineland II socialisation scale was significantly higher in Cluster 1 (93.9; SD 5.7) compared to Cluster 2 (49.0, SD 18.2; p < 0.001). At follow-up, the mean scores for both Cluster 1 (104.6, SD 13.3) and Cluster 2 (57.8, SD 18.0) showed significant increases (p < 0.05), with over 50% of participants demonstrating improvement in social skills; Conclusions: This study highlights distinct profiles among individuals with AS, revealing a clear association between age and social skills development. The intervention effectively enhanced social skills in most participants, regardless of the age at which treatment commenced. For some individuals, alternative or enhanced treatment options may be considered to achieve optimal outcomes.