Clin Exp Pediatr.  2023 Oct;66(10):447-454. 10.3345/cep.2023.00640.

Impact of short and intensive art-based intervention on symptomatology and social interactions among children with autism spectrum disorder

• Abdulah DM
• Abdulla BMO
• Liamputtong P

• KMID: 2546370
• DOI: http://doi.org/10.3345/cep.2023.00640

Abstract

Background
Consensus on the effectiveness of art therapy in children with autism spectrum disorders (ASDs) is lacking in the literature. Purpose: Here, we examined the effectiveness of a short and intensive art-based intervention on autistic symptomatology and social skills among children with ASD levels 2 and 3.
Methods
This pre- and postexperimental investigation included 13 children previously diagnosed with ASD levels 2 and 3 in Kurdistan Region in 2019. They completed the art-based intervention 2 hours/day for 3 days/week for 1 month. The activities included cutting and pasting squares and triangles, coloring black-and-white images, and recognizing and coloring shapes. Children used wooden and aquatic pens and scissors under guidance. Symptom severity was measured using the Social Responsiveness Scale (SRS-2), a validated tool for measuring the severity of autistic traits and symptoms that features subscales of social awareness, social cognition, social communication, social motivation, and autistic mannerisms. Children with ASD level 2 require significant support and experience notable difficulties in verbal and social communication, while those with ASD level 3 require extensive support and have the most severe form of autism. The outcome was measured one day before the course commenced and one week after completion.
Results
The mean patient age (n=13) was 8.15 years (standard deviation, 1.95; range, 5–11 years). Most patients were male (n=11, 84.62%). The mean SRS-2 score did not change significantly pre- to postexperiment (159 vs. 157, P=0.601). Similarly, we found no significant changes in social awareness (19 vs. 19, P=0.779); social cognition (28 vs. 27, P=0.199); social communication (56 vs. 54, P=0.600); social motivation (26 vs. 24, P=0.684); and autistic mannerisms (33 vs. 32; P= 0.780), respectively.
Conclusion
The art-based intervention did not improve autism symptoms or social interactions among children with ASD levels 2 and 3.

Keyword

Autism spectrum disorder; Social cognition; Social interaction