Believing in Make-Believe: Efficacy of a Pretend Play Intervention for School-Aged Children with High-Functioning Autism Spectrum Disorder

J Autism Dev Disord. 2021 Feb;51(2):576-588. doi: 10.1007/s10803-020-04547-8.

Abstract

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder marked by socio-emotional deficits, and difficulties with pretend play skills. Play skills are related to processes of adaptive functioning and emotion understanding. The present pilot study implemented an in-person pretend play intervention to school-aged children (ages 6 to 9 years, intervention group = 18, control group = 7) diagnosed with high-functioning ASD (HF-ASD), to increase children's cognitive and affective play skills, and emotional understanding abilities. The intervention consisted of 5 weekly sessions, 15-20 minutes each. The intervention group significantly increased in imagination and cognitive play skills, which generalized to increased skills in emotional understanding. Findings demonstrate the positive impact of a short, easily facilitated, accessible play intervention for school-aged children with HF-ASD.

Keywords: Affective; Autism; Cognitive; Emotion; High-functioning; Intervention; Pretend play; School-aged.

MeSH terms

  • Autism Spectrum Disorder / psychology*
  • Autism Spectrum Disorder / therapy*
  • Child
  • Emotions / physiology
  • Female
  • Humans
  • Imagination / physiology*
  • Male
  • Pilot Projects
  • Play Therapy / methods*
  • Schools*
  • Students / psychology*
  • Treatment Outcome