Adolescents with Autism Spend Free Time Using Solitary, Screen-Based Media

Children with autism spectrum disorders (ASD) tend to be fascinated by screen-based technology. A new study by a University of Missouri researcher found that adolescents with autism spend the majority of their free time using non-social media, including television and video-games.

“Even though parents and clinicians have often observed that children with ASD tend to be preoccupied with screen-based media, ours is the first large-scale study to explore this issue,” said Micah Mazurek, assistant professor in the School of Health Professions and the Thompson Center for Autism and Neurodevelopmental Disorders. “We found that 64 percent of adolescents with ASD spent most of their free time watching TV and playing video and computer games. These rates were much higher than among those with other types of disabilities. On the other hand, adolescents with ASD were less likely to spend time using email and social media.”

The majority of youths with ASD (64.2 percent) spend most of their free time using solitary, or non-social, screen-based media (television and video games) while only 13.2 percent spend time on socially interactive media (email, internet chatting).

This is the first study to examine the prevalence of screen-based media use within a large nationally representative sample of youths with ASD. Data were compiled from the National Longitudinal Transition Study 2, a group of more than 1,000 adolescents enrolled in special education. The study includes youths with ASD, learning and intellectual disabilities, and speech and language impairments.

The findings affirm that solitary screen-based media use represents a primary and preferred activity for a large percentage of youths with ASD, Mazurek said. Previously, researchers found that excessive use of these media in typically developing children is detrimental to outcomes, with regard to academic performance, social engagement, behavioral regulation, attention and health.

Autism and adolescence can be a time of stress and confusion; as it is for typically developing teens. Like all children, they need help in dealing with their budding sexuality. While some behaviors improve during the teenage years, some get worse. Increased autistic or aggressive behavior may be one way some teens express their newfound tension and confusion.

The teenage years are also a time when children become more socially sensitive. At the age that most teenagers are concerned with acne, popularity, grades, and dates, teens with autism may become painfully aware that they are different from their peers. They may notice that they lack friends. And unlike their schoolmates, they aren’t dating or planning for a career.

“This is an important issue for adolescents with ASD and their families. Studies have shown that excessive use of TV and video games can have negative long-term effects for typically developing children,” Mazurek said. “In future studies, we need to learn more about both positive and negative aspects of media use in children with ASD. We need to look for ways to capitalize on strengths and interests in screen-based technology.”

The challenges that autistic patients face become more pronounced during adolescence, a crucial period when many kinds of social behaviours are developed and when these individuals can become more keenly aware of their relationship difficulties. A paper by Dr. Eric Fombonne, Head of the Division of Child Psychiatry at the McGill University Health Centre (MUHC),  describes the effectiveness of social skills training groups for autistic adolescents.

“This study shows that the social and interpersonal skills of autistic adolescents can be improved, and we established that our method is efficient and does not require significant resources,” said Dr. Fombonne.

Dr. Fombonne organized the first training group in 2002, with his colleagues Jack Strulovitch, social worker at the MUHC, and Vicki Tagalakis, therapist in psychiatry paediatrics at the MUHC. They wanted to address the needs of autistic adolescents who had no major delay in their language development or who were not cognitively challenged (high-functioning autism and Asperger syndrome). Since then the training groups have been running twice a year for 14 sessions, each group involving seven to eight adolescents aged an average of 14.6 years.

Mazurek is an assistant professor in the Department of Health Psychology. The study was co-authored by Paul Shattuck, assistant professor at the Brown School at Washington University; Mary Wagner, principal scientist at SRI International, an independent, nonprofit research institute; and Benjamin Cooper, a graduate student at the Brown School.

The study, “Prevalence and Correlates of Screen-Based Media Use Among Youths with Autism Spectrum Disorders,” is published in the current issue of the Journal of Autism and Developmental Disorders. The research was funded by a grant from the National Institute of Mental Health and the Organization for Autism Research.

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Emily Martin, .(JavaScript must be enabled to view this email address), (573) 882-3346

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