Prediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder

Kuan-Lin Chen,1–3 Cheng-Te Chen,4 Chien-Ho Lin,5 Chien-Yu Huang,6 Ya-Chen Lee7 1Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan City 701, Taiwan (R.O.C); 2Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hosp...

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Autores principales:	Chen KL, Chen CT, Lin CH, Huang CY, Lee YC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	autism spectrum disorder pretend play playfulness severity of autism behaviors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/a0b8dbabb4df40feaa10080a84ede774
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spelling	oai:doaj.org-article:a0b8dbabb4df40feaa10080a84ede7742021-12-02T09:45:05ZPrediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder1178-2021https://doaj.org/article/a0b8dbabb4df40feaa10080a84ede7742019-11-01T00:00:00Zhttps://www.dovepress.com/prediction-of-playfulness-by-pretend-play-severity-of-autism-behaviors-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Kuan-Lin Chen,1–3 Cheng-Te Chen,4 Chien-Ho Lin,5 Chien-Yu Huang,6 Ya-Chen Lee7 1Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan City 701, Taiwan (R.O.C); 2Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City 701, Taiwan (R.O.C); 3Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan City 701, Taiwan (R.O.C); 4Department of Educational Psychology and Counseling, National Tsing Hua University, Hsinchu, Taiwan (R.O.C); 5Department of Psychiatry, Chi Mei Medical Center, Youngkang Dist., Tainan City 710, Taiwan (R.O.C); 6Department of Occupational Therapy, I-Shou University, Yanchao District, Kaohsiung City 824, Taiwan (R.O.C); 7Department of Occupational Therapy, College of Medical and Health Science, Asia University, Wufeng, Taichung, Taiwan (R.O.C)Correspondence: Ya-Chen LeeDepartment of Occupational Therapy, College of Medical and Health Science, Asia University, No. 500, Lioufeng Road, Wufeng, Taichung, Taiwan (R.O.C)Tel +886-4-23323456 Ext. 20007Email jennyleenet@hotmail.comBackground: Children with autism spectrum disorder (ASD) often exhibit deficits in pretend play and have less playfulness. The purpose of this study was to evaluate the relationship between pretend play and playfulness in children with autism spectrum disorder, while controlling for severity of autism behaviors, verbal comprehension, and age.Methods: A sample of 72 children with ASD aged between 3 and 12 years were assessed with the Child-Initiated Pretend Play Assessment, Test of Playfulness, and Childhood Autism Rating Scale, respectively, for their pretend play, playfulness, and severity of autism behaviors. Correlation and multiple regression analyses were conducted.Results: The results of Pearson correlation coefficients revealed that the pretend play variables had mild to moderate associations with the playfulness variables (r = −0.25 to 0.68). The multiple regression analyses showed that, overall, the internal locus of control was the significant predictor of the pretend play variables (accounting for 5–47% of the variance, p < 0.001). The six pretend play variables were all important predictors of all playfulness variables (explaining 41–76% of the variance, p < 0.001–0.047). Particularly, the elaborate pretend play action was a significant predictor of all four playfulness variables. Our findings indicated that the more children with ASD engaged in pretend play, the more they experienced playfulness.Conclusion: Clinicians could help children with ASD improve their feeling of being in charge of their play in order to develop better performance in pretend play. Assisting children with ASD to engage in pretend play is important to promote their internal experience of playfulness.Keywords: autism spectrum disorder, pretend play, playfulness, severity of autism behaviorsChen KLChen CTLin CHHuang CYLee YCDove Medical Pressarticleautism spectrum disorderpretend playplayfulnessseverity of autism behaviorsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 3177-3186 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	autism spectrum disorder pretend play playfulness severity of autism behaviors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	autism spectrum disorder pretend play playfulness severity of autism behaviors Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Chen KL Chen CT Lin CH Huang CY Lee YC Prediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder
description	Kuan-Lin Chen,1–3 Cheng-Te Chen,4 Chien-Ho Lin,5 Chien-Yu Huang,6 Ya-Chen Lee7 1Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan City 701, Taiwan (R.O.C); 2Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan City 701, Taiwan (R.O.C); 3Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan City 701, Taiwan (R.O.C); 4Department of Educational Psychology and Counseling, National Tsing Hua University, Hsinchu, Taiwan (R.O.C); 5Department of Psychiatry, Chi Mei Medical Center, Youngkang Dist., Tainan City 710, Taiwan (R.O.C); 6Department of Occupational Therapy, I-Shou University, Yanchao District, Kaohsiung City 824, Taiwan (R.O.C); 7Department of Occupational Therapy, College of Medical and Health Science, Asia University, Wufeng, Taichung, Taiwan (R.O.C)Correspondence: Ya-Chen LeeDepartment of Occupational Therapy, College of Medical and Health Science, Asia University, No. 500, Lioufeng Road, Wufeng, Taichung, Taiwan (R.O.C)Tel +886-4-23323456 Ext. 20007Email jennyleenet@hotmail.comBackground: Children with autism spectrum disorder (ASD) often exhibit deficits in pretend play and have less playfulness. The purpose of this study was to evaluate the relationship between pretend play and playfulness in children with autism spectrum disorder, while controlling for severity of autism behaviors, verbal comprehension, and age.Methods: A sample of 72 children with ASD aged between 3 and 12 years were assessed with the Child-Initiated Pretend Play Assessment, Test of Playfulness, and Childhood Autism Rating Scale, respectively, for their pretend play, playfulness, and severity of autism behaviors. Correlation and multiple regression analyses were conducted.Results: The results of Pearson correlation coefficients revealed that the pretend play variables had mild to moderate associations with the playfulness variables (r = −0.25 to 0.68). The multiple regression analyses showed that, overall, the internal locus of control was the significant predictor of the pretend play variables (accounting for 5–47% of the variance, p < 0.001). The six pretend play variables were all important predictors of all playfulness variables (explaining 41–76% of the variance, p < 0.001–0.047). Particularly, the elaborate pretend play action was a significant predictor of all four playfulness variables. Our findings indicated that the more children with ASD engaged in pretend play, the more they experienced playfulness.Conclusion: Clinicians could help children with ASD improve their feeling of being in charge of their play in order to develop better performance in pretend play. Assisting children with ASD to engage in pretend play is important to promote their internal experience of playfulness.Keywords: autism spectrum disorder, pretend play, playfulness, severity of autism behaviors
format	article
author	Chen KL Chen CT Lin CH Huang CY Lee YC
author_facet	Chen KL Chen CT Lin CH Huang CY Lee YC
author_sort	Chen KL
title	Prediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder
title_short	Prediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder
title_full	Prediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder
title_fullStr	Prediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder
title_full_unstemmed	Prediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder
title_sort	prediction of playfulness by pretend play, severity of autism behaviors, and verbal comprehension in children with autism spectrum disorder
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/a0b8dbabb4df40feaa10080a84ede774
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Prediction Of Playfulness By Pretend Play, Severity Of Autism Behaviors, And Verbal Comprehension In Children With Autism Spectrum Disorder

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