Evidence map›Paper›PMID 37129160›Full record

Trial reportWomen's health (London, England)

Social engagement and loneliness in school-age autistic girls and boys.

Michelle Dean, Ya-Chih Chang, Wendy Shih, Felice Orlich, Connie Kasari

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Disability barriers autistic girls face in secondary education: A systematic review.Autism : the international journal of research and practice · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 'Behavioral sciences (Basel, Switzerland) · 2025
    Article
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Michelle DeanCalifornia State University (CSU) Channel Islands, Camarillo, CA, USA.ORCID 0000-0002-6915-2710
Ya-Chih ChangCalifornia State University (CSU), Los Angeles, Los Angeles, CA, USA.
Wendy ShihCenter for Autism Research & Treatment, UCLA Semel Institute, Los Angeles, CA, USA.
Felice OrlichSeattle Children's Autism Center (CAC), Seattle, WA, USA.
Connie KasariCenter for Autism Research & Treatment, UCLA Semel Institute, Los Angeles, CA, USA.
Center for Autism and Related Disorders · USCalifornia State University, Channel Islands · USCalifornia State University Los Angeles · US

Funding

Treatment as usual and peer engagement in teens with High Functioning AutismR01HD065291 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI ORLICH, FELICE · 2009 to 2010
$772k
NICHD NIH HHS R01 HD065291
6 · The paper itself

Abstract

objectivesThis study examines the relationship between social engagement and loneliness in female and male autistic children and adolescents in school-based social settings. Secondary aims sought to explore the emergence of loneliness across different age groups and differences in social engagement and loneliness between genders.

methodsThis study conducted an analysis of previously collected data from two multi-site randomized control trials. This study included 58 autistic students (29 females, 29 males) between the ages 6 through 18 years. Female and male participants were matched on age and intelligence quotient. Concurrent mixed methods were used to examine participants' social engagement and loneliness.

resultsFindings revealed a significant relationship between joint engagement and loneliness, such that autistic students reported more loneliness when they were mutually engaged with social groups than when they were isolated or alone. Positive correlations between joint engage and loneliness were identified in elementary-age girls and secondary-age boys, suggesting that being mutually engaged with peers leads to increased loneliness. Negative correlations between parallel and loneliness identified in secondary-age boys suggested that boys in close proximity to peers felt less lonely than boys who were mutually engaged with peers. Qualitative analysis of social behaviors indicated that elementary girls and secondary boys were more likely to be mutually engaged or in close proximity to activities, but they had difficulty sustaining this engagement throughout the entire social period. Secondary girls and elementary boys, on the other hand, were more likely to be solitary and less likely to engage with peer groups.

conclusionStudy findings highlight the relationship between social engagement and loneliness in school-based autistic populations, and that more engagement itself can lead to more loneliness for younger girls and older boys. The influence of age and gender on engagement and loneliness highlights a need to tailor social interventions to leverage existing social strengths.

Indexed as

Autistic DisorderLonelinessAdolescentChildFemaleHumansMaleSchoolsSocial BehaviorSocial Participationautismgenderlonelinessschool-agesocial behaviorssocial engagementsocial skills

Identifiers

PMID37129160
PMCPMC10159247
OpenAlexW4367669555

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.