Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial

Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a... Background: Children with autism spectrum disorders often present with comorbid anxiety disorders that cause significant functional impairment. This study tested a modular cognitive behavioral therapy (CBT) program for children with this profile. A standard CBT program was augmented with multiple treatment components designed to accommodate or remediate the social and adaptive skill deficits of children with ASD that could pose barriers to anxiety reduction. Method: Forty children (7–11 years old) were randomly assigned to 16 sessions of CBT or a 3‐month waitlist (36 completed treatment or waitlist). Therapists worked with individual families. The CBT model emphasized behavioral experimentation, parent‐training, and school consultation. Independent evaluators blind to treatment condition conducted structured diagnostic interviews and parents and children completed anxiety symptom checklists at baseline and posttreatment/postwaitlist. Results: In intent‐to‐treat analyses, 78.5% of the CBT group met Clinical Global Impressions‐Improvement scale criteria for positive treatment response at posttreatment, as compared to only 8.7% of the waitlist group. CBT also outperformed the waitlist on diagnostic outcomes and parent reports of child anxiety, but not children’s self‐reports. Treatment gains were maintained at 3‐month follow‐up. Conclusions: The CBT manual employed in this study is one of the first adaptations of an evidence‐based treatment for children with autism spectrum disorders. Remission of anxiety disorders appears to be an achievable goal among high‐functioning children with autism. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Journal of Child Psychology and Psychiatry Wiley

Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial

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Publisher
Wiley
Copyright
© 2008 The Authors. Journal compilation © 2008 Association for Child and Adolescent Mental Health
ISSN
0021-9630
eISSN
1469-7610
DOI
10.1111/j.1469-7610.2008.01948.x
pmid
19309326
Publisher site
See Article on Publisher Site

Abstract

Background: Children with autism spectrum disorders often present with comorbid anxiety disorders that cause significant functional impairment. This study tested a modular cognitive behavioral therapy (CBT) program for children with this profile. A standard CBT program was augmented with multiple treatment components designed to accommodate or remediate the social and adaptive skill deficits of children with ASD that could pose barriers to anxiety reduction. Method: Forty children (7–11 years old) were randomly assigned to 16 sessions of CBT or a 3‐month waitlist (36 completed treatment or waitlist). Therapists worked with individual families. The CBT model emphasized behavioral experimentation, parent‐training, and school consultation. Independent evaluators blind to treatment condition conducted structured diagnostic interviews and parents and children completed anxiety symptom checklists at baseline and posttreatment/postwaitlist. Results: In intent‐to‐treat analyses, 78.5% of the CBT group met Clinical Global Impressions‐Improvement scale criteria for positive treatment response at posttreatment, as compared to only 8.7% of the waitlist group. CBT also outperformed the waitlist on diagnostic outcomes and parent reports of child anxiety, but not children’s self‐reports. Treatment gains were maintained at 3‐month follow‐up. Conclusions: The CBT manual employed in this study is one of the first adaptations of an evidence‐based treatment for children with autism spectrum disorders. Remission of anxiety disorders appears to be an achievable goal among high‐functioning children with autism.

Journal

The Journal of Child Psychology and PsychiatryWiley

Published: Mar 1, 2009

References

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