Cognitive behaviour therapies for youth with autism spectrum disorders

Wood, Jeffrey J.; Schwartzman, Benjamin C.

doi:10.1017/cbo9781139344456.019

Cited by 3 publications

(1 citation statement)

References 67 publications

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“…There is an increasing base of research on cognitive behavioral therapy (CBT) for children with ASD and concurrent clinical anxiety (cf. Wood & Schwartzman, 2013), though again, relatively less research has focused on adolescents. Treatments for adolescents with ASD and concurrent anxiety disorders have at least two clear imperatives: they should be developmentally appropriate for adolescents; and they should address ASD-related barriers to youth uptake of anxiety treatment procedures (e.g., cognitive restructuring and exposure therapy).…”

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confidence: 99%

Cognitive Behavioral Therapy for Early Adolescents With Autism Spectrum Disorders and Clinical Anxiety: A Randomized, Controlled Trial

Wood¹,

Ehrenreich–May²,

Alessandri³

et al. 2015

Behavior Therapy

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Background Clinically elevated anxiety is a common, impairing feature of autism spectrum disorders (ASD). A modular CBT program designed for preteens with ASD, Behavioral Interventions for Anxiety in Children with Autism (BIACA; Wood et al., 2009), was enhanced and modified to address the developmental needs of early adolescents with ASD and clinical anxiety. Method Thirty-three adolescents (11–15 years old) were randomly assigned to 16 sessions of CBT or an equivalent waitlist period. The CBT model emphasized exposure, challenging irrational beliefs, and behavioral supports provided by caregivers, as well as numerous ASD-specific treatment elements. Independent evaluators, parents, and adolescents rated symptom severity at baseline and post-treatment/post-waitlist. Results In intent-to-treat analyses, the CBT group outperformed the waitlist group on independent evaluators’ ratings of anxiety severity on the Pediatric Anxiety Rating Scale (PARS) and 79% of the CBT group met Clinical Global Impressions-Improvement scale criteria for positive treatment response at posttreatment, as compared to only 28.6% of the waitlist group. Group differences were not found for diagnostic remission or questionnaire measures of anxiety. However, parent-report data indicated that there was a positive treatment effect of CBT on autism symptom severity. Conclusions The CBT manual under investigation, enhanced for early adolescents with ASD, yielded meaningful treatment effects on the primary outcome measure (PARS), although additional developmental modifications to the manual are likely warranted. Future studies examining this protocol relative to an active control are needed.

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confidence: 99%

Cognitive Behavioral Therapy for Early Adolescents With Autism Spectrum Disorders and Clinical Anxiety: A Randomized, Controlled Trial

Wood¹,

Ehrenreich–May²,

Alessandri³

et al. 2015

Behavior Therapy

Self Cite

198

137

View full text Add to dashboard Cite

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Including Children and Adolescents on the Autism Spectrum in the Treatment of Sleep Disturbance

Deurs

2022

Clinical Handbook of Behavioral Sleep Treatment in Children on the Autism Spectrum

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Impact of Cognitive Behavioral Therapy on Observed Autism Symptom Severity During School Recess: A Preliminary Randomized, Controlled Trial

Wood

Fujii

Renno

et al. 2014

J Autism Dev Disord

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This study compared cognitive behavioral therapy (CBT) and treatment-as-usual (TAU) in terms of effects on observed social communication-related autism symptom severity during unstructured play time at school for children with autism spectrum disorders (ASD). Thirteen children with ASD (7-11 years old) were randomly assigned to 32 sessions of CBT or community-based psychosocial treatment (TAU) for 16 weeks. The CBT program is based on the memory retrieval competition model and emphasizes the development of perspective-taking through guided behavioral experimentation supplemented with reflective Socratic discussion and supported by parent training and school consultation to promote generalization of social communication and emotion regulation skills. Trained observers blind to treatment condition observed each child during recess on two separate days at baseline and again at posttreatment, using a structured behavioral observation system that generates frequency scores for observed social communication-related autism symptoms. CBT outperformed TAU at posttreatment on the frequency of self-isolation, the proportion of time spent with peers, the frequency of positive or appropriate interaction with peers, and the frequency of positive or appropriate peer responses to the target child (d effect size range 1.34-1.62). On average, children in CBT were engaged in positive or appropriate social interaction with peers in 68.6% of observed intervals at posttreatment, compared to 25% of intervals for children in TAU. Further investigation of this intervention modality with larger samples and follow-up assessments is warranted.

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Cognitive behaviour therapies for youth with autism spectrum disorders

Cited by 3 publications

References 67 publications

Cognitive Behavioral Therapy for Early Adolescents With Autism Spectrum Disorders and Clinical Anxiety: A Randomized, Controlled Trial

Cognitive Behavioral Therapy for Early Adolescents With Autism Spectrum Disorders and Clinical Anxiety: A Randomized, Controlled Trial

Including Children and Adolescents on the Autism Spectrum in the Treatment of Sleep Disturbance

Impact of Cognitive Behavioral Therapy on Observed Autism Symptom Severity During School Recess: A Preliminary Randomized, Controlled Trial

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