Feasibility of internet-delivered cognitive-behavior therapy for obsessive-compulsive disorder in youth with autism spectrum disorder: A clinical benchmark study

Wickberg, Frida; Lenhard, Fabian; Aspvall, Kristina; Serlachius, Eva; Andrén, Per; Johansson, Fred; Silverberg-Mörse, Maria; Mataix‐Cols, David

doi:10.1016/j.invent.2022.100520

Cited by 9 publications

(8 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Using ICBT-I in clinical care could thus significantly increase the number of patients treated by each therapist and improve cost-effectiveness. Participant-reported treatment satisfaction and credibility was in line with previous studies on adolescent ICBT-I ( Wickberg et al, 2022 ), suggesting that the intervention was well-suited for the study population.…”

Section: Discussionsupporting

confidence: 82%

Internet-delivered cognitive behavioral therapy for adolescents with insomnia: Feasibility and preliminary efficacy

Åslund,

Jernelöv,

Serlachius

et al. 2023

Clin Child Psychol Psychiatry

Self Cite

View full text Add to dashboard Cite

Background Insomnia is common in adolescents. This study evaluated feasibility and preliminary efficacy of a six-week internet-delivered cognitive-behavioral therapy for insomnia (ICBT-I) in adolescents. Methods In this uncontrolled pilot study, participants ( n = 27, 78% female) completed assessments pre- and post intervention. Data on recruitment, adherence to treatment, treatment activity, satisfaction and credibility was collected to assess feasibility. Self-reported insomnia symptoms, sleep parameters as well as depression, anxiety and daytime function were also assessed. Results Participants showed good adherence to treatment and found the intervention overall credible and satisfactory. From pre- to post-assessment, statistically significant improvements were found for insomnia symptoms ( p < .001; d = 1.02), sleep onset latency ( p < .001; d = .39), wake after sleep onset ( p = .001; d = .34), sleep efficiency ( p < .001; d = .5) and depression ( p = .01, d = .37). Changes in scores of total sleep time, generalized anxiety, daytime sleepiness and functional disability were not significant. Conclusions The present study indicates that ICBT-I is well accepted by adolescents, that insomnia symptoms and sleep parameters can improve following the intervention, and that co-morbid symptoms of depression can be reduced. Due to the limited sample size and the uncontrolled design, the suggested results need to be replicated in well-powered controlled clinical trials.

show abstract

Section: Discussionsupporting

confidence: 82%

Internet-delivered cognitive behavioral therapy for adolescents with insomnia: Feasibility and preliminary efficacy

Åslund,

Jernelöv,

Serlachius

et al. 2023

Clin Child Psychol Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…Nine studies assessed the efficacy of cognitive behavioural therapy (CBT) for samples of youth with concurrent OCD and ASD. Three of them offered patients CBT protocols specially adapted for people with ASD, either face-to-face [66,69] or internet-delivered [65]. All these studies showed these modified protocols were acceptable and associated with clinically significant improvements in CY-BOCS scores and OCD-like behaviours, although in-person CBT seemed to perform significantly better.…”

Section: Therapeutic Factorsmentioning

confidence: 99%

Prevalence and Correlates of the Concurrence of Autism Spectrum Disorder and Obsessive Compulsive Disorder in Children and Adolescents: A Systematic Review and Meta-Analysis

Aymerich,

Pacho,

Catalan

et al. 2024

Brain Sciences

View full text Add to dashboard Cite

Background: Autism spectrum disorder (ASD) and obsessive compulsive disorder (OCD) are two common and impairing neurodevelopmental conditions with partial symptomatic overlap. The aim of this study is to systematically and meta-analytically examine the following: (i) the prevalence of an OCD diagnosis among young people with ASD, (ii) the prevalence of an ASD diagnosis among young people with OCD, and (iii) the clinical and therapeutic implications of such comorbidity. Method: A multistep literature search was performed from database inception until 17 November 2023. This PRISMA/MOOSE-compliant systematic review, registered in PROSPERO (CRD42023480543), identified studies reporting on the prevalence, sociodemographic, psychopathologic, prognostic, and therapeutic correlates of OCD and ASD concurrence in children and adolescents. A quantitative meta-analysis with random effects was conducted to analyse the pooled prevalence of OCD among samples with a mean age of < 18 years old with ASD and the prevalence of ASD among individuals under 18 with OCD. Sensitivity analyses were performed to investigate the effect of diagnostic criteria and different continents. Meta-regression analyses were conducted to examine the effect of gender, age, IQ, and OCD severity scores. A narrative review of the clinical and therapeutical implications of the comorbidity was provided. Results: 42 studies were selected for the systematic review (SR), and 31 of them were also included in one of the meta-analyses. The pooled prevalence of OCD among ASD youth samples (n = 8916, mean age = 10.6 ± 1.6; 16.4% female) was 11.6% (95% confidence intervals [CI] = 6.9%; 18.8%), and the pooled prevalence of ASD among OCD children and adolescent samples (n = 6209, mean age = 14.1 ± 1.4; 45.7% female) was 9.5% (95% CI = 6.0%; 14.7%). Meta-regressions found a statistically higher prevalence of ASD among samples with a lower prevalence of females (β = −4.7; 95%CI = −8.6; −0.8). Children with both OCD and ASD present higher rates of functional impairment, psychopathology, and other comorbidities, compared to youth with either of the disorders alone. Conclusions: OCD and ASD are highly concurrent conditions in youth, with symptomatic, prognostic, severity, and therapeutic implications. Future research should focus on conducting longitudinal cohort studies prospectively to determine development trajectories, along with randomized controlled trials to assess the efficacy of specific therapeutic interventions.

show abstract

“…Psychotherapie bei Autismus kann sowohl im Gruppen-als auch im Einzelsetting hilfreich sein. Erste Studien weisen darauf hin, dass internetbasierte Konzepte eine sinnvolle Ergänzung zu Präsenzangeboten sein können [37], die auch für Personen an geografisch strukturschwachen Orten eine niedrigschwellige Option darstellen könnten.…”

Section: Merkeunclassified

Autismus-Spektrum-Störung im Erwachsenenalter

Thaler,

Falter-Wagner

2023

Fortschr Neurol Psychiatr

View full text Add to dashboard Cite

Autismus ist eine neuronale Entwicklungsstörung, die durch Schwierigkeiten in der sozialen Interaktion und Kommunikation sowie repetitive, stereotype Verhaltensweisen und Interessen gekennzeichnet ist. Diese Merkmale liegen bereits ab der frühen Kindheit vor, sind anhaltend und zeigen sich über verschiedene Kontexte hinweg. Der Beitrag geht auf die Besonderheiten im Erwachsenenalter ein, gerade wenn die Diagnose erst dann gestellt wird.

show abstract

Feasibility of internet-delivered cognitive-behavior therapy for obsessive-compulsive disorder in youth with autism spectrum disorder: A clinical benchmark study

Cited by 9 publications

References 30 publications

Internet-delivered cognitive behavioral therapy for adolescents with insomnia: Feasibility and preliminary efficacy

Internet-delivered cognitive behavioral therapy for adolescents with insomnia: Feasibility and preliminary efficacy

Prevalence and Correlates of the Concurrence of Autism Spectrum Disorder and Obsessive Compulsive Disorder in Children and Adolescents: A Systematic Review and Meta-Analysis

Autismus-Spektrum-Störung im Erwachsenenalter

Contact Info

Product

Resources

About