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Child Psychiatry & Human Development
Gepubliceerd in:

01-08-2015 | Substantive/Theoretical Review

A Systematic Review and Meta-Analysis of Cognitive-Behavioral Therapy for Anxiety in Youth with High-Functioning Autism Spectrum Disorders

Auteurs: Danielle Ung, Robert Selles, Brent J. Small, Eric A. Storch

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2015

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Abstract

Cognitive-behavioral therapy (CBT) has been developed and modified to treat anxiety symptoms in youth with high-functioning autism spectrum disorders (ASD) but has yielded varying findings. The present report is a systematic review and meta-analysis examining the efficacy of CBT for anxiety among youth with ASD. A systematic search identified 14 studies involving 511 youth with high-functioning ASD. A random effects meta-analysis yielded a statistically significant pooled treatment effect size (g) estimate for CBT (g = −0.71, p < .001) with significant heterogeneity [Q (13) = 102.27, p < .001]. Removal of a study outlier yielded a statistically significant pooled treatment effect size, (g = −0.47, p < .001). Anxiety informant and treatment modality were not statistically significant moderators of treatment response. Findings suggest that CBT demonstrates robust efficacy in reducing anxiety symptoms in youth with high-functioning ASD.
vorige artikel Mediating Effect of Psychopathy on the Risk of Social Problems Among Children with ADHD Versus Sluggish Cognitive Tempo Symptoms
volgende artikel Development of the Parental Psychological Flexibility Questionnaire
Voetnoten
1
Autism Spectrum Disorder diagnoses and anxiety diagnoses were based upon the Diagnostic and Statistical Manual of Mental Disorders, 4th, edition, Text Revision (DSM-IV-TR).
 
Literatuur
1.
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn (DSM 5). American Psychiatric Press, Washington
2.
Gillott A, Furniss F, Walter A (2001) Anxiety in high-functioning children with autism. Autism 5:277–286PubMedCrossRef
3.
Simonoff E, Pickles A, Charman T, Chandler S, Loucas T, Baird G (2008) Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Adolesc Psychiatr 47:921–929CrossRef
4.
Ung D, Wood JJ, Ehrenreich-May J, Arnold EB, Fujii C, Renno P et al (2013) Clinical characteristics of high-functioning youth with autism spectrum disorder and anxiety. Neuropsychiatry 3:147–157CrossRef
5.
van Steensel FJA, Bogels SM, Perrin S (2011) Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clin Child Family Psychol Rev 14:302–317CrossRef
6.
Wood JJ, Gadow KD (2010) Exploring the nature and function of anxiety in youth with autism spectrum disorder. Clin Psychol Sci Pract 17:281–292CrossRef
7.
Green SA, Ben-Sasson A, Soto TW, Carter AS (2012) Anxiety and sensory over-responsivity in toddlers with autism spectrum disorders: bidirectional effects across time. J Autism Dev Disord 42:1112–1119PubMedCentralPubMedCrossRef
8.
Scarpa A, Reyes NM (2011) Improving emotion regulation with CBT in young children with high functioning autism spectrum disorders: a pilot study. Behav Cognit Psychother 39:495–500CrossRef
9.
Bellini S (2004) Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus Autism Other Dev Disabl 19:78–86CrossRef
10.
Farrugia S, Hudson J (2006) Anxiety in adolescents with Asperger syndrome: negative thoughts, behaviorial problems, and life interference. Focus Autism Other Dev Disabl 21:25–35CrossRef
11.
Kim JA, Szatmari P, Bryson SE, Streiner DL, Wilson FJ (2000) The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism 4:117–132CrossRef
12.
Weisbrot DM, Gadow KD, DeVincent CJ, Pomeroy J (2005) The presentation of anxiety in children with pervasive developmental disorders. J Child Adolesc Psychopharmacol 15:477–496PubMedCrossRef
13.
Chamberlin B, Kasari C, Rotheram-Fuller E (2007) Involvement or isolation? The social networks of children with autism in regular classrooms. J Autism Dev Disord 37:230–242CrossRef
14.
Muris P, Steerneman P, Merckelbach H, Holdrinet I, Meesters C (1998) Comorbid anxiety symptoms in children with pervasive developmental disorders. J Anxiety Disord 12:387–393PubMedCrossRef
15.
Sukhodolsky DG, Scahill L, Gadow KD, Arnold LE, Aman MG, McDougle CJ et al (2008) Parent-rated anxiety symptoms in children with pervasive developmental disorders: frequency and association with core autism symptoms and cognitive functioning. J Abnorm Child Psychol 36:117–128PubMedCrossRef
16.
McKay D, Storch E (2009) Cognitive behavior therapy for children: treating complex and refractory cases. Springer, New York
17.
Wood JJ, Drahota A (2005) Behavioral interventions for anxiety in children with autism. University of California-Los Angeles, Los Angeles
18.
Wood JJ, Drahota A, Sze K, Har K, Chiu K, Langer DA (2009) Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial. J Child Psychol Psychiatry 50:224–234PubMedCentralPubMedCrossRef
19.
Storch EA, Arnold EB, Lewin AB, Nadeau J, Jones AM, De Nadai AS et al (2013) The effect of cognitive-behavioral therapy versus treatment as usual for anxiety in children with autism spectrum disorders: a randomized, controlled trial. J Am Acad Child Adolesc Psychiatry 52:132–142PubMedCrossRef
20.
White SW, Albano AM, Johnson CR, Kasari C, Ollendick T, Klin A et al (2010) Development of a cognitive-behavioral intervention program to treat anxiety and social deficits in teens with high-functioning autism. Clin Child Family Psychol Rev 13:77–90CrossRef
21.
Reynolds S, Wilson C, Austin J, Hooper L (2012) Effects of psychotherapy for anxiety in children and adolescents: a meta-analytic review. Clin Psychol Rev 32:251–262PubMedCrossRef
22.
Chalfant AM, Rapee R, Carroll L (2007) Treating anxiety disorders in child with high functioning autism spectrum disorders: a controlled trial. J Autism Dev Disord 37:1842–1857PubMedCrossRef
23.
Reaven J, Blakeley-Smith A, Culhane-Shelburne K, Hepburn S (2012) Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: a randomized trial. J Child Psychol Psychiatry 53:410–419PubMedCentralPubMedCrossRef
24.
Sofronoff K, Attwood T, Hinton S (2005) A randomized controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. J Child Psychol Psychiatry 46:1152–1160PubMedCrossRef
25.
Lang R, Regester A, Lauderdale S, Ashbaugh K, Haring A (2010) Treatment of anxiety in autism spectrum disorders using cognitive behavior therapy: a systematic review. Dev Neurorehabilitation 13:53–63CrossRef
26.
Sukhodolosky DG, Bloch MH, Panza KE, Reichow B (2013) Cognitive-behavioral therapy for anxiety in children with high-functioning autism: a meta-analysis. Pediatrics 132:1341–1350CrossRef
27.
Reaven J, Blakeley-Smith A, Nichols S, Dasari M, Flanigan E, Hepburn S (2009) Cognitive-behavioral group treatment for anxiety symptoms in children with high-functioning autism spectrum disorders. Focus Autism Other Dev Disabl 24:27–37CrossRef
28.
White SW, Ollendick T, Albano AM, Oswald D, Johnson C, Southam-Gerow MA et al (2013) Randomized controlled trial: multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. J Autism Dev Disord 43:382–394PubMedCentralPubMedCrossRef
29.
White SW, Ollendick T, Scahill L, Oswald D, Albano AM (2009) Preliminary efficacy of a cognitive-behavioral treatment program for youth with autism spectrum disorders. J Autism Dev Disord 39:1652–1662PubMedCrossRef
30.
31.
Storch EA, May JE, Wood JJ, Jones AM, De Nadai AS, Lewin AB et al (2012) Multiple informant agreement on the anxiety disorders interview schedule in youth with autism spectrum disorders. J Child Adolesc Psychopharmacol 22:292–299PubMedCentralPubMedCrossRef
32.
Lord C, Rutter M, Le Couteur A (1994) Autism diagnostic interview-revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 24:659–685PubMedCrossRef
33.
Lord C, Rutter M, DiLavore PC, Risi S (2000) Autism diagnostic observation schedule. Western Psychological Services, Los Angeles
34.
Silverman WK, Albano AM (1996) The anxiety disorders interview schedule for DSM-IV—child and parent versions. Psychological Corporation, San Antonio
35.
Guy W (1976) Clinical global impressions, in ECDEU assessment manual for psychopharmacology. National Institute for Mental Health, Rockville
36.
March J (1998) Manual for the multidimensional anxiety scale for children. Mult-Health Systems, Toronto
37.
RUPP (2002) The pediatric anxiety rating scale: development and psychometric properties. J Am Acad Child Adolesc Psychiatry 41:1061–1069CrossRef
38.
Reynolds CR, Richmond BO (1978) What I think and feel: a revised measure of child’s manifest anxiety. J Abnorm Child Psychol 6:271–280PubMedCrossRef
39.
Birmaher B, Brent D, Chiapetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the Screen For Child Anxiety Related Emotional Disorders (SCARED). J Am Acad Child Adolesc Psychiatry 38:1230–1236PubMedCrossRef
40.
Spence SH (1998) A measure of anxiety symptoms among children. Behav Res Therapy 36:545–566CrossRef
41.
Borenstein M, Hedges L, Higgins J, Rothstein H (2005) Comprehensive meta-analysis version 2. Biostat., Englewood
42.
Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, Hillsdale
43.
McNally Keehn RH, Lincoln AJ, Brown MZ, Chavira DA (2013) The coping cat program for children with anxiety and autism spectrum disorder: a pilot randomized controlled trial. J Autism Dev Disord 43:57–67PubMedCentralPubMedCrossRef
44.
McConachie H, McLaughlin E, Grahame V, Taylor H, Honey E, Tavernor L et al (2013) Group therapy for anxiety in children with autism spectrum disorder. Autism. doi:10.​1177/​1362361313488839​
45.
Wood JJ, Ehrenreich-May J, Alessandri M, Fujii C, Renno P, Laugeson E et al (2014) Cognitive behavioral therapy for early adolescents with autism spectrum disorders and clinical anxiety: a randomized, controlled trial. Behav Therapy. doi:10.​1016/​j.​beth.​2014.​01.​002
46.
Fujii C, Renno P, McLeod D, Lin CE, Decker K, Zielinski K et al (2013) Intensive cognitive behavioral therapy for anxiety disorders in school-age children with autism: a preliminary comparison with treatment-as-usual. School Mental Health 5:25–37CrossRef
47.
Sung M, Ooi YP, Goh TJ, Pathy P, Fung DSS, Ang RP et al (2011) Effects of cognitive-behavioral therapy on anxiety in children with autism spectrum disorders: a randomized controlled trial. Child Psychiatry Hum Dev 42:634–649PubMedCrossRef
48.
Ooi YP, Lam CM, Sung M, Tan WT, Goh TJ, Fung DSS et al (2008) Effects of cognitive-behavioural therapy on anxiety for children with high-functioning autistic spectrum disorders. Singap Med J 49:215–220
49.
Ehrenreich-May J, Storch EA, Queen AH, et al (2014) An open trial of cognitive behavioral therapy for anxiety disorders in early adolescents with autism spectrum disorders. Focus Autism Other Dev Disabil. doi:10.​1177/​1088357614533381​
50.
Lyneham HJ, Abbott MJ, Wignall A, Rapee RM (2003) The cool kids family program: therapist manual. Macquarie University, Sydney
51.
Kendall PC, Hedtke KA (2006) Cognitive-behavioral therapy for anxious youth: therapist manual, 3rd edn. Workbook Publishing, Ardmore
52.
Attwood T (2004) Exploring feelings: cognitive behaviour therapy to manage anxiety. Future Horizons, Arlington
53.
Chorpita BF, Yim L, Moffitt CE, Umemoto LA, Francis SE (2000) Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale. Behav Res Therapy 38:835–855CrossRef
54.
Ishikawa S, Okajima I, Matsuoka H, Sakano Y (2007) Cognitive behavioural therapy for anxiety disorders in children and adolescents: a meta-analysis. Child Adolesc Mental Health 12:164–172CrossRef
55.
Grills AE, Ollendick TH (2003) Multiple informant agreement and the anxiety disorders schedule for parents and children. J Am Acad Child Adolesc Psychiatry 42:30–40PubMedCrossRef
Metagegevens
Titel
A Systematic Review and Meta-Analysis of Cognitive-Behavioral Therapy for Anxiety in Youth with High-Functioning Autism Spectrum Disorders
Auteurs
Danielle Ung
Robert Selles
Brent J. Small
Eric A. Storch
Publicatiedatum
01-08-2015
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2015
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-014-0494-y

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