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27-02-2019 | OriginalPaper

Effects of Cognitive Behavioral Therapy for Reducing Anxiety in Children with High Functioning ASD: A Systematic Review and Meta-Analysis

Auteurs: Celal Perihan, Mack Burke, Lisa Bowman-Perrott, Ali Bicer, Jennifer Gallup, Julie Thompson, Mary Sallese

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 6/2020

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Abstract

Children with autism spectrum disorder (ASD) are at greater risk for experiencing high levels of anxiety symptoms. Recent evidence suggests Cognitive behavioral therapy (CBT) may also be effective for anxiety reduction in some presentations of ASD. This meta-analysis evaluated twenty-three studies. Results yielded a moderate effect size (g = − 0.66) for the reduction of anxiety symptoms. Moderators indicated larger effects for studies were achieved with parental involvement (g = − 0.85, p < .05) than with child-only treatments (g = − 0.34, p < .05). Short-term interventions generated a smaller effect (g = − 0.37 p < .05) than either standard-term (g = − 1.02, p < .05) or long-term interventions (g = − 0.69, p < .05).Implications for children with ASD are discussed.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn.). Washington, DC: Author.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn.). Washington, DC: Author.CrossRef
go back to reference Attwood, T. (2004). Exploring feelings: Cognitive behavioural therapy to manage anxiety. Arlington: Future Horizons. Attwood, T. (2004). Exploring feelings: Cognitive behavioural therapy to manage anxiety. Arlington: Future Horizons.
go back to reference Bauminger, N. (2002). The facilitation of social-emotional understanding and social interaction in high-functioning children with autism: Intervention outcomes. Journal of autism and developmental disorders, 32(4), 283–298.PubMedCrossRef Bauminger, N. (2002). The facilitation of social-emotional understanding and social interaction in high-functioning children with autism: Intervention outcomes. Journal of autism and developmental disorders, 32(4), 283–298.PubMedCrossRef
go back to reference Beaumont, R., & Sofronoff, K. (2008). A multi-component social skills intervention for children with Asperger syndrome: The Junior Detective Training Program. Journal of Child Psychology and Psychiatry, 49(7), 743–753.PubMedCrossRef Beaumont, R., & Sofronoff, K. (2008). A multi-component social skills intervention for children with Asperger syndrome: The Junior Detective Training Program. Journal of Child Psychology and Psychiatry, 49(7), 743–753.PubMedCrossRef
go back to reference Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.
go back to reference Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36(4), 545–553. https://doi.org/10.1097/00004583-199704000-00018.CrossRef Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36(4), 545–553. https://​doi.​org/​10.​1097/​00004583-199704000-00018.CrossRef
go back to reference Boulter, C., Freeston, M., South, M., & Rodgers, J. (2014). Intolerance of uncertainty as a framework for understanding anxiety in children and adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44(6), 1391–1402.PubMedCrossRef Boulter, C., Freeston, M., South, M., & Rodgers, J. (2014). Intolerance of uncertainty as a framework for understanding anxiety in children and adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44(6), 1391–1402.PubMedCrossRef
go back to reference Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford Press. Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford Press.
go back to reference *Clarke, C., Hill, V., & Charman, T. (2016). School based cognitive behavioural therapy targeting anxiety in children with autistic spectrum disorder: a quasi-experimental randomised controlled trail incorporating a mixed methods approach. Journal of Autism and Developmental Disorders, 47(12), 3883–3895. https://doi.org/10.1007/s10803-016-2801-x.CrossRef *Clarke, C., Hill, V., & Charman, T. (2016). School based cognitive behavioural therapy targeting anxiety in children with autistic spectrum disorder: a quasi-experimental randomised controlled trail incorporating a mixed methods approach. Journal of Autism and Developmental Disorders, 47(12), 3883–3895. https://​doi.​org/​10.​1007/​s10803-016-2801-x.CrossRef
go back to reference Cohen, J. (1969). Statistical power analysis for the behavioral sciences. New York: Academic Press. Cohen, J. (1969). Statistical power analysis for the behavioral sciences. New York: Academic Press.
go back to reference Cook, B., Buysse, V., Klingner, J., Landrum, T., McWilliam, R., Tankersley, M., & Test, D. (2014). Council for Exceptional Children: Standards for evidence-based practices in special education. Teaching Exceptional Children, 46(6), 206.CrossRef Cook, B., Buysse, V., Klingner, J., Landrum, T., McWilliam, R., Tankersley, M., & Test, D. (2014). Council for Exceptional Children: Standards for evidence-based practices in special education. Teaching Exceptional Children, 46(6), 206.CrossRef
go back to reference *Drmic, I. E., Aljunied, M., & Reaven, J. (2017). Feasibility, acceptability and preliminary treatment outcomes in a school-based CBT intervention program for adolescents with ASD and anxiety in Singapore. Journal of Autism and Developmental Disorders, 47(12), 3909–3929. *Drmic, I. E., Aljunied, M., & Reaven, J. (2017). Feasibility, acceptability and preliminary treatment outcomes in a school-based CBT intervention program for adolescents with ASD and anxiety in Singapore. Journal of Autism and Developmental Disorders, 47(12), 3909–3929.
go back to reference *Ehrenreich-May, J., Storch, E. A., Queen, A. H., Rodriguez, J. H., Ghilain, C. S., Alessandri, M.,.. . Wood, J. J. (2014). An open trial of cognitive-behavioral therapy for anxiety disorders in adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 29(3), 145–155. https://doi.org/10.1177/1088357614533381.CrossRef *Ehrenreich-May, J., Storch, E. A., Queen, A. H., Rodriguez, J. H., Ghilain, C. S., Alessandri, M.,.. . Wood, J. J. (2014). An open trial of cognitive-behavioral therapy for anxiety disorders in adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 29(3), 145–155. https://​doi.​org/​10.​1177/​1088357614533381​.CrossRef
go back to reference *Fujii, C., Renno, P., Mcleod, B. D., Lin, C. E., Decker, K., Zielinski, K., & Wood, J. J. (2012). Intensive cognitive behavioral therapy for anxiety disorders in school-aged children with autism: A Preliminary comparison with treatment-as-usual. School Mental Health, 5(1), 25–37. https://doi.org/10.1007/s12310-012-9090-0.CrossRef *Fujii, C., Renno, P., Mcleod, B. D., Lin, C. E., Decker, K., Zielinski, K., & Wood, J. J. (2012). Intensive cognitive behavioral therapy for anxiety disorders in school-aged children with autism: A Preliminary comparison with treatment-as-usual. School Mental Health, 5(1), 25–37. https://​doi.​org/​10.​1007/​s12310-012-9090-0.CrossRef
go back to reference Guy, W. (1976). ECDEU assessment manual for psychopharmacology. US Dept Health, Education, and Welfare publication; ADM No. 76–338 (pp. 218–222). Rockville: National Institute of Mental Health. Guy, W. (1976). ECDEU assessment manual for psychopharmacology. US Dept Health, Education, and Welfare publication; ADM No. 76–338 (pp. 218–222). Rockville: National Institute of Mental Health.
go back to reference Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440.PubMedPubMedCentralCrossRef Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440.PubMedPubMedCentralCrossRef
go back to reference Keefer, A., Kreiser, N. L., Singh, V., Blakeley-Smith, A., Duncan, A., Johnson, C., … Vasa, R. A. (2017). Intolerance of uncertainty predicts anxiety outcomes following CBT in youth with ASD. Journal of Autism and Developmental Disorders, 47(12), 3949–3958.PubMedCrossRef Keefer, A., Kreiser, N. L., Singh, V., Blakeley-Smith, A., Duncan, A., Johnson, C., … Vasa, R. A. (2017). Intolerance of uncertainty predicts anxiety outcomes following CBT in youth with ASD. Journal of Autism and Developmental Disorders, 47(12), 3949–3958.PubMedCrossRef
go back to reference Kendall, P. C., & Hedtke, K. (2006). Cognitive-behavioral therapy for anxious children: Therapist manual (3rd edn.). Ardmore: Workbook Publishing. Kendall, P. C., & Hedtke, K. (2006). Cognitive-behavioral therapy for anxious children: Therapist manual (3rd edn.). Ardmore: Workbook Publishing.
go back to reference Kendall, P. C., & Hollon, S. D. (1989). Anxious self-talk: development of the anxious self-statements questionnaire (ASSQ). Cognitive Therapy and Research, 13, 81–93.CrossRef Kendall, P. C., & Hollon, S. D. (1989). Anxious self-talk: development of the anxious self-statements questionnaire (ASSQ). Cognitive Therapy and Research, 13, 81–93.CrossRef
go back to reference Kendall, P. C., & Kriss, M. R. (1983). Cognitive-behavioral interventions. In C. E. Walker (Ed.), The handbook of clinical psychology: theory, research and practice (pp. 770–819). Homewood: Dow Jones-Irwin. Kendall, P. C., & Kriss, M. R. (1983). Cognitive-behavioral interventions. In C. E. Walker (Ed.), The handbook of clinical psychology: theory, research and practice (pp. 770–819). Homewood: Dow Jones-Irwin.
go back to reference Kerns, C. M., Kendall, P. C., Berry, L., Souders, M. C., Franklin, M. E., Schultz, R. T., … Herrington, J. (2014). Traditional and atypical presentations of anxiety in youth with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(11), 2851–2861.PubMedPubMedCentralCrossRef Kerns, C. M., Kendall, P. C., Berry, L., Souders, M. C., Franklin, M. E., Schultz, R. T., … Herrington, J. (2014). Traditional and atypical presentations of anxiety in youth with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(11), 2851–2861.PubMedPubMedCentralCrossRef
go back to reference Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage. Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage.
go back to reference Lyneham, H. J., Abbott, M. J., Wignall, A., & Rapee, R. M. (2003). The Cool Kids Family Program—Therapist Manual. Sydney: Macquarie University. Lyneham, H. J., Abbott, M. J., Wignall, A., & Rapee, R. M. (2003). The Cool Kids Family Program—Therapist Manual. Sydney: Macquarie University.
go back to reference March, J. S. (1997). Multidimensional anxiety scale for children. North Tonawanda: Multi-Health Systems. March, J. S. (1997). Multidimensional anxiety scale for children. North Tonawanda: Multi-Health Systems.
go back to reference *Maskey, M., Lowry, J., Rodgers, J., McConachie, H., & Parr, J. R. (2014). Reducing specific phobia/fear in young people with autism spectrum disorders (ASDs) through a virtual reality environment intervention. PloS One, 9(7), e100374. *Maskey, M., Lowry, J., Rodgers, J., McConachie, H., & Parr, J. R. (2014). Reducing specific phobia/fear in young people with autism spectrum disorders (ASDs) through a virtual reality environment intervention. PloS One, 9(7), e100374.
go back to reference Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151(4), 264–269.PubMedCrossRef Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151(4), 264–269.PubMedCrossRef
go back to reference *Ooi, Y. P., Lam, C. M., Sung, M., Tan, W. T. S., Goh, T. J., Fung, D. S. S., … Chua, A. (2008). Effects of cognitive-behavioural therapy on anxiety for children with high-functioning autistic spectrum disorders. Singapore Medical Journal, 49(3), 215. *Ooi, Y. P., Lam, C. M., Sung, M., Tan, W. T. S., Goh, T. J., Fung, D. S. S., … Chua, A. (2008). Effects of cognitive-behavioural therapy on anxiety for children with high-functioning autistic spectrum disorders. Singapore Medical Journal, 49(3), 215.
go back to reference Reaven, J., Hepburn, S., Nichols, S., Blakely-Smith, A., & Dasari, M. (2005). Coping group: Fighting worry and facing fears: an unpublished treatment manual for children with ASD and anxiety disorder. Denver: University of Colorado at Denver and Health Sciences Center. Reaven, J., Hepburn, S., Nichols, S., Blakely-Smith, A., & Dasari, M. (2005). Coping group: Fighting worry and facing fears: an unpublished treatment manual for children with ASD and anxiety disorder. Denver: University of Colorado at Denver and Health Sciences Center.
go back to reference *Reaven, J. A., Blakeley-Smith, A., Nichols, S., Dasari, M., Flanigan, E., & Hepburn, S. (2008). Cognitive-behavioral group treatment for anxiety symptoms in children with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 24(1), 27–37. https://doi.org/10.1177/1088357608327666.CrossRef *Reaven, J. A., Blakeley-Smith, A., Nichols, S., Dasari, M., Flanigan, E., & Hepburn, S. (2008). Cognitive-behavioral group treatment for anxiety symptoms in children with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 24(1), 27–37. https://​doi.​org/​10.​1177/​1088357608327666​.CrossRef
go back to reference Research Units on Pediatric Psychopharmacology Autism Network. (2002). Risperidone in children with autism and serious behavioral problems. New England Journal of Medicine, 347, 314–321.CrossRef Research Units on Pediatric Psychopharmacology Autism Network. (2002). Risperidone in children with autism and serious behavioral problems. New England Journal of Medicine, 347, 314–321.CrossRef
go back to reference Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM IV-Child and parent versions. SanAntonio: Graywind. Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM IV-Child and parent versions. SanAntonio: Graywind.
go back to reference 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. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 921–929. https://doi.org/10.1097/chi.0b013e318179964f.CrossRef 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. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 921–929. https://​doi.​org/​10.​1097/​chi.​0b013e318179964f​.CrossRef
go back to reference Steensel, F. J., Bögels, S. M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clinical Child and Family Psychology Review, 14(3), 302.PubMedPubMedCentralCrossRef Steensel, F. J., Bögels, S. M., & Perrin, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clinical Child and Family Psychology Review, 14(3), 302.PubMedPubMedCentralCrossRef
go back to reference *Storch, E. A., Arnold, E. B., Lewin, A. B., Nadeau, J. M., Jones, A. M., Nadai, A. S.,.. . Murphy, T. K. (2013). The effect of cognitive-behavioral therapy versus treatment as usual for anxiety in children with autism spectrum disorders: A randomized, controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 52(2). https://doi.org/10.1016/j.jaac.2012.11.007.CrossRef *Storch, E. A., Arnold, E. B., Lewin, A. B., Nadeau, J. M., Jones, A. M., Nadai, A. S.,.. . Murphy, T. K. (2013). The effect of cognitive-behavioral therapy versus treatment as usual for anxiety in children with autism spectrum disorders: A randomized, controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 52(2). https://​doi.​org/​10.​1016/​j.​jaac.​2012.​11.​007.CrossRef
go back to reference Sukhodolsky, D. G., Scahill, L., Gadow, K. D., Arnold, L. E., Aman, M. G., Mcdougle, C. J.,.. . Vitiello, B. (2007). Parent-rated anxiety symptoms in children with pervasive developmental disorders: Frequency and association with core autism symptoms and cognitive functioning. Journal of Abnormal Child Psychology, 36(1), 117–128. https://doi.org/10.1007/s10802-007-9165-9.CrossRefPubMed Sukhodolsky, D. G., Scahill, L., Gadow, K. D., Arnold, L. E., Aman, M. G., Mcdougle, C. J.,.. . Vitiello, B. (2007). Parent-rated anxiety symptoms in children with pervasive developmental disorders: Frequency and association with core autism symptoms and cognitive functioning. Journal of Abnormal Child Psychology, 36(1), 117–128. https://​doi.​org/​10.​1007/​s10802-007-9165-9.CrossRefPubMed
go back to reference *Sung, M., Ooi, Y. P., Goh, T. J., Pathy, P., Fung, D. S., Ang, R. P.,.. . Lam, C. M. (2011). Effects of cognitive-behavioral therapy on anxiety in children with autism spectrum disorders: A randomized controlled trial. Child Psychiatry & Human Development, 42(6), 634–649. https://doi.org/10.1007/s10578-011-0238-1.CrossRef *Sung, M., Ooi, Y. P., Goh, T. J., Pathy, P., Fung, D. S., Ang, R. P.,.. . Lam, C. M. (2011). Effects of cognitive-behavioral therapy on anxiety in children with autism spectrum disorders: A randomized controlled trial. Child Psychiatry & Human Development, 42(6), 634–649. https://​doi.​org/​10.​1007/​s10578-011-0238-1.CrossRef
go back to reference *White, S. W., Ollendick, T., Albano, A. M., Oswald, D., Johnson, C., Southam-Gerow, M. A.,.. . Scahill, L. (2012). Randomized controlled trial: multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(2), 382–394. https://doi.org/10.1007/s10803-012-1577-x.CrossRef *White, S. W., Ollendick, T., Albano, A. M., Oswald, D., Johnson, C., Southam-Gerow, M. A.,.. . Scahill, L. (2012). Randomized controlled trial: multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(2), 382–394. https://​doi.​org/​10.​1007/​s10803-012-1577-x.CrossRef
go back to reference Wigham, S., Rodgers, J., South, M., McConachie, H., & Freeston, M. (2015). The interplay between sensory processing abnormalities, intolerance of uncertainty, anxiety and restricted and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(4), 943–952.PubMedCrossRef Wigham, S., Rodgers, J., South, M., McConachie, H., & Freeston, M. (2015). The interplay between sensory processing abnormalities, intolerance of uncertainty, anxiety and restricted and repetitive behaviours in autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(4), 943–952.PubMedCrossRef
go back to reference Wood, J. J., McLeod, B. D., Hiruma, L. S., & Phan, A. Q. (2008). Child anxiety disorders: A family-based treatment manual for practitioners. New York: WW Norton & Co. Wood, J. J., McLeod, B. D., Hiruma, L. S., & Phan, A. Q. (2008). Child anxiety disorders: A family-based treatment manual for practitioners. New York: WW Norton & Co.
Metagegevens
Titel
Effects of Cognitive Behavioral Therapy for Reducing Anxiety in Children with High Functioning ASD: A Systematic Review and Meta-Analysis
Auteurs
Celal Perihan
Mack Burke
Lisa Bowman-Perrott
Ali Bicer
Jennifer Gallup
Julie Thompson
Mary Sallese
Publicatiedatum
27-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 6/2020
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-019-03949-7

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