Top

Journal of Autism and Developmental Disorders

Gepubliceerd in:

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

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.

vorige artikel Needs of Grandparents of Preschool-Aged Children with ASD in Sweden

volgende artikel Outcomes of a Robot-Assisted Social-Emotional Understanding Intervention for Young Children with Autism Spectrum Disorders

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn.). Washington, DC: Author.CrossRef

Attwood, T. (2004). Exploring feelings: Cognitive behavioural therapy to manage anxiety. Arlington: Future Horizons.

Barrett, P. M., Dadds, M. R., & Rapee, R. M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64(2), 333–342. https://doi.org/10.1037/0022-006x.64.2.333.CrossRefPubMed

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

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

Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.

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

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

Centers for Disease Control and Prevention. (2018, April 26). Retrieved October 17, 2017, from https://www.cdc.gov/.

*Chalfant, A. M., Rapee, R., & Carroll, L. (2006). Treating anxiety disorders in children with high functioning autism spectrum disorders: A controlled trial. Journal of Autism and Developmental Disorders, 37(10), 1842–1857. https://doi.org/10.1007/s10803-006-0318-4.PubMedCrossRef

Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York: Guilford Press.

Chorpita, B. F., Yim, L. M., Moffitt, C. E., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A Revised Child Anxiety and Depression Scale. Behaviour Research and Therapy, 38, 835–855. https://doi.org/10.1016/S0005-7967(99)00130-8.CrossRefPubMed

Clark, D. B., Smith, M. G., Neighbors, B. D., Skerlec, L. M., & Randall, J. (1994). Anxiety disorders in adolescence: Characteristics, prevalence, and comorbidities. Clinical Psychology Review, 14(2), 113–137. https://doi.org/10.1016/0272-7358(94)90012-4.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

Cohen, J. (1969). Statistical power analysis for the behavioral sciences. New York: Academic Press.

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

*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.

*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

*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

Ginsburg, G. S., & Schlossberg, M. C. (2002). Family-based treatment of childhood anxiety disorders. International Review of Psychiatry, 14(2), 143–154. https://doi.org/10.1080/09540260220132662.CrossRef

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.

Hassall, R., Rose, J., & Mcdonald, J. (2005). Parenting stress in mothers of children with an intellectual disability: the effects of parental cognitions in relation to child characteristics and family support. Journal of Intellectual Disability Research, 49(6), 405–418. https://doi.org/10.1111/j.1365-2788.2005.00673.x.CrossRefPubMed

Hedges, L. V. (1981). Distribution theory for glass estimator of effect size and related estimators. Journal of Educational and Behavioral Statistics, 6(2), 107–128. https://doi.org/10.3102/10769986006002107.CrossRef

Hedges, L. V., & Vevea, J. L. (1998). Fixed- and random-effects models in meta-analysis. Psychological Methods, 3(4), 486–504. https://doi.org/10.1037/1082-989x.3.4.486.CrossRef

Higgins, J. P., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta-analysis. Statistics in Medicine, 21(11), 1539–1558. https://doi.org/10.1002/sim.1186.CrossRefPubMed

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

House, A. E., House, B. J., & Campbell, M. B. (1981). Measures of interobserver agreement: Calculation formulas and distribution effects. Journal of Behavioral Assessment, 3(1), 37–57. https://doi.org/10.1007/bf01321350.CrossRef

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

*Keehn, R. H., Lincoln, A. J., Brown, M. Z., & Chavira, D. A. (2012). The coping cat program for children with anxiety and autism spectrum disorder: A pilot randomized controlled trial. Journal of Autism and Developmental Disorders, 43(1), 57–67. https://doi.org/10.1007/s10803-012-1541-9.CrossRef

Kendall, P. C. (1993). Cognitive-behavioral therapies with youth: Guiding theory, current status, and emerging developments. Journal of Consulting and Clinical Psychology, 61(2), 235–247. https://doi.org/10.1037//0022-006x.61.2.235.CrossRefPubMed

Kendall, P. C., & Hedtke, K. (2006). Cognitive-behavioral therapy for anxious children: Therapist manual (3rd edn.). Ardmore: Workbook Publishing.

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., & 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.

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

Kim, Y. S., Leventhal, B. L., Koh, Y. J., Fombonne, E., Laska, E., Lim, E. C., … Grinker, R. R. (2011). Prevalence of autism spectrum disorders in a total population sample. American Journal of Psychiatry, 168(9), 904–912. https://doi.org/10.1176/appi.ajp.2011.10101532.CrossRefPubMed

Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage.

*Luxford, S., Hadwin, J. A., & Kovshoff, H. (2016). Evaluating the effectiveness of a school-based cognitive behavioural therapy intervention for anxiety in adolescents diagnosed with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(12), 3896–3908. https://doi.org/10.1007/s10803-016-2857-7.PubMedCentralCrossRef

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., Street, A. K., Abbott, M. J., & Rapee, R. M. (2008). Psychometric properties of the school anxiety scale—Teacher reported (SAS-TR). Journal of Anxiety Disorders, 22(2), 292–300. https://doi.org/10.1016/j.janxdis.2007.02.001.CrossRefPubMed

March, J. S. (1997). Multidimensional anxiety scale for children. North Tonawanda: Multi-Health Systems.

*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.

*Mcconachie, H., Mclaughlin, E., Grahame, V., Taylor, H., Honey, E., Tavernor, L.,.. . Couteur, A. L. (2013). Group therapy for anxiety in children with autism spectrum disorder. Autism, 18(6), 723–732. https://doi.org/10.1177/1362361313488839.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

*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.

*Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2011). Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: A randomized trial. Journal of Child Psychology and Psychiatry, 53(4), 410–419. https://doi.org/10.1111/j.1469-7610.2011.02486.x.CrossRef

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. 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

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

Reynolds, C. R., & Richmond, B. O. (1978). What I think and feel: A revised measure of child’s manifest anxiety. Journal of Abnormal Child Psychology, 6(2), 271–280. https://doi.org/10.1007/bf00919131.CrossRefPubMed

*Scarpa, A., & Reyes, N. M. (2011). Improving emotion regulation with CBT in young children with high functioning autism spectrum disorders: A pilot study. Behavioural and Cognitive Psychotherapy, 39(04), 495–500. https://doi.org/10.1017/s1352465811000063.PubMedCrossRef

Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM IV-Child and parent versions. SanAntonio: Graywind.

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

*Sofronoff, K., Attwood, T., & Hinton, S. (2005). A randomised controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. Journal of Child Psychology and Psychiatry, 46(11), 1152–1160. https://doi.org/10.1111/j.1469-7610.2005.00411.x.PubMedCrossRef

Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36(5), 545–566. https://doi.org/10.1016/s0005-7967(98)00034-5.CrossRefPubMed

*Steensel, F. J., & Bögels, S. M. (2015). Cbt for anxiety disorders in children with and without autism spectrum disorders. Journal of Consulting and Clinical Psychology, 83(3), 512–523. https://doi.org/10.1037/a0039108.PubMedCrossRef

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

*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., Lewin, A. B., Collier, A. B., Arnold, E., Nadai, A. S., Dane, B. F.,.. . Murphy, T. K. (2014). A randomized controlled trial of cognitive-behavioral therapy versus treatment as usual for adolescents with autism spectrum disorders and comorbid anxiety. Depression and Anxiety, 32(3), 174–181. https://doi.org/10.1002/da.22332.PubMedPubMedCentralCrossRef

Sukhodolsky, D. G., Bloch, M. H., Panza, K. E., & Reichow, B. (2013). Cognitive-behavioral therapy for anxiety in children with high-functioning autism: A Meta-analysis. Pediatrics, 132(5). https://doi.org/10.1542/peds.2013-1193.PubMedPubMedCentralCrossRef

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

*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

*Thomson, K., Riosa, P. B., & Weiss, J. A. (2015). Brief report of preliminary outcomes of an emotion regulation intervention for children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(11), 3487–3495. https://doi.org/10.1007/s10803-015-2446-1.PubMedCrossRef

Ung, D., Selles, R., Small, B. J., & Storch, E. A. (2014). A systematic review and meta-analysis of cognitive-behavioral therapy for anxiety in youth with high-functioning autism spectrum disorders. Child Psychiatry & Human Development, 46(4), 533–547. https://doi.org/10.1007/s10578-014-0494-y.CrossRef

Warner, C. M., Warner, C. M., Fisher, P. H., & Klein, R. G. (2007). School-based behavioral intervention for social anxiety disorder in adolescents: Results of an attention control trial and implementation issues. PsycEXTRA Dataset. https://doi.org/10.1037/e533832007-001.CrossRef

*Weiss, J. A., Viecili, M. A., & Bohr, Y. (2014). Parenting stress as a correlate of cognitive behavior therapy responsiveness in children with autism spectrum disorders and anxiety. Focus on Autism and Other Developmental Disabilities, 30(3), 154–164. https://doi.org/10.1177/1088357614547808.CrossRef

White, S. W., Albano, A., Johnson, C., Kasari, C., Ollendick, T., Klin, A., et al. (2010a). Development of a cognitive-behavioral intervention program to treat anxiety and social deficits in teens with high-functioning autism. Clinical Child and Family Psychology Review, 13(1), 77–90. https://doi.org/10.1007/s10567-009-0062-3.CrossRefPubMedPubMedCentral

*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

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

*Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009). Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: a randomized, controlled trial. Journal of Child Psychology and Psychiatry, 50(3), 224–234. https://doi.org/10.1111/j.1469-7610.2008.01948.x.PubMedCrossRef

*Wood, J. J., Ehrenreich-May, J., Alessandri, M., Fujii, C., Renno, P., Laugeson, E.,.. . Storch, E. A. (2015). Cognitive behavioral therapy for early adolescents with autism spectrum disorders and clinical anxiety: A randomized, controlled trial. Behavior Therapy, 46(1), 7–19. https://doi.org/10.1016/j.beth.2014.01.002.PubMedCrossRef

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.

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

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2020

Comparative Effectiveness of Parent–Child Interaction Therapy for Children with and Without Autism Spectrum Disorder

Elopement Patterns and Caregiver Strategies

The UCLA PEERS School-Based Program: Treatment Outcomes for Improving Social Functioning in Adolescents and Young Adults with Autism Spectrum Disorder and Those with Cognitive Deficits

Systematic Review: Distribution of Age and Intervention Modalities in Therapeutic Clinical Trials for Autism Spectrum Disorder

Growing up with Fragile X Syndrome: Concerns and Care Needs of Young Adult Patients and Their Parents

How has DSM-5 Affected Autism Diagnosis? A 5-Year Follow-Up Systematic Literature Review and Meta-analysis