Top

Journal of Autism and Developmental Disorders

Gepubliceerd in:

24-08-2018 | Original Paper

Emotion Regulation Intensive Outpatient Programming: Development, Feasibility, and Acceptability

Auteurs: Rebecca C. Shaffer, Logan K. Wink, Jennifer Ruberg, Alexis Pittenger, Ryan Adams, Michael Sorter, Patricia Manning, Craig A. Erickson

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 2/2019

Abstract

Individuals with Autism Spectrum Disorder (ASD) and/or intellectual and developmental disabilities (DD) often struggle with behavior management and emotion-regulation (ER). In this manuscript, we describe the results of a chart review examining a group treatment program designed to address ER deficits in youth with ASD and/or DD. The intensive 5 week program utilizes cognitive behavior, applied behavior analysis, and mindfulness techniques and includes biweekly child and parent groups. Results indicate that this program is feasible and associated with high caregiver satisfaction. Pre-and-post outcome results indicate statistically significant improvement on behavioral measures, but did not demonstrate significant improvment on the Pediatric Quality of Life Family Impact Module. Based on overall positive outcomes, a randomized controlled trial of the program is indicated.

vorige artikel The Measurement of Adult Pathological Demand Avoidance Traits

volgende artikel Daily Sources of Autonomy-Supportive and Controlling Parenting in Mothers of Children with ASD: The Role of Child Behavior and Mothers’ Psychological Needs

Achenbach, T. M., & Rescorla, L. (2001). ASEBA school-age forms & profiles. Burlington: ASEBA.

Aldao, A., & Nolen-Hoeksema, S. (2013). One versus many: Capturing the use of multiple emotion regulation strategies in response to an emotion-eliciting stimulus. Cognition & Emotion, 27(4), 753–760. https://doi.org/10.1080/02699931.2012.739998.CrossRef

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004.CrossRef

Ali, A., Hall, I., Blickwedel, J., & Hassiotis, A. (2015). Behavioural and cognitive-behavioural interventions for outwardly-directed aggressive behaviour in people with intellectual disabilities. Cochrane Database System Reviews. https://doi.org/10.1002/14651858.CD003406.pub4.CrossRef

Aman, M. G., McDougle, C. J., Scahill, L., Handen, B. L., Arnold, L. E., Johnson, C. R., et al. (2009). Medication and parent training in children with pervasive developmental disorders and serious behavior problems: Results from a randomized clinical trial. Journal of American Academy of Child and Adolescent Psychiatry, 48(12), 1143–1154. https://doi.org/10.1097/CHI.0b013e3181bfd669.CrossRef

Aman, M. G., & Singh, N. N. (1986). Aberrant behavior checklists: Manual. East Aurora: Slosson Educational Publications.

Bandura, A. (1989). Regulation of cogntivie processes through perceived self-efficacy. Developmental Psychology, 25, 729–735.CrossRef

Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., et al. (2015). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trial. JAMA, 313(15), 1524–1533. https://doi.org/10.1001/jama.2015.3150.CrossRefPubMed

Blackledge, J. T., & Hayes, S. C. (2001). Emotion regulation in acceptance and commitment therapy. Journal of Clinical Psychology, 57(2), 243–255.CrossRef

Blake, M. J., Sheeber, L. B., Youssef, G. J., Raniti, M. B., & Allen, N. B. (2017). Systematic review and meta-analysis of adolescent cognitive-behavioral sleep interventions. Clinical Child and Family Psychology Review, 20(3), 227–249. https://doi.org/10.1007/s10567-017-0234-5.CrossRefPubMed

Burckhardt, R., Manicavasagar, V., Batterham, P. J., Hadzi-Pavlovic, D., & Shand, F. (2017). Acceptance and commitment therapy universal prevention program for adolescents: A feasibility study. Child and Adolescent Psychiatry and Mental Health, 11, 27. https://doi.org/10.1186/s13034-017-0164-5.CrossRefPubMedPubMedCentral

Buron, K., & Curtis, M. (2003). The incredible 5-point scale: Assisting students with autism spectrum disorders in understanding social interactions and controlling their emotional responses. Shawnee Mission: Autism Asperger Publishing Company.

Campos, J. J., Frankel, C. B., & Camras, L. (2004). On the nature of emotion regulation. Child Development, 75(2), 377–394. https://doi.org/10.1111/j.1467-8624.2004.00681.x.CrossRefPubMed

Chang, Y. C., Laugeson, E. A., Gantman, A., Ellingsen, R., Frankel, F., & Dillon, A. R. (2014). Predicting treatment success in social skills training for adolescents with autism spectrum disorders: The UCLA Program for the Education and Enrichment of Relational Skills. Autism, 18(4), 467–470. https://doi.org/10.1177/1362361313478995.CrossRefPubMed

Cisler, J. M., Olatunji, B. O., Feldner, M. T., & Forsyth, J. P. (2010). Emotion regulation and the anxiety disorders: An integrative review. Journal of Psychopathology and Behavioral Assessment, 32(1), 68–82. https://doi.org/10.1007/s10862-009-9161-1.CrossRefPubMedPubMedCentral

Coleman, P. K., & Karraker, K. H. (1998). Self-efficacy and parenting quality: Findings and future applications. Developmental Review, 18, 47–85.CrossRef

Cotton, S., Luberto, C. M., Sears, R. W., Strawn, J. R., Stahl, L., Wasson, R. S., et al. (2016). Mindfulness-based cognitive therapy for youth with anxiety disorders at risk for bipolar disorder: A pilot trial. Early Intervention in Psychiatry, 10(5), 426–434. https://doi.org/10.1111/eip.12216.CrossRefPubMed

de Bruin, E. I., Blom, R., Smit, F. M., van Steensel, F. J., & Bogels, S. M. (2015). MYmind: Mindfulness training for Youngsters with autism spectrum disorders and their parents. Autism, 19(8), 906–914. https://doi.org/10.1177/1362361314553279.CrossRefPubMed

Eisenberg, N., & Spinrad, T. L. (2004). Emotion-related regulation: Sharpening the definition. Child Development, 75(2), 334–339. https://doi.org/10.1111/j.1467-8624.2004.00674.x.CrossRefPubMed

Frankel, F., Myatt, R., Sugar, C., Whitham, C., Gorospe, C. M., & Laugeson, E. (2010). A randomized controlled study of parent-assisted children’s friendship training with children having autism spectrum disorders. [Randomized Controlled Trial Research Support, N. I. H., & Extramural]. Journal of Autism and Developmental Disorders. 40(7), 827–842, https://doi.org/10.1007/s10803-009-0932-z.CrossRefPubMedPubMedCentral

Gowen, J. W., Johnson-Martin, N., Goldman, B. D., & Applebaum, M. (1989). Feelings of depression and parenting competence of mothers of handicapped and nonhandicapped infants: A longitudinal study. American Journal on Mental Retardation, 94, 259–271.PubMed

Granpeesheh, D., Tarbox, J., & Dixon, D. R. (2009). Applied behavior analytic interventions for children with autism: A description and review of treatment research. Annals of Clinical Psychiatry, 21(3), 162–173.PubMed

Guy, W. (1976). ECDEU assessment manual for psychopharmacology, publication No. 76–338. Washington, DC: U.S. DHEW, NIMH.

Hastings, R. P., & Brown, T. (2002). Behavior problems of children with autism, parental self-efficacy, and mental health. American Journal on Mental Retardation, 107(3), 222–232, https://doi.org/10.1352/0895-8017(2002)107%3C0222:bpocwa%3E2.0.co;2.CrossRefPubMed

Hesse, T., Holmes, L. G., Kennedy-Overfelt, V., Kerr, L. M., & Giles, L. L. (2015). Mindfulness-based intervention for adolescents with recurrent headaches: A pilot feasibility study. Evidence-Based Complementary and Alternative Medicine, 2015, 508958, https://doi.org/10.1155/2015/508958.CrossRefPubMedPubMedCentral

Hill, A. L., Degnan, K. A., Calkins, S. D., & Keane, S. P. (2006). Profiles of externalizing behavior problems for boys and girls across preschool: The roles of emotion regulation and inattention. Developmental Psychology, 42(5), 913–928. https://doi.org/10.1037/0012-1649.42.5.913.CrossRefPubMed

Hwang, Y. S., & Kearney, P. (2013). A systematic review of mindfulness intervention for individuals with developmental disabilities: Long-term practice and long lasting effects. Research in Developmental Disabilities, 34(1), 314–326. https://doi.org/10.1016/j.ridd.2012.08.008.CrossRefPubMed

Jahromi, L. B., Meek, S. E., & Ober-Reynolds, S. (2012). Emotion regulation in the context of frustration in children with high functioning autism and their typical peers. Journal of Child Psychology and Psychiatry, 53(12), 1250–1258. https://doi.org/10.1111/j.1469-7610.2012.02560.x.CrossRefPubMed

King, B. H., Hollander, E., Sikich, L., McCracken, J. T., Scahill, L., Bregman, J. D., et al. (2009). Lack of efficacy of citalopram in children with autism spectrum disorders and high levels of repetitive behavior: Citalopram ineffective in children with autism. Archives of General Psychiatry, 66(6), 583–590. https://doi.org/10.1001/archgenpsychiatry.2009.30.CrossRefPubMedPubMedCentral

Konstantareas, M. M., & Stewart, K. (2006). Affect regulation and temperament in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 36(2), 143–154. https://doi.org/10.1007/s10803-005-0051-4.CrossRefPubMed

Kumar, S., Feldman, G., & Hayes, A. (2008). Changes in mindfulness and emotion regulation in an exposure-based cognitive therapy for depression. Cognitive Therapy and Research, 32(6), 734. https://doi.org/10.1007/s10608-008-9190-1.CrossRef

Kuypers, L. M. (2011). The zones of regulation. San Jose: Social Thinking Publishing.

Laugeson, E. A., Frankel, F., Gantman, A., Dillon, A. R., & Mogil, C. (2012). Evidence-based social skills training for adolescents with autism spectrum disorders: The UCLA PEERS program. Journal of Autism and Developmental Disorders, 42(6), 1025–1036. https://doi.org/10.1007/s10803-011-1339-1.CrossRefPubMed

Laugeson, E. A., Frankel, F., Mogil, C., & Dillon, A. R. (2009). Parent-assisted social skills training to improve friendships in teens with autism spectrum disorders. [Clinical Trial Comparative Study Research Support, N.I.H., Extramural]. Journal of Autism and Developmental Disorders, 39(4), 596–606. https://doi.org/10.1007/s10803-008-0664-5.CrossRefPubMed

Lovaas, O. I., Koegel, R., Simmons, J. Q., & Long, J. S. (1973). Some generalization and follow-up measures on autistic children in behavior therapy. Journal of Applied Behavior Analysis, 6, 131–166.CrossRef

Madrigal, S., & Garcia Winner, M. (2008). Superflex… A superhero social thinking curriculum. San Jose: Social Thinking Publishing.

Mandelberg, J., Frankel, F., Cunningham, T., Gorospe, C., & Laugeson, E. A. (2014). Long-term outcomes of parent-assisted social skills intervention for high-functioning children with autism spectrum disorders. Autism, 18(3), 255–263. https://doi.org/10.1177/1362361312472403.CrossRefPubMed

Mazefsky, C. A., Herrington, J., Siegel, M., Scarpa, A., Maddox, B. B., Scahill, L., et al. (2013). The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 52(7), 679–688. https://doi.org/10.1016/j.jaac.2013.05.006.CrossRef

Mazefsky, C. A., Pelphrey, K. A., & Dahl, R. E. (2012). The need for a broader approach to emotion regulation research in autism. Child Development Perspectives, 6(1), 92–97. https://doi.org/10.1111/j.1750-8606.2011.00229.x.CrossRefPubMedPubMedCentral

Mazefsky, C. A., & White, S. W. (2014). Emotion regulation: Concepts & practice in autism spectrum disorder. Child and Adolescent Psychiatric Clinics of North America, 23(1), 15–24. https://doi.org/10.1016/j.chc.2013.07.002.CrossRefPubMed

Mazefsky, C. A., Yu, L., White, S. W., Siegel, M., & Pilkonis, P. A. (2018). The emotion dysregulation inventory: Psychometric properties and item response theory calibration in an autism spectrum disorder sample. Autism Research, 11(6), 928–941. https://doi.org/10.1002/aur.1947.CrossRefPubMedPubMedCentral

Mcclure, K. S., Halpern, J., Wolper, P. A., & Donahue, J. (2009). Emotion regulation and intellectual disability. Journal of Developmental Disabilities, 15(2), 38–44.

McDougle, C. J., Scahill, L., Aman, M. G., McCracken, J. T., Tierney, E., Davies, M., et al. (2005). Risperidone for the core symptom domains of autism: Results from the study by the autism network of the research units on pediatric psychopharmacology. American Journal of Psychiatry, 162(6), 1142–1148. https://doi.org/10.1176/appi.ajp.162.6.1142.CrossRefPubMed

McGillivray, J. A., & Kershaw, M. (2015). Do we need both cognitive and behavioural components in interventions for depressed mood in people with mild intellectual disability? Journal of Intellectual Disability Research, 59(2), 105–115. https://doi.org/10.1111/jir.12110.CrossRefPubMed

Medrano, G. R., Berlin, K. S., & Hobart Davies, W. (2013). Utility of the PedsQL family impact module: Assessing the psychometric properties in a community sample. Quality of Life Research, 22(10), 2899–2907. https://doi.org/10.1007/s11136-013-0422-9.CrossRefPubMed

Minshawi, N. F., Wink, L. K., Shaffer, R., Plawecki, M. H., Posey, D. J., Liu, H., et al. (2016). A randomized, placebo-controlled trial of D-cycloserine for the enhancement of social skills training in autism spectrum disorders. Molecular Autism, 7, 2. https://doi.org/10.1186/s13229-015-0062-8.CrossRefPubMedPubMedCentral

Noguchi, R., Sekizawa, Y., So, M., Yamaguchi, S., & Shimizu, E. (2017). Effects of five-minute internet-based cognitive behavioral therapy and simplified emotion-focused mindfulness on depressive symptoms: A randomized controlled trial. BMC Psychiatry, 17(1), 85. https://doi.org/10.1186/s12888-017-1248-8.CrossRefPubMedPubMedCentral

Olatunji, B. O., Cisler, J. M., & Deacon, B. J. (2010). Efficacy of cognitive behavioral therapy for anxiety disorders: A review of meta-analytic findings. Psychiatric Clinics North America, 33(3), 557–577. https://doi.org/10.1016/j.psc.2010.04.002.CrossRef

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. Journal of Child Psychology and Psychiatry, 53(4), 410–419.CrossRef

Rieffe, C., Oosterveld, P., Terwogt, M. M., Mootz, S., van Leeuwen, E., & Stockmann, L. (2011). Emotion regulation and internalizing symptoms in children with autism spectrum disorders. Autism, 15(6), 655–670. https://doi.org/10.1177/1362361310366571.CrossRefPubMed

Samson, A. C., Huber, O., & Gross, J. J. (2012). Emotion regulation in Asperger’s syndrome and high-functioning autism. Emotion, 12(4), 659–665. https://doi.org/10.1037/a0027975.CrossRefPubMed

Scahill, L., Bearss, K., Lecavalier, L., Smith, T., Swiezy, N., Aman, M. G., et al. (2016). Effect of parent training on adaptive behavior in children with autism spectrum disorder and disruptive behavior: Results of a randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 55(7), 602–609.e603. https://doi.org/10.1016/j.jaac.2016.05.001.CrossRef

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(4), 495–500. https://doi.org/10.1017/s1352465811000063.CrossRefPubMed

Schneider, R. L., Arch, J. J., Landy, L. N., & Hankin, B. L. (2016). The longitudinal effect of emotion regulation strategies on anxiety levels in children and adolescents. Journal of Clinical Child & Adolescent Psychology. https://doi.org/10.1080/15374416.2016.1157757.CrossRef

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.

Shaffer, R. C., & Minshawi, N. F. (2014). Training and supporting caregivers in evidence-based practices. In P. Sturmey, J. Tarbox, D. Dixon & J. L. Matson (Eds.), International handbook of autism and pervasive developmental disorders. New York: Springer Publishing.

Siener, S., & Kerns, K. A. (2012). Emotion regulation and depressive symptoms in preadolescence. Child Psychiatry & Human Development, 43(3), 414–430. https://doi.org/10.1007/s10578-011-0274-x.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.CrossRefPubMed

Sofronoff, K., Attwood, T., Hinton, S., & Levin, I. (2007). A randomized controlled trial of a cognitive behavioural intervention for anger management in children diagnosed with Asperger syndrome. Journal of Autism and Developmental Disorders, 37(7), 1203–1214. https://doi.org/10.1007/s10803-006-0262-3.CrossRefPubMed

Sofronoff, K., & Farbotko, M. (2002). The effectiveness of parent management training to increase self-efficacy in parents of children with Asperger syndrome. Autism, 6(3), 271–286. https://doi.org/10.1177/1362361302006003005.CrossRefPubMed

Stoneman, Z., & Crapps, J. M. (1988). Correlates of stress, perceived competence, and depression among family care providers. American Journal on Mental Retardation, 93, 166–173.PubMed

Tarrasch, R., Margalit-Shalom, L., & Berger, R. (2017). Enhancing visual perception and motor accuracy among school children through a mindfulness and compassion program. Frontiers in Psychology, 8, 281. https://doi.org/10.3389/fpsyg.2017.00281.CrossRefPubMedPubMedCentral

Unwin, G., Tsimopoulou, I., Kroese, B. S., & Azmi, S. (2016). Effectiveness of cognitive behavioural therapy (CBT) programmes for anxiety or depression in adults with intellectual disabilities: A review of the literature. Research in Developmental Disabilities, 51–52, 60–75. https://doi.org/10.1016/j.ridd.2015.12.010.CrossRefPubMed

Varni, J. W., Sherman, S. A., Burwinkle, T. M., Dickinson, P. E., & Dixon, P. (2004). The PedsQL Family Impact Module: Preliminary reliability and validity. Health and Quality of Life Outcomes, 2, 55. https://doi.org/10.1186/1477-7525-2-55.CrossRefPubMedPubMedCentral

Virues-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta-regression and dose-response meta-analysis of multiple outcomes. Clinical Psychology Review, 30(4), 387–399. https://doi.org/10.1016/j.cpr.2010.01.008.CrossRefPubMed

Vollestad, J., Nielsen, M. B., & Nielsen, G. H. (2012). Mindfulness- and acceptance-based interventions for anxiety disorders: A systematic review and meta-analysis. British Journal of Clinical Psychology, 51(3), 239–260. https://doi.org/10.1111/j.2044-8260.2011.02024.x.CrossRefPubMed

Weiss, J. A., Thomson, K., Burnham Riosa, P., Albaum, C., Chan, V., Maughan, A., et al. (2018). A randomized waitlist-controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism. Journal of Child Psychology and Psychiatry. https://doi.org/10.1111/jcpp.12915.CrossRefPubMed

Wink, L. K., Minshawi, N. F., Shaffer, R. C., Plawecki, M. H., Posey, D. J., Horn, P. S., et al. (2017). d-Cycloserine enhances durability of social skills training in autism spectrum disorder. Molecular Autism, 8, 2. https://doi.org/10.1186/s13229-017-0116-1.CrossRefPubMedPubMedCentral

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.CrossRefPubMed

Yang, L., Zhou, X., Zhou, C., Zhang, Y., Pu, J., Liu, L., et al. (2017). Efficacy and acceptability of cognitive behavioral therapy for depression in children: A systematic review and meta-analysis. Academic Pediatrics, 17(1), 9–16. https://doi.org/10.1016/j.acap.2016.08.002.CrossRefPubMed

Titel: Emotion Regulation Intensive Outpatient Programming: Development, Feasibility, and Acceptability
Auteurs: Rebecca C. Shaffer
Logan K. Wink
Jennifer Ruberg
Alexis Pittenger
Ryan Adams
Michael Sorter
Patricia Manning
Craig A. Erickson
Publicatiedatum: 24-08-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 2/2019
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-018-3727-2

Andere artikelen Uitgave 2/2019

Daily Sources of Autonomy-Supportive and Controlling Parenting in Mothers of Children with ASD: The Role of Child Behavior and Mothers’ Psychological Needs

Original Paper

“In Medical School, You Get Far More Training on Medical Stuff than Developmental Stuff”: Perspectives on ASD from Ontario Physicians

Original Paper

Psychometric Properties of the Autism Spectrum Quotient: Children’s Version (AQ-Child)

Original Paper

Enhancing Low-Intensity Coaching in Parent Implemented Early Start Denver Model Intervention for Early Autism: A Randomized Comparison Treatment Trial

Original Paper

Characteristics of Young Adults with Autism Spectrum Disorder Performing Different Daytime Activities

Open Access
Original Paper

Decreasing Food Stealing of Child with Prader-Willi Syndrome Through Function-Based Differential Reinforcement

Original Paper