Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

07-03-2020 | Original Paper

Family-Centered Cognitive Behavioral Therapy for Anxiety in Very Young Children with Autism Spectrum Disorder

Auteurs: Katherine Driscoll, Michael Schonberg, Melanie Farkas Stark, Alice S. Carter, Dina Hirshfeld-Becker

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 11/2020

Abstract

To address the paucity of cognitive-behavioral therapy (CBT) protocols available to treat anxiety in preschoolers with ASD, we piloted a family-centered CBT protocol in a series of 16 children aged 3–7 years with ASD and anxiety disorders and explored its feasibility and efficacy. Children were assessed at baseline, post-treatment (PT), and 4-month follow-up (FU) using diagnostic interviews and parent questionnaires. Fourteen children completed at least 10 sessions (mean 14). At PT, 81% were rated “very much-” or “much-improved” on the CGI-Anxiety. Children displayed significant decreases on clinician- and parent-rated anxiety, and improved family function and coping. Gains were maintained at FU. Parent–child CBT is feasible for young children with ASD plus anxiety that shows potential for similar efficacy as with neurotypical children.

vorige artikel Sensory Reactivity at 1 and 2 Years Old is Associated with ASD Severity During the Preschool Years

volgende artikel Attunement in Music Therapy for Young Children with Autism: Revisiting Qualities of Relationship as Mechanisms of Change

Achenbach, T. M. (2000). Manual for the child behavior checklist/1-1/2-5. Burlington, VT: ASEBA.

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school-age forms and profiles. Burlington, VT: ASEBA.

Bellini, S. (2004). Social skill deficits and anxiety in high functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19(2), 78–86. CrossRef

Biederman, J., Faraone, S. V., Hirshfeld-Becker, D. R., Friedman, D., Robin, J. A., & Rosenbaum, J. F. (2001). Patterns of psychopathology and dysfunction in high-risk children of parents with panic disorder and major depression. The American Journal of Psychiatry, 158(1), 49–57. CrossRefPubMed

Birmaher, B., Ehmann, M., Axelson, D. A., Goldstein, B. I., Monk, K., Kalas, C., et al. (2009). Schedule for affective disorders and schizophrenia for school-age children (K-SADS-PL) for the assessment of preschool children—A preliminary psychometric study. Journal of Psychiatric Research, 43(7), 680–686. https://doi.org/10.1016/j.jpsychires.2008.10.003. CrossRefPubMed

Bischof, N. L., Rapee, R. M., Hudry, K., & Bayer, J. K. (2018). Acceptability and caregiver-reported outcomes for young children with autism spectrum disorder whose parents attended a preventative population-based intervention for anxiety: A pilot study. Autism Research: Official Journal of the International Society for Autism Research, 11(8), 1166–1174. CrossRef

Briggs-Gowan, M. J., Carter, A. S., Bosson-Heenan, J., Guyer, A. E., & Horwitz, S. M. (2006). Are infant-toddler social–emotional and behavioral problems transient? Journal of the American Academy of Child and Adolescent Psychiatry, 45(7), 849–858. https://doi.org/10.1097/01.chi.0000220849.48650.59. CrossRefPubMed

Briggs-Gowan, M. J., Horwitz, S. M. C., Schwab-Stone, M. E., Leventhal, J. M., & Leaf, P. J. (2000). Mental health in pediatric settings: Distribution of disorders and factors related to service use. Journal of the American Academy of Child and Adolescent Psychiatry, 39(7), 841–849. https://doi.org/10.1097/00004583-200007000-00012. CrossRefPubMed

Bufferd, S. J., Dougherty, L. R., Carlson, G. A., & Klein, D. N. (2011). Parent-reported mental health in preschoolers: Findings using a diagnostic interview. Comprehensive Psychiatry, 52(4), 359–369. https://doi.org/10.1016/j.comppsych.2010.08.006. CrossRefPubMed

Carrow-Woolfolk, E. (1999). The comprehensive assessment of spoken language. East Moline, IL: LinguiSystems.

Chalfant, A. M., Rapee, R., & Carroll, L. (2007). 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. CrossRefPubMed

De Bruin, E. I., Ferdinand, R. F., Meester, S., De Nijs, P. F. A., & Verheij, F. (2007). High rates of psychiatric co-morbidity in PDD-NOS. Journal of Autism and Developmental Disorders, 37(5), 877–886. https://doi.org/10.1007/s10803-006-0215-x. CrossRefPubMed

Dekker, M. C., & Koot, H. M. (2003). DSM-IV disorders in children with borderline to moderate intellectual disability. I: Prevalence and impact. Journal of the American Academy of Child and Adolescent Psychiatry, 42(8), 915–922. https://doi.org/10.1097/01.CHI.0000046892.27264.1A. CrossRefPubMed

Drahota, A., Wood, J. J., Sze, K. M., & Van Dyke, M. (2011). Effects of cognitive behavioral therapy on daily living skills in children with high-functioning autism and concurrent anxiety disorders. Journal of Autism and Developmental Disorders, 41(3), 257–265. https://doi.org/10.1007/s10803-010-1037-4. CrossRefPubMed

Edwards, S. L., Rapee, R. M., & Kennedy, S. (2010). Prediction of anxiety symptoms in preschool-aged children: Examination of maternal and paternal perspectives. Journal of Child Psychology and Psychiatry and Allied Disciplines, 51(3), 313–321. CrossRefPubMed

Egger, H. L., & Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry and Allied Disciplines, 47(3–4), 313–337. CrossRefPubMed

Eley, T. C., Bolton, D., O’Connor, T. G., Perrin, S., & Plomin, R. (2003). A twin study of anxiety-related behaviours in pre-school children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 44(7), 945–960. CrossRefPubMed

Ewing, D. L., Monsen, J. J., Thompson, E. J., & Cartwright-Hatton, S. (2015). A meta-analysis of transdiagnostic cognitive behavioural therapy in the treatment of child and young person anxiety disorders. Behavioural Cognitive Psychotherapy, 43(5), 562–577. https://doi.org/10.1017/S1352465813001094. CrossRefPubMed

Franz, L., Angold, A., Copeland, W., Costello, E. J., Towe-Goodman, N., & Egger, H. (2013). Preschool anxiety disorders in pediatric primary care: Prevalence and comorbidity. Journal of the American Academy of Child and Adolescent Psychiatry, 52(12), 1294–1303.e1. https://doi.org/10.1016/j.jaac.2013.09.008. CrossRefPubMedPubMedCentral

Fujii, C., Renno, P., McLeod, B. D., Lin, C. E., Decker, K., Zielinski, K., et al. (2013). 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

Gillott, A., Furniss, F., & Walter, A. (2001). Anxiety in high-functioning children with autism. Autism, 5(3), 277–286. https://doi.org/10.1177/1362361301005003005. CrossRefPubMed

Ginsburg, G. S., Keeton, C. P., Drazdowski, T. K., & Riddle, M. A. (2011). The utility of clinician’s ratings of anxiety using the Pediatric Anxiety Rating Scale (PARS). Child and Youth Care Forum, 40(2), 93–105. CrossRef

Green, S. A., Ben-Sasson, A., Soto, T. W., & Carter, A. S. (2012). Anxiety and sensory over-responsivity in toddlers with autism spectrum disorders: Bidirectional effects across time. Journal of Autism and Developmental Disorders, 42(6), 1112–1119. CrossRefPubMedPubMedCentral

Guy, W. (1976). ECDEU Assessment manual for psychopharmacology (DHEW Publication ADM 76-338)., Rockville, MD: US Department of Health, Education, and Welfare.

Hirshfeld-Becker, D. R., Masek, B., Henin, A., Blakely, L. R., Pollock-Wurman, R. A., McQuade, J., et al. (2010). Cognitive behavioral therapy for 4- to 7-year-old children with anxiety disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 78(4), 498–510. CrossRefPubMed

Hirshfeld-Becker, D. R., Masek, B., Henin, A., Blakely, L. R., Rettew, D. C., Dufton, L., et al. (2008). Cognitive-behavioral intervention with young anxious children. Harvard Review of Psychiatry, 16(2), 113–125. https://doi.org/10.1080/10673220802073956. CrossRefPubMed

Hirshfeld-Becker, D. R., Micco, J. A., Mazursky, H., Bruett, L., & Henin, A. (2011). Applying cognitive-behavioral therapy for anxiety to the younger child. Child and Adolescent Psychiatric Clinics of North America, 20(2), 349–368. CrossRefPubMed

James, A. C., James, G., Cowdrey, F. A., Soler, A., & Choke, A. (2015). Cognitive behavioural therapy for anxiety disorders in children and adolescents (review). The Cochrane Database of Systematic Reviews, 2(2), 1–108. https://doi.org/10.1002/14651858.CD004690.pub4. CrossRef

Johnson, C. R., DeMand, A., & Shui, A. (2015). Relationship between anxiety and sleep and feeding in young children with ASD. Journal of Developmental Physical Disabilities, 27, 359–373. CrossRef

Joshi, G., Petty, C., Wozniak, J., Henin, A., Fried, R., Galdo, M., et al. (2010). The heavy burden of psychiatric comorbidity in youth with autism spectrum disorders: A large comparative study of a psychiatrically referred population. Journal of Autism and Developmental Disorders, 40(11), 1361–1370. https://doi.org/10.1007/s10803-010-0996-9. CrossRefPubMed

Kendall, P. (1992). Cognitive-behavioral therapy for anxious children: Therapist manual. Ardmore, OK: Workbook Publishing.

Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76(2), 282–297. https://doi.org/10.1037/0022-006X.76.2.282. CrossRefPubMed

Kerns, C. M., & Kendall, P. C. (2012). The presentation and classification of anxiety in autism spectrum disorder. Clinical Psychology: Science and Practice, 19, 323–347.

Kerns, C. M., Kendall, P. C., Berry, L., Souders, M. C., Franklin, M. E., Schultz, R. T., et al. (2014). Traditional and atypical presentations of anxiety in youth with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(11), 2851–2861. CrossRefPubMedPubMedCentral

Kerns, C. M., Maddox, B. B., Kendall, P. C., Rump, K., Schultz, R. T., Souders, M. C., et al. (2015). Brief measures of anxiety in non-treatment-seeking youth with autism spectrum disorder. Autism, 19(8), 969–979. CrossRefPubMedPubMedCentral

Kerns, C. M., Renno, P., Kendall, P. C., Wood, J. J., & Storch, E. A. (2017). Anxiety disorders interview schedule-autism addendum: Reliability and validity in children with autism spectrum disorder. Journal of Clinical Child and Adolescent Psychology, 46(1), 88–100. https://doi.org/10.1080/15374416.2016.1233501. CrossRefPubMed

Kim, J., Szatmari, P., Bryson, S., Streiner, D., & Wilson, F. (2000). The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism, 4(2), 117–132. https://doi.org/10.1177/1362361300004002002. CrossRef

Kreslins, A., Robertson, A. E., & Melville, C. (2015). The effectiveness of psychosocial interventions for anxiety in children and adolescents with autism spectrum disorder: A systematic review and meta-analysis. Child and Adolescent Psychiatry and Mental Health, 9(1), 1–12. https://doi.org/10.1186/s13034-015-0054-7. CrossRef

Magiati, I., Jian, W. L., Hollocks, M. J., Uljarevic, M., Rodgers, J., McConachie, H., et al. (2017). The measurement properties of the Spence Children’s Anxiety Scale-Parent Version in a large international pooled sample of young people with autism spectrum disorder. Autism Research, 10, 1629–1652. CrossRefPubMed

McNally Keehn, R. H., Lincoln, A. J., Brown, M. Z., & Chavira, D. A. (2013). 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. CrossRefPubMedPubMedCentral

Mian, N. D., Godoy, L., Briggs-Gowan, M. J., & Carter, A. S. (2012). Patterns of anxiety symptoms in toddlers and preschool-age children: Evidence of early differentiation. Journal of Anxiety Disorders, 26(1), 102–110. CrossRefPubMed

Mian, N. D., Soto, T. W., Briggs-Gowan, M. J., & Carter, A. S. (2018). The family life impairment scale: Factor structure and clinical utility with young children. Journal of Clinical Child and Adolescent Psychology, 2, 1–12.

Mills, R., & Wing, L. (2005). Researching interventions in ASD and priorities for research: Surveying the membership of the NAS. London: National Autistic Society.

Moree, B. N., & Davis, T. E. (2010). Cognitive-behavioral therapy for anxiety in children diagnosed with autism spectrum disorders: Modification trends. Research in Autism Spectrum Disorders, 4(3), 346–354. https://doi.org/10.1016/j.rasd.2009.10.015. CrossRef

Muris, P., Meesters, C., Mayer, B., Bogie, N., Luijten, M., Geebelen, E., et al. (2003). The Koala Fear Questionnaire: A standardized self-report scale for assessing fears and fearfulness in pre-school and primary school children. Behaviour Research and Therapy, 41(5), 597–617. https://doi.org/10.1016/S0005-7967(02)00098-0. CrossRefPubMed

Nauta, M. H., Scholing, A., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent-report measure of children’s anxiety: Psychometric properties and comparison with child-report in a clinic and normal sample. Behaviour Research and Therapy, 42(7), 813–839. https://doi.org/10.1016/S0005-7967(03)00200-6. CrossRefPubMed

Ollendick, T. H., & King, N. J. (1998). Empirically supported treatments for children with phobic and anxiety disorders: Current status. Journal of Clinical Child Psychology, 27(2), 156–167. CrossRefPubMed

Orvaschel, H. (1994). Schedule for affective disorder and schizophrenia for school-age children-epidemiologic edition. Fort Lauderdale, FL: Nova University, Center for Psychological Study.

Pandolfi, V., Magyar, C. I., & Dill, C. A. (2012). An initial psychometric evaluation of the CBCL 6–18 in a sample of youth with autism spectrum disorders. Research in Autism Spectrum Disorders, 6, 96–108. CrossRefPubMedPubMedCentral

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 and Allied Disciplines, 53(4), 410–419. https://doi.org/10.1111/j.1469-7610.2011.02486.x. CrossRefPubMed

Research Units on Pediatric Psychopharmacology Anxiety Study Group. (2002). The Pediatric Anxiety Rating Scale (PARS): Development and psychometric properties. Journal of the American Academy of Child and Adolescent Psychiatry, 41(9), 1061–1069. https://doi.org/10.1097/00004583-200209000-00006. CrossRef

Rutter, M., Bailey, A., & Lord, C. (2003). Social communication questionnaire. Los Angeles: Western Psychological Services.

Semel, E., Wiig, E. H., & Secord, W. A. (2006). Clinical evaluation of language functioning, fourth edition (CELF-4). Toronto: The Psychological Corporation/A Harcourt Assessment Company.

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 and Adolescent Psychiatry, 47(8), 921–929. https://doi.org/10.1097/CHI.0b013e318179964f. CrossRefPubMed

Spence, S. H., Rapee, R., McDonald, C., & Ingram, M. (2001). The structure of anxiety symptoms among preschoolers. Behaviour Research and Therapy, 39(11), 1293–1316. CrossRefPubMed

Storch, E. A., Arnold, E. B., Lewin, A. B., Nadeau, J. M., Jones, A. M., De Nadai, A. S., 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. Journal of the American Academy of Child and Adolescent Psychiatry, 52(2), 132–142.e2. https://doi.org/10.1016/j.jaac.2012.11.007. CrossRefPubMed

Storch, E. A., Wood, J. J., Ehrenreich-May, J., Jones, A. M., Park, J. M., Lewin, A. B., et al. (2012). Convergent and discriminant validity and reliability of the pediatric anxiety rating scale in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(11), 2374–2382. https://doi.org/10.1007/s10803-012-1489-9. CrossRefPubMed

Strang, J. F., Kenworthy, L., Daniolos, P., Case, L., Wills, M. C., & Wallace, M. A. (2012). Depression and anxiety symptoms in children and adolescents with autism spectrum disorders without intellectual disability. Research in Autism Spectrum Disorders, 6(1), 406–412. CrossRefPubMedPubMedCentral

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), e1341–e1350. https://doi.org/10.1542/peds.2013-1193. CrossRefPubMedPubMedCentral

Sukhodolsky, D. G., Scahill, L., Gadow, K. D., Arnold, L. E., Aman, M. G., McDougle, C. J., et al. (2008). 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

Ung, D., Selles, R., Small, B. J., & Storch, E. A. (2015). A systematic review and meta-analysis of cognitive-behavioral therapy for anxiety in youth with high-functioning autism spectrum disorders. Child Psychiatry and Human Development, 46(4), 533–547. https://doi.org/10.1007/s10578-014-0494-y. CrossRefPubMed

van Steensel, F. J. A., & 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. CrossRefPubMed

van Steensel, F. J., Bogels, 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. CrossRefPubMedPubMedCentral

Vasa, R. A., Kalb, L., Masurek, M., Kanne, S., Freedman, B., Keefer, A., et al. (2013). Age-related differences in the prevalence and correlates of anxiety in youth with autism spectrum disorders. Research in Autism Spectrum Disorders, 7(11), 1358–1369. CrossRef

Vasa, R. A., Keefer, A., Reaven, J., South, M., & White, S. (2018). Priorities for advancing research on youth with autism spectrum disorder and co-occurring anxiety. Journal of Autism and Developmental Disorders, 48(3), 925–934. CrossRefPubMed

Weisbrot, D. M., Gadow, K. D., DeVincent, C. J., & Pomeroy, J. (2005). The presentation of anxiety in children with pervasive developmental disorders. Journal and Child and Adolescent Psychopharmacology, 15(3), 477–496. CrossRef

White, S. W., Koenig, K., & Scahill, L. (2010). Group social skills instruction for adolescents with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 25(4), 209–219. CrossRef

White, S. W., Ollendick, T., Albano, A. M., Oswald, D., Johnson, C., Southam-Gerow, M. A., et al. (2013). 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. CrossRefPubMedPubMedCentral

White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29, 216–229. 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

Wood, J. J., Kendall, P. C., Wood, K. S., Kerns, C. M., Seltzer, M., Small, B. J., et al. (2019). Cognitive behavioral treatments for anxiety in children with autism spectrum disorder: A randomized clinical trial. JAMA Psychiatry. https://doi.org/10.1001/jamapsychiatry.2019.4160. CrossRefPubMedPubMedCentral

Titel: Family-Centered Cognitive Behavioral Therapy for Anxiety in Very Young Children with Autism Spectrum Disorder
Auteurs: Katherine Driscoll
Michael Schonberg
Melanie Farkas Stark
Alice S. Carter
Dina Hirshfeld-Becker
Publicatiedatum: 07-03-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 11/2020
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-020-04446-y

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 11/2020

A Dental Communication Board as an Oral Care Tool for Children with Autism Spectrum Disorder

Canine Assisted Occupational Therapy for Children on the Autism Spectrum: A Pilot Randomised Control Trial

Attunement in Music Therapy for Young Children with Autism: Revisiting Qualities of Relationship as Mechanisms of Change

Executive Function in High-Functioning Autism Spectrum Disorder: A Meta-analysis of fMRI Studies

The Prevalence of Self-injurious Behaviour in Autism: A Meta-analytic Study

Predictors of Treatment Outcome in Preschoolers with Autism Spectrum Disorder: An Observational Study in the Greater Geneva Area, Switzerland