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Gepubliceerd in: Journal of Autism and Developmental Disorders 12/2009

01-12-2009 | Original Paper

Preliminary Efficacy of a Cognitive-Behavioral Treatment Program for Anxious Youth with Autism Spectrum Disorders

Auteurs: Susan W. White, Thomas Ollendick, Lawrence Scahill, Donald Oswald, Anne Marie Albano

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2009

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Abstract

Anxiety is a commonly occurring psychiatric concern in adolescents with autism spectrum disorders (ASD). This pilot study examined the preliminary efficacy of a manual-based intervention targeting anxiety and social competence in four adolescents with high-functioning ASD. Anxiety and social functioning were assessed at baseline, midpoint, endpoint, and 6 months following treatment. Treatment consisted of cognitive-behavioral therapy, supplemented with parent education and group social skills training. The treatment program was effective in reducing anxiety in three of the four subjects and improving the social skills in all four subjects. Recommendations for the assessment and treatment of anxiety youth with ASD such as use of self-report measures to complement clinician and parent-reports and adaptations to traditional child-based CBT, are offered.
Literatuur
go back to reference Attwood, T. (2004). Cognitive behaviour therapy for children and adults with Asperger’s syndrome. Behaviour Change, 21, 147–161.CrossRef Attwood, T. (2004). Cognitive behaviour therapy for children and adults with Asperger’s syndrome. Behaviour Change, 21, 147–161.CrossRef
go back to reference Barlow, D. H., Nock, M. K., & Hersen, M. (2009). Single case experimental designs: Strategies for studying change (3rd ed.). Boston MA: Pearson Education Inc. Barlow, D. H., Nock, M. K., & Hersen, M. (2009). Single case experimental designs: Strategies for studying change (3rd ed.). Boston MA: Pearson Education Inc.
go back to reference Bellini, S. (2004). Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19, 78–86.CrossRef Bellini, S. (2004). Social skill deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19, 78–86.CrossRef
go back to reference Bellini, S. (2006). The development of social anxiety in adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 21, 138–145.CrossRef Bellini, S. (2006). The development of social anxiety in adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 21, 138–145.CrossRef
go back to reference Chalfant, A., 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, 1842–1857.CrossRefPubMed Chalfant, A., 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, 1842–1857.CrossRefPubMed
go back to reference Chorpita, B. F. (2007). In J. B. Persons (Ed.), Modular cognitive-behavioral therapy for childhood anxiety disorders. Guides to individualized evidence-based treatment. New York: Guilford. Chorpita, B. F. (2007). In J. B. Persons (Ed.), Modular cognitive-behavioral therapy for childhood anxiety disorders. Guides to individualized evidence-based treatment. New York: Guilford.
go back to reference Compton, S., & Keeton, C. (2009, March). Treatment of childhood anxiety disorders: Findings and clinical implications from the Child/Adolescent Anxiety Multimodal Treatment Study (CAMS). Symposium presented at the 29th Annual Conference of the Anxiety Disorders Association of America, Tamaya, New Mexico. Compton, S., & Keeton, C. (2009, March). Treatment of childhood anxiety disorders: Findings and clinical implications from the Child/Adolescent Anxiety Multimodal Treatment Study (CAMS). Symposium presented at the 29th Annual Conference of the Anxiety Disorders Association of America, Tamaya, New Mexico.
go back to reference Constantino, J. N., & Gruber, C. P. (2005). Social responsiveness scale (SRS). Los Angeles: Western Psychological Services. Constantino, J. N., & Gruber, C. P. (2005). Social responsiveness scale (SRS). Los Angeles: Western Psychological Services.
go back to reference Croen, L. A., Grether, J. K., Hoogstrate, J., & Selvin, S. (2002). The changing prevalence of autism in California. Journal of Autism and Developmental Disorders, 32, 207–215.CrossRefPubMed Croen, L. A., Grether, J. K., Hoogstrate, J., & Selvin, S. (2002). The changing prevalence of autism in California. Journal of Autism and Developmental Disorders, 32, 207–215.CrossRefPubMed
go back to reference De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483–509.CrossRefPubMed De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483–509.CrossRefPubMed
go back to reference Fombonne, E. (2003). Epidemiological surveys of autism and other pervasive developmental disorders: An update. Journal of Autism and Developmental Disorders, 33, 365–382.CrossRefPubMed Fombonne, E. (2003). Epidemiological surveys of autism and other pervasive developmental disorders: An update. Journal of Autism and Developmental Disorders, 33, 365–382.CrossRefPubMed
go back to reference Gadow, K. D., Devincent, C. J., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-age children with PDD versus clinic and community samples. Autism, 9, 392–415.CrossRefPubMed Gadow, K. D., Devincent, C. J., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-age children with PDD versus clinic and community samples. Autism, 9, 392–415.CrossRefPubMed
go back to reference Gadow, K. D., & Sprafkin, J. (1994). Child symptom inventory-4. Stony Brook, NY: Checkmate Plus. Gadow, K. D., & Sprafkin, J. (1994). Child symptom inventory-4. Stony Brook, NY: Checkmate Plus.
go back to reference Gadow, K. D., & Sprafkin, J. (1997). Adolescent symptom inventory-4 screening manual. Stony Brook, NY: Checkmate Plus. Gadow, K. D., & Sprafkin, J. (1997). Adolescent symptom inventory-4 screening manual. Stony Brook, NY: Checkmate Plus.
go back to reference Ghaziuddin, M. (2002). Asperger syndrome: Associated psychiatric and medical conditions. Focus on Autism and Other Developmental Disabilities, 17, 138–144.CrossRef Ghaziuddin, M. (2002). Asperger syndrome: Associated psychiatric and medical conditions. Focus on Autism and Other Developmental Disabilities, 17, 138–144.CrossRef
go back to reference Greig, A., & MacKay, T. (2005). Asperger’s syndrome and cognitive behaviour therapy: New applications for educational psychologists. Educational & Child Psychology, 22, 4–15. Greig, A., & MacKay, T. (2005). Asperger’s syndrome and cognitive behaviour therapy: New applications for educational psychologists. Educational & Child Psychology, 22, 4–15.
go back to reference Honda, H., Shimizu, Y., Imai, M., & Nitto, Y. (2005). Cumulative incidence of childhood autism: A total population study of better accuracy and precision. Developmental Medicine and Child Neurology, 47, 10–18.CrossRefPubMed Honda, H., Shimizu, Y., Imai, M., & Nitto, Y. (2005). Cumulative incidence of childhood autism: A total population study of better accuracy and precision. Developmental Medicine and Child Neurology, 47, 10–18.CrossRefPubMed
go back to reference Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.CrossRefPubMed Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.CrossRefPubMed
go back to reference Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Mattila, M., Ebieling, H., et al. (2008). Social anxiety in high-functioning children and adolescents with autism and asperger syndrome. Journal of Autism and Developmental Disorders, 38, 1697–1709.CrossRefPubMed Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Mattila, M., Ebieling, H., et al. (2008). Social anxiety in high-functioning children and adolescents with autism and asperger syndrome. Journal of Autism and Developmental Disorders, 38, 1697–1709.CrossRefPubMed
go back to reference Lehmkuhl, H. D., Storch, E. A., Bodfish, J. W., & Geffken, G. R. (2008). Brief report: Exposure and response prevention for obsessive compulsive disorder in a 12-year-old with autism. Journal of Autism and Developmental Disorders, 38, 977–981.CrossRefPubMed Lehmkuhl, H. D., Storch, E. A., Bodfish, J. W., & Geffken, G. R. (2008). Brief report: Exposure and response prevention for obsessive compulsive disorder in a 12-year-old with autism. Journal of Autism and Developmental Disorders, 38, 977–981.CrossRefPubMed
go back to reference Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services.
go back to reference Lord, C., Rutter, M., & LeCouteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.CrossRefPubMed Lord, C., Rutter, M., & LeCouteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.CrossRefPubMed
go back to reference Lyneham, H. J., & Rapee, R. M. (2005). Agreement between telephone and in-person delivery of a structured interview for anxiety disorders in children. Journal of the American Academy of Child and Adolescent Psychology, 44, 274–282.CrossRef Lyneham, H. J., & Rapee, R. M. (2005). Agreement between telephone and in-person delivery of a structured interview for anxiety disorders in children. Journal of the American Academy of Child and Adolescent Psychology, 44, 274–282.CrossRef
go back to reference March, J. S. (1997). Multidimensional anxiety scale for children manual. North Tonawanda, NY: Multi-Health Systems. March, J. S. (1997). Multidimensional anxiety scale for children manual. North Tonawanda, NY: Multi-Health Systems.
go back to reference Myles, B. (2003). Behavioral forms of stress management for individuals with Asperger syndrome. Child and Adolescent Psychiatric Clinics of North America, 12, 123–141.CrossRefPubMed Myles, B. (2003). Behavioral forms of stress management for individuals with Asperger syndrome. Child and Adolescent Psychiatric Clinics of North America, 12, 123–141.CrossRefPubMed
go back to reference Myles, B., Barnhill, G., Hagiwara, T., Griswold, D., & Simpson, R. (2001). A synthesis of studies on the intellectual, academic, social/emotional and sensory characteristics of children with Asperger syndrome. Education and Training in Mental Retardation and Developmental Disabilities, 36, 304–311. Myles, B., Barnhill, G., Hagiwara, T., Griswold, D., & Simpson, R. (2001). A synthesis of studies on the intellectual, academic, social/emotional and sensory characteristics of children with Asperger syndrome. Education and Training in Mental Retardation and Developmental Disabilities, 36, 304–311.
go back to reference Ollendick, T. H., King, N. J., & Chorpita, B. F. (2006). Empirically supported treatments for children and adolescents. In P. C. Kendall (Ed.), Child and adolescents therapy: Cognitive-behavioral procedures (3rd ed., pp. 492–520). New York, NY: Guilford Press. Ollendick, T. H., King, N. J., & Chorpita, B. F. (2006). Empirically supported treatments for children and adolescents. In P. C. Kendall (Ed.), Child and adolescents therapy: Cognitive-behavioral procedures (3rd ed., pp. 492–520). New York, NY: Guilford Press.
go back to reference Reaven, J., & Hepburn, S. (2003). Cognitive-behavioral treatment of obsessive-compulsive disorder in a child with Asperger syndrome: A case report. Autism, 7, 145–164.CrossRefPubMed Reaven, J., & Hepburn, S. (2003). Cognitive-behavioral treatment of obsessive-compulsive disorder in a child with Asperger syndrome: A case report. Autism, 7, 145–164.CrossRefPubMed
go back to reference Rutter, M., Le Couteur, A. L., & Lord, C. (2008). Autism diagnostic interview revised: WPS edition manual. Los Angeles: Western Psychological Services. Rutter, M., Le Couteur, A. L., & Lord, C. (2008). Autism diagnostic interview revised: WPS edition manual. Los Angeles: Western Psychological Services.
go back to reference Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV—Child and parent versions. San Antonio, TX: Graywind. Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM-IV—Child and parent versions. San Antonio, TX: Graywind.
go back to reference Silverman, W. K., Saavedra, L. M., & Pena, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: Child and parent versions. Journal of the American Academy of Child and Adolescent Psychology, 40, 937–944.CrossRef Silverman, W. K., Saavedra, L. M., & Pena, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: Child and parent versions. Journal of the American Academy of Child and Adolescent Psychology, 40, 937–944.CrossRef
go back to reference Sofronoff, K., Attwood, T., & Hinton, S. (2005). A randomized controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. Journal of Child Psychology and Psychiatry, 46, 1152–1160.CrossRefPubMed Sofronoff, K., Attwood, T., & Hinton, S. (2005). A randomized controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. Journal of Child Psychology and Psychiatry, 46, 1152–1160.CrossRefPubMed
go back to reference 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, 117–128.CrossRefPubMed 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, 117–128.CrossRefPubMed
go back to reference Sze, K. M., & Wood, J. J. (2007). Cognitive behavioral treatment of comorbid anxiety disorders and social difficulties in children with high-functioning autism: A case report. Journal of Contemporary Psychotherapy, 37, 133–143.CrossRef Sze, K. M., & Wood, J. J. (2007). Cognitive behavioral treatment of comorbid anxiety disorders and social difficulties in children with high-functioning autism: A case report. Journal of Contemporary Psychotherapy, 37, 133–143.CrossRef
go back to reference Tantam, D. (2003). The challenge of adolescents and adults with Asperger syndrome. Child and Adolescent Psychiatric Clinics of North America, 12, 143–163.CrossRefPubMed Tantam, D. (2003). The challenge of adolescents and adults with Asperger syndrome. Child and Adolescent Psychiatric Clinics of North America, 12, 143–163.CrossRefPubMed
go back to reference United States Centers for Disease Control and Prevention. (2007). Prevalence of autism spectrum disorders-Autism and developmental disabilities monitoring network, 14 sites, United States, 2002. Surveillance Summaries, MMWR 2007; 56(No. SS-1). United States Centers for Disease Control and Prevention. (2007). Prevalence of autism spectrum disorders-Autism and developmental disabilities monitoring network, 14 sites, United States, 2002. Surveillance Summaries, MMWR 2007; 56(No. SS-1).
go back to reference Wechsler, D. (1999). Manual for the Wechsler abbreviated scale of intelligence. San Antonio, TX: Psychological Corporation. Wechsler, D. (1999). Manual for the Wechsler abbreviated scale of intelligence. San Antonio, TX: Psychological Corporation.
go back to reference White, S. W., Albano, A., Johnson, C., Kasari, C. Ollendick, T., & Klin, A., et al. (2009a). Treating anxiety and social deficits in teens with high functioning autism: Development of a cognitive-behavioral intervention program (manuscript submitted for publication). White, S. W., Albano, A., Johnson, C., Kasari, C. Ollendick, T., & Klin, A., et al. (2009a). Treating anxiety and social deficits in teens with high functioning autism: Development of a cognitive-behavioral intervention program (manuscript submitted for publication).
go back to reference White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009b). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229.CrossRefPubMed White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009b). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229.CrossRefPubMed
go back to reference Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J., & Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the anxiety disorders interview schedule for DSM-IV. Child and Parent Versions, Journal of Clinical Child and Adolescent Psychology, 31, 335–342. Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J., & Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the anxiety disorders interview schedule for DSM-IV. Child and Parent Versions, Journal of Clinical Child and Adolescent Psychology, 31, 335–342.
Metagegevens
Titel
Preliminary Efficacy of a Cognitive-Behavioral Treatment Program for Anxious Youth with Autism Spectrum Disorders
Auteurs
Susan W. White
Thomas Ollendick
Lawrence Scahill
Donald Oswald
Anne Marie Albano
Publicatiedatum
01-12-2009
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 12/2009
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-009-0801-9

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