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Journal of Autism and Developmental Disorders

Gepubliceerd in:

04-04-2016 | S.I. : Anxiety in Autism Spectrum Disorders

Long-Term Effects of CBT on Social Impairment in Adolescents with ASD

Auteurs: Brenna B. Maddox, Yasuo Miyazaki, Susan W. White

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2017

Abstract

Anxiety interventions involving social skills training and CBT for youth with ASD have shown promise, but few studies have examined the effects on social functioning or the maintenance of treatment gains. This study evaluated change in social skills during a randomized controlled trial of CBT and during the 1-year follow-up for 25 adolescents with ASD and anxiety. We examined the effect of pretreatment social anxiety and loneliness on treatment response. Social impairment improved during treatment and continued to improve through the 3-month follow-up. Although adolescents with higher social anxiety had greater pretreatment social impairment, they showed steeper improvement in social skills during treatment. Loneliness was not a significant predictor of change during treatment. CBT targeting social skills and anxiety can lead to long-term improvements in social functioning.

vorige artikel Continuity and Change in, and Child Predictors of, Caregiver Reported Anxiety Symptoms in Young People with Autism Spectrum Disorder: A Follow-Up Study

volgende artikel School based cognitive behavioural therapy targeting anxiety in children with autistic spectrum disorder: a quasi-experimental randomised controlled trail incorporating a mixed methods approach

The powers for the two t tests with p values slightly greater than either .05 or .10 were significantly lower than .80, a value that is typically recommended in behavioral sciences (.50 for testing H₀: β ₁₁ = 0 and .36 for H₀: β ₂₁ = 0, respectively). The insufficient power was mainly the consequence of the small sample size for the present study.

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

Bauminger, N., & Kasari, C. (2000). Loneliness and friendship in high-functioning children with autism. Child Development, 71, 447–456. doi:10.1111/1467-8624.00156.CrossRefPubMed

Bauminger, N., Shulman, C., & Agam, G. (2003). Peer interaction and loneliness in high-functioning children with autism. Journal of Autism and Developmental Disorders, 33, 489–507. doi:10.1023/A:1025827427901.CrossRefPubMed

Chang, Y.-C., Quan, J., & Wood, J. J. (2012). Effects of anxiety disorder severity on social functioning in children with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 24, 235–345. doi:10.1007/s10882-012-9268-2.CrossRef

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

Constantino, J. N., & Gruber, C. P. (2005). Social Responsiveness Scale (SRS). Los Angeles, CA: Western Psychological Services.

Gearing, R. E., Schwalbe, C. S., Lee, R., & Hoagwood, K. E. (2013). The effectiveness of booster sessions in CBT treatment for child and adolescent mood and anxiety disorders. Depression and Anxiety, 30, 800–808. doi:10.1002/da.22118.CrossRefPubMed

Howell, D. C. (2013). Statistical methods for psychology (8th ed.). Belmont, CA: Wadsworth.

Kanne, S. M., Gerber, A. J., Quirmbach, L. M., Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2011). The role of adaptive behavior in autism spectrum disorders: Implications for functional outcome. Journal of Autism and Developmental Disorders, 41, 1007–1018. doi:10.1007/s10803-010-1126-4.CrossRefPubMed

Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Mattila, M.-L., Ebeling, H., & Moilanen, I. (2008). Social anxiety in high-functioning children and adolescents with autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 38, 1697–1709. doi:10.1007/s10803-008-0555-9.CrossRefPubMed

Ladd, G. W., & Ettekal, I. (2013). Peer-related loneliness across early to late adolescence: Normative trends, intra-individual trajectories, and links with depressive symptoms. Journal of Adolescence, 36, 1269–1282. doi:10.1016/j.adolescence.2013.05.004.CrossRefPubMed

Lasgaard, M., Nielsen, A., Eriksen, M. E., & Goossens, L. (2010). Loneliness and social support in adolescent boys with autism spectrum disorders. Journal of Autism and Developmental Disorders, 40, 218–226. doi:10.1007/s10803-009-0851-z.CrossRefPubMed

Laugeson, E. A., & Frankel, F. (2010). Social skills for teenagers with developmental and autism spectrum disorders: The PEERS treatment manual. New York, NY: Routledge.

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. Journal of Autism and Developmental Disorders, 39, 596–606. doi:10.1007/s10803-008-0664-5.CrossRefPubMed

Little, R. J. A., & Rubin, D. B. (1987). Statistical analysis with missing data. New York, NY: Wiley.

Little, R. J. A., & Schenker, N. (1995). Missing data. In G. Arminger, C. C. Clogg, & M. E. Sobel (Eds.), Handbook of statistical modeling for the social sciences (pp. 39–75). New York, NY: Plenum Press.CrossRef

Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles, CA: Western Psychological Services.

Lord, C., Rutter, M., & Le Couteur, 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. doi:10.1007/BF02172145.CrossRefPubMed

Mandelberg, J., Laugeson, E. A., Cunningham, T. D., Ellingsen, R., Bates, S., & Frankel, F. (2014). Long-term treatment outcomes for parent-assisted social skills training for adolescents with autism spectrum disorders: The UCLA PEERS program. Journal of Mental Health Research in Intellectual Disabilities, 7, 45–73. doi:10.1080/5864.2012.730600.CrossRef

Myles, B. S., Barnhill, G. P., Hagiwara, T., Griswold, D. E., & Simpson, R. L. (2001). A synthesis of studies on the intellectual, academic, social/emotional and sensory characteristics of children and youth with Asperger syndrome. Education and Training in Mental Retardation and Developmental Disabilities, 36, 304–311.

Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks, CA: Sage.

Raudenbush, S. W., Bryk, A. S., Cheong, Y. F., Congdon, R. T., & du Toit, M. (2011). HLM for Windows (Version 7.01) [Computer software]. Skokie, IL: Scientific Software International, Inc.

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, 410–419. doi:10.1111/j.1469-7610.2011.02486.x.CrossRefPubMedPubMedCentral

Renno, P., & Wood, J. J. (2013). Discriminant and convergent validity of the anxiety construct in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43, 2135–2146. doi:10.1007/s10803-013-1767-1.CrossRefPubMedPubMedCentral

Schafer, J. L. (1997). Analysis of incomplete multivariate data. London: Chapman & Hall.CrossRef

Seligman, L. D., & Ollendick, T. H. (2011). Cognitive-behavioral therapy for anxiety disorders in youth. Child and Adolescent Psychiatric Clinics of North America, 20, 217–238. doi:10.1016/j.chc.2011.01.003.CrossRefPubMedPubMedCentral

Selles, R. R., Arnold, E. B., Phares, V., Lewin, A. B., Murphy, T. K., & Storch, E. A. (2015). Cognitive-behavioral therapy for anxiety in youth with an autism spectrum disorder: A follow-up study. Autism, 19, 613–621. doi:10.1177/1362361314537912.CrossRefPubMed

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

Storch, E. A., Arnold, E. B., Lewin, A. B., Nadeau, J. M., Jones, A. M., De 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 and Adolescent Psychiatry, 52, 132–142. doi:10.1016/j.jaac.2012.11.007.CrossRefPubMed

Storch, E. A., Lewin, A. B., Collier, A. B., Arnold, E., De Nadai, A. S., Dane, B. F., & Murphy, T. K. (2015). 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, 174–181. doi:10.1002/da.22332.CrossRefPubMed

Sukhodolsky, D. G., Scahill, L., Gadow, K. D., Arnold, L. E., Aman, M. G., McDougle, C. J., & Vitiello, B. (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. doi:10.1007/s10802-007-9165-9.CrossRefPubMed

Ung, D., Arnold, E. B., De Nadai, A. S., Lewin, A. B., Phares, V., Murphy, T. K., & Storch, E. A. (2014). Inter-rater reliability of the anxiety disorders interview schedule for DSM-IV in high-functioning youth with autism spectrum disorder. Journal of Developmental and Physical Disabilities, 26, 53–65. doi:10.1007/s10882-013-9343-3.CrossRefPubMed

van Steensel, F. J. A., 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, 302–317. doi:10.1007/s10567-011-0097-0.CrossRefPubMedPubMedCentral

Wechsler, D. (1999). Manual for the Wechsler abbreviated scale of intelligence. San Antonio, TX: Psychological Corporation.

White, S. W., Albano, A. M., Johnson, C. R., Kasari, C., Ollendick, T., Klin, A., & Scahill, L. (2010). 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, 77–90. doi: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. (2013). Randomized controlled trial: Multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43, 382–394. doi:10.1007/s10803-012-1577-x.CrossRefPubMedPubMedCentral

White, S. W., & Roberson-Nay, R. (2009). Anxiety, social deficits, and loneliness in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1006–1013. doi:10.1007/s10803-009-0713-8.CrossRefPubMed

White, S. W., Schry, A. R., & Kreiser, N. L. (2014). Social worries and difficulties: Autism and/or social anxiety disorder? In T. E. Davis III, S. W. White, & T. H. Ollendick (Eds.), Handbook of autism and anxiety. New York, NY: Springer.

White, S. W., Schry, A. R., Miyazaki, Y., Ollendick, T. H., & Scahill, L. (2015). Effects of verbal ability and severity of autism on anxiety in adolescents with ASD: One-year follow-up after cognitive behavioral therapy. Journal of Clinical Child and Adolescent Psychology, 44, 839–845. doi:10.1080/15374416.2014.893515.CrossRefPubMed

Williamson, S., Craig, J., & Slinger, R. (2008). Exploring the relationship between measures of self-esteem and psychological adjustment among adolescents with Asperger syndrome. Autism, 12, 391–402. doi:10.1177/1362361308091652.CrossRefPubMed

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, 224–234. doi:10.1111/j.1469-7610.2008.01948.x.CrossRefPubMedPubMedCentral

Titel: Long-Term Effects of CBT on Social Impairment in Adolescents with ASD
Auteurs: Brenna B. Maddox
Yasuo Miyazaki
Susan W. White
Publicatiedatum: 04-04-2016
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 12/2017
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-016-2779-4

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