Skip to main content
Top
Gepubliceerd in:

12-01-2022 | Original Paper

Parent-Led Cognitive Behavioural Therapy for Children with Autism Spectrum Conditions. A Pilot Study

Auteurs: Gary Byrne, Áine Ní Ghráda, Teresa O’Mahony

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 1/2023

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

This article reports on a pilot study of a parent-only cognitive behavioural therapy (CBT) programme for parents of children with autism spectrum disorders (ASD) and anxiety difficulties. Twenty-one parents of anxious children with ASD (5–11 of age) completed the From Timid to Tiger intervention. Parent outcome measures were assessed at post-intervention and at 3-month follow-up. Analysis indicated significant reductions in both parent and clinician reports of child anxiety symptoms. Specifically, 38% of children were free of their primary diagnosis at treatment end and this increased to 57% when measured at 3-month follow-up. Positive gains were evidenced regarding parents’ ability to manage their child's anxiety without accommodating to it. The results provide preliminary evidence of parent-only CBT programs for children with ASD
Literatuur
go back to reference Albano, A. M., & Silverman, W. K. (2021). Anxiety and related disorders interview schedule for DSM-5:Child version. Psychological Corporation. Albano, A. M., & Silverman, W. K. (2021). Anxiety and related disorders interview schedule for DSM-5:Child version. Psychological Corporation.
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). American Psychiatric Association.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.CrossRef
go back to reference 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, 545–553.CrossRef 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, 545–553.CrossRef
go back to reference Byrne, G., Connon, G., Martin, E., McHugh, S., & Power, L. (2021). Evaluation of a parent‐led cognitive behaviour therapy programme in routine clinical practice: A controlled trial. British Journal of Clinical Psychology. Advance online publication. https://doi.org/10.1111/bjc.12309. Byrne, G., Connon, G., Martin, E., McHugh, S., & Power, L. (2021). Evaluation of a parent‐led cognitive behaviour therapy programme in routine clinical practice: A controlled trial. British Journal of Clinical Psychology. Advance online publication. https://​doi.​org/​10.​1111/​bjc.​12309.
go back to reference Byrne, G., Sarma, K. M., Hendler, J., & O’Connell, A. (2018). On the spectrum, off the beaten path. A qualitative study of Irish parents’ experiences of raising a child with autism spectrum conditions. British Journal of Learning Disabilities, 46(3), 182–192. https://doi.org/10.1111/bld.12227CrossRef Byrne, G., Sarma, K. M., Hendler, J., & O’Connell, A. (2018). On the spectrum, off the beaten path. A qualitative study of Irish parents’ experiences of raising a child with autism spectrum conditions. British Journal of Learning Disabilities, 46(3), 182–192. https://​doi.​org/​10.​1111/​bld.​12227CrossRef
go back to reference Cartwright-Hatton, S., Laskey, B., Rust, S., & McNally, D. (2010). From Timid to Tiger: A treatment manual for parenting the anxious child. Wiley-Blackwell.CrossRef Cartwright-Hatton, S., Laskey, B., Rust, S., & McNally, D. (2010). From Timid to Tiger: A treatment manual for parenting the anxious child. Wiley-Blackwell.CrossRef
go back to reference Cartwright-Hatton, S., McNally, D., Field, A. P., Rust, S., Laskey, B., Dixon, C., & Symes, W. (2011). A new parenting-based group intervention for young anxious children: Results of a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 50(3), 242–251. https://doi.org/10.1016/j.jaac.2010.12.015CrossRef Cartwright-Hatton, S., McNally, D., Field, A. P., Rust, S., Laskey, B., Dixon, C., & Symes, W. (2011). A new parenting-based group intervention for young anxious children: Results of a randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 50(3), 242–251. https://​doi.​org/​10.​1016/​j.​jaac.​2010.​12.​015CrossRef
go back to reference Christensen, D. L., Bilder, D. A., Zahorodny, W., Pettygrove, S., Durkin, M. S., Fitzgerald, R. T., & Yeargin-Allsop, M. (2016). Prevalence and characteristics of autism spectrum disorder among 4-year-old children in the autism and developmental disabilities monitoring network. Journal of Developmental & Behavioural Paediatrics, 37, 1–8. https://doi.org/10.1097/DBP.0000000000000235CrossRef Christensen, D. L., Bilder, D. A., Zahorodny, W., Pettygrove, S., Durkin, M. S., Fitzgerald, R. T., & Yeargin-Allsop, M. (2016). Prevalence and characteristics of autism spectrum disorder among 4-year-old children in the autism and developmental disabilities monitoring network. Journal of Developmental & Behavioural Paediatrics, 37, 1–8. https://​doi.​org/​10.​1097/​DBP.​0000000000000235​CrossRef
go back to reference Creswell, C., Parkinson, M., Thirlwall, K., & Willetts, L. (2019). Parent-led CBT for child anxiety: Helping parents help their kids. Guilford Publications. Creswell, C., Parkinson, M., Thirlwall, K., & Willetts, L. (2019). Parent-led CBT for child anxiety: Helping parents help their kids. Guilford Publications.
go back to reference Feldman, I., Koller, J., Lebowitz, E. R., Shulman, C., Itzchak, E. B., & Zachor, D. A. (2019). Family accommodation in autism spectrum disorder. Journal of Autism and Developmental Disorders, 49(9), 3602–3610.CrossRef Feldman, I., Koller, J., Lebowitz, E. R., Shulman, C., Itzchak, E. B., & Zachor, D. A. (2019). Family accommodation in autism spectrum disorder. Journal of Autism and Developmental Disorders, 49(9), 3602–3610.CrossRef
go back to reference Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.CrossRef Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.CrossRef
go back to reference Goodman, R., & Scott, S. (1999). Comparing the strengths and difficulties questionnaire and the child behaviour checklist: Is small beautiful? Journal of Abnormal Child Psychology, 27, 17–24.CrossRef Goodman, R., & Scott, S. (1999). Comparing the strengths and difficulties questionnaire and the child behaviour checklist: Is small beautiful? Journal of Abnormal Child Psychology, 27, 17–24.CrossRef
go back to reference Guy, W. (1976). ECDEU assessment manual for psychopharmacology. US Department of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs. Guy, W. (1976). ECDEU assessment manual for psychopharmacology. US Department of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs.
go back to reference Hudson, J. L., & Rapee, R. (2004). From anxious temperament to disorder: An etiological model of generalised anxiety disorder. In R. Heinberg, C. Turk, & D. Mennin (Eds.), Generalised anxiety disorder: Advances in research and practice. New York: Guilford Press. Hudson, J. L., & Rapee, R. (2004). From anxious temperament to disorder: An etiological model of generalised anxiety disorder. In R. Heinberg, C. Turk, & D. Mennin (Eds.), Generalised anxiety disorder: Advances in research and practice. New York: Guilford Press.
go back to reference 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), 22. https://doi.org/10.1186/s13034-015-0054-7CrossRef 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), 22. https://​doi.​org/​10.​1186/​s13034-015-0054-7CrossRef
go back to reference Lawrence, P.J., Waite, P., & Creswell, C. (2019). Environmental factors in the development and maintenance of anxiety disorders. In S.N. Compton, M.A., Villabo & H. Kristensen (Eds.), Pediatric anxiety disorders (pp. 101–124). Amsterdam: Elsevier. Lawrence, P.J., Waite, P., & Creswell, C. (2019). Environmental factors in the development and maintenance of anxiety disorders. In S.N. Compton, M.A., Villabo & H. Kristensen (Eds.), Pediatric anxiety disorders (pp. 101–124). Amsterdam: Elsevier.
go back to reference Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2019). Parent- based treatment as efficacious as cognitive behavioral therapy for childhood anxiety: A randomized noninferiority study of supportive parenting for anxious childhood emotions. Journal of the American Academy of Child & Adolescent Psychiatry, 59(3), 362–372. https://doi.org/10.1016/j.jaac.2019.02.014CrossRef Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2019). Parent- based treatment as efficacious as cognitive behavioral therapy for childhood anxiety: A randomized noninferiority study of supportive parenting for anxious childhood emotions. Journal of the American Academy of Child & Adolescent Psychiatry, 59(3), 362–372. https://​doi.​org/​10.​1016/​j.​jaac.​2019.​02.​014CrossRef
go back to reference Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). ADOS. Autism diagnostic observation schedule. Manual. Los Angeles: WPS. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). ADOS. Autism diagnostic observation schedule. Manual. Los Angeles: WPS.
go back to reference McKinnon, A., Keers, R., Coleman, J. R., Lester, K. J., Roberts, S., Arendt, K., & Fjermestad, K. W. (2018). The impact of treatment delivery format on response to cognitive behaviour therapy for preadolescent children with anxiety disorders. Journal of Child Psychology and Psychiatry, 59(7), 763–772. https://doi.org/10.1111/jcpp.12872CrossRef McKinnon, A., Keers, R., Coleman, J. R., Lester, K. J., Roberts, S., Arendt, K., & Fjermestad, K. W. (2018). The impact of treatment delivery format on response to cognitive behaviour therapy for preadolescent children with anxiety disorders. Journal of Child Psychology and Psychiatry, 59(7), 763–772. https://​doi.​org/​10.​1111/​jcpp.​12872CrossRef
go back to reference Monzani, B., Vidal-Ribas, P., Turner, C., Krebs, G., Stokes, C., Heyman, I., Mataix-Cols, D., & Stringaris, A. (2020). The Role of paternal accommodation of paediatric OCD symptoms: Patterns and implications for treatment outcomes. Journal of Abnormal Child Psychology, 48(10), 1313–1323. https://doi.org/10.1007/s10802-020-00678-9CrossRef Monzani, B., Vidal-Ribas, P., Turner, C., Krebs, G., Stokes, C., Heyman, I., Mataix-Cols, D., & Stringaris, A. (2020). The Role of paternal accommodation of paediatric OCD symptoms: Patterns and implications for treatment outcomes. Journal of Abnormal Child Psychology, 48(10), 1313–1323. https://​doi.​org/​10.​1007/​s10802-020-00678-9CrossRef
go back to reference Reaven, J., Blakeley-Smith, A., Beattie, T. L., Sullivan, A., Moody, E. J., Stern, J. A., & Smith, I. M. (2015). Improving transportability of a cognitive-behavioral treatment intervention for anxiety in youth with autism spectrum disorders: Results from a US– Canada collaboration. Autism, 19(2), 211–222. https://doi.org/10.1177/1362361313518124CrossRef Reaven, J., Blakeley-Smith, A., Beattie, T. L., Sullivan, A., Moody, E. J., Stern, J. A., & Smith, I. M. (2015). Improving transportability of a cognitive-behavioral treatment intervention for anxiety in youth with autism spectrum disorders: Results from a US– Canada collaboration. Autism, 19(2), 211–222. https://​doi.​org/​10.​1177/​1362361313518124​CrossRef
go back to reference Rodgers, J., Hodgson, A., Shields, K., Wright, C., Honey, E., & Freeston, M. (2017). Towards a treatment for intolerance of uncertainty in young people with autism spectrum disorder: Development of the coping with uncertainty in everyday situations (CUES©) programme. Journal of Autism and Developmental Disorders, 47(12), 3959–3966. https://doi.org/10.1007/s10803-016-2924-0CrossRef Rodgers, J., Hodgson, A., Shields, K., Wright, C., Honey, E., & Freeston, M. (2017). Towards a treatment for intolerance of uncertainty in young people with autism spectrum disorder: Development of the coping with uncertainty in everyday situations (CUES©) programme. Journal of Autism and Developmental Disorders, 47(12), 3959–3966. https://​doi.​org/​10.​1007/​s10803-016-2924-0CrossRef
go back to reference Ruane, A., Carr, A., Moffat, V., Finn, T., Murphy, A., O’Brien, O., & O’Dwyer, R. (2019). A randomised controlled trial of the group stepping stones triple P training programme for parents of children with developmental disabilities. Clinical Child Psychology and Psychiatry, 24(4), 728–753. https://doi.org/10.1177/1359104519827622CrossRef Ruane, A., Carr, A., Moffat, V., Finn, T., Murphy, A., O’Brien, O., & O’Dwyer, R. (2019). A randomised controlled trial of the group stepping stones triple P training programme for parents of children with developmental disabilities. Clinical Child Psychology and Psychiatry, 24(4), 728–753. https://​doi.​org/​10.​1177/​1359104519827622​CrossRef
go back to reference Rutter, M., Le Couteur, A., & Lord, C. (2003). ADI-R. Autism Diagnostic Interview Revised. Manual. Los Angeles: Western Psychological Services Rutter, M., Le Couteur, A., & Lord, C. (2003). ADI-R. Autism Diagnostic Interview Revised. Manual. Los Angeles: Western Psychological Services
go back to reference Salari, E., Shahrivar, Z., Mahmoudi-Gharaei, J., Shirazi, E., & Sepasi, M. (2018). Parent-only group cognitive behavioral intervention for children with anxiety disorders: A control group study. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 27(2), 130–136. Salari, E., Shahrivar, Z., Mahmoudi-Gharaei, J., Shirazi, E., & Sepasi, M. (2018). Parent-only group cognitive behavioral intervention for children with anxiety disorders: A control group study. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 27(2), 130–136.
go back to reference Sanders, M. R., Mazzucchelli, T. G., & Studman, L. J. (2004). Stepping Stones Triple P: The theoretical basis and development of an evidence-based positive parenting program for families with a child who has a disability. Journal of Intellectual and Developmental Disability, 29(3), 265–283. https://doi.org/10.1080/13668250412331285127CrossRef Sanders, M. R., Mazzucchelli, T. G., & Studman, L. J. (2004). Stepping Stones Triple P: The theoretical basis and development of an evidence-based positive parenting program for families with a child who has a disability. Journal of Intellectual and Developmental Disability, 29(3), 265–283. https://​doi.​org/​10.​1080/​1366825041233128​5127CrossRef
go back to reference Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for children (DSM-IV). Psychological Corporation. Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for children (DSM-IV). Psychological Corporation.
go back to reference Stone, L. L., Otten, R., Engels, R. C., Vermulst, A. A., & Janssens, J. M. (2010). Psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire for 4-to 12-year-olds: A review. Clinical Child and Family Psychology Review, 13(3), 254–274.CrossRef Stone, L. L., Otten, R., Engels, R. C., Vermulst, A. A., & Janssens, J. M. (2010). Psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire for 4-to 12-year-olds: A review. Clinical Child and Family Psychology Review, 13(3), 254–274.CrossRef
go back to reference Storch, E. A., Sulkowski, M. L., Nadeau, J., Lewin, A. B., Arnold, E. B., Mutch, P. J., & Murphy, T. K. (2013). The phenomenology and clinical correlates of suicidal thoughts and behaviours in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(10), 2450–2459.CrossRef Storch, E. A., Sulkowski, M. L., Nadeau, J., Lewin, A. B., Arnold, E. B., Mutch, P. J., & Murphy, T. K. (2013). The phenomenology and clinical correlates of suicidal thoughts and behaviours in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(10), 2450–2459.CrossRef
go back to reference Storch, E. A., Zavrou, S., Collier, A. B., Ung, D., Arnold, E. B., Mutch, P. J., & Murphy, T. K. (2015). Preliminary study of family accommodation in youth with autism spectrum disorders and anxiety: Incidence, clinical correlates, and behavioral treatment response. Journal of Anxiety Disorders, 34, 94–99. https://doi.org/10.1016/j.janxdis.2015.06.007CrossRef Storch, E. A., Zavrou, S., Collier, A. B., Ung, D., Arnold, E. B., Mutch, P. J., & Murphy, T. K. (2015). Preliminary study of family accommodation in youth with autism spectrum disorders and anxiety: Incidence, clinical correlates, and behavioral treatment response. Journal of Anxiety Disorders, 34, 94–99. https://​doi.​org/​10.​1016/​j.​janxdis.​2015.​06.​007CrossRef
go back to reference Su, W., Srinvasan, S., Cleffi, C., & Bhat, A. (2021). Short report on research trends during the COVID-19 pandemic and use of telehealth interventions and remote brain research in children with autism spectrum disorder. Autism. Advance online publication. https://doi.org/10.1177/13623613211004795. Su, W., Srinvasan, S., Cleffi, C., & Bhat, A. (2021). Short report on research trends during the COVID-19 pandemic and use of telehealth interventions and remote brain research in children with autism spectrum disorder. Autism. Advance online publication. https://​doi.​org/​10.​1177/​1362361321100479​5.
go back to reference Suzuki, M., Yamada, A., Watanabe, N., Akechi, T., Katsuki, F., Nishiyama, T., & Ota, A. (2014). A failure to confirm the effectiveness of a brief group psychoeducational program for mothers of children with high-functioning pervasive developmental disorders: A randomized controlled pilot trial. Neuropsychiatric Disease and Treatment, 10, 1141.CrossRef Suzuki, M., Yamada, A., Watanabe, N., Akechi, T., Katsuki, F., Nishiyama, T., & Ota, A. (2014). A failure to confirm the effectiveness of a brief group psychoeducational program for mothers of children with high-functioning pervasive developmental disorders: A randomized controlled pilot trial. Neuropsychiatric Disease and Treatment, 10, 1141.CrossRef
go back to reference Wechsler, D. (2012). Wechsler preschool and primary scale of intelligence (4th ed.). Pearson. Wechsler, D. (2012). Wechsler preschool and primary scale of intelligence (4th ed.). Pearson.
go back to reference Wechsler, D. (2014). Wechsler intelligence scale for children (5th ed.). Pearson. Wechsler, D. (2014). Wechsler intelligence scale for children (5th ed.). Pearson.
go back to reference 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(2), 382–394. https://doi.org/10.1007/s10803-012-1577-xCrossRef 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(2), 382–394. https://​doi.​org/​10.​1007/​s10803-012-1577-xCrossRef
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(3), 335–342.CrossRef 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(3), 335–342.CrossRef
Metagegevens
Titel
Parent-Led Cognitive Behavioural Therapy for Children with Autism Spectrum Conditions. A Pilot Study
Auteurs
Gary Byrne
Áine Ní Ghráda
Teresa O’Mahony
Publicatiedatum
12-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 1/2023
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-022-05424-2