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Gepubliceerd in: Journal of Autism and Developmental Disorders 5/2023

09-02-2022 | Original Paper

Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers

Auteurs: Rebecca C. Shaffer, Lauren M. Schmitt, Debra L. Reisinger, Marika Coffman, Paul Horn, Matthew S. Goodwin, Carla Mazefsky, Shelley Randall, Craig Erickson

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 5/2023

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Abstract

Individuals with autism spectrum disorder (ASD) experience behavioral and emotional symptoms hypothesized to arise from emotion dysregulation (ED), difficulty modulating emotional experience, expression, and intensity in an acceptable and contextually appropriate manner. We developed Regulating Together (RT)—an intensive-outpatient, caregiver-assisted group program to meet the ASD + ED intervention critical need. A within-subjects trial was conducted (5-week-control lead-in period, 5-week-treatment, and 5-and 10-weeks-post-treatment follow-ups). Forty-four youth with ASD + ED (25 8–12, 19 13–18 yr-olds, 88% male, mean FSIQ of 96) participated. Improvements were found in reactivity, emotion regulation knowledge, and flexibility post-treatment and 10-weeks post-treatment. A reduction in inpatient hospitalization rates by 16% from the 12 months pre-RT to 12 months post-RT was observed. RT shows promise to reduce ED in ASD.
Literatuur
go back to reference Afshari, A., Neshat-Doost, H. T., Maracy, M. R., Ahmady, M. K., & Amiri, S. (2014). The effective comparison between emotion-focused cognitive behavioral group therapy and cognitive behavioral group therapy in children with separation anxiety disorder. Journal of Research in Medical Sciences: THe Official Journal of Isfahan University of Medical Sciences, 19(3), 221–227.PubMed Afshari, A., Neshat-Doost, H. T., Maracy, M. R., Ahmady, M. K., & Amiri, S. (2014). The effective comparison between emotion-focused cognitive behavioral group therapy and cognitive behavioral group therapy in children with separation anxiety disorder. Journal of Research in Medical Sciences: THe Official Journal of Isfahan University of Medical Sciences, 19(3), 221–227.PubMed
go back to reference Afshari, B., Omidi, A., & Ahmadvand, A. (2020). Effects of Dialectical Behavior Therapy on Executive Functions, Emotion Regulation, and Mindfulness in Bipolar Disorder. Journal of Contemporary Psychotherapy, 50. Afshari, B., Omidi, A., & Ahmadvand, A. (2020). Effects of Dialectical Behavior Therapy on Executive Functions, Emotion Regulation, and Mindfulness in Bipolar Disorder. Journal of Contemporary Psychotherapy, 50.
go back to reference Aman, M., & Singh, N. N. (2017). Aberrant Behavior Scale- Second Edition. Slosson. Aman, M., & Singh, N. N. (2017). Aberrant Behavior Scale- Second Edition. Slosson.
go back to reference Aman, M. G., McDougle, C. J., Scahill, L., Handen, B. L., Arnold, L. E., Johnson, C. R., Stigler, K. A., Bearss, K., Butter, E., Swiezy, N. A., Sukhodolsky, D. G., Ramada, Y., Pozdol, S. L., Nikolov, R., Lecavalier, L., Kohn, A. E., Koenig, K., Hollway, J. A., Korzekwa, P., … RUOPPA Network. (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.0b013e3181bfd669CrossRef Aman, M. G., McDougle, C. J., Scahill, L., Handen, B. L., Arnold, L. E., Johnson, C. R., Stigler, K. A., Bearss, K., Butter, E., Swiezy, N. A., Sukhodolsky, D. G., Ramada, Y., Pozdol, S. L., Nikolov, R., Lecavalier, L., Kohn, A. E., Koenig, K., Hollway, J. A., Korzekwa, P., … RUOPPA Network. (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
go back to reference Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., McAdam, D. B., Butter, E., Stillitano, C., Minshawi, N., Sukhodolsky, D. G., Mruzek, D. W., Turner, K., Neal, T., Hallett, V., Mulick, J. A., Green, B., Handen, B., Deng, Y., … Scahill, L. (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.2015.3150CrossRefPubMedPubMedCentral Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., McAdam, D. B., Butter, E., Stillitano, C., Minshawi, N., Sukhodolsky, D. G., Mruzek, D. W., Turner, K., Neal, T., Hallett, V., Mulick, J. A., Green, B., Handen, B., Deng, Y., … Scahill, L. (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.​3150CrossRefPubMedPubMedCentral
go back to reference Brown, T. T., Kuperman, J. M., Chung, Y., Erhart, M., McCabe, C., Hagler, D. J., Jr., Venkatraman, V. K., Akshoomoff, N., Amaral, D. G., Bloss, C. S., Casey, B. J., Chang, L., Ernst, T. M., Frazier, J. A., Gruen, J. R., Kaufmann, W. E., Kenet, T., Kennedy, D. N., Murray, S. S., … Dale, A. M. (2012). Neuroanatomical assessment of biological maturity. Current Biology, 22(18), 1693–1698. https://doi.org/10.1016/j.cub.2012.07.002CrossRefPubMed Brown, T. T., Kuperman, J. M., Chung, Y., Erhart, M., McCabe, C., Hagler, D. J., Jr., Venkatraman, V. K., Akshoomoff, N., Amaral, D. G., Bloss, C. S., Casey, B. J., Chang, L., Ernst, T. M., Frazier, J. A., Gruen, J. R., Kaufmann, W. E., Kenet, T., Kennedy, D. N., Murray, S. S., … Dale, A. M. (2012). Neuroanatomical assessment of biological maturity. Current Biology, 22(18), 1693–1698. https://​doi.​org/​10.​1016/​j.​cub.​2012.​07.​002CrossRefPubMed
go back to reference Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2015). Behavior rating inventory of executive functions-2. . PAR. Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2015). Behavior rating inventory of executive functions-2. . PAR.
go back to reference Guy, W. (1976). Clinical global impressions ECDEU assessment manual for psychopharmacology. National Institute for Mental Health. Guy, W. (1976). Clinical global impressions ECDEU assessment manual for psychopharmacology. National Institute for Mental Health.
go back to reference King, B. H., Hollander, E., Sikich, L., McCracken, J. T., Scahill, L., Bregman, J. D., Donnelly, C. L., Anagnostou, E., Dukes, K., Sullivan, L., Hirtz, D., Wagner, A., & Ritz, L. (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.2009.30CrossRefPubMedPubMedCentral King, B. H., Hollander, E., Sikich, L., McCracken, J. T., Scahill, L., Bregman, J. D., Donnelly, C. L., Anagnostou, E., Dukes, K., Sullivan, L., Hirtz, D., Wagner, A., & Ritz, L. (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/​archgenpsychiatr​y.​2009.​30CrossRefPubMedPubMedCentral
go back to reference Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., Tager-Flusberg, H., & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861. https://doi.org/10.1007/s10803-006-0123-0CrossRefPubMed Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., Tager-Flusberg, H., & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861. https://​doi.​org/​10.​1007/​s10803-006-0123-0CrossRefPubMed
go back to reference Lord, C., Luyster, R. J., Gotham, K., & Gutherie, W. (2012). Autism Diagnostic and Observation Schedule, second edition (ADOS-2). Western Psychological Services. Lord, C., Luyster, R. J., Gotham, K., & Gutherie, W. (2012). Autism Diagnostic and Observation Schedule, second edition (ADOS-2). Western Psychological Services.
go back to reference Mazefsky, C. A., Day, T. N., Siegel, M., White, S. W., Yu, L., & Pilkonis, P. A. (2016). Development of the emotion dysregulation inventory: a PROMIS(R)ing method for creating sensitive and unbiased questionnaires for autism spectrum disorder. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-016-2907-1CrossRef Mazefsky, C. A., Day, T. N., Siegel, M., White, S. W., Yu, L., & Pilkonis, P. A. (2016). Development of the emotion dysregulation inventory: a PROMIS(R)ing method for creating sensitive and unbiased questionnaires for autism spectrum disorder. Journal of Autism and Developmental Disorders. https://​doi.​org/​10.​1007/​s10803-016-2907-1CrossRef
go back to reference McDougle, C. J., Scahill, L., Aman, M. G., McCracken, J. T., Tierney, E., Davies, M., Arnold, L. E., Posey, D. J., Martin, A., Ghuman, J. K., Shah, B., Chuang, S. Z., Swiezy, N. B., Gonzalez, N. M., Hollway, J., Koenig, K., McGough, J. J., Ritz, L., & Vitiello, B. (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.162.6.1142CrossRefPubMed McDougle, C. J., Scahill, L., Aman, M. G., McCracken, J. T., Tierney, E., Davies, M., Arnold, L. E., Posey, D. J., Martin, A., Ghuman, J. K., Shah, B., Chuang, S. Z., Swiezy, N. B., Gonzalez, N. M., Hollway, J., Koenig, K., McGough, J. J., Ritz, L., & Vitiello, B. (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.​1142CrossRefPubMed
go back to reference Nader-Grosbois, N., & Mazzone, S. (2014). Emotion regulation, personality, and social adjustment in children with autism spectrum disorders. Psychology, 5, 1750–1767.CrossRef Nader-Grosbois, N., & Mazzone, S. (2014). Emotion regulation, personality, and social adjustment in children with autism spectrum disorders. Psychology, 5, 1750–1767.CrossRef
go back to reference Pouw, L. B. C., Rieffe, C., Stockmann, L., & Gadow, K. D. (2013). The link between emotion regulation, social functioning, and depression in boys with ASD. Research in Autism Spectrum Disorders, 7, 549–556.CrossRef Pouw, L. B. C., Rieffe, C., Stockmann, L., & Gadow, K. D. (2013). The link between emotion regulation, social functioning, and depression in boys with ASD. Research in Autism Spectrum Disorders, 7, 549–556.CrossRef
go back to reference Schmitt, L. M., Sweeney, J. A., Erickson, C. A., & Shaffer, R. C. (2021). Brief report: Feasibility of the probabilistic reversal learning task as an outcome measure in an intervention trial for individuals with autism spectrum disorder. Journal of Autism & Developmental Disorders. https://doi.org/10.1007/s10803-021-05288-yCrossRef Schmitt, L. M., Sweeney, J. A., Erickson, C. A., & Shaffer, R. C. (2021). Brief report: Feasibility of the probabilistic reversal learning task as an outcome measure in an intervention trial for individuals with autism spectrum disorder. Journal of Autism & Developmental Disorders. https://​doi.​org/​10.​1007/​s10803-021-05288-yCrossRef
go back to reference Schultz, P. W., & Searleman, A. (2002). Rigidity of thought and behavior: 100 years of research. Genetic, Social, and General Psychology Monographs, 128(2), 165–207.PubMed Schultz, P. W., & Searleman, A. (2002). Rigidity of thought and behavior: 100 years of research. Genetic, Social, and General Psychology Monographs, 128(2), 165–207.PubMed
go back to reference Shaffer, R. C., & Minshawi, N. (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. Springer Publishing. Shaffer, R. C., & Minshawi, N. (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. Springer Publishing.
go back to reference Shaffer, R. C., Ruberg, J., & Schmitt, L. (2019). Regulating Together: Building Emotion Regulation Skills. Unpublished Treatment Manual. Shaffer, R. C., Ruberg, J., & Schmitt, L. (2019). Regulating Together: Building Emotion Regulation Skills. Unpublished Treatment Manual.
go back to reference Shaffer, R. C., Ruberg, J., Schmitt, L. M., Reisinger, D., & Erickson, C. A. (2019). Regulating Together: An Intensive, Group, Parent-Assisted Emotion Regulation Treatment for Children Ages 8–12 with ASD Pilot Trial. American Academy of Child and Adolescent Psychiatry 66th Annual Meeting, Chicago. Shaffer, R. C., Ruberg, J., Schmitt, L. M., Reisinger, D., & Erickson, C. A. (2019). Regulating Together: An Intensive, Group, Parent-Assisted Emotion Regulation Treatment for Children Ages 8–12 with ASD Pilot Trial. American Academy of Child and Adolescent Psychiatry 66th Annual Meeting, Chicago.
go back to reference Shaffer, R. C., Schmitt, L. M., Erickson, C. A., Wink, L. K., Ruberg, J., Blackburn, A., Harms, J., & Klein, N. (2019). Regulating Together: Emotion Regulation Treatment for Children and Teens with ASD in an Intensive, Group. International Society for Autism Research, Montreal, Quebec Canada. Shaffer, R. C., Schmitt, L. M., Erickson, C. A., Wink, L. K., Ruberg, J., Blackburn, A., Harms, J., & Klein, N. (2019). Regulating Together: Emotion Regulation Treatment for Children and Teens with ASD in an Intensive, Group. International Society for Autism Research, Montreal, Quebec Canada.
go back to reference 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.0b013e318179964fCrossRefPubMed 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
go back to reference Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. (2016). Vineland Adaptive Behavior Scales, third edition. Pearson. Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. (2016). Vineland Adaptive Behavior Scales, third edition. Pearson.
go back to reference Strang, J. F., Anthony, L. G., Yerys, B. E., Hardy, K. K., Wallace, G. L., Armour, A. C., Dudley, K., & Kenworthy, L. (2017). The flexibility scale: Development and preliminary validation of a cognitive flexibility measure in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 47(8), 2502–2518. https://doi.org/10.1007/s10803-017-3152-yCrossRefPubMed Strang, J. F., Anthony, L. G., Yerys, B. E., Hardy, K. K., Wallace, G. L., Armour, A. C., Dudley, K., & Kenworthy, L. (2017). The flexibility scale: Development and preliminary validation of a cognitive flexibility measure in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 47(8), 2502–2518. https://​doi.​org/​10.​1007/​s10803-017-3152-yCrossRefPubMed
go back to reference Weiss, J. A., Thomson, K., Burnham Riosa, P., Albaum, C., Chan, V., Maughan, A., Tablon, P., & Black, K. (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.12915CrossRefPubMed Weiss, J. A., Thomson, K., Burnham Riosa, P., Albaum, C., Chan, V., Maughan, A., Tablon, P., & Black, K. (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.​12915CrossRefPubMed
go back to reference Weitlauf, A., McPheeters, M., Peters, B., Sathe, N., Travis, R., Aiello, R., Williamson, E., Veenstra-VanderWeele, J., Krishnaswami, S., Jerome, R., & Warren, Z. (2014). Therapies for children with autism spectrum disorder: Behavioral interventions update [Internet]. . Executive Summary. , Comparative Effectiveness Review, No. 137. https://www.ncbi.nlm.nih.gov/books/NBK241448/ Weitlauf, A., McPheeters, M., Peters, B., Sathe, N., Travis, R., Aiello, R., Williamson, E., Veenstra-VanderWeele, J., Krishnaswami, S., Jerome, R., & Warren, Z. (2014). Therapies for children with autism spectrum disorder: Behavioral interventions update [Internet]. . Executive Summary. , Comparative Effectiveness Review, No. 137. https://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK241448/​
go back to reference Weschler, D. (2011). Weschler Abbreviated Scale of Intelligence- Second Edition. Pearson. Weschler, D. (2011). Weschler Abbreviated Scale of Intelligence- Second Edition. Pearson.
go back to reference Wink, L. K., Adams, R., Horn, P. S., Tessier, C. R., Bantel, A. P., Hong, M., Shaffer, R. C., Pedapati, E. V., & Erickson, C. A. (2018). A randomized placebo-controlled cross-over pilot study of riluzole for drug-refractory irritability in autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(9), 3051–3060. https://doi.org/10.1007/s10803-018-3562-5CrossRefPubMed Wink, L. K., Adams, R., Horn, P. S., Tessier, C. R., Bantel, A. P., Hong, M., Shaffer, R. C., Pedapati, E. V., & Erickson, C. A. (2018). A randomized placebo-controlled cross-over pilot study of riluzole for drug-refractory irritability in autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(9), 3051–3060. https://​doi.​org/​10.​1007/​s10803-018-3562-5CrossRefPubMed
Metagegevens
Titel
Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers
Auteurs
Rebecca C. Shaffer
Lauren M. Schmitt
Debra L. Reisinger
Marika Coffman
Paul Horn
Matthew S. Goodwin
Carla Mazefsky
Shelley Randall
Craig Erickson
Publicatiedatum
09-02-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 5/2023
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-022-05461-x

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