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

30-04-2016 | S.I. : Anxiety in Autism Spectrum Disorders

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

Auteurs: Chris Clarke, Vivian Hill, Tony Charman

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

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Abstract

Children with a diagnosis of autism are more likely to experience anxiety than their typically developing peers. Research suggests that Cognitive Behavioural Therapy (CBT) could offer a way to help children with autism manage their anxiety but most evidence is based on clinical trials. This study investigated a school-based CBT programme using a quasi-experimental design incorporating the child and parent versions of the Spence Children’s Anxiety Scale (Spence, J Abnorm Psy 106(2):280–297, 1997) and the Coping Scale for Children and Youth (Brodzinsky et al., J Appl Dev Psychol 13:195–214, 1992). Interview data was incorporated to help understand the process of change further. Children in the experimental condition had lower levels of anxiety, maintained at follow-up and changes were found in coping behaviours such as lower behavioural avoidance strategies but increased problem solving strategies at follow-up. Limitations of the research together with future directions are also discussed.
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1
Although the American Psychiatric Association released the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-V: American Psychiatric Association 2013) which changed the definition of ASD this research and the cited references were all conducted prior to its release so the DSM-IV definition has been retained.
 
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, Text revision (DSM-IV-TR) (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, Text revision (DSM-IV-TR) (4th ed.). Washington, DC: American Psychiatric Association.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef
go back to reference Ashburner, J., Ziviani, J., & Rodger, S. (2010). Surviving in the mainstream: Capacity if children with autism spectrum disorder to perform academically and regulate their emotions and behavior at school. Research in Autism Spectrum Disorder, 4(1), 18–27.CrossRef Ashburner, J., Ziviani, J., & Rodger, S. (2010). Surviving in the mainstream: Capacity if children with autism spectrum disorder to perform academically and regulate their emotions and behavior at school. Research in Autism Spectrum Disorder, 4(1), 18–27.CrossRef
go back to reference Attwood, T. (2004). Exploring feelings: Cognitive behavioural therapy to manage anxiety. Arlington, TX: Future Horizons. Attwood, T. (2004). Exploring feelings: Cognitive behavioural therapy to manage anxiety. Arlington, TX: Future Horizons.
go back to reference Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006). Prevalence of disorder of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). Lancet, 368, 179–181.CrossRef Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006). Prevalence of disorder of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). Lancet, 368, 179–181.CrossRef
go back to reference Baron-Cohen, S., Scott, F. J., Allison, C., Williams, J., Bolton, P., Matthews, F. E., & Brayne, C. (2009). Prevalence of autism-spectrum conditions: UK school-based population study. The British Journal of Psychiatry, 194, 500–509.CrossRefPubMed Baron-Cohen, S., Scott, F. J., Allison, C., Williams, J., Bolton, P., Matthews, F. E., & Brayne, C. (2009). Prevalence of autism-spectrum conditions: UK school-based population study. The British Journal of Psychiatry, 194, 500–509.CrossRefPubMed
go back to reference Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRef Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRef
go back to reference Brodzinsky, D. M., Elias, M. J., Steiger, C., Simon, J., Gill, M., & Hitt, J. C. (1992). Coping scale for children and youth: Scale development and validation. Journal of Applied Developmental Psychology, 13, 195–214.CrossRef Brodzinsky, D. M., Elias, M. J., Steiger, C., Simon, J., Gill, M., & Hitt, J. C. (1992). Coping scale for children and youth: Scale development and validation. Journal of Applied Developmental Psychology, 13, 195–214.CrossRef
go back to reference 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, 1842–1857.CrossRefPubMed 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, 1842–1857.CrossRefPubMed
go back to reference Chu, B. C., & Harrison, T. L. (2007). Disorder-specific effects of CBT for anxious and depressed youth: A meta-analysis of candidate mediators of change. Clinical Child and Family Psychology Review, 10, 352–372.CrossRefPubMed Chu, B. C., & Harrison, T. L. (2007). Disorder-specific effects of CBT for anxious and depressed youth: A meta-analysis of candidate mediators of change. Clinical Child and Family Psychology Review, 10, 352–372.CrossRefPubMed
go back to reference Cohen, L., Manion, L., & Morrison, K. (2007). Research methods in education (6th ed.). Oxford: Routledge. Cohen, L., Manion, L., & Morrison, K. (2007). Research methods in education (6th ed.). Oxford: Routledge.
go back to reference Compas, B. E., Connor-Smith, J. K., Saltzman, H. Harding, Thomsen, A., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress and potential in theory and research. Psychological Bulletin, 127, 87–127.CrossRefPubMed Compas, B. E., Connor-Smith, J. K., Saltzman, H. Harding, Thomsen, A., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress and potential in theory and research. Psychological Bulletin, 127, 87–127.CrossRefPubMed
go back to reference Constantino, J. N. (2002). The Social Responsiveness Scale. Los Angeles: Western Psychological Services. Constantino, J. N. (2002). The Social Responsiveness Scale. Los Angeles: Western Psychological Services.
go back to reference Constantiono, J. N., Davis, S. A., Todd, R. D., Schindler, M. K., Gross, M. M., Brophy, S. L., et al. (2003). Validation of a brief quantitative measure of autistic traits: Comparison of the social responsiveness scale with the autism diagnostic interview-revised. Journal of Autism and Developmental Disorders, 33(4), 427–433.CrossRef Constantiono, J. N., Davis, S. A., Todd, R. D., Schindler, M. K., Gross, M. M., Brophy, S. L., et al. (2003). Validation of a brief quantitative measure of autistic traits: Comparison of the social responsiveness scale with the autism diagnostic interview-revised. Journal of Autism and Developmental Disorders, 33(4), 427–433.CrossRef
go back to reference Department for Children, Schools and Families. (2008). Targeted mental health in schools project. London: DCSF Publications. Department for Children, Schools and Families. (2008). Targeted mental health in schools project. London: DCSF Publications.
go back to reference Department for Education. (2014). Mental health and behaviour in schools. London: DFE Publications. Department for Education. (2014). Mental health and behaviour in schools. London: DFE Publications.
go back to reference Graham, P. (2005). Cognitive behaviour Therapy for children and families (2nd ed.). Cambridge: Cambridge University Press. Graham, P. (2005). Cognitive behaviour Therapy for children and families (2nd ed.). Cambridge: Cambridge University Press.
go back to reference Harcourt Assessment. (1999). WASI manual. San Antonia: Harcourt Assessment. Harcourt Assessment. (1999). WASI manual. San Antonia: Harcourt Assessment.
go back to reference Humphrey, N. (2008). Including pupils with autistic spectrum disorders in mainstream schools. Support for Learning, 23(1), 41–47.CrossRef Humphrey, N. (2008). Including pupils with autistic spectrum disorders in mainstream schools. Support for Learning, 23(1), 41–47.CrossRef
go back to reference Ishikawa, S-i, Okajima, I., Matsuoka, H., & Sakano, Y. (2007). Cognitive behavioural therapy for anxiety disorders in children and adolescents: A meta-analysis. Child and Adolescent Mental Health, 12, 164–172.CrossRef Ishikawa, S-i, Okajima, I., Matsuoka, H., & Sakano, Y. (2007). Cognitive behavioural therapy for anxiety disorders in children and adolescents: A meta-analysis. Child and Adolescent Mental Health, 12, 164–172.CrossRef
go back to reference Kazdin, A. E. (2000). Developing a research agenda for children and adolescence psychotherapy. Archives of General Psychiatry, 57, 829–835.CrossRefPubMed Kazdin, A. E. (2000). Developing a research agenda for children and adolescence psychotherapy. Archives of General Psychiatry, 57, 829–835.CrossRefPubMed
go back to reference Kerns, C. M., & Kendall, P. C. (2012). The presentation and classification of anxiety in autism spectrum disorders. Clinical Psychology: Science and Practice, 19, 323–347. Kerns, C. M., & Kendall, P. C. (2012). The presentation and classification of anxiety in autism spectrum disorders. Clinical Psychology: Science and Practice, 19, 323–347.
go back to reference Kussikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Lattila, M.-L., Ebeling, 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.CrossRef Kussikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Lattila, M.-L., Ebeling, 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.CrossRef
go back to reference McConachie, H., McLaughlin, E., Grahame, V., Taylor, H., Honey, E., Tavernor, L., et al. (2014). Group therapy for anxiety in children with autism spectrum disorder. Autism, 18(6), 723–732.CrossRefPubMed McConachie, H., McLaughlin, E., Grahame, V., Taylor, H., Honey, E., Tavernor, L., et al. (2014). Group therapy for anxiety in children with autism spectrum disorder. Autism, 18(6), 723–732.CrossRefPubMed
go back to reference Ollendick, T. H., Langley, A. K., Jones, R. T., & Kephart, C. (2001). Fear in children and adolescents: Relations with negative life events, attributional style, and avoidant coping. Journal of Child Psychology and Psychiatry, 42, 1029–1034.CrossRefPubMed Ollendick, T. H., Langley, A. K., Jones, R. T., & Kephart, C. (2001). Fear in children and adolescents: Relations with negative life events, attributional style, and avoidant coping. Journal of Child Psychology and Psychiatry, 42, 1029–1034.CrossRefPubMed
go back to reference Osler, A., & Osler, C. (2002). Inclusion, exclusion and children’s rights: A case study of a student with Asperger syndrome. Emotional and Behavioural Difficulties, 7, 35–54. Osler, A., & Osler, C. (2002). Inclusion, exclusion and children’s rights: A case study of a student with Asperger syndrome. Emotional and Behavioural Difficulties, 7, 35–54.
go back to reference Prins, P. J. M., & Ollendick, T. H. (2003). Cogntive change and enhanced coping: Missing mediational links in cogntive behaior therapy with ansiety-disordered children. Clinical Child and Family Psychology Review, 6(2), 87–105.CrossRefPubMed Prins, P. J. M., & Ollendick, T. H. (2003). Cogntive change and enhanced coping: Missing mediational links in cogntive behaior therapy with ansiety-disordered children. Clinical Child and Family Psychology Review, 6(2), 87–105.CrossRefPubMed
go back to reference Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2012). Group cognitive behaviour therapy for children with high-functioning autism spectrum disorders and anxiety: a randomized trial. Journal of Child Psychology and Psychiatry, 53(4), 410–419.CrossRefPubMedPubMedCentral Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2012). Group cognitive behaviour therapy for children with high-functioning autism spectrum disorders and anxiety: a randomized trial. Journal of Child Psychology and Psychiatry, 53(4), 410–419.CrossRefPubMedPubMedCentral
go back to reference Reynolds, C. R., & Richmond, B. O. (1978). What I think and feel: A revised measure of children’s manifest anxiety. Journal of Abnormal Psychology, 6(2), 271–280. Reynolds, C. R., & Richmond, B. O. (1978). What I think and feel: A revised measure of children’s manifest anxiety. Journal of Abnormal Psychology, 6(2), 271–280.
go back to reference Simonoff, E., Jones, C. R. G., Baird, G., Pickles, A., Happe, F., & Charman, T. (2012). The persisitence and stability of psychiatric problems in adolescents with autism spectrum disorders. The Journal of Child psychology and Psychiatry, 54(2), 186–194.CrossRefPubMed Simonoff, E., Jones, C. R. G., Baird, G., Pickles, A., Happe, F., & Charman, T. (2012). The persisitence and stability of psychiatric problems in adolescents with autism spectrum disorders. The Journal of Child psychology and Psychiatry, 54(2), 186–194.CrossRefPubMed
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 American Academic Child and Adolescent Psychiatry, 47(8), 921–929.CrossRef 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 American Academic Child and Adolescent Psychiatry, 47(8), 921–929.CrossRef
go back to reference Sofronoff, K., Attwood, T., & Hinton, S. (2005). A randomised controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. Journal of Child Psychology and Psychiatry, 46(11), 1152–1160.CrossRefPubMed Sofronoff, K., Attwood, T., & Hinton, S. (2005). A randomised controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. Journal of Child Psychology and Psychiatry, 46(11), 1152–1160.CrossRefPubMed
go back to reference Spence, S. H. (1997). Structure of anxiety symptoms among children: A confirmatory factor-analytic study. Journal of Abnormal Psychology, 106(2), 280–297.CrossRefPubMed Spence, S. H. (1997). Structure of anxiety symptoms among children: A confirmatory factor-analytic study. Journal of Abnormal Psychology, 106(2), 280–297.CrossRefPubMed
go back to reference Sze, K. M., & Wood, J. J. (2007). Cognitive behavioural 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 behavioural 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 van Steensel, F. J. A., Bogels, S. M., & Perrin, S. (2010). Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clinical Child Family Psychology Review, 14, 302–317.CrossRef van Steensel, F. J. A., Bogels, S. M., & Perrin, S. (2010). Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clinical Child Family Psychology Review, 14, 302–317.CrossRef
go back to reference Wechsler, D. (1991). Wechsler intelligence scale for children (3rd ed.). San Antonio, TX: The Psychological Corporation. Wechsler, D. (1991). Wechsler intelligence scale for children (3rd ed.). San Antonio, TX: The Psychological Corporation.
go back to reference White, S. W., Ollendick, T., Scahill, L., Oswald, D., & Albano, A. M. (2009). Preliminary efficacy of a cogntive-behavioural treatment program for anxious youth with autism spectrum disorder. Journal of Autism and Developmental Disorders, 39, 1652–1662.CrossRefPubMed White, S. W., Ollendick, T., Scahill, L., Oswald, D., & Albano, A. M. (2009). Preliminary efficacy of a cogntive-behavioural treatment program for anxious youth with autism spectrum disorder. Journal of Autism and Developmental Disorders, 39, 1652–1662.CrossRefPubMed
go back to reference Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009). Cognitive behavioural therapy for anxiety in children with autism spectrum disorders: a randomised, controlled trail. Journal of Child Psychology and Psychiatry, 50(3), 224–234.CrossRefPubMedPubMedCentral Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009). Cognitive behavioural therapy for anxiety in children with autism spectrum disorders: a randomised, controlled trail. Journal of Child Psychology and Psychiatry, 50(3), 224–234.CrossRefPubMedPubMedCentral
go back to reference Wood, J. J., & Gadow, K. D. (2010). Exploring the nature and function of anxiety in youth with autism spectrum disorders. Clinical Psychology: Science and Practice, 17(4), 281–292. Wood, J. J., & Gadow, K. D. (2010). Exploring the nature and function of anxiety in youth with autism spectrum disorders. Clinical Psychology: Science and Practice, 17(4), 281–292.
go back to reference World Health Organisation (WHO). (1993). International classification of diseases and related health problems version 10. Geneva: World Health Organisation. World Health Organisation (WHO). (1993). International classification of diseases and related health problems version 10. Geneva: World Health Organisation.
Metagegevens
Titel
School based cognitive behavioural therapy targeting anxiety in children with autistic spectrum disorder: a quasi-experimental randomised controlled trail incorporating a mixed methods approach
Auteurs
Chris Clarke
Vivian Hill
Tony Charman
Publicatiedatum
30-04-2016
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/s10803-016-2801-x

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