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Journal of Autism and Developmental Disorders

Gepubliceerd in:

14-10-2022 | Original Paper

Stepped-Care Cognitive Behavioral Therapy in Children on the Autism Spectrum with Co-occurring Anxiety

Auteurs: Eric A. Storch, Sophie C. Schneider, Sean M. Olsen, Ana C. Ramirez, Leandra N. Berry, Robin P. Goin-Kochel, Morgan McNeel, Abigail E. Candelari, Andrew G. Guzick, Sandra L. Cepeda, Saira Weinzimmer, Robert G. Voigt, Troy Quast, Wayne K. Goodman, Alison Salloum

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 1/2024

Abstract

This trial examined stepped-care cognitive-behavioral treatment (CBT) among 96 autistic youth with co-occurring anxiety. Step 1 included an open trial of parent-led, therapist-guided bibliotherapy. Step 2 was family-based CBT for those who did not respond to Step 1 or maintenance for those who did. Eighteen participants (28%) who completed Step 1 responded. Responders reported significantly lower pre-treatment anxiety, internalizing symptoms, and functional impairment than non-responders. After Steps 1 and 2, 80% of completers (55% intent-to-treat) were responders. Anxiety, impairment, and ASD-related impairments significantly improved. Youth in maintenance experienced faster improvement through post-treatment, though there were no group differences at 3-month-follow-up. A stepped approach may help some individuals in Step 1, particularly those who are less anxious.

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Although 46 participants were classified as non-responders to Step 1, only 44 moved on to Step 2; one elected to step down with maintenance, and the other was misclassified as a responder. In the multilevel models, the participant who elected to step down to maintenance was grouped with the responders due to their identical treatment course, and the misclassified participant was excluded from analyses.

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Titel: Stepped-Care Cognitive Behavioral Therapy in Children on the Autism Spectrum with Co-occurring Anxiety
Auteurs: Eric A. Storch
Sophie C. Schneider
Sean M. Olsen
Ana C. Ramirez
Leandra N. Berry
Robin P. Goin-Kochel
Morgan McNeel
Abigail E. Candelari
Andrew G. Guzick
Sandra L. Cepeda
Saira Weinzimmer
Robert G. Voigt
Troy Quast
Wayne K. Goodman
Alison Salloum
Publicatiedatum: 14-10-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 1/2024
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-022-05775-w

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