Skip to main content
Top
Gepubliceerd in:

01-01-2013 | Original paper

The Coping Cat Program for Children with Anxiety and Autism Spectrum Disorder: A Pilot Randomized Controlled Trial

Auteurs: Rebecca H. McNally Keehn, Alan J. Lincoln, Milton Z. Brown, Denise A. Chavira

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 1/2013

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

The purpose of this pilot study was to evaluate whether a modified version of the Coping Cat program could be effective in reducing anxiety in children with autism spectrum disorder (ASD). Twenty-two children (ages 8–14; IQ ≥ 70) with ASD and clinically significant anxiety were randomly assigned to 16 sessions of the Coping Cat program (cognitive-behavioral therapy; CBT) or a 16-week waitlist. Children in the CBT condition evidenced significantly larger reductions in anxiety than those in the waitlist. Treatment gains were largely maintained at two-month follow-up. Results provide preliminary evidence that a modified version of the Coping Cat program may be a feasible and effective program for reducing clinically significant levels of anxiety in children with high-functioning ASD.
Literatuur
go back to reference Albano, A. M., & Kendall, P. C. (2002). Cognitive behavioral therapy for children and adolescents with anxiety disorders: Clinical research advances. International Review of Psychiatry, 14, 129–134.CrossRef Albano, A. M., & Kendall, P. C. (2002). Cognitive behavioral therapy for children and adolescents with anxiety disorders: Clinical research advances. International Review of Psychiatry, 14, 129–134.CrossRef
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: Text Revision. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: Text Revision.
go back to reference Anderson, S. & Morris, J. (2006). Cognitive behavior therapy for people with Asperger syndrome. Behavioural and Cognitive Psychotherapy, 34, 293–303. CrossRef Anderson, S. & Morris, J. (2006). Cognitive behavior therapy for people with Asperger syndrome. Behavioural and Cognitive Psychotherapy, 34, 293–303. CrossRef
go back to reference Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind?”. Cognition, 21(1), 37–46.PubMedCrossRef Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind?”. Cognition, 21(1), 37–46.PubMedCrossRef
go back to reference Barrett, P., Dadds, M. R., & Rapee, R. M. (1996a). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64(2), 333–342.PubMedCrossRef Barrett, P., Dadds, M. R., & Rapee, R. M. (1996a). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64(2), 333–342.PubMedCrossRef
go back to reference Barrett, P., Rapee, R. M., Dadds, M. R., & Ryan, S. M. (1996b). Family enhancement of cognitive style in anxious and aggressive children. Journal of Abnormal Child Psychology, 24(2), 187–203.PubMedCrossRef Barrett, P., Rapee, R. M., Dadds, M. R., & Ryan, S. M. (1996b). Family enhancement of cognitive style in anxious and aggressive children. Journal of Abnormal Child Psychology, 24(2), 187–203.PubMedCrossRef
go back to reference Bauminger, N., & Kasari, C. (1999). Brief report: Theory of mind in high-functioning children with autism. Journal of Autism and Developmental Disorders, 29(1), 81–86.PubMedCrossRef Bauminger, N., & Kasari, C. (1999). Brief report: Theory of mind in high-functioning children with autism. Journal of Autism and Developmental Disorders, 29(1), 81–86.PubMedCrossRef
go back to reference Bellini, S. (2004). Social skills deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19(2), 78–86.CrossRef Bellini, S. (2004). Social skills deficits and anxiety in high-functioning adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19(2), 78–86.CrossRef
go back to reference Bellini, S. (2006). The development of social anxiety in adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 21(3), 138–145.CrossRef Bellini, S. (2006). The development of social anxiety in adolescents with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 21(3), 138–145.CrossRef
go back to reference Chalfant, A. M., Rapee, R. M., & Carroll, L. (2007). Treating anxiety disorders in children with high functioning autism spectrum disorders: A controlled trial. Journal of Autism and Developmental Disorders, 37(10), 1842–1857.PubMedCrossRef Chalfant, A. M., Rapee, R. M., & Carroll, L. (2007). Treating anxiety disorders in children with high functioning autism spectrum disorders: A controlled trial. Journal of Autism and Developmental Disorders, 37(10), 1842–1857.PubMedCrossRef
go back to reference Cicchetti, D. V., Koenig, K., Klin, A., Volkmar, F. R., Paul, R., & Sparrow, S. (2010). From Bayes through marginal utility to effect sizes: A guide to understanding the clinical and statistical significance of the results of autism research findings. Journal of Autism and Developmental Disorders, 41(2), 168–174. Cicchetti, D. V., Koenig, K., Klin, A., Volkmar, F. R., Paul, R., & Sparrow, S. (2010). From Bayes through marginal utility to effect sizes: A guide to understanding the clinical and statistical significance of the results of autism research findings. Journal of Autism and Developmental Disorders, 41(2), 168–174.
go back to reference Farrugia, S., & Hudson, J. L. (2006). Anxiety in adolescents with Asperger syndrome: Negative thoughts, behavioral problems, and life interference. Focus on Autism and Other Developmental Disabilities, 21(1), 25–35.CrossRef Farrugia, S., & Hudson, J. L. (2006). Anxiety in adolescents with Asperger syndrome: Negative thoughts, behavioral problems, and life interference. Focus on Autism and Other Developmental Disabilities, 21(1), 25–35.CrossRef
go back to reference Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.PubMedCrossRef Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.PubMedCrossRef
go back to reference Gillott, A., Furniss, F., & Walter, A. (2001). Anxiety in high-functioning children with autism. Autism, 5(3), 277–286. Gillott, A., Furniss, F., & Walter, A. (2001). Anxiety in high-functioning children with autism. Autism, 5(3), 277–286.
go back to reference Gillott, A., & Standen, P. J. (2007). Levels of anxiety and sources of stress in adults with autism. Journal of Intellectual Disabilities, 11(4), 359–370.PubMedCrossRef Gillott, A., & Standen, P. J. (2007). Levels of anxiety and sources of stress in adults with autism. Journal of Intellectual Disabilities, 11(4), 359–370.PubMedCrossRef
go back to reference Happe, F. (1995). The role of age and verbal ability in the theory of mind task performance of subjects with autism. Child Development, 66(3), 843–855.PubMedCrossRef Happe, F. (1995). The role of age and verbal ability in the theory of mind task performance of subjects with autism. Child Development, 66(3), 843–855.PubMedCrossRef
go back to reference Happe, F., & Frith, U. (2006). The weak coherence account: Detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5–25.PubMedCrossRef Happe, F., & Frith, U. (2006). The weak coherence account: Detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5–25.PubMedCrossRef
go back to reference Hudson, J. L., Krain, A. L., & Kendall, P. C. (2001). Expanding horizons: Adapting manual-based treatments for anxious children with comorbid diagnoses. Cognitive and Behavioral Practice, 8, 338–346.CrossRef Hudson, J. L., Krain, A. L., & Kendall, P. C. (2001). Expanding horizons: Adapting manual-based treatments for anxious children with comorbid diagnoses. Cognitive and Behavioral Practice, 8, 338–346.CrossRef
go back to reference Kanner, L. (1943). Autistic disturbances of affective content. Nervous Child, 2, 217–250. Kanner, L. (1943). Autistic disturbances of affective content. Nervous Child, 2, 217–250.
go back to reference Kendall, P. C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62(1), 100–110.PubMedCrossRef Kendall, P. C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62(1), 100–110.PubMedCrossRef
go back to reference Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65(3), 366–380.PubMedCrossRef Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65(3), 366–380.PubMedCrossRef
go back to reference Kendall, P. C., & Hedtke, K. A. (2006a). Cognitive-behavioral therapy for anxious youth: Therapist manual (3rd ed.). Ardmore, PA: Workbook Publishing. Kendall, P. C., & Hedtke, K. A. (2006a). Cognitive-behavioral therapy for anxious youth: Therapist manual (3rd ed.). Ardmore, PA: Workbook Publishing.
go back to reference Kendall, P. C., & Hedtke, K. A. (2006b). The coping cat program workbook (2nd ed.). Ardmore, PA: Workbook Publishing. Kendall, P. C., & Hedtke, K. A. (2006b). The coping cat program workbook (2nd ed.). Ardmore, PA: Workbook Publishing.
go back to reference Kendall, P. C., Safford, S., Flannery-Schroeder, E., & Webb, A. (2004). Child anxiety treatment: Outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. Journal of Consulting and Clinical Psychology, 72(2), 276–287.PubMedCrossRef Kendall, P. C., Safford, S., Flannery-Schroeder, E., & Webb, A. (2004). Child anxiety treatment: Outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up. Journal of Consulting and Clinical Psychology, 72(2), 276–287.PubMedCrossRef
go back to reference Kendall, P. C., & Southam-Gerow, M. A. (1996). Long-term follow-up of a cognitive-behavioral therapy for anxiety-disordered youth. Journal of Consulting and Clinical Psychology, 64(4), 724–730.PubMedCrossRef Kendall, P. C., & Southam-Gerow, M. A. (1996). Long-term follow-up of a cognitive-behavioral therapy for anxiety-disordered youth. Journal of Consulting and Clinical Psychology, 64(4), 724–730.PubMedCrossRef
go back to reference Kim, J. A., Szatmari, P., Bryson, S. E., Streiner, D. L., & Wilson, F. J. (2000). The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism, 4(2), 117–132.CrossRef Kim, J. A., Szatmari, P., Bryson, S. E., Streiner, D. L., & Wilson, F. J. (2000). The prevalence of anxiety and mood problems among children with autism and Asperger syndrome. Autism, 4(2), 117–132.CrossRef
go back to reference Kraemer, H. C., Mintz, J., Noda, A., Tinklenberg, J., & Yesavage, J. A. (2006). Caution regarding the use of pilot studies to guide power calculations for study proposals. Archives of General Psychiatry, 63, 484–489.PubMedCrossRef Kraemer, H. C., Mintz, J., Noda, A., Tinklenberg, J., & Yesavage, J. A. (2006). Caution regarding the use of pilot studies to guide power calculations for study proposals. Archives of General Psychiatry, 63, 484–489.PubMedCrossRef
go back to reference Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services.
go back to reference Meyer, J. A., Mundy, P. C., Van Hecke, A. V., & Durocher, J. S. (2006). Social attribution processes and comorbid psychiatric symptoms in children with Asperger syndrome. Autism, 10(4), 383–402.PubMedCrossRef Meyer, J. A., Mundy, P. C., Van Hecke, A. V., & Durocher, J. S. (2006). Social attribution processes and comorbid psychiatric symptoms in children with Asperger syndrome. Autism, 10(4), 383–402.PubMedCrossRef
go back to reference Nauta, M., Scholing, A., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent-report measure of children’s anxiety: Psychometric properties and comparison with child-report in a clinic and normal sample. Behavior Research and Therapy, 42, 813–839.CrossRef Nauta, M., Scholing, A., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent-report measure of children’s anxiety: Psychometric properties and comparison with child-report in a clinic and normal sample. Behavior Research and Therapy, 42, 813–839.CrossRef
go back to reference Ollendick, T. H., & King, N. J. (1998). Empirically supported treatments for children with phobic and anxiety disorders: Current status. Journal of Clinical Child Psychology, 27(2), 156–167.PubMedCrossRef Ollendick, T. H., & King, N. J. (1998). Empirically supported treatments for children with phobic and anxiety disorders: Current status. Journal of Clinical Child Psychology, 27(2), 156–167.PubMedCrossRef
go back to reference Ooi, Y. P., Lam, C. M., Sung, M., Tan, W. T., Goh, T. J., Fung, D. S., et al. (2008). Effects of cognitive-behavioural therapy on anxiety for children with high-functioning autistic spectrum disorders. Singapore Medical Journal, 49(3), 215–220.PubMed Ooi, Y. P., Lam, C. M., Sung, M., Tan, W. T., Goh, T. J., Fung, D. S., et al. (2008). Effects of cognitive-behavioural therapy on anxiety for children with high-functioning autistic spectrum disorders. Singapore Medical Journal, 49(3), 215–220.PubMed
go back to reference Reaven, J. A. (2009). Children with high-functioning autism spectrum disorders and co-occurring anxiety symptoms: Implications for assessment and treatment. Journal for Specialists in Pediatric Nursing, 14(3), 192–199.PubMedCrossRef Reaven, J. A. (2009). Children with high-functioning autism spectrum disorders and co-occurring anxiety symptoms: Implications for assessment and treatment. Journal for Specialists in Pediatric Nursing, 14(3), 192–199.PubMedCrossRef
go back to reference Reaven, J. A., Blakeley-Smith, A., Nichols, S., Dasari, M., Flanigan, E., & Hepburn, S. (2009). Cognitive-behavioral group treatment for anxiety symptoms in children with high-functioning autism spectrum disorders: A pilot study. Focus on Autism and Other Developmental Disabilities, 24(1), 27–37.CrossRef Reaven, J. A., Blakeley-Smith, A., Nichols, S., Dasari, M., Flanigan, E., & Hepburn, S. (2009). Cognitive-behavioral group treatment for anxiety symptoms in children with high-functioning autism spectrum disorders: A pilot study. Focus on Autism and Other Developmental Disabilities, 24(1), 27–37.CrossRef
go back to reference Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview- revised. Los Angeles: Western Psychological Services. Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview- revised. Los Angeles: Western Psychological Services.
go back to reference Silverman, W. K., & Albano, A. M. (2004). Anxiety disorders interview schedule (ADIS-IV) child and parent interview schedules. New York: Oxford University Press. Silverman, W. K., & Albano, A. M. (2004). Anxiety disorders interview schedule (ADIS-IV) child and parent interview schedules. New York: Oxford University Press.
go back to reference Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: Child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40(8), 937–944.PubMedCrossRef Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: Child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40(8), 937–944.PubMedCrossRef
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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Spence, S. H. (1998). A measure of anxiety symptoms among children. Behavior Research and Therapy, 36(5), 545–566.CrossRef Spence, S. H. (1998). A measure of anxiety symptoms among children. Behavior Research and Therapy, 36(5), 545–566.CrossRef
go back to reference Spence, S. H., Barrett, P., & Turner, C. (2003). Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. Anxiety Disorders, 17, 605–625.CrossRef Spence, S. H., Barrett, P., & Turner, C. (2003). Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. Anxiety Disorders, 17, 605–625.CrossRef
go back to reference Treadwell, K. R., Flannery-Schroeder, E., & Kendall, P. C. (1995). Ethnicity and gender in relation to adaptive functioning, diagnostic status, and treatment outcome in children from an anxiety clinic. Journal of Anxiety Disorders, 9(5), 373–384.CrossRef Treadwell, K. R., Flannery-Schroeder, E., & Kendall, P. C. (1995). Ethnicity and gender in relation to adaptive functioning, diagnostic status, and treatment outcome in children from an anxiety clinic. Journal of Anxiety Disorders, 9(5), 373–384.CrossRef
go back to reference Velting, O. N., Setzer, N. J., & Albano, A. M. (2004). Update on advances in assessment and cognitive-behavioral treatment of anxiety disorders in children and adolescents. Professional Psychology: Research and Practice, 35(1), 42–54.CrossRef Velting, O. N., Setzer, N. J., & Albano, A. M. (2004). Update on advances in assessment and cognitive-behavioral treatment of anxiety disorders in children and adolescents. Professional Psychology: Research and Practice, 35(1), 42–54.CrossRef
go back to reference Walkup, J. T., Albano, A. M., Piacentini, J. C., Birmaher, B., Compton, S. N., Sherrill, J. T., et al. (2008). Cognitive behavioral therapy, Sertraline, or a combination in childhood anxiety. The New England Journal of Medicine, 359(26), 2753–2766.PubMedCrossRef Walkup, J. T., Albano, A. M., Piacentini, J. C., Birmaher, B., Compton, S. N., Sherrill, J. T., et al. (2008). Cognitive behavioral therapy, Sertraline, or a combination in childhood anxiety. The New England Journal of Medicine, 359(26), 2753–2766.PubMedCrossRef
go back to reference Wechsler, D. (1999). Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio: Pearson Assessment. Wechsler, D. (1999). Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio: Pearson Assessment.
go back to reference White, S. W., Albano, A., Johnson, C., Kasari, C., Ollendick, T., Klin, A., et al. (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(1), 77–90.PubMedCrossRef White, S. W., Albano, A., Johnson, C., Kasari, C., Ollendick, T., Klin, A., et al. (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(1), 77–90.PubMedCrossRef
go back to reference White, S. W., Ollendick, T., Scahill, L., Oswald, D., & Albano, A. M. (2009a). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29, 216–229.PubMedCrossRef White, S. W., Ollendick, T., Scahill, L., Oswald, D., & Albano, A. M. (2009a). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29, 216–229.PubMedCrossRef
go back to reference White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009b). Preliminary efficacy of a cognitive-behavioral treatment program for anxious youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1652–1662.PubMedCrossRef White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009b). Preliminary efficacy of a cognitive-behavioral treatment program for anxious youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1652–1662.PubMedCrossRef
go back to reference Wood, 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(3), 224–234.PubMedCrossRef Wood, 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(3), 224–234.PubMedCrossRef
go back to reference Yirmiya, N., Erel, O., Shaked, M., & Solomonica-Levi, D. (1998). Meta-analyses comparing theory of mind abilities of individuals with autism, individuals with mental retardation, and normally developing individuals. Psychological Bulletin, 124(3), 283–307.PubMedCrossRef Yirmiya, N., Erel, O., Shaked, M., & Solomonica-Levi, D. (1998). Meta-analyses comparing theory of mind abilities of individuals with autism, individuals with mental retardation, and normally developing individuals. Psychological Bulletin, 124(3), 283–307.PubMedCrossRef
Metagegevens
Titel
The Coping Cat Program for Children with Anxiety and Autism Spectrum Disorder: A Pilot Randomized Controlled Trial
Auteurs
Rebecca H. McNally Keehn
Alan J. Lincoln
Milton Z. Brown
Denise A. Chavira
Publicatiedatum
01-01-2013
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 1/2013
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-012-1541-9