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Mention de date : March 2019
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[n° ou bulletin]
59 - March 2019 [Texte imprimé et/ou numérique] . - 2019. Langues : Anglais (eng)
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Dépouillements


Eating problems and patterns among toddlers and young boys with and without autism spectrum disorders / R. E. VISSOKER in Research in Autism Spectrum Disorders, 59 (March 2019)
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Titre : Eating problems and patterns among toddlers and young boys with and without autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : R. E. VISSOKER, Auteur ; Y. LATZER, Auteur ; O. STOLAR, Auteur ; A. RABENBACH, Auteur ; E. GAL, Auteur Article en page(s) : p.1-9 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders Eating problems Eating patterns Children Index. décimale : PER Périodiques Résumé : Background Eating and feeding problems are common comorbidities among children with autism spectrum disorders (ASD) yet the reasons for this are unclear, and relatively few studies have compared the eating problems seen in ASD to a typically developing control group. Methods Differences in eating problems and patterns between children with ASD and typically developing children were assessed, as well as correlations with age as well as differences between eating problems and patterns between toddlers (aged 2–3 years) and young boys (aged 3–7) with ASD. A total of 105 children with ASD and 95 typically developing children were included in the study. Of the 91 toddlers, 65 had a diagnosis of ASD and of the 112 young boys, 40 had a diagnosis of ASD. Results Children with ASD displayed significantly more eating problems in every domain assessed than children with typical development. The overall effect of age was found only in ritualistic behavior during eating, which older children displayed more than younger children. In addition, typically developing children ate a significantly greater variety of all food groups than children with ASD, except drinks and snacks. An overall age effect was also found. Younger children ate a greater variety than older children in the majority of food groups, except for drinks, snacks and meats. Conclusion This study supports previous findings regarding the greater incidence of eating problems and patterns among children with ASD and provides new findings about the role of age in eating problems. More research is needed to shed light on underlying causes of eating problems and patterns in ASD. En ligne : https://doi.org/10.1016/j.rasd.2018.12.001 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.1-9[article] Eating problems and patterns among toddlers and young boys with and without autism spectrum disorders [Texte imprimé et/ou numérique] / R. E. VISSOKER, Auteur ; Y. LATZER, Auteur ; O. STOLAR, Auteur ; A. RABENBACH, Auteur ; E. GAL, Auteur . - p.1-9.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.1-9
Mots-clés : Autism spectrum disorders Eating problems Eating patterns Children Index. décimale : PER Périodiques Résumé : Background Eating and feeding problems are common comorbidities among children with autism spectrum disorders (ASD) yet the reasons for this are unclear, and relatively few studies have compared the eating problems seen in ASD to a typically developing control group. Methods Differences in eating problems and patterns between children with ASD and typically developing children were assessed, as well as correlations with age as well as differences between eating problems and patterns between toddlers (aged 2–3 years) and young boys (aged 3–7) with ASD. A total of 105 children with ASD and 95 typically developing children were included in the study. Of the 91 toddlers, 65 had a diagnosis of ASD and of the 112 young boys, 40 had a diagnosis of ASD. Results Children with ASD displayed significantly more eating problems in every domain assessed than children with typical development. The overall effect of age was found only in ritualistic behavior during eating, which older children displayed more than younger children. In addition, typically developing children ate a significantly greater variety of all food groups than children with ASD, except drinks and snacks. An overall age effect was also found. Younger children ate a greater variety than older children in the majority of food groups, except for drinks, snacks and meats. Conclusion This study supports previous findings regarding the greater incidence of eating problems and patterns among children with ASD and provides new findings about the role of age in eating problems. More research is needed to shed light on underlying causes of eating problems and patterns in ASD. En ligne : https://doi.org/10.1016/j.rasd.2018.12.001 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379 Systematic review of data analyses and reporting in group-based social skills intervention RCTs for youth with ASD / Christopher LOPATA in Research in Autism Spectrum Disorders, 59 (March 2019)
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Titre : Systematic review of data analyses and reporting in group-based social skills intervention RCTs for youth with ASD Type de document : Texte imprimé et/ou numérique Auteurs : Christopher LOPATA, Auteur ; James P. DONNELLY, Auteur ; Jonathan D. RODGERS, Auteur ; Marcus L. THOMEER, Auteur Article en page(s) : p.10-21 Langues : Anglais (eng) Mots-clés : Group-based social skills interventions Youth with ASD Systematic review Index. décimale : PER Périodiques Résumé : Background Group-based social skills interventions (GSSIs) are commonly used to address the social impairments of youth with ASD. However, the administration of treatments in group formats (i.e., clusters) poses several methodological challenges including accounting for cluster effects. The most recent and comprehensive meta-analysis of RCTs of GSSIs for youth with ASD yielded an overall medium effect (g = 0.51; Gates et al., 2017). This suggested a positive effect; however, little is known about the extent to which the studies adhered to standards for conducting and reporting RCTs including standards related to group-based interventions. Method The current review assessed the extent to which the study planning, data assessment, and data analytic procedures used in the RCTs (N =18) included in the meta-analysis adhered to established standards for RCTs. Results Results were consistent across the three areas assessed and suggested an overall adherence rate of 42% (range 41%–43%). Significant variability was found within each of the three areas and suggested that few facets of the standards were met by a majority of studies. The statistically-oriented aspects were most neglected. None of the studies accounted for the group-based (clustered) design and delivery of the intervention which can negatively impact power, effect size, and precision estimates and overestimate intervention effects. Year of article publication and journal impact factor were predominantly unrelated to adherence rates. Conclusions Increased familiarization with standards for RCTs appears necessary to improve the practices of researchers, along with increased requirements for adherence by journal editors and reviewers. En ligne : https://doi.org/10.1016/j.rasd.2018.11.008 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.10-21[article] Systematic review of data analyses and reporting in group-based social skills intervention RCTs for youth with ASD [Texte imprimé et/ou numérique] / Christopher LOPATA, Auteur ; James P. DONNELLY, Auteur ; Jonathan D. RODGERS, Auteur ; Marcus L. THOMEER, Auteur . - p.10-21.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.10-21
Mots-clés : Group-based social skills interventions Youth with ASD Systematic review Index. décimale : PER Périodiques Résumé : Background Group-based social skills interventions (GSSIs) are commonly used to address the social impairments of youth with ASD. However, the administration of treatments in group formats (i.e., clusters) poses several methodological challenges including accounting for cluster effects. The most recent and comprehensive meta-analysis of RCTs of GSSIs for youth with ASD yielded an overall medium effect (g = 0.51; Gates et al., 2017). This suggested a positive effect; however, little is known about the extent to which the studies adhered to standards for conducting and reporting RCTs including standards related to group-based interventions. Method The current review assessed the extent to which the study planning, data assessment, and data analytic procedures used in the RCTs (N =18) included in the meta-analysis adhered to established standards for RCTs. Results Results were consistent across the three areas assessed and suggested an overall adherence rate of 42% (range 41%–43%). Significant variability was found within each of the three areas and suggested that few facets of the standards were met by a majority of studies. The statistically-oriented aspects were most neglected. None of the studies accounted for the group-based (clustered) design and delivery of the intervention which can negatively impact power, effect size, and precision estimates and overestimate intervention effects. Year of article publication and journal impact factor were predominantly unrelated to adherence rates. Conclusions Increased familiarization with standards for RCTs appears necessary to improve the practices of researchers, along with increased requirements for adherence by journal editors and reviewers. En ligne : https://doi.org/10.1016/j.rasd.2018.11.008 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379 Prevalence of psychiatric disorders in adults with autism spectrum disorder: A systematic review and meta-analysis / Jorge LUGO-MARÍN in Research in Autism Spectrum Disorders, 59 (March 2019)
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Titre : Prevalence of psychiatric disorders in adults with autism spectrum disorder: A systematic review and meta-analysis Type de document : Texte imprimé et/ou numérique Auteurs : Jorge LUGO-MARÍN, Auteur ; María MAGÁN-MAGANTO, Auteur ; Amado RIVERO-SANTANA, Auteur ; Leticia CUELLAR-POMPA, Auteur ; Montserrat ALVIANI, Auteur ; Cristina JENARO-RIO, Auteur ; Emiliano DÍEZ, Auteur ; Ricardo CANAL-BEDIA, Auteur Article en page(s) : p.22-33 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Psychiatric disorders Adults Systematic review Meta-analysis Index. décimale : PER Périodiques Résumé : Some challenges faced by people with autism spectrum disorder (ASD) when adapting to a neurotypical environment are related with the risk of suffering a psychiatric disorder. The aim of the present study is to conduct a systematic review on the prevalence of psychiatric disorders in adults with ASD (PROSPERO’s reference number CRD42016041948). Four databases (PubMed, PsycINFO, Web of Science and CINAHL) were used for the electronic search, and six editorials (Science Direct, Wiley, Springer, Taylor & Francis, SAGE Publishing and BioMed Central) were manually searched for studies not previously identified. Study eligibility criteria were observational studies on psychiatric comorbidity in adults (18 years or older) with ASD, based on standard diagnostic classifications (DSM/ICD), reported in English peer-reviewed journals. A total of 1288 and 24 references were identified by electronic and manual searches, respectively. Results showed that attention deficit and hyperactivity disorder is the most prevalent psychiatric disorder in adults with ASD. Mood and anxiety disorders are also very frequent among this population. The lowest comorbidity prevalence rates of all diagnostic categories are the ones related to substance use and eating disorders. These results show a need for a greater production of studies in this field, especially follow-up studies that focus on risk and protective factors for the emergence of psychiatric problems in adults with ASD. For this reason, it is imperative to create specific diagnostic tools that allow the assessment of mental pathology, attending to the particularities of its manifestation in people with ASD. En ligne : https://doi.org/10.1016/j.rasd.2018.12.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.22-33[article] Prevalence of psychiatric disorders in adults with autism spectrum disorder: A systematic review and meta-analysis [Texte imprimé et/ou numérique] / Jorge LUGO-MARÍN, Auteur ; María MAGÁN-MAGANTO, Auteur ; Amado RIVERO-SANTANA, Auteur ; Leticia CUELLAR-POMPA, Auteur ; Montserrat ALVIANI, Auteur ; Cristina JENARO-RIO, Auteur ; Emiliano DÍEZ, Auteur ; Ricardo CANAL-BEDIA, Auteur . - p.22-33.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.22-33
Mots-clés : Autism spectrum disorder Psychiatric disorders Adults Systematic review Meta-analysis Index. décimale : PER Périodiques Résumé : Some challenges faced by people with autism spectrum disorder (ASD) when adapting to a neurotypical environment are related with the risk of suffering a psychiatric disorder. The aim of the present study is to conduct a systematic review on the prevalence of psychiatric disorders in adults with ASD (PROSPERO’s reference number CRD42016041948). Four databases (PubMed, PsycINFO, Web of Science and CINAHL) were used for the electronic search, and six editorials (Science Direct, Wiley, Springer, Taylor & Francis, SAGE Publishing and BioMed Central) were manually searched for studies not previously identified. Study eligibility criteria were observational studies on psychiatric comorbidity in adults (18 years or older) with ASD, based on standard diagnostic classifications (DSM/ICD), reported in English peer-reviewed journals. A total of 1288 and 24 references were identified by electronic and manual searches, respectively. Results showed that attention deficit and hyperactivity disorder is the most prevalent psychiatric disorder in adults with ASD. Mood and anxiety disorders are also very frequent among this population. The lowest comorbidity prevalence rates of all diagnostic categories are the ones related to substance use and eating disorders. These results show a need for a greater production of studies in this field, especially follow-up studies that focus on risk and protective factors for the emergence of psychiatric problems in adults with ASD. For this reason, it is imperative to create specific diagnostic tools that allow the assessment of mental pathology, attending to the particularities of its manifestation in people with ASD. En ligne : https://doi.org/10.1016/j.rasd.2018.12.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379 Cognitive defusion for reducing distressing thoughts in adults with autism / Max E. MAISEL in Research in Autism Spectrum Disorders, 59 (March 2019)
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Titre : Cognitive defusion for reducing distressing thoughts in adults with autism Type de document : Texte imprimé et/ou numérique Auteurs : Max E. MAISEL, Auteur ; Kevin G. STEPHENSON, Auteur ; Jonathan C. COX, Auteur ; Mikle SOUTH, Auteur Article en page(s) : p.34-45 Langues : Anglais (eng) Mots-clés : Autism Inflexibility Cognitive fusion Anxiety Depression Acceptance and commitment therapy Index. décimale : PER Périodiques Résumé : Background Cognitive fusion occurs when people over-identify with their thoughts, leading to a strong emotional response and a narrowed behavioral repertoire. Cognitive defusion (CD) is a technique used in acceptance and commitment therapy (ACT) to teach people how to pay attention to the process of thinking, thereby reducing the negative effect of over-identification and allowing people to behave in more adaptive ways. CD has been widely studied in neurotypical (NT) samples, but there is little research on cognitive fusion and related interventions for people diagnosed with autism (AS). Method Sixty-eight adult participants (AS group n?=?27; NT group n?=?41) answered questionnaires measuring psychological distress and dispositional levels of cognitive fusion. In a lab setting, participants next identified a personal distressing thought, then were randomized into a brief (5-minute) cognitive defusion technique or an equally-brief active distraction technique. Before and after the intervention, participants completed measures assessing the believability of their distressing thought and how much discomfort the thought caused. Results The AS group reported higher overall trait levels of cognitive fusion than the NT group. Cognitive fusion was moderately- to strongly-related with psychological distress in both participant groups. The brief interventions worked equally well in immediately reducing thought believability and thought discomfort for AS and NT groups. Conclusions The current study provides support for cognitive fusion as a contributing factor to the psychological distress experienced by people with AS, and that a brief intervention technique can effectively reduce fusion at least in an immediate context. More work is needed to explore the specific short-term and long-term efficacy for interventions aimed to reduce cognitive fusion. En ligne : https://doi.org/10.1016/j.rasd.2018.12.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.34-45[article] Cognitive defusion for reducing distressing thoughts in adults with autism [Texte imprimé et/ou numérique] / Max E. MAISEL, Auteur ; Kevin G. STEPHENSON, Auteur ; Jonathan C. COX, Auteur ; Mikle SOUTH, Auteur . - p.34-45.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.34-45
Mots-clés : Autism Inflexibility Cognitive fusion Anxiety Depression Acceptance and commitment therapy Index. décimale : PER Périodiques Résumé : Background Cognitive fusion occurs when people over-identify with their thoughts, leading to a strong emotional response and a narrowed behavioral repertoire. Cognitive defusion (CD) is a technique used in acceptance and commitment therapy (ACT) to teach people how to pay attention to the process of thinking, thereby reducing the negative effect of over-identification and allowing people to behave in more adaptive ways. CD has been widely studied in neurotypical (NT) samples, but there is little research on cognitive fusion and related interventions for people diagnosed with autism (AS). Method Sixty-eight adult participants (AS group n?=?27; NT group n?=?41) answered questionnaires measuring psychological distress and dispositional levels of cognitive fusion. In a lab setting, participants next identified a personal distressing thought, then were randomized into a brief (5-minute) cognitive defusion technique or an equally-brief active distraction technique. Before and after the intervention, participants completed measures assessing the believability of their distressing thought and how much discomfort the thought caused. Results The AS group reported higher overall trait levels of cognitive fusion than the NT group. Cognitive fusion was moderately- to strongly-related with psychological distress in both participant groups. The brief interventions worked equally well in immediately reducing thought believability and thought discomfort for AS and NT groups. Conclusions The current study provides support for cognitive fusion as a contributing factor to the psychological distress experienced by people with AS, and that a brief intervention technique can effectively reduce fusion at least in an immediate context. More work is needed to explore the specific short-term and long-term efficacy for interventions aimed to reduce cognitive fusion. En ligne : https://doi.org/10.1016/j.rasd.2018.12.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379 Prospective associations between ASD screening scores, parenting stress, and later socio-emotional-cognitive maturity in a community-based birth cohort / A. K. DANNY NGUYEN in Research in Autism Spectrum Disorders, 59 (March 2019)
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Titre : Prospective associations between ASD screening scores, parenting stress, and later socio-emotional-cognitive maturity in a community-based birth cohort Type de document : Texte imprimé et/ou numérique Auteurs : A. K. DANNY NGUYEN, Auteur ; Laura E. MURPHY, Auteur ; Frances A. TYLAVSKY, Auteur ; Linda S. PAGANI, Auteur Article en page(s) : p.46-57 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Developmental psychology Longitudinal data analysis Parenting stress Screening Socio-emotionalcognitive maturity Index. décimale : PER Périodiques Résumé : Background Although autism spectrum disorders (ASD) have been associated with developmental outcomes and parenting stress, it is not known how all variables interact with each other. We estimated prospective associations between ASD screening scores at 24 months and socio-emotional-cognitive development at 36 months while considering parenting stress as a potential moderator of the outcome. Methods Using the Conditions Affecting Neurocognitive Development and Learning in Early Childhood data, ASD-risk behaviors at 24 months and child maturity levels in social, emotional, and cognitive domains at 36 months were reported (N?=?1100). Results The number of ASD-type behaviors at 24 months was significantly associated with the socio-emotional-cognitive risk index at 36 months (B?=?.31, p? .01, 95% CI?=?.24–.38), mother-reported parenting stress at 24 months (B?=?.77, p? .01, 95% CI?=?.50–1.03), and maternal education (B?=?0.67; p? .01; 95% CI?=?.39–.96). Further investigation revealed that children who had higher ASD screening scores and more distressed mothers experienced higher socio-emotional-cognitive risk than their counterparts who had either risk factor or none (p? .01). Conclusions ASD screening scores and parenting stress interact together to have an effect on later child developmental competence. This study suggests that interventions towards early ASD symptoms and parenting stress could enhance subsequent child developmental competence, which is a strong building block for early school readiness and personal success. En ligne : https://doi.org/10.1016/j.rasd.2018.11.012 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.46-57[article] Prospective associations between ASD screening scores, parenting stress, and later socio-emotional-cognitive maturity in a community-based birth cohort [Texte imprimé et/ou numérique] / A. K. DANNY NGUYEN, Auteur ; Laura E. MURPHY, Auteur ; Frances A. TYLAVSKY, Auteur ; Linda S. PAGANI, Auteur . - p.46-57.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.46-57
Mots-clés : Autism spectrum disorder Developmental psychology Longitudinal data analysis Parenting stress Screening Socio-emotionalcognitive maturity Index. décimale : PER Périodiques Résumé : Background Although autism spectrum disorders (ASD) have been associated with developmental outcomes and parenting stress, it is not known how all variables interact with each other. We estimated prospective associations between ASD screening scores at 24 months and socio-emotional-cognitive development at 36 months while considering parenting stress as a potential moderator of the outcome. Methods Using the Conditions Affecting Neurocognitive Development and Learning in Early Childhood data, ASD-risk behaviors at 24 months and child maturity levels in social, emotional, and cognitive domains at 36 months were reported (N?=?1100). Results The number of ASD-type behaviors at 24 months was significantly associated with the socio-emotional-cognitive risk index at 36 months (B?=?.31, p? .01, 95% CI?=?.24–.38), mother-reported parenting stress at 24 months (B?=?.77, p? .01, 95% CI?=?.50–1.03), and maternal education (B?=?0.67; p? .01; 95% CI?=?.39–.96). Further investigation revealed that children who had higher ASD screening scores and more distressed mothers experienced higher socio-emotional-cognitive risk than their counterparts who had either risk factor or none (p? .01). Conclusions ASD screening scores and parenting stress interact together to have an effect on later child developmental competence. This study suggests that interventions towards early ASD symptoms and parenting stress could enhance subsequent child developmental competence, which is a strong building block for early school readiness and personal success. En ligne : https://doi.org/10.1016/j.rasd.2018.11.012 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379 An intervention for fears and phobias in young people with autism spectrum disorders using flat screen computer-delivered virtual reality and cognitive behaviour therapy / Morag MASKEY in Research in Autism Spectrum Disorders, 59 (March 2019)
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Titre : An intervention for fears and phobias in young people with autism spectrum disorders using flat screen computer-delivered virtual reality and cognitive behaviour therapy Type de document : Texte imprimé et/ou numérique Auteurs : Morag MASKEY, Auteur ; Helen MCCONACHIE, Auteur ; Jacqui RODGERS, Auteur ; Victoria GRAHAME, Auteur ; Jessica MAXWELL, Auteur ; Laura TAVERNOR, Auteur ; Jeremy R. PARR, Auteur Article en page(s) : p.58-67 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Virtual reality Cognitive behavioural therapy Anxiety Phobia Fear Index. décimale : PER Périodiques Résumé : Background Specific fears and phobias are common in young people with autism spectrum disorder (ASD) and can impact greatly on daily functioning. Traditional treatment methods, such as real-life or imaginal exposure, may not be suitable for this population without adaptation and alternative interventions are needed. In previous studies, we established that delivering graded exposure through computer generated scenes in a fully immersive virtual reality environment (the Blue Room) is an effective intervention for some young people with ASD and specific fears/phobias. In this study, we explored the same intervention delivered using flat screen, computer-delivered virtual reality graded exposure with cognitive behavioural therapy. Methods Eight young people with ASD received one psychoeducation session followed by four 20?minute sessions of flat screen, computer–delivered virtual reality graded exposure with cognitive behaviour therapy (CBT) sessions with a psychologist. Follow up measures, including Target Behaviour change ratings, were taken at 6 weeks, 6 months and 12 months after intervention. Results Four of the participants were classed as responders to the intervention and were able to function without the fear/phobia impacting their life. These improvements were maintained 12 months post-intervention. One participant was lost to follow-up and three participants were classed as non-responders to the intervention. Conclusions Findings show that flat screen computer-delivered virtual reality with cognitive behaviour therapy can be an effective intervention for specific fears and phobias for some young people with ASD. En ligne : https://doi.org/10.1016/j.rasd.2018.11.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.58-67[article] An intervention for fears and phobias in young people with autism spectrum disorders using flat screen computer-delivered virtual reality and cognitive behaviour therapy [Texte imprimé et/ou numérique] / Morag MASKEY, Auteur ; Helen MCCONACHIE, Auteur ; Jacqui RODGERS, Auteur ; Victoria GRAHAME, Auteur ; Jessica MAXWELL, Auteur ; Laura TAVERNOR, Auteur ; Jeremy R. PARR, Auteur . - p.58-67.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 59 (March 2019) . - p.58-67
Mots-clés : Autism spectrum disorder Virtual reality Cognitive behavioural therapy Anxiety Phobia Fear Index. décimale : PER Périodiques Résumé : Background Specific fears and phobias are common in young people with autism spectrum disorder (ASD) and can impact greatly on daily functioning. Traditional treatment methods, such as real-life or imaginal exposure, may not be suitable for this population without adaptation and alternative interventions are needed. In previous studies, we established that delivering graded exposure through computer generated scenes in a fully immersive virtual reality environment (the Blue Room) is an effective intervention for some young people with ASD and specific fears/phobias. In this study, we explored the same intervention delivered using flat screen, computer-delivered virtual reality graded exposure with cognitive behavioural therapy. Methods Eight young people with ASD received one psychoeducation session followed by four 20?minute sessions of flat screen, computer–delivered virtual reality graded exposure with cognitive behaviour therapy (CBT) sessions with a psychologist. Follow up measures, including Target Behaviour change ratings, were taken at 6 weeks, 6 months and 12 months after intervention. Results Four of the participants were classed as responders to the intervention and were able to function without the fear/phobia impacting their life. These improvements were maintained 12 months post-intervention. One participant was lost to follow-up and three participants were classed as non-responders to the intervention. Conclusions Findings show that flat screen computer-delivered virtual reality with cognitive behaviour therapy can be an effective intervention for specific fears and phobias for some young people with ASD. En ligne : https://doi.org/10.1016/j.rasd.2018.11.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379