Adaptations to cognitive behavioural therapy for autistic children and young people with anxiety: A systematic review / Tasnim UDDIN in Research in Autism, 133 (May 2026)  

Public ISBD [article]  inResearch in Autism > 133 (May 2026) . - p.202916 Titre : Adaptations to cognitive behavioural therapy for autistic children and young people with anxiety: A systematic review Type de document : texte imprimé Auteurs : Tasnim UDDIN, Auteur ; Catharine REID, Auteur ; Lucia VALMAGGIA, Auteur ; Sailaa SUNTHARARAJAH, Auteur ; Matthew J. HOLLOCKS, Auteur Article en page(s) : p.202916 Langues : Anglais (eng) Mots-clés : Autism  Anxiety  Cognitive behavioural therapy (CBT)  Therapy adaptations Index. décimale : PER Périodiques Résumé : Children and young people with autism have an increased risk of developing anxiety disorders. While the effectiveness of cognitive behavioural therapy (CBT) for anxiety in autistic youths is well researched, less is known about the active ingredients to adapting therapy. This review (PROSPERO: CRD42023429990) summarises the modifications for CBT for anxiety in autistic youths. Systematic searches across five databases led to the identification of 31 eligible studies. A narrative synthesis highlighted the importance of practical modifications, parent and teacher input, affective education, skills training, feedback, and practice of CBT tasks. Future research should examine the effectiveness of these different adaptations across different ages and minoritised groups. En ligne : https://doi.org/10.1016/j.reia.2026.202916 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=585 [article] Adaptations to cognitive behavioural therapy for autistic children and young people with anxiety: A systematic review [texte imprimé] / Tasnim UDDIN, Auteur ; Catharine REID, Auteur ; Lucia VALMAGGIA, Auteur ; Sailaa SUNTHARARAJAH, Auteur ; Matthew J. HOLLOCKS, Auteur . - p.202916. Langues : Anglais (eng) in Research in Autism > 133 (May 2026) . - p.202916 Mots-clés : Autism  Anxiety  Cognitive behavioural therapy (CBT)  Therapy adaptations Index. décimale : PER Périodiques Résumé : Children and young people with autism have an increased risk of developing anxiety disorders. While the effectiveness of cognitive behavioural therapy (CBT) for anxiety in autistic youths is well researched, less is known about the active ingredients to adapting therapy. This review (PROSPERO: CRD42023429990) summarises the modifications for CBT for anxiety in autistic youths. Systematic searches across five databases led to the identification of 31 eligible studies. A narrative synthesis highlighted the importance of practical modifications, parent and teacher input, affective education, skills training, feedback, and practice of CBT tasks. Future research should examine the effectiveness of these different adaptations across different ages and minoritised groups. En ligne : https://doi.org/10.1016/j.reia.2026.202916 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=585

Anxiety in young people with autism spectrum disorder: Common and autism-related anxiety experiences and their associations with individual characteristics / Boon Yen LAU in Autism, 24-5 (July 2020)  

Public ISBD [article]  inAutism > 24-5 (July 2020) . - p.1111-1126 Titre : Anxiety in young people with autism spectrum disorder: Common and autism-related anxiety experiences and their associations with individual characteristics Type de document : texte imprimé Auteurs : Boon Yen LAU, Auteur ; Ruth LEONG, Auteur ; Mirko ULJAREVIĆ, Auteur ; Jian Wei LERH, Auteur ; Jacqui RODGERS, Auteur ; Matthew J. HOLLOCKS, Auteur ; Mikle SOUTH, Auteur ; Helen MCCONACHIE, Auteur ; Ann OZSIVADJIAN, Auteur ; Amy VAN HECKE, Auteur ; Robin A. LIBOVE, Auteur ; Antonio Y. HARDAN, Auteur ; Susan R. LEEKAM, Auteur ; Emily SIMONOFF, Auteur ; Iliana MAGIATI, Auteur Article en page(s) : p.1111-1126 Langues : Anglais (eng) Mots-clés : anxiety  assessment  autism spectrum disorder  children  comorbidity  measurement  phenomenology  presentation  young people Index. décimale : PER Périodiques Résumé : Anxiety is common in autism spectrum disorder. Many anxiety symptoms in autism spectrum disorder are consistent with Diagnostic and Statistical Manual of Mental Disorders (5th ed.) anxiety disorders (termed "common" anxieties), but others may be qualitatively different, likely relating to autism spectrum disorder traits (herein termed "autism-related" anxieties). To date, few studies have examined both "common" and "autism-related" anxiety experiences in autism spectrum disorder. We explored caregiver-reported Spence Children's Anxiety Scale-Parent version data from a multi-site (United Kingdom, Singapore, and United States) pooled database of 870 6- to 18-year-old participants with autism spectrum disorder, of whom 287 provided at least one written response to the optional open-ended Spence Children's Anxiety Scale-Parent item 39 ("Is there anything else your child is afraid of?"). Responses were thematically coded to explore (a) common and autism-related anxiety presentations and (b) their relationship with young people's characteristics. Nearly half of the responses were autism-related anxieties (mostly sensory, uncommon, or idiosyncratic specific phobias and worries about change and unpredictability). The other half described additional common anxieties not covered in the original measure (mostly social, weather and environmental disasters, and animals). Caregivers of participants who were more severely affected by autism spectrum disorder symptoms reported more autism-related, as compared to common, additional anxieties. Implications for the assessment and understanding of anxiety in autism are discussed. En ligne : http://dx.doi.org/10.1177/1362361319886246 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=426 [article] Anxiety in young people with autism spectrum disorder: Common and autism-related anxiety experiences and their associations with individual characteristics [texte imprimé] / Boon Yen LAU, Auteur ; Ruth LEONG, Auteur ; Mirko ULJAREVIĆ, Auteur ; Jian Wei LERH, Auteur ; Jacqui RODGERS, Auteur ; Matthew J. HOLLOCKS, Auteur ; Mikle SOUTH, Auteur ; Helen MCCONACHIE, Auteur ; Ann OZSIVADJIAN, Auteur ; Amy VAN HECKE, Auteur ; Robin A. LIBOVE, Auteur ; Antonio Y. HARDAN, Auteur ; Susan R. LEEKAM, Auteur ; Emily SIMONOFF, Auteur ; Iliana MAGIATI, Auteur . - p.1111-1126. Langues : Anglais (eng) in Autism > 24-5 (July 2020) . - p.1111-1126 Mots-clés : anxiety  assessment  autism spectrum disorder  children  comorbidity  measurement  phenomenology  presentation  young people Index. décimale : PER Périodiques Résumé : Anxiety is common in autism spectrum disorder. Many anxiety symptoms in autism spectrum disorder are consistent with Diagnostic and Statistical Manual of Mental Disorders (5th ed.) anxiety disorders (termed "common" anxieties), but others may be qualitatively different, likely relating to autism spectrum disorder traits (herein termed "autism-related" anxieties). To date, few studies have examined both "common" and "autism-related" anxiety experiences in autism spectrum disorder. We explored caregiver-reported Spence Children's Anxiety Scale-Parent version data from a multi-site (United Kingdom, Singapore, and United States) pooled database of 870 6- to 18-year-old participants with autism spectrum disorder, of whom 287 provided at least one written response to the optional open-ended Spence Children's Anxiety Scale-Parent item 39 ("Is there anything else your child is afraid of?"). Responses were thematically coded to explore (a) common and autism-related anxiety presentations and (b) their relationship with young people's characteristics. Nearly half of the responses were autism-related anxieties (mostly sensory, uncommon, or idiosyncratic specific phobias and worries about change and unpredictability). The other half described additional common anxieties not covered in the original measure (mostly social, weather and environmental disasters, and animals). Caregivers of participants who were more severely affected by autism spectrum disorder symptoms reported more autism-related, as compared to common, additional anxieties. Implications for the assessment and understanding of anxiety in autism are discussed. En ligne : http://dx.doi.org/10.1177/1362361319886246 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=426

Anxious Imagery in Children With and Without Autism Spectrum Disorder: An Investigation into Occurrence, Content, Features and Implications for Therapy / Ann OZSIVADJIAN in Journal of Autism and Developmental Disorders, 47-12 (December 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-12 (December 2017) . - p.3822-3832 Titre : Anxious Imagery in Children With and Without Autism Spectrum Disorder: An Investigation into Occurrence, Content, Features and Implications for Therapy Type de document : texte imprimé Auteurs : Ann OZSIVADJIAN, Auteur ; Matthew J. HOLLOCKS, Auteur ; Jess SOUTHCOTT, Auteur ; Michael ABSOUD, Auteur ; Emily A. HOLMES, Auteur Année de publication : 2017 Article en page(s) : p.3822-3832 Langues : Anglais (eng) Mots-clés : Anxiety  Autism spectrum disorder (ASD)  Mental imagery Index. décimale : PER Périodiques Résumé : Mental imagery has been implicated in anxiety disorders in adults, but has not been investigated in child and adolescent populations. Anxiety is highly prevalent in autism spectrum disorder (ASD), and as people with ASD are often thought of as 'visual thinkers', the potential role of distressing imagery in children with ASD merits exploration. Participants aged 8-16 years were grouped as follows: ASD/high anxiety, ASD/low anxiety, non-ASD/high anxiety and non-ASD/low anxiety. Imagery and associated features were assessed using an interview. Group differences were found in number and frequency of images experienced. There were few differences between the groups in the characteristics of the spontaneous images, which included emotional valence, vividness, controllability and realism. Implications for treatment are discussed. En ligne : http://dx.doi.org/10.1007/s10803-016-2840-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=325 [article] Anxious Imagery in Children With and Without Autism Spectrum Disorder: An Investigation into Occurrence, Content, Features and Implications for Therapy [texte imprimé] / Ann OZSIVADJIAN, Auteur ; Matthew J. HOLLOCKS, Auteur ; Jess SOUTHCOTT, Auteur ; Michael ABSOUD, Auteur ; Emily A. HOLMES, Auteur . - 2017 . - p.3822-3832. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-12 (December 2017) . - p.3822-3832 Mots-clés : Anxiety  Autism spectrum disorder (ASD)  Mental imagery Index. décimale : PER Périodiques Résumé : Mental imagery has been implicated in anxiety disorders in adults, but has not been investigated in child and adolescent populations. Anxiety is highly prevalent in autism spectrum disorder (ASD), and as people with ASD are often thought of as 'visual thinkers', the potential role of distressing imagery in children with ASD merits exploration. Participants aged 8-16 years were grouped as follows: ASD/high anxiety, ASD/low anxiety, non-ASD/high anxiety and non-ASD/low anxiety. Imagery and associated features were assessed using an interview. Group differences were found in number and frequency of images experienced. There were few differences between the groups in the characteristics of the spontaneous images, which included emotional valence, vividness, controllability and realism. Implications for treatment are discussed. En ligne : http://dx.doi.org/10.1007/s10803-016-2840-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=325

Autism and Self-Esteem: A Systematic Review Quantifying Differences Between Autistic and Non-Autistic Adolescents and Investigating Associations With Mental Health Difficulties / Poppy CLAYTON in Autism, 30-11 (November 2026)  

Public ISBD [article]  inAutism > 30-11 (November 2026) . - p.2710-2724 Titre : Autism and Self-Esteem: A Systematic Review Quantifying Differences Between Autistic and Non-Autistic Adolescents and Investigating Associations With Mental Health Difficulties Type de document : texte imprimé Auteurs : Poppy CLAYTON, Auteur ; Katie LINDSAY-WEBB, Auteur ; Francesca HAPPE, Auteur ; Matthew J. HOLLOCKS, Auteur Article en page(s) : p.2710-2724 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  ASD  adolescents  self-esteem  self-concept  mental health  anxiety  depression  meta-analysis  systematic review Index. décimale : PER Périodiques Résumé : Autistic individuals are at increased risk of developing mental health difficulties. Self-esteem has been found to be a significant indicator of mental health in the general population yet remains underexplored in autistic adolescents. This review aimed to explore rates of low self-esteem in autistic versus non-autistic adolescents (10–19 years of age) and examine the relationship between self-esteem and mental health symptomatology. A comprehensive literature search was conducted across four databases to identify relevant studies published until March 2025. The systematic review included 30 studies of self-esteem in autistic adolescents, including 15 studies with a non-autistic comparison group, and 16 studies with measures of both self-esteem and mental health. Autistic adolescents reported significantly lower levels of self-esteem compared with non-autistic adolescents, with a moderate weighted pooled effect size (g = −0.47). Group differences were maintained when considering measure variance in self-esteem tools but observed to be greater when using the Self-Perception Profile (g = −0.55) in contrast to the Rosenberg Self-Esteem Scale (g = −0.33). Lower self-esteem was associated with greater depressive symptomatology in autistic adolescents, with large effect (r = −.59). These findings highlight the need for targeted self-esteem interventions in autistic adolescents as a potential means to address co-occurring mental health difficulties.Lay Abstract Autistic adolescents are more likely to experience mental health difficulties than their non-autistic peers. One factor that may influence mental health is self-esteem, which refers to how positively or negatively a person views themselves. This review looked at how self-esteem differs between autistic and non-autistic adolescents, and whether low self-esteem is linked to mental health problems such as depression and anxiety. The review included 30 studies, some of which compared self-esteem levels between autistic and non-autistic adolescents and others explored how self-esteem relates to mental health symptoms. The findings showed that autistic adolescents tend to have lower self-esteem than non-autistic adolescents. In addition, lower self-esteem was linked to higher levels of depression in autistic adolescents. These results suggest that supporting self-esteem in autistic adolescents may be an important way to help improve mental health difficulties. The studies in this review included mainly male participants and used different ways to measure self-esteem and mental health, so more research is needed to better understand these relationships and how best to support a diverse range of autistic adolescents. En ligne : https://dx.doi.org/10.1177/13623613261433170 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=595 [article] Autism and Self-Esteem: A Systematic Review Quantifying Differences Between Autistic and Non-Autistic Adolescents and Investigating Associations With Mental Health Difficulties [texte imprimé] / Poppy CLAYTON, Auteur ; Katie LINDSAY-WEBB, Auteur ; Francesca HAPPE, Auteur ; Matthew J. HOLLOCKS, Auteur . - p.2710-2724. Langues : Anglais (eng) in Autism > 30-11 (November 2026) . - p.2710-2724 Mots-clés : autism spectrum disorder  ASD  adolescents  self-esteem  self-concept  mental health  anxiety  depression  meta-analysis  systematic review Index. décimale : PER Périodiques Résumé : Autistic individuals are at increased risk of developing mental health difficulties. Self-esteem has been found to be a significant indicator of mental health in the general population yet remains underexplored in autistic adolescents. This review aimed to explore rates of low self-esteem in autistic versus non-autistic adolescents (10–19 years of age) and examine the relationship between self-esteem and mental health symptomatology. A comprehensive literature search was conducted across four databases to identify relevant studies published until March 2025. The systematic review included 30 studies of self-esteem in autistic adolescents, including 15 studies with a non-autistic comparison group, and 16 studies with measures of both self-esteem and mental health. Autistic adolescents reported significantly lower levels of self-esteem compared with non-autistic adolescents, with a moderate weighted pooled effect size (g = −0.47). Group differences were maintained when considering measure variance in self-esteem tools but observed to be greater when using the Self-Perception Profile (g = −0.55) in contrast to the Rosenberg Self-Esteem Scale (g = −0.33). Lower self-esteem was associated with greater depressive symptomatology in autistic adolescents, with large effect (r = −.59). These findings highlight the need for targeted self-esteem interventions in autistic adolescents as a potential means to address co-occurring mental health difficulties.Lay Abstract Autistic adolescents are more likely to experience mental health difficulties than their non-autistic peers. One factor that may influence mental health is self-esteem, which refers to how positively or negatively a person views themselves. This review looked at how self-esteem differs between autistic and non-autistic adolescents, and whether low self-esteem is linked to mental health problems such as depression and anxiety. The review included 30 studies, some of which compared self-esteem levels between autistic and non-autistic adolescents and others explored how self-esteem relates to mental health symptoms. The findings showed that autistic adolescents tend to have lower self-esteem than non-autistic adolescents. In addition, lower self-esteem was linked to higher levels of depression in autistic adolescents. These results suggest that supporting self-esteem in autistic adolescents may be an important way to help improve mental health difficulties. The studies in this review included mainly male participants and used different ways to measure self-esteem and mental health, so more research is needed to better understand these relationships and how best to support a diverse range of autistic adolescents. En ligne : https://dx.doi.org/10.1177/13623613261433170 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=595

Autistic and non-autistic young people?s and caregivers' perspectives on COVID-19-related schooling changes and their impact on emotional well-being: An opportunity for change? / Ann OZSIVADJIAN in Autism, 27-5 (July 2023)  

Public ISBD [article]  inAutism > 27-5 (July 2023) . - p.1477-1491 Titre : Autistic and non-autistic young people?s and caregivers' perspectives on COVID-19-related schooling changes and their impact on emotional well-being: An opportunity for change? Type de document : texte imprimé Auteurs : Ann OZSIVADJIAN, Auteur ; Victoria MILNER, Auteur ; Hannah PICKARD, Auteur ; Matthew J. HOLLOCKS, Auteur ; Sebastian B. GAIGG, Auteur ; Emma COLVERT, Auteur ; Francesca HAPPE, Auteur ; Iliana MAGIATI, Auteur Article en page(s) : p.1477-1491 Langues : Anglais (eng) Mots-clés : anxiety;autism spectrum disorders;education services;environmental factors;mental health Index. décimale : PER Périodiques Résumé : Autistic children and young people experience poorer mental health and well-being compared to their non-autistic peers. Navigating the complex social, academic, procedural and sensory aspects of school may be particularly challenging for autistic young people and contribute to poorer mental well-being. The COVID-19 pandemic caused unprecedented school changes and provided a unique opportunity to gather caregiver?s and young people?s perspectives on the impact of school and pandemic-related school changes on the well-being of both autistic and non-autistic young people. Open-text online survey data from 71 caregivers (of n 45 autistic young people) and 30 young people aged 11-18 years (n 18 autistic) gathered across three timepoints between May and December 2020 during the pandemic revealed both benefits and challenges associated with school changes. Insights into possible lessons from the pandemic and recommendations for more flexible, individualised and strengths-based educational practices going forward are discussed. Lay abstract Autistic young people experience poorer mental health and well-being compared to their non-autistic peers. Navigating the complex social, academic, procedural and sensory aspects of school may be particularly challenging for autistic young people and contribute to poorer mental well-being. The COVID-19 pandemic caused unprecedented school changes and provided a unique opportunity to gather caregiver?s and young people?s perspectives on the impact of school and pandemic-related school changes on the well-being of both autistic and non-autistic young people. We asked for the views of caregivers and young people aged 11-18 years gathered across three timepoints between May and December 2020. Their responses revealed both benefits and challenges associated with school changes. Insights into possible lessons from the pandemic and recommendations for more flexible, individualised and strengths-based educational practices are discussed. En ligne : http://dx.doi.org/10.1177/13623613221140759 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=507 [article] Autistic and non-autistic young people?s and caregivers' perspectives on COVID-19-related schooling changes and their impact on emotional well-being: An opportunity for change? [texte imprimé] / Ann OZSIVADJIAN, Auteur ; Victoria MILNER, Auteur ; Hannah PICKARD, Auteur ; Matthew J. HOLLOCKS, Auteur ; Sebastian B. GAIGG, Auteur ; Emma COLVERT, Auteur ; Francesca HAPPE, Auteur ; Iliana MAGIATI, Auteur . - p.1477-1491. Langues : Anglais (eng) in Autism > 27-5 (July 2023) . - p.1477-1491 Mots-clés : anxiety;autism spectrum disorders;education services;environmental factors;mental health Index. décimale : PER Périodiques Résumé : Autistic children and young people experience poorer mental health and well-being compared to their non-autistic peers. Navigating the complex social, academic, procedural and sensory aspects of school may be particularly challenging for autistic young people and contribute to poorer mental well-being. The COVID-19 pandemic caused unprecedented school changes and provided a unique opportunity to gather caregiver?s and young people?s perspectives on the impact of school and pandemic-related school changes on the well-being of both autistic and non-autistic young people. Open-text online survey data from 71 caregivers (of n 45 autistic young people) and 30 young people aged 11-18 years (n 18 autistic) gathered across three timepoints between May and December 2020 during the pandemic revealed both benefits and challenges associated with school changes. Insights into possible lessons from the pandemic and recommendations for more flexible, individualised and strengths-based educational practices going forward are discussed. Lay abstract Autistic young people experience poorer mental health and well-being compared to their non-autistic peers. Navigating the complex social, academic, procedural and sensory aspects of school may be particularly challenging for autistic young people and contribute to poorer mental well-being. The COVID-19 pandemic caused unprecedented school changes and provided a unique opportunity to gather caregiver?s and young people?s perspectives on the impact of school and pandemic-related school changes on the well-being of both autistic and non-autistic young people. We asked for the views of caregivers and young people aged 11-18 years gathered across three timepoints between May and December 2020. Their responses revealed both benefits and challenges associated with school changes. Insights into possible lessons from the pandemic and recommendations for more flexible, individualised and strengths-based educational practices are discussed. En ligne : http://dx.doi.org/10.1177/13623613221140759 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=507

Autistic young people?s experiences of remote psychological interventions during COVID-19 / Lucy ADAMS in Autism, 27-6 (August 2023)  

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Brief Report: An Evaluation of the Social Communication Questionnaire as a Screening Tool for Autism Spectrum Disorder in Young People Referred to Child & Adolescent Mental Health Services / Matthew J. HOLLOCKS in Journal of Autism and Developmental Disorders, 49-6 (June 2019)  

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Brief Report: Testing the Psychometric Properties of the Spence Children's Anxiety Scale (SCAS) and the Screen for Child Anxiety Related Emotional Disorders (SCARED) in Autism Spectrum Disorder / Sophie CARRUTHERS in Journal of Autism and Developmental Disorders, 50-7 (July 2020)  

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Brief Report: The Use of Self-Report Measures in Young People with Autism Spectrum Disorder to Access Symptoms of Anxiety, Depression and Negative Thoughts / Ann OZSIVADJIAN in Journal of Autism and Developmental Disorders, 44-4 (April 2014)  

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Cognitive Behavior Therapy / Ann OZSIVADJIAN ; Matthew J. HOLLOCKS ; Iliana MAGIATI ; Debbie SPAIN ; Francisco M. MUSICH ; Susan W. WHITE

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Cognitive Flexibility Mediates the Associations Between Perceived Stress, Social Camouflaging and Mental Health Challenges in Autistic Adults / Matthew J. HOLLOCKS in Autism Research, 18-8 (August 2025)  

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Dual Cognitive and Biological Correlates of Anxiety in Autism Spectrum Disorders / Matthew J. HOLLOCKS in Journal of Autism and Developmental Disorders, 46-10 (October 2016)  

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Erratum to: Anxious Imagery in Children With and Without Autism Spectrum Disorder: An Investigation into Occurrence, Content, Features and Implications for Therapy / Ann OZSIVADJIAN in Journal of Autism and Developmental Disorders, 47-12 (December 2017)  

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Examining clinicians? concerns delivering telemental health interventions directly to autistic individuals during COVID-19 / Lucy ADAMS in Research in Autism Spectrum Disorders, 94 (June 2022)  

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Examining the relationship between cognitive inflexibility and internalizing and externalizing symptoms in autistic children and adolescents: A systematic review and meta-analysis / Jiedi LEI in Autism Research, 15-12 (December 2022)  

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