Cost-effectiveness of cognitive-behavioral therapy versus treatment as usual for anxiety disorders in children with autism spectrum disorder / Francisca J. A. VAN STEENSEL in Research in Autism Spectrum Disorders, 8-2 (February 2014)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 8-2 (February 2014) . - p.127-137 Titre : Cost-effectiveness of cognitive-behavioral therapy versus treatment as usual for anxiety disorders in children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Francisca J. A. VAN STEENSEL, Auteur ; Carmen D. DIRKSEN, Auteur ; Susan M. BOGELS, Auteur Article en page(s) : p.127-137 Langues : Anglais (eng) Mots-clés : Anxiety  CBT  TAU  Cost-effectiveness Index. décimale : PER Périodiques Résumé : Abstract The study's aim was to evaluate the cost-effectiveness of CBT compared to treatment as usual (TAU). In total, 49 children aged 8–18 years with ASD and comorbid anxiety disorders, and their parents, participated; 24 were assigned to CBT and 25 were assigned to TAU. Outcome measures were the percentage of children free from their primary anxiety disorder and quality adjusted life years (QALYs). Costs were measured using a retrospective cost-questionnaire. Effects and costs were assessed at pre-, post-, and three months after treatment. Effects and costs were not statistically different between CBT and TAU, however the incremental cost-effectiveness ratio (ICER) demonstrated that CBT dominates TAU. Bootstrapped ICERs demonstrated that CBT has a high probability to be more effective than TAU, however, the probability that either CBT or TAU is more costly did not differ much. Secondary analyses demonstrated fairly robust results. CBT seems a cost-effective intervention compared to TAU, however, long-term follow-ups and comparisons between CBT and specific TAUs are necessary. Cost-effectiveness analyses may help inform policy makers to decide how to treat anxiety disorders in children with ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.11.001 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=221 [article] Cost-effectiveness of cognitive-behavioral therapy versus treatment as usual for anxiety disorders in children with autism spectrum disorder [Texte imprimé et/ou numérique] / Francisca J. A. VAN STEENSEL, Auteur ; Carmen D. DIRKSEN, Auteur ; Susan M. BOGELS, Auteur . - p.127-137. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 8-2 (February 2014) . - p.127-137 Mots-clés : Anxiety  CBT  TAU  Cost-effectiveness Index. décimale : PER Périodiques Résumé : Abstract The study's aim was to evaluate the cost-effectiveness of CBT compared to treatment as usual (TAU). In total, 49 children aged 8–18 years with ASD and comorbid anxiety disorders, and their parents, participated; 24 were assigned to CBT and 25 were assigned to TAU. Outcome measures were the percentage of children free from their primary anxiety disorder and quality adjusted life years (QALYs). Costs were measured using a retrospective cost-questionnaire. Effects and costs were assessed at pre-, post-, and three months after treatment. Effects and costs were not statistically different between CBT and TAU, however the incremental cost-effectiveness ratio (ICER) demonstrated that CBT dominates TAU. Bootstrapped ICERs demonstrated that CBT has a high probability to be more effective than TAU, however, the probability that either CBT or TAU is more costly did not differ much. Secondary analyses demonstrated fairly robust results. CBT seems a cost-effective intervention compared to TAU, however, long-term follow-ups and comparisons between CBT and specific TAUs are necessary. Cost-effectiveness analyses may help inform policy makers to decide how to treat anxiety disorders in children with ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.11.001 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=221

Examining the Screen for Child Anxiety-Related Emotional Disorder-71 as an assessment tool for anxiety in children with high-functioning autism spectrum disorders / Francisca J. A. VAN STEENSEL in Autism, 17-6 (November 2013)  

Public ISBD [article]  inAutism > 17-6 (November 2013) . - p.681-692 Titre : Examining the Screen for Child Anxiety-Related Emotional Disorder-71 as an assessment tool for anxiety in children with high-functioning autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Francisca J. A. VAN STEENSEL, Auteur ; Amber A.C.G. DEUTSCHMAN, Auteur ; Susan M. BOGELS, Auteur Année de publication : 2013 Article en page(s) : p.681-692 Langues : Anglais (eng) Mots-clés : ASD  anxiety  self-report  child-parent agreement Index. décimale : PER Périodiques Résumé : The psychometric properties of a questionnaire developed to assess symptoms of anxiety disorders (SCARED-71) were compared between two groups of children: children with high-functioning autism spectrum disorder and comorbid anxiety disorders (ASD-group; n = 115), and children with anxiety disorders (AD-group; n = 122). Anxiety disorders were established with a semi-structured interview (ADIS-C/P), using child- as well as parent-report. Internal consistency, construct validity, sensitivity, specificity, and discriminant validity of the SCARED-71 was investigated. Results revealed that the psychometric properties of the SCARED-71 for the ASD-group were quite comparable to the AD-group, however, the discriminant validity of the SCARED-71 child-report was less in the ASD-group. Raising the parental cutoffs of the SCARED-71 resulted in higher specificity rates, which suggests that research should focus more on establishing alternative cutoffs for the ASD-population. En ligne : http://dx.doi.org/10.1177/1362361312455875 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=218 [article] Examining the Screen for Child Anxiety-Related Emotional Disorder-71 as an assessment tool for anxiety in children with high-functioning autism spectrum disorders [Texte imprimé et/ou numérique] / Francisca J. A. VAN STEENSEL, Auteur ; Amber A.C.G. DEUTSCHMAN, Auteur ; Susan M. BOGELS, Auteur . - 2013 . - p.681-692. Langues : Anglais (eng) in Autism > 17-6 (November 2013) . - p.681-692 Mots-clés : ASD  anxiety  self-report  child-parent agreement Index. décimale : PER Périodiques Résumé : The psychometric properties of a questionnaire developed to assess symptoms of anxiety disorders (SCARED-71) were compared between two groups of children: children with high-functioning autism spectrum disorder and comorbid anxiety disorders (ASD-group; n = 115), and children with anxiety disorders (AD-group; n = 122). Anxiety disorders were established with a semi-structured interview (ADIS-C/P), using child- as well as parent-report. Internal consistency, construct validity, sensitivity, specificity, and discriminant validity of the SCARED-71 was investigated. Results revealed that the psychometric properties of the SCARED-71 for the ASD-group were quite comparable to the AD-group, however, the discriminant validity of the SCARED-71 child-report was less in the ASD-group. Raising the parental cutoffs of the SCARED-71 resulted in higher specificity rates, which suggests that research should focus more on establishing alternative cutoffs for the ASD-population. En ligne : http://dx.doi.org/10.1177/1362361312455875 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=218

MYmind: Mindfulness training for Youngsters with autism spectrum disorders and their parents / Esther I. DE BRUIN in Autism, 19-8 (November 2015)  

Public ISBD [article]  inAutism > 19-8 (November 2015) . - p.906-914 Titre : MYmind: Mindfulness training for Youngsters with autism spectrum disorders and their parents Type de document : Texte imprimé et/ou numérique Auteurs : Esther I. DE BRUIN, Auteur ; René BLOM, Auteur ; Franka M. A. SMIT, Auteur ; Francisca J. A. VAN STEENSEL, Auteur ; Susan M. BOGELS, Auteur Article en page(s) : p.906-914 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  interventions  psychosocial/behavioral Index. décimale : PER Périodiques Résumé : Background: Despite the dramatic increase in autism spectrum disorder in youth and the extremely high costs, hardly any evidence-based interventions are available. The aim of this study is to examine the effects of mindfulness training for adolescents with autism spectrum disorder, combined with Mindful Parenting training.Method: A total of 23 adolescents with autism spectrum disorder, referred to a mental health clinic, received nine weekly sessions of mindfulness training in group format. Their parents (18 mothers, 11 fathers) participated in parallel Mindful Parenting training. A pre-test, post-test, and 9-week follow-up design was used. Data were analyzed using multi-level analyses.Results: Attendance rate was 88% for adolescents and fathers and 86% for mothers. Adolescents reported an increase in quality of life and a decrease in rumination, but no changes in worry, autism spectrum disorder core symptoms, or mindful awareness. Although parents reported no change in adolescent’s autism spectrum disorder core symptoms, they reported improved social responsiveness, social communication, social cognition, preoccupations, and social motivation. About themselves, parents reported improvement in general as well as in parental mindfulness. They reported improved competence in parenting, overall parenting styles, more specifically a less lax, verbose parenting style, and an increased quality of life.Discussion: Mindfulness training for adolescents with autism spectrum disorder combined with Mindful Parenting is feasible. Although the sample size was small and no control group was included, the first outcomes of this innovative training are positive. En ligne : http://dx.doi.org/10.1177/1362361314553279 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=269 [article] MYmind: Mindfulness training for Youngsters with autism spectrum disorders and their parents [Texte imprimé et/ou numérique] / Esther I. DE BRUIN, Auteur ; René BLOM, Auteur ; Franka M. A. SMIT, Auteur ; Francisca J. A. VAN STEENSEL, Auteur ; Susan M. BOGELS, Auteur . - p.906-914. Langues : Anglais (eng) in Autism > 19-8 (November 2015) . - p.906-914 Mots-clés : Autism spectrum disorders  interventions  psychosocial/behavioral Index. décimale : PER Périodiques Résumé : Background: Despite the dramatic increase in autism spectrum disorder in youth and the extremely high costs, hardly any evidence-based interventions are available. The aim of this study is to examine the effects of mindfulness training for adolescents with autism spectrum disorder, combined with Mindful Parenting training.Method: A total of 23 adolescents with autism spectrum disorder, referred to a mental health clinic, received nine weekly sessions of mindfulness training in group format. Their parents (18 mothers, 11 fathers) participated in parallel Mindful Parenting training. A pre-test, post-test, and 9-week follow-up design was used. Data were analyzed using multi-level analyses.Results: Attendance rate was 88% for adolescents and fathers and 86% for mothers. Adolescents reported an increase in quality of life and a decrease in rumination, but no changes in worry, autism spectrum disorder core symptoms, or mindful awareness. Although parents reported no change in adolescent’s autism spectrum disorder core symptoms, they reported improved social responsiveness, social communication, social cognition, preoccupations, and social motivation. About themselves, parents reported improvement in general as well as in parental mindfulness. They reported improved competence in parenting, overall parenting styles, more specifically a less lax, verbose parenting style, and an increased quality of life.Discussion: Mindfulness training for adolescents with autism spectrum disorder combined with Mindful Parenting is feasible. Although the sample size was small and no control group was included, the first outcomes of this innovative training are positive. En ligne : http://dx.doi.org/10.1177/1362361314553279 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=269

Predictors of Treatment Effectiveness for Youth with ASD and Comorbid Anxiety Disorders: It all Depends on the Family? / Francisca J. A. VAN STEENSEL in Journal of Autism and Developmental Disorders, 47-3 (March 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-3 (March 2017) . - p.636-645 Titre : Predictors of Treatment Effectiveness for Youth with ASD and Comorbid Anxiety Disorders: It all Depends on the Family? Type de document : Texte imprimé et/ou numérique Auteurs : Francisca J. A. VAN STEENSEL, Auteur ; V. M. ZEGERS, Auteur ; Susan M. BOGELS, Auteur Article en page(s) : p.636-645 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  CBT  Anxiety  Treatment effectiveness  Children Index. décimale : PER Périodiques Résumé : The study aimed to explore predictors of treatment effectiveness in a sample of 79 children with ASD who received cognitive behavioral therapy (CBT) for their anxiety disorders. Severity of anxiety disorders and anxiety symptoms were used to measure treatment effectiveness and was assessed pre-treatment, post-treatment, 3 months-, 1 and 2 years after CBT. Child characteristics and maternal anxiety did not predict treatment effect. Children with anxious fathers and children in ‘un-involved’ families had less anxiety symptoms at pre-treatment and displayed a less steep decline. Children from ‘authoritarian’ families showed higher pre-treatment anxiety levels but responded quite well to treatment. Findings stress the importance of parent (father) and family factors in the treatment of anxiety disorders in youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-016-2956-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=304 [article] Predictors of Treatment Effectiveness for Youth with ASD and Comorbid Anxiety Disorders: It all Depends on the Family? [Texte imprimé et/ou numérique] / Francisca J. A. VAN STEENSEL, Auteur ; V. M. ZEGERS, Auteur ; Susan M. BOGELS, Auteur . - p.636-645. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-3 (March 2017) . - p.636-645 Mots-clés : Autism spectrum disorder  CBT  Anxiety  Treatment effectiveness  Children Index. décimale : PER Périodiques Résumé : The study aimed to explore predictors of treatment effectiveness in a sample of 79 children with ASD who received cognitive behavioral therapy (CBT) for their anxiety disorders. Severity of anxiety disorders and anxiety symptoms were used to measure treatment effectiveness and was assessed pre-treatment, post-treatment, 3 months-, 1 and 2 years after CBT. Child characteristics and maternal anxiety did not predict treatment effect. Children with anxious fathers and children in ‘un-involved’ families had less anxiety symptoms at pre-treatment and displayed a less steep decline. Children from ‘authoritarian’ families showed higher pre-treatment anxiety levels but responded quite well to treatment. Findings stress the importance of parent (father) and family factors in the treatment of anxiety disorders in youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-016-2956-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=304

The Development and Validation of a Subscale for the School-Age Child Behavior CheckList to Screen for Autism Spectrum Disorder / Julia E. OFFERMANS in Journal of Autism and Developmental Disorders, 53-3 (March 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-3 (March 2023) . - p.1034-1052 Titre : The Development and Validation of a Subscale for the School-Age Child Behavior CheckList to Screen for Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Julia E. OFFERMANS, Auteur ; Esther I. DE BRUIN, Auteur ; Aurelie M. C. LANGE, Auteur ; Christel M. MIDDELDORP, Auteur ; Laura W. WESSELDIJK, Auteur ; Dorret I. BOOMSMA, Auteur ; Gwen C. DIELEMAN, Auteur ; Susan M. BOGELS, Auteur ; Francisca J. A. VAN STEENSEL, Auteur Article en page(s) : p.1034-1052 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The first aim of this study was to construct/validate a subscale-with cut-offs considering gender/age differences-for the school-age Child Behavior CheckList (CBCL) to screen for Autism Spectrum Disorder (ASD) applying both data-driven (N=1666) and clinician-expert (N=15) approaches. Further, we compared these to previously established CBCL ASD profiles/subscales and DSM-oriented subscales. The second aim was to cross-validate results in two truly independent samples (N=2445 and 886). Despite relatively low discriminative power of all subscales in the cross-validation samples, results indicated that the data-driven subscale had the best potential to screen for ASD and a similar screening potential as the DSM-oriented subscales. Given beneficial implications for pediatric/clinical practice, we encourage colleagues to continue the validation of this CBCL ASD subscale. En ligne : https://doi.org/10.1007/s10803-022-05465-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500 [article] The Development and Validation of a Subscale for the School-Age Child Behavior CheckList to Screen for Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Julia E. OFFERMANS, Auteur ; Esther I. DE BRUIN, Auteur ; Aurelie M. C. LANGE, Auteur ; Christel M. MIDDELDORP, Auteur ; Laura W. WESSELDIJK, Auteur ; Dorret I. BOOMSMA, Auteur ; Gwen C. DIELEMAN, Auteur ; Susan M. BOGELS, Auteur ; Francisca J. A. VAN STEENSEL, Auteur . - p.1034-1052. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-3 (March 2023) . - p.1034-1052 Index. décimale : PER Périodiques Résumé : The first aim of this study was to construct/validate a subscale-with cut-offs considering gender/age differences-for the school-age Child Behavior CheckList (CBCL) to screen for Autism Spectrum Disorder (ASD) applying both data-driven (N=1666) and clinician-expert (N=15) approaches. Further, we compared these to previously established CBCL ASD profiles/subscales and DSM-oriented subscales. The second aim was to cross-validate results in two truly independent samples (N=2445 and 886). Despite relatively low discriminative power of all subscales in the cross-validation samples, results indicated that the data-driven subscale had the best potential to screen for ASD and a similar screening potential as the DSM-oriented subscales. Given beneficial implications for pediatric/clinical practice, we encourage colleagues to continue the validation of this CBCL ASD subscale. En ligne : https://doi.org/10.1007/s10803-022-05465-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500

---

1 (1 - 5 / 5)