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Auteur A. KEEFER |
Documents disponibles écrits par cet auteur (4)



Intolerance of Uncertainty Predicts Anxiety Outcomes Following CBT in Youth with ASD / A. KEEFER in Journal of Autism and Developmental Disorders, 47-12 (December 2017)
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[article]
Titre : Intolerance of Uncertainty Predicts Anxiety Outcomes Following CBT in Youth with ASD Type de document : Texte imprimé et/ou numérique Auteurs : A. KEEFER, Auteur ; N. L. KREISER, Auteur ; V. SINGH, Auteur ; Audrey BLAKELEY-SMITH, Auteur ; A. DUNCAN, Auteur ; C. JOHNSON, Auteur ; L. KLINGER, Auteur ; A. MEYER, Auteur ; J. REAVEN, Auteur ; R. A. VASA, Auteur Année de publication : 2017 Article en page(s) : p.3949-3958 Langues : Anglais (eng) Mots-clés : Anxiety Autism spectrum disorders Cognitive-behavioral therapy Intolerance of uncertainty Index. décimale : PER Périodiques Résumé : Modified cognitive-behavioral therapy (MCBT) has been demonstrated to reduce anxiety in youth with autism spectrum disorder (ASD). However, non-response rates are fairly high. Few studies have investigated factors associated with response. Intolerance of uncertainty (IU) is a treatment target for anxiety and worry in neurotypical populations and has been linked to anxiety and ASD. We sought to examine whether IU affects outcomes following MCBT in 43 children, ages 8-14 years, with ASD without intellectual disability. Consistent with prior data, there was a significant reduction in parent reported anxiety following MCBT. Higher levels of pre-intervention IU predicted higher anxiety and worry pre- and post-intervention. These findings suggest that targeting IU may improve outcomes following MCBT in youth with ASD and anxiety. En ligne : http://dx.doi.org/10.1007/s10803-016-2852-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=326
in Journal of Autism and Developmental Disorders > 47-12 (December 2017) . - p.3949-3958[article] Intolerance of Uncertainty Predicts Anxiety Outcomes Following CBT in Youth with ASD [Texte imprimé et/ou numérique] / A. KEEFER, Auteur ; N. L. KREISER, Auteur ; V. SINGH, Auteur ; Audrey BLAKELEY-SMITH, Auteur ; A. DUNCAN, Auteur ; C. JOHNSON, Auteur ; L. KLINGER, Auteur ; A. MEYER, Auteur ; J. REAVEN, Auteur ; R. A. VASA, Auteur . - 2017 . - p.3949-3958.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 47-12 (December 2017) . - p.3949-3958
Mots-clés : Anxiety Autism spectrum disorders Cognitive-behavioral therapy Intolerance of uncertainty Index. décimale : PER Périodiques Résumé : Modified cognitive-behavioral therapy (MCBT) has been demonstrated to reduce anxiety in youth with autism spectrum disorder (ASD). However, non-response rates are fairly high. Few studies have investigated factors associated with response. Intolerance of uncertainty (IU) is a treatment target for anxiety and worry in neurotypical populations and has been linked to anxiety and ASD. We sought to examine whether IU affects outcomes following MCBT in 43 children, ages 8-14 years, with ASD without intellectual disability. Consistent with prior data, there was a significant reduction in parent reported anxiety following MCBT. Higher levels of pre-intervention IU predicted higher anxiety and worry pre- and post-intervention. These findings suggest that targeting IU may improve outcomes following MCBT in youth with ASD and anxiety. En ligne : http://dx.doi.org/10.1007/s10803-016-2852-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=326 Priorities for Advancing Research on Youth with Autism Spectrum Disorder and Co-occurring Anxiety / R. A. VASA in Journal of Autism and Developmental Disorders, 48-3 (March 2018)
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Titre : Priorities for Advancing Research on Youth with Autism Spectrum Disorder and Co-occurring Anxiety Type de document : Texte imprimé et/ou numérique Auteurs : R. A. VASA, Auteur ; A. KEEFER, Auteur ; J. REAVEN, Auteur ; M. SOUTH, Auteur ; Susan W. WHITE, Auteur Année de publication : 2018 Article en page(s) : p.925-934 Langues : Anglais (eng) Mots-clés : Anxiety Autism Children and adolescents Research priorities Index. décimale : PER Périodiques Résumé : Research on anxiety disorders in youth with autism spectrum disorder (ASD) has burgeoned in the past two decades. Yet, critical gaps exist with respect to measuring and treating anxiety in this population. This study used the nominal group technique to identify the most important research priorities on co-occurring anxiety in ASD. An international group of researchers and clinicians with experience in ASD and anxiety participated in the process. Topics ranked as most important focused on understanding how ASD symptoms affect treatment response, implementing treatments in real world settings, developing methods to disentangle overlapping symptoms between anxiety and ASD, and developing objective measures to assess anxiety. Collectively, these priorities can lead to collaborative studies to accelerate research in the field. En ligne : https://doi.org/10.1007/s10803-017-3320-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=339
in Journal of Autism and Developmental Disorders > 48-3 (March 2018) . - p.925-934[article] Priorities for Advancing Research on Youth with Autism Spectrum Disorder and Co-occurring Anxiety [Texte imprimé et/ou numérique] / R. A. VASA, Auteur ; A. KEEFER, Auteur ; J. REAVEN, Auteur ; M. SOUTH, Auteur ; Susan W. WHITE, Auteur . - 2018 . - p.925-934.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-3 (March 2018) . - p.925-934
Mots-clés : Anxiety Autism Children and adolescents Research priorities Index. décimale : PER Périodiques Résumé : Research on anxiety disorders in youth with autism spectrum disorder (ASD) has burgeoned in the past two decades. Yet, critical gaps exist with respect to measuring and treating anxiety in this population. This study used the nominal group technique to identify the most important research priorities on co-occurring anxiety in ASD. An international group of researchers and clinicians with experience in ASD and anxiety participated in the process. Topics ranked as most important focused on understanding how ASD symptoms affect treatment response, implementing treatments in real world settings, developing methods to disentangle overlapping symptoms between anxiety and ASD, and developing objective measures to assess anxiety. Collectively, these priorities can lead to collaborative studies to accelerate research in the field. En ligne : https://doi.org/10.1007/s10803-017-3320-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=339 Psychiatric problems during the COVID-19 pandemic in children with autism spectrum disorder / R. A. VASA in Autism Research, 14-10 (October 2021)
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Titre : Psychiatric problems during the COVID-19 pandemic in children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : R. A. VASA, Auteur ; V. SINGH, Auteur ; C. HOLINGUE, Auteur ; L. G. KALB, Auteur ; Y. JANG, Auteur ; A. KEEFER, Auteur Article en page(s) : p.2113-2119 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/complications/epidemiology Covid-19 Child Humans Pandemics Parents SARS-CoV-2 autism spectrum disorder children psychiatric problems published by Humana Press. Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorder (ASD) are at elevated risk for psychiatric problems in response to the COVID-19 pandemic. This risk is due to their high rates of pre-pandemic psychiatric comorbidities and the pandemic's disruption to routines and access to necessary supports. Prior research has indicated that children with ASD may experience a worsening of specific psychiatric symptoms in response to COVID-19, though this body of work is limited in scope. The present study expands this literature by examining specific types of psychiatric problems that emerged about 2?months after the onset of the pandemic, and risk factors predicting changes in these psychiatric symptoms. Parents of children with a confirmed ASD diagnosis (N = 257), who enrolled in a clinic registry at an outpatient specialty autism center, were included in this study. All data were gathered online via customized and standardized questionnaires. Results showed that 59% of children experienced either a worsening of their pre-pandemic psychiatric diagnoses and/or the development of new psychiatric symptoms during the pandemic. Multivariable regression models indicated that risk factors for increased psychiatric problems included child understanding of COVID-19, COVID-19 illness in the family, low family income, and elevated parental depression and anxiety symptoms (all p?0.05). Findings from this study emphasize the urgent need to provide effective and accessible psychiatric services for children with ASD and their families during and after the pandemic. LAY SUMMARY: Children with ASD are at high risk for psychiatric problems during the COVID-19 pandemic. We found that 59% of children in our clinical sample are experiencing increased psychiatric problems. The child's understanding of COVID-19, COVID-19 illness in the family, low family income, and depression and anxiety symptoms in the parent increase the risk for poor mental health during the pandemic. These findings indicate the importance of helping children with ASD access mental health treatment during COVID-19. En ligne : http://dx.doi.org/10.1002/aur.2574 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450
in Autism Research > 14-10 (October 2021) . - p.2113-2119[article] Psychiatric problems during the COVID-19 pandemic in children with autism spectrum disorder [Texte imprimé et/ou numérique] / R. A. VASA, Auteur ; V. SINGH, Auteur ; C. HOLINGUE, Auteur ; L. G. KALB, Auteur ; Y. JANG, Auteur ; A. KEEFER, Auteur . - p.2113-2119.
Langues : Anglais (eng)
in Autism Research > 14-10 (October 2021) . - p.2113-2119
Mots-clés : Autism Spectrum Disorder/complications/epidemiology Covid-19 Child Humans Pandemics Parents SARS-CoV-2 autism spectrum disorder children psychiatric problems published by Humana Press. Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorder (ASD) are at elevated risk for psychiatric problems in response to the COVID-19 pandemic. This risk is due to their high rates of pre-pandemic psychiatric comorbidities and the pandemic's disruption to routines and access to necessary supports. Prior research has indicated that children with ASD may experience a worsening of specific psychiatric symptoms in response to COVID-19, though this body of work is limited in scope. The present study expands this literature by examining specific types of psychiatric problems that emerged about 2?months after the onset of the pandemic, and risk factors predicting changes in these psychiatric symptoms. Parents of children with a confirmed ASD diagnosis (N = 257), who enrolled in a clinic registry at an outpatient specialty autism center, were included in this study. All data were gathered online via customized and standardized questionnaires. Results showed that 59% of children experienced either a worsening of their pre-pandemic psychiatric diagnoses and/or the development of new psychiatric symptoms during the pandemic. Multivariable regression models indicated that risk factors for increased psychiatric problems included child understanding of COVID-19, COVID-19 illness in the family, low family income, and elevated parental depression and anxiety symptoms (all p?0.05). Findings from this study emphasize the urgent need to provide effective and accessible psychiatric services for children with ASD and their families during and after the pandemic. LAY SUMMARY: Children with ASD are at high risk for psychiatric problems during the COVID-19 pandemic. We found that 59% of children in our clinical sample are experiencing increased psychiatric problems. The child's understanding of COVID-19, COVID-19 illness in the family, low family income, and depression and anxiety symptoms in the parent increase the risk for poor mental health during the pandemic. These findings indicate the importance of helping children with ASD access mental health treatment during COVID-19. En ligne : http://dx.doi.org/10.1002/aur.2574 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 Relationships between autism spectrum disorder and intolerance of uncertainty / R. A. VASA in Autism Research, 11-4 (April 2018)
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[article]
Titre : Relationships between autism spectrum disorder and intolerance of uncertainty Type de document : Texte imprimé et/ou numérique Auteurs : R. A. VASA, Auteur ; N. L. KREISER, Auteur ; A. KEEFER, Auteur ; V. SINGH, Auteur ; S. H. MOSTOFSKY, Auteur Article en page(s) : p.636-644 Langues : Anglais (eng) Mots-clés : anxiety autism emotion dysregulation intolerance of uncertainty worry Index. décimale : PER Périodiques Résumé : Intolerance of uncertainty (IU) is a dispositional risk factor involving maladaptive responding under conditions of uncertainty. Recent data indicate that IU is likely elevated in youth with autism spectrum disorder (ASD) and is positively correlated with anxiety. This study examined whether IU may be associated with ASD independent of anxiety. Relationships between anxiety, ASD, and IU were examined in 57 children with ASD without co-occurring intellectual disability and 32 control participants, ages 7-16 years. Hierarchal linear regressions were run to examine whether ASD variables, including emotion dysregulation, were predictive of IU when controlling for anxiety. Severity of social communication deficits, repetitive behaviors, and emotion dysregulation were each related to IU when controlling for the effects of anxiety. When these variables were entered into the regression model together, emotion dysregulation was the only significant predictor of IU. These findings suggest that IU is directly related to features of ASD possibly due to shared genetic, neurological, or psychological underpinnings. Autism Res 2018, 11: 636-644. (c) 2018 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Youth with ASD without co-occurring intellectual disability experience high levels of intolerance of uncertainty (IU), which is related to anxiety. This study found that IU may also have a relationship with certain aspects of ASD, particularly emotion dysregulation. En ligne : http://dx.doi.org/10.1002/aur.1916 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=358
in Autism Research > 11-4 (April 2018) . - p.636-644[article] Relationships between autism spectrum disorder and intolerance of uncertainty [Texte imprimé et/ou numérique] / R. A. VASA, Auteur ; N. L. KREISER, Auteur ; A. KEEFER, Auteur ; V. SINGH, Auteur ; S. H. MOSTOFSKY, Auteur . - p.636-644.
Langues : Anglais (eng)
in Autism Research > 11-4 (April 2018) . - p.636-644
Mots-clés : anxiety autism emotion dysregulation intolerance of uncertainty worry Index. décimale : PER Périodiques Résumé : Intolerance of uncertainty (IU) is a dispositional risk factor involving maladaptive responding under conditions of uncertainty. Recent data indicate that IU is likely elevated in youth with autism spectrum disorder (ASD) and is positively correlated with anxiety. This study examined whether IU may be associated with ASD independent of anxiety. Relationships between anxiety, ASD, and IU were examined in 57 children with ASD without co-occurring intellectual disability and 32 control participants, ages 7-16 years. Hierarchal linear regressions were run to examine whether ASD variables, including emotion dysregulation, were predictive of IU when controlling for anxiety. Severity of social communication deficits, repetitive behaviors, and emotion dysregulation were each related to IU when controlling for the effects of anxiety. When these variables were entered into the regression model together, emotion dysregulation was the only significant predictor of IU. These findings suggest that IU is directly related to features of ASD possibly due to shared genetic, neurological, or psychological underpinnings. Autism Res 2018, 11: 636-644. (c) 2018 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Youth with ASD without co-occurring intellectual disability experience high levels of intolerance of uncertainty (IU), which is related to anxiety. This study found that IU may also have a relationship with certain aspects of ASD, particularly emotion dysregulation. En ligne : http://dx.doi.org/10.1002/aur.1916 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=358