"Education would be step number one": Community mental health clinicians'training and support needs to treat anxiety in autistic youth / Grace Lee SIMMONS ; Julia HEINLY ; Daylin DELGADO ; Whitney S. SHEPHERD ; Lauren BROOKMAN-FRAZEE ; Eric A. STORCH ; Brenna B. MADDOX in Research in Autism Spectrum Disorders, 117 (September 2024)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 117 (September 2024) . - p.102450 Titre : "Education would be step number one": Community mental health clinicians'training and support needs to treat anxiety in autistic youth Type de document : Texte imprimé et/ou numérique Auteurs : Grace Lee SIMMONS, Auteur ; Julia HEINLY, Auteur ; Daylin DELGADO, Auteur ; Whitney S. SHEPHERD, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; Eric A. STORCH, Auteur ; Brenna B. MADDOX, Auteur Article en page(s) : p.102450 Langues : Anglais (eng) Mots-clés : Mental health  Community  Training  Autism  Anxiety Index. décimale : PER Périodiques Résumé : Background Autistic youth experience high rates of anxiety, which has been treated with modified cognitive-behavioral therapy (CBT), often integrating exposure therapy. Such anxiety treatments are effective for this population; however, there remains a gap between these evidence-based mental health interventions and their implementation in community mental health (CMH) services where autistic youth receive care. Method This qualitative study conducted semi-structured interviews with four types of community members in the United States: 15 autistic youth with anxiety, 15 caregivers of autistic youth with anxiety, 11 CMH clinicians, and 8 CMH clinic leaders. Participants identified the training needs of CMH clinicians to support the delivery of CBT for autistic youth with anxiety. Results Through inductive thematic analysis, three themes were found: presentation of autism and anxiety, intervention delivery, and training format. Participants highlighted the need for clinician education to understand the varying presentations of autism and co-occurring anxiety and how to effectively deliver a personalized mental health intervention for autistic youth. Clinicians also desired a clinician training program that includes engaging components and offers individualized, ongoing support while the intervention is delivered. Conclusions Findings from this study will inform the development of a clinician training program to deliver CBT modified for autistic youth with anxiety in CMH contexts. En ligne : https://doi.org/10.1016/j.rasd.2024.102450 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=534 [article] "Education would be step number one": Community mental health clinicians'training and support needs to treat anxiety in autistic youth [Texte imprimé et/ou numérique] / Grace Lee SIMMONS, Auteur ; Julia HEINLY, Auteur ; Daylin DELGADO, Auteur ; Whitney S. SHEPHERD, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; Eric A. STORCH, Auteur ; Brenna B. MADDOX, Auteur . - p.102450. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 117 (September 2024) . - p.102450 Mots-clés : Mental health  Community  Training  Autism  Anxiety Index. décimale : PER Périodiques Résumé : Background Autistic youth experience high rates of anxiety, which has been treated with modified cognitive-behavioral therapy (CBT), often integrating exposure therapy. Such anxiety treatments are effective for this population; however, there remains a gap between these evidence-based mental health interventions and their implementation in community mental health (CMH) services where autistic youth receive care. Method This qualitative study conducted semi-structured interviews with four types of community members in the United States: 15 autistic youth with anxiety, 15 caregivers of autistic youth with anxiety, 11 CMH clinicians, and 8 CMH clinic leaders. Participants identified the training needs of CMH clinicians to support the delivery of CBT for autistic youth with anxiety. Results Through inductive thematic analysis, three themes were found: presentation of autism and anxiety, intervention delivery, and training format. Participants highlighted the need for clinician education to understand the varying presentations of autism and co-occurring anxiety and how to effectively deliver a personalized mental health intervention for autistic youth. Clinicians also desired a clinician training program that includes engaging components and offers individualized, ongoing support while the intervention is delivered. Conclusions Findings from this study will inform the development of a clinician training program to deliver CBT modified for autistic youth with anxiety in CMH contexts. En ligne : https://doi.org/10.1016/j.rasd.2024.102450 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=534

Sluggish cognitive tempo: An examination of clinical correlates for adults with autism / Alexis M. BREWE in Autism, 24-6 (August 2020)  

Public ISBD [article]  inAutism > 24-6 (August 2020) . - p.1373-1383 Titre : Sluggish cognitive tempo: An examination of clinical correlates for adults with autism Type de document : Texte imprimé et/ou numérique Auteurs : Alexis M. BREWE, Auteur ; Grace Lee SIMMONS, Auteur ; Nicole N. CAPRIOLA-HALL, Auteur ; Susan W. WHITE, Auteur Article en page(s) : p.1373-1383 Langues : Anglais (eng) Mots-clés : adults  attention-deficit/hyperactivity-disorder  autism spectrum disorder  depression  sluggish cognitive tempo Index. décimale : PER Périodiques Résumé : Adults with autism spectrum disorder often experience a range of co-occurring mental health problems such as attention-deficit/hyperactivity-disorder, as well as difficulties with executive function. Sluggish cognitive tempo, a cluster of behaviors including slow processing, daydreaming, and mental fogginess, has been shown to be associated with attention-deficit/hyperactivity-disorder, and limited research has suggested that individuals with autism spectrum disorder may experience sluggish cognitive tempo. We examined co-occurring mental health problems and executive function in 57 young adults with autism spectrum disorder, aged 16-25?years to better understand sluggish cognitive tempo in autism spectrum disorder. Parents of the young adults answered questions about their children's sluggish cognitive tempo, attention-deficit/hyperactivity-disorder, depression, and anxiety symptoms, and the young adults completed tests of their executive function. Results demonstrated that nearly one-third of the sample exhibited clinically impairing levels of sluggish cognitive tempo. Although sluggish cognitive tempo and attention-deficit/hyperactivity-disorder symptoms were related, our findings suggest they are not the same constructs. Increased sluggish cognitive tempo is related to more difficulties with executive function and increased depression, but not anxiety symptoms. Results demonstrate that sluggish cognitive tempo may pose heightened difficulties for adults with autism spectrum disorder, making it an important construct to continue studying. Considerations for assessment and long-term impacts of sluggish cognitive tempo for adults with autism spectrum disorder are discussed. En ligne : http://dx.doi.org/10.1177/1362361319900422 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428 [article] Sluggish cognitive tempo: An examination of clinical correlates for adults with autism [Texte imprimé et/ou numérique] / Alexis M. BREWE, Auteur ; Grace Lee SIMMONS, Auteur ; Nicole N. CAPRIOLA-HALL, Auteur ; Susan W. WHITE, Auteur . - p.1373-1383. Langues : Anglais (eng) in Autism > 24-6 (August 2020) . - p.1373-1383 Mots-clés : adults  attention-deficit/hyperactivity-disorder  autism spectrum disorder  depression  sluggish cognitive tempo Index. décimale : PER Périodiques Résumé : Adults with autism spectrum disorder often experience a range of co-occurring mental health problems such as attention-deficit/hyperactivity-disorder, as well as difficulties with executive function. Sluggish cognitive tempo, a cluster of behaviors including slow processing, daydreaming, and mental fogginess, has been shown to be associated with attention-deficit/hyperactivity-disorder, and limited research has suggested that individuals with autism spectrum disorder may experience sluggish cognitive tempo. We examined co-occurring mental health problems and executive function in 57 young adults with autism spectrum disorder, aged 16-25?years to better understand sluggish cognitive tempo in autism spectrum disorder. Parents of the young adults answered questions about their children's sluggish cognitive tempo, attention-deficit/hyperactivity-disorder, depression, and anxiety symptoms, and the young adults completed tests of their executive function. Results demonstrated that nearly one-third of the sample exhibited clinically impairing levels of sluggish cognitive tempo. Although sluggish cognitive tempo and attention-deficit/hyperactivity-disorder symptoms were related, our findings suggest they are not the same constructs. Increased sluggish cognitive tempo is related to more difficulties with executive function and increased depression, but not anxiety symptoms. Results demonstrate that sluggish cognitive tempo may pose heightened difficulties for adults with autism spectrum disorder, making it an important construct to continue studying. Considerations for assessment and long-term impacts of sluggish cognitive tempo for adults with autism spectrum disorder are discussed. En ligne : http://dx.doi.org/10.1177/1362361319900422 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428

University-Focused Interventions / Grace Lee SIMMONS ; Ashleigh HILLIER ; Susan W. WHITE ; Debbie SPAIN ; Francisco M. MUSICH ; Susan W. WHITE

Public ISBD in Psychological Therapies for Adults with Autism / Debbie SPAIN Titre : University-Focused Interventions Type de document : Texte imprimé et/ou numérique Auteurs : Grace Lee SIMMONS, Auteur ; Ashleigh HILLIER, Auteur ; Susan W. WHITE, Auteur ; Debbie SPAIN, Auteur ; Francisco M. MUSICH, Auteur ; Susan W. WHITE, Auteur Année de publication : 2022 Importance : p.50-62 Langues : Anglais (eng) Index. décimale : AUT-E AUT-E - L'Autisme - Accompagnement et Qualité de Vie Résumé : The number of college students with autism/ASD is on a steep upward trajectory. These students often face challenges related to age-appropriate adaptive skills, independent living, and co-occurring mental health problems, which can make success in college elusive. Unfortunately, the availability of research-supported services and interventions to support these students is limited. This chapter describes seven different programs developed to support postsecondary students with autism/ASD, summarizes the research supporting their use, and suggests future directions in this area. These programs are designed to either help students transition into postsecondary education or to assist enrolled postsecondary students. The chapter also includes a discussion of commonalities between these programs (such as the frequent use of a ?mentorship? method) as well as a case study. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=527 in Psychological Therapies for Adults with Autism / Debbie SPAIN University-Focused Interventions [Texte imprimé et/ou numérique] / Grace Lee SIMMONS, Auteur ; Ashleigh HILLIER, Auteur ; Susan W. WHITE, Auteur ; Debbie SPAIN, Auteur ; Francisco M. MUSICH, Auteur ; Susan W. WHITE, Auteur . - 2022 . - p.50-62. Langues : Anglais (eng) Index. décimale : AUT-E AUT-E - L'Autisme - Accompagnement et Qualité de Vie Résumé : The number of college students with autism/ASD is on a steep upward trajectory. These students often face challenges related to age-appropriate adaptive skills, independent living, and co-occurring mental health problems, which can make success in college elusive. Unfortunately, the availability of research-supported services and interventions to support these students is limited. This chapter describes seven different programs developed to support postsecondary students with autism/ASD, summarizes the research supporting their use, and suggests future directions in this area. These programs are designed to either help students transition into postsecondary education or to assist enrolled postsecondary students. The chapter also includes a discussion of commonalities between these programs (such as the frequent use of a ?mentorship? method) as well as a case study. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=527

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Utility of an Observational Social Skill Assessment as a Measure of Social Cognition in Autism / Grace Lee SIMMONS in Autism Research, 14-4 (April 2021)  

Public ISBD [article]  inAutism Research > 14-4 (April 2021) . - p.709-719 Titre : Utility of an Observational Social Skill Assessment as a Measure of Social Cognition in Autism Type de document : Texte imprimé et/ou numérique Auteurs : Grace Lee SIMMONS, Auteur ; Sara IOANNOU, Auteur ; Jessica V. SMITH, Auteur ; Blythe A. CORBETT, Auteur ; Matthew D LERNER, Auteur ; Susan W. WHITE, Auteur Article en page(s) : p.709-719 Langues : Anglais (eng) Mots-clés : adolescents  children  face processing  social cognition  social cognition and theory of mind Index. décimale : PER Périodiques Résumé : Models of impaired social competence in autism spectrum disorder (ASD) highlight deficits in social cognition and social behavior. The Contextual Assessment of Social Skills (CASS) is a laboratory-based assessment of conversation ability in which participants interact with trained confederates who act interested (CASS-I) and bored (CASS-B), sequentially. The increased ecological validity of the CASS allows for better generalization to real-world social situations. Participants' perceptions of confederate behavior, assessed by the CASS Conversation Rating Scale (CRS), might offer additional utility as a metric of social cognition. The current study examined CASS confederate behavior (adherence to interested or bored condition) and both internal validity and convergent validity of the CASS as a measure of social behavior and social cognition. Fifty adolescents with ASD participated as part of a multisite randomized clinical trial. Adherence ratings were consistent across gender and site, with interested confederates significantly out-performing bored confederates. The ability to distinguish between interested and bored confederates was positively associated with CASS social behavior and social cognition tasks, although social behavior during the CASS was not consistently associated with parent-rated social behavior. Controlling for confederate behavior did not significantly alter these associations. Findings demonstrate strong internal validity of the CASS and, partially, external validity of the CASS as a measure of social cognition. Findings highlight nuanced differences in social behavior and social cognition. The CASS shows promise as an outcome measure for clinical interventions and should be incorporated into a multimethod battery to assess social competence in individuals with ASD. LAY SUMMARY: Social cognition and social behavior should be studied together to examine social competence in youth with autism. The Contextual Assessment of Social Skills (CASS), a behavioral observation measure, shows promise toward this end; findings suggest the CASS taps social cognition and social behavior when administered alongside a participant rating scale of their conversation partner's engagement. Continued research, including examination of the CASS, may inform best practices in comprehensive assessment of social competence in autism. Autism Res 2021, 14: 709-719. © 2020 International Society for Autism Research and Wiley Periodicals LLC. En ligne : http://dx.doi.org/10.1002/aur.2404 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443 [article] Utility of an Observational Social Skill Assessment as a Measure of Social Cognition in Autism [Texte imprimé et/ou numérique] / Grace Lee SIMMONS, Auteur ; Sara IOANNOU, Auteur ; Jessica V. SMITH, Auteur ; Blythe A. CORBETT, Auteur ; Matthew D LERNER, Auteur ; Susan W. WHITE, Auteur . - p.709-719. Langues : Anglais (eng) in Autism Research > 14-4 (April 2021) . - p.709-719 Mots-clés : adolescents  children  face processing  social cognition  social cognition and theory of mind Index. décimale : PER Périodiques Résumé : Models of impaired social competence in autism spectrum disorder (ASD) highlight deficits in social cognition and social behavior. The Contextual Assessment of Social Skills (CASS) is a laboratory-based assessment of conversation ability in which participants interact with trained confederates who act interested (CASS-I) and bored (CASS-B), sequentially. The increased ecological validity of the CASS allows for better generalization to real-world social situations. Participants' perceptions of confederate behavior, assessed by the CASS Conversation Rating Scale (CRS), might offer additional utility as a metric of social cognition. The current study examined CASS confederate behavior (adherence to interested or bored condition) and both internal validity and convergent validity of the CASS as a measure of social behavior and social cognition. Fifty adolescents with ASD participated as part of a multisite randomized clinical trial. Adherence ratings were consistent across gender and site, with interested confederates significantly out-performing bored confederates. The ability to distinguish between interested and bored confederates was positively associated with CASS social behavior and social cognition tasks, although social behavior during the CASS was not consistently associated with parent-rated social behavior. Controlling for confederate behavior did not significantly alter these associations. Findings demonstrate strong internal validity of the CASS and, partially, external validity of the CASS as a measure of social cognition. Findings highlight nuanced differences in social behavior and social cognition. The CASS shows promise as an outcome measure for clinical interventions and should be incorporated into a multimethod battery to assess social competence in individuals with ASD. LAY SUMMARY: Social cognition and social behavior should be studied together to examine social competence in youth with autism. The Contextual Assessment of Social Skills (CASS), a behavioral observation measure, shows promise toward this end; findings suggest the CASS taps social cognition and social behavior when administered alongside a participant rating scale of their conversation partner's engagement. Continued research, including examination of the CASS, may inform best practices in comprehensive assessment of social competence in autism. Autism Res 2021, 14: 709-719. © 2020 International Society for Autism Research and Wiley Periodicals LLC. En ligne : http://dx.doi.org/10.1002/aur.2404 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443

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