Moderators of Response to Personalized and Standard Care Cognitive-Behavioral Therapy for Youth with Autism Spectrum Disorder and Comorbid Anxiety / E. A. STORCH in Journal of Autism and Developmental Disorders, 52-2 (February 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.950-958 Titre : Moderators of Response to Personalized and Standard Care Cognitive-Behavioral Therapy for Youth with Autism Spectrum Disorder and Comorbid Anxiety Type de document : Texte imprimé et/ou numérique Auteurs : E. A. STORCH, Auteur ; J. J. WOOD, Auteur ; A. G. GUZICK, Auteur ; B. J. SMALL, Auteur ; Connor M. KERNS, Auteur ; D. L. ORDAZ, Auteur ; S. C. SCHNEIDER, Auteur ; P. C. KENDALL, Auteur Article en page(s) : p.950-958 Langues : Anglais (eng) Mots-clés : Adolescent  Anxiety/epidemiology/therapy  Anxiety Disorders/epidemiology/therapy  Autism Spectrum Disorder/therapy  Child  Cognitive Behavioral Therapy  Humans  Obsessive-Compulsive Disorder/epidemiology/therapy  Treatment Outcome  Asd  Adolescents  Cbt  Children  Predictors  Treatment Index. décimale : PER Périodiques Résumé : Anxiety/obsessive-compulsive disorders are common among youth with autism spectrum disorder (ASD). Two versions of cognitive behavior therapy (CBT) are effective, with some advantage for a personalized, adapted version. This study evaluated predictors and moderators of standard CBT and adapted CBT. Youth (N?=?167) ages 7-13 were randomized to standard or adapted CBT, or treatment-as-usual. Age, IQ, ASD severity, and emotional-behavioral symptom severity were examined. More severe internalizing and emotional-behavioral problems predicted poorer treatment outcomes especially in standard versus personalized CBT. Elevated repetitive behaviors and restricted interests predicted poorer treatment outcomes across treatments, though youth with "moderate" repetitive behaviors and restricted interested experienced poorer outcomes only in standard but not personalized CBT. Externalizing symptoms directly predicted treatment outcomes. Older age predicted improved outcomes in adapted but not standard CBT. Findings highlight the need for further treatment refinements and the value in adapting treatment for youth with more complex presentations. Trial Registration Clinicialtrials.gov: NCT02028247; https://clinicaltrials.gov/ct2/show/NCT02028247 . En ligne : http://dx.doi.org/10.1007/s10803-021-05000-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 [article] Moderators of Response to Personalized and Standard Care Cognitive-Behavioral Therapy for Youth with Autism Spectrum Disorder and Comorbid Anxiety [Texte imprimé et/ou numérique] / E. A. STORCH, Auteur ; J. J. WOOD, Auteur ; A. G. GUZICK, Auteur ; B. J. SMALL, Auteur ; Connor M. KERNS, Auteur ; D. L. ORDAZ, Auteur ; S. C. SCHNEIDER, Auteur ; P. C. KENDALL, Auteur . - p.950-958. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.950-958 Mots-clés : Adolescent  Anxiety/epidemiology/therapy  Anxiety Disorders/epidemiology/therapy  Autism Spectrum Disorder/therapy  Child  Cognitive Behavioral Therapy  Humans  Obsessive-Compulsive Disorder/epidemiology/therapy  Treatment Outcome  Asd  Adolescents  Cbt  Children  Predictors  Treatment Index. décimale : PER Périodiques Résumé : Anxiety/obsessive-compulsive disorders are common among youth with autism spectrum disorder (ASD). Two versions of cognitive behavior therapy (CBT) are effective, with some advantage for a personalized, adapted version. This study evaluated predictors and moderators of standard CBT and adapted CBT. Youth (N?=?167) ages 7-13 were randomized to standard or adapted CBT, or treatment-as-usual. Age, IQ, ASD severity, and emotional-behavioral symptom severity were examined. More severe internalizing and emotional-behavioral problems predicted poorer treatment outcomes especially in standard versus personalized CBT. Elevated repetitive behaviors and restricted interests predicted poorer treatment outcomes across treatments, though youth with "moderate" repetitive behaviors and restricted interested experienced poorer outcomes only in standard but not personalized CBT. Externalizing symptoms directly predicted treatment outcomes. Older age predicted improved outcomes in adapted but not standard CBT. Findings highlight the need for further treatment refinements and the value in adapting treatment for youth with more complex presentations. Trial Registration Clinicialtrials.gov: NCT02028247; https://clinicaltrials.gov/ct2/show/NCT02028247 . En ligne : http://dx.doi.org/10.1007/s10803-021-05000-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455

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