Clinician factors related to the delivery of psychotherapy for autistic youth and youth with attention-deficit hyperactivity disorder / Flora ROUDBARANI in Autism, 27-2 (February 2023)  

Public ISBD [article]  inAutism > 27-2 (February 2023) . - p.415-427 Titre : Clinician factors related to the delivery of psychotherapy for autistic youth and youth with attention-deficit hyperactivity disorder Type de document : Texte imprimé et/ou numérique Auteurs : Flora ROUDBARANI, Auteur ; Paula TABLON-MODICA, Auteur ; Brenna B. MADDOX, Auteur ; Yvonne BOHR, Auteur ; Jonathan A. WEISS, Auteur Article en page(s) : p.415-427 Langues : Anglais (eng) Mots-clés : ADHD  autism  children  clinicians  intention  mental health  psychotherapy  theory of planned behaviour Index. décimale : PER Périodiques Résumé : Autistic children and adolescents are more likely than non-autistic youth to experience mental health problems, such as anxiety or depression, but less likely to receive psychotherapy to address these concerns. Recent research indicates that clinician factors, such as knowledge, attitudes, confidence and beliefs, can impact their decisions to provide care, though this work has primarily focused on adults or within the context of one kind of treatment (cognitive behaviour therapy). The current study examined psychological predictors (e.g. attitudes and confidence) of clinicians’ intention to deliver psychotherapy to autistic youth and those with attention-deficit hyperactivity disorder. Participants included 611 clinicians across publicly funded agencies in Ontario, Canada. Multiple mediation analyses revealed that clinician knowledge on mental health-related topics (e.g. core symptoms, developing treatment plans and identifying progress towards treatment goals) was associated with intention to treat autistic clients or clients with attention-deficit hyperactivity disorder, and normative pressures and attitudes partially mediated this association. Clinicians felt less likely to treat autistic clients than clients with attention-deficit hyperactivity disorder, partly because of differences in attitudes, normative pressures and knowledge. This research suggests that targeted training around autism and mental health care may be a useful initiative for agency staff. En ligne : http://dx.doi.org/10.1177/13623613221106400 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=493 [article] Clinician factors related to the delivery of psychotherapy for autistic youth and youth with attention-deficit hyperactivity disorder [Texte imprimé et/ou numérique] / Flora ROUDBARANI, Auteur ; Paula TABLON-MODICA, Auteur ; Brenna B. MADDOX, Auteur ; Yvonne BOHR, Auteur ; Jonathan A. WEISS, Auteur . - p.415-427. Langues : Anglais (eng) in Autism > 27-2 (February 2023) . - p.415-427 Mots-clés : ADHD  autism  children  clinicians  intention  mental health  psychotherapy  theory of planned behaviour Index. décimale : PER Périodiques Résumé : Autistic children and adolescents are more likely than non-autistic youth to experience mental health problems, such as anxiety or depression, but less likely to receive psychotherapy to address these concerns. Recent research indicates that clinician factors, such as knowledge, attitudes, confidence and beliefs, can impact their decisions to provide care, though this work has primarily focused on adults or within the context of one kind of treatment (cognitive behaviour therapy). The current study examined psychological predictors (e.g. attitudes and confidence) of clinicians’ intention to deliver psychotherapy to autistic youth and those with attention-deficit hyperactivity disorder. Participants included 611 clinicians across publicly funded agencies in Ontario, Canada. Multiple mediation analyses revealed that clinician knowledge on mental health-related topics (e.g. core symptoms, developing treatment plans and identifying progress towards treatment goals) was associated with intention to treat autistic clients or clients with attention-deficit hyperactivity disorder, and normative pressures and attitudes partially mediated this association. Clinicians felt less likely to treat autistic clients than clients with attention-deficit hyperactivity disorder, partly because of differences in attitudes, normative pressures and knowledge. This research suggests that targeted training around autism and mental health care may be a useful initiative for agency staff. En ligne : http://dx.doi.org/10.1177/13623613221106400 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=493

Considering efficacy and effectiveness trials of cognitive behavioral therapy among youth with autism: A systematic review / Johanna K. LAKE in Autism, 24-7 (October 2020)  

Public ISBD [article]  inAutism > 24-7 (October 2020) . - p.1590-1606 Titre : Considering efficacy and effectiveness trials of cognitive behavioral therapy among youth with autism: A systematic review Type de document : Texte imprimé et/ou numérique Auteurs : Johanna K. LAKE, Auteur ; Paula TABLON-MODICA, Auteur ; Victoria CHAN, Auteur ; Jonathan A WEISS, Auteur Article en page(s) : p.1590-1606 Langues : Anglais (eng) Mots-clés : *autism  *cognitive behavioral therapy  *effectiveness  *efficacy  *feasibility  *implementation science Index. décimale : PER Périodiques Résumé : Cognitive behavioral therapy is a common treatment for emotional problems in people with autism. Most studies of cognitive behavioral therapy and autism have focused on efficacy, meaning whether a treatment produces results under "ideal" conditions, like a lab or research setting. Effectiveness trials, by contrast, investigate whether a treatment produces results under "real-world" conditions, like a community setting (e.g. hospital, community mental health center, school). There can be challenges in bringing a cognitive behavioral therapy treatment out of a lab or research setting into the community, and the field of implementation science uses frameworks to help guide researchers in this process. In this study, we reviewed efficacy and effectiveness studies of cognitive behavioral therapy treatments for emotional problems (e.g. anxiety, depression) in children and youth with autism. Our search found 2959 articles, with 33 studies meeting our criteria. In total, 13 studies were labelled as effectiveness and 20 as efficacy. We discuss how the effectiveness studies used characteristics of an implementation science framework, such as studying how individuals learn about the treatment, accept or reject it, how it is used in the community over time, and any changes that happened to the individual or the organization (e.g. hospital, school, community mental health center) because of it. Results help us better understand the use of cognitive behavioral therapy in the community, including how a framework can be used to improve effectiveness studies. En ligne : http://dx.doi.org/10.1177/1362361320918754 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=431 [article] Considering efficacy and effectiveness trials of cognitive behavioral therapy among youth with autism: A systematic review [Texte imprimé et/ou numérique] / Johanna K. LAKE, Auteur ; Paula TABLON-MODICA, Auteur ; Victoria CHAN, Auteur ; Jonathan A WEISS, Auteur . - p.1590-1606. Langues : Anglais (eng) in Autism > 24-7 (October 2020) . - p.1590-1606 Mots-clés : *autism  *cognitive behavioral therapy  *effectiveness  *efficacy  *feasibility  *implementation science Index. décimale : PER Périodiques Résumé : Cognitive behavioral therapy is a common treatment for emotional problems in people with autism. Most studies of cognitive behavioral therapy and autism have focused on efficacy, meaning whether a treatment produces results under "ideal" conditions, like a lab or research setting. Effectiveness trials, by contrast, investigate whether a treatment produces results under "real-world" conditions, like a community setting (e.g. hospital, community mental health center, school). There can be challenges in bringing a cognitive behavioral therapy treatment out of a lab or research setting into the community, and the field of implementation science uses frameworks to help guide researchers in this process. In this study, we reviewed efficacy and effectiveness studies of cognitive behavioral therapy treatments for emotional problems (e.g. anxiety, depression) in children and youth with autism. Our search found 2959 articles, with 33 studies meeting our criteria. In total, 13 studies were labelled as effectiveness and 20 as efficacy. We discuss how the effectiveness studies used characteristics of an implementation science framework, such as studying how individuals learn about the treatment, accept or reject it, how it is used in the community over time, and any changes that happened to the individual or the organization (e.g. hospital, school, community mental health center) because of it. Results help us better understand the use of cognitive behavioral therapy in the community, including how a framework can be used to improve effectiveness studies. En ligne : http://dx.doi.org/10.1177/1362361320918754 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=431

Emotion dysregulation in children with autism: A multimethod investigation of the role of child and parent factors / Annie S. MILLS in Research in Autism Spectrum Disorders, 91 (March 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 91 (March 2022) . - 101911 Titre : Emotion dysregulation in children with autism: A multimethod investigation of the role of child and parent factors Type de document : Texte imprimé et/ou numérique Auteurs : Annie S. MILLS, Auteur ; Paula TABLON-MODICA, Auteur ; Carla A. MAZEFKSY, Auteur ; Jonathan A. WEISS, Auteur Année de publication : 2022 Article en page(s) : 101911 Langues : Anglais (eng) Mots-clés : Autism  Emotion regulation  Parents  Mental health Index. décimale : PER Périodiques Résumé : Background Children with autism have been found to experience greater difficulties with emotion regulation than peers without autism. Characteristics related to autism (i.e., social communication challenges, restricted repetitive behaviours, inhibitory control difficulties) and external parent factors (i.e., parent stress, mindful parenting) have been suggested to contribute to the emotion dysregulation (ED) experienced by youth with autism. Method The current study evaluated associations between child and parent factors and two indices of child ED (parent report and observational behaviour coding), in 44 children with autism, ages 8–13 years. Results Child autism symptomology, inhibitory control difficulties, parental stress and mindful parenting were all associated with parent reported ED, but not with observed ED. Similarly, linear regressions revealed that these factors jointly predicted parent reported ED, but not observed ED. Restricted interests/repetitive behaviours and inhibitory control difficulties emerged as unique positive predictors of parent reported ED. Conclusions Findings highlight the importance of using a multimethod approach and of considering child- and parent-level factors when investigating ED in children with autism. En ligne : https://doi.org/10.1016/j.rasd.2021.101911 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458 [article] Emotion dysregulation in children with autism: A multimethod investigation of the role of child and parent factors [Texte imprimé et/ou numérique] / Annie S. MILLS, Auteur ; Paula TABLON-MODICA, Auteur ; Carla A. MAZEFKSY, Auteur ; Jonathan A. WEISS, Auteur . - 2022 . - 101911. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 91 (March 2022) . - 101911 Mots-clés : Autism  Emotion regulation  Parents  Mental health Index. décimale : PER Périodiques Résumé : Background Children with autism have been found to experience greater difficulties with emotion regulation than peers without autism. Characteristics related to autism (i.e., social communication challenges, restricted repetitive behaviours, inhibitory control difficulties) and external parent factors (i.e., parent stress, mindful parenting) have been suggested to contribute to the emotion dysregulation (ED) experienced by youth with autism. Method The current study evaluated associations between child and parent factors and two indices of child ED (parent report and observational behaviour coding), in 44 children with autism, ages 8–13 years. Results Child autism symptomology, inhibitory control difficulties, parental stress and mindful parenting were all associated with parent reported ED, but not with observed ED. Similarly, linear regressions revealed that these factors jointly predicted parent reported ED, but not observed ED. Restricted interests/repetitive behaviours and inhibitory control difficulties emerged as unique positive predictors of parent reported ED. Conclusions Findings highlight the importance of using a multimethod approach and of considering child- and parent-level factors when investigating ED in children with autism. En ligne : https://doi.org/10.1016/j.rasd.2021.101911 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458

Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism / Carly ALBAUM in Autism, 24-1 (January 2020)  

Public ISBD [article]  inAutism > 24-1 (January 2020) . - p.211-220 Titre : Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism Type de document : Texte imprimé et/ou numérique Auteurs : Carly ALBAUM, Auteur ; Paula TABLON-MODICA, Auteur ; F. ROUDBARANI, Auteur ; J. A. WEISS, Auteur Article en page(s) : p.211-220 Langues : Anglais (eng) Mots-clés : autism  children  cognitive behavioural therapy  therapeutic alliance Index. décimale : PER Périodiques Résumé : Therapeutic alliance is often an important aspect of psychotherapy, though it is rarely examined in clients with autism. This study aims to determine the child pre-treatment variables and treatment outcomes associated with early and late alliance in cognitive behaviour therapy targeting emotion regulation for children with autism. Data were collected from 48 children with autism who participated in a larger randomized-controlled trial. Pre-treatment child characteristics included child, parent, and clinician report of child emotional and behavioural functioning. Primary outcome measures included child and parent-reported emotion regulation. Therapeutic alliance (bond and task-collaboration) was measured using observational coding of early and late therapy sessions. Pre-treatment levels of child-reported emotion inhibition were associated with subsequent early and late bond. Pre-treatment levels of parent and child-reported emotion regulation were related to early and late task-collaboration. Late task-collaboration was also associated with pre-treatment levels of behavioural and emotional symptom severity. Task-collaboration in later sessions predicted improvements in parent-reported emotion regulation from pre- to post-therapy. Future research is needed to further examine the role of task-collaboration as a mechanism of treatment change in therapies for children with autism. En ligne : http://dx.doi.org/10.1177/1362361319849985 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414 [article] Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism [Texte imprimé et/ou numérique] / Carly ALBAUM, Auteur ; Paula TABLON-MODICA, Auteur ; F. ROUDBARANI, Auteur ; J. A. WEISS, Auteur . - p.211-220. Langues : Anglais (eng) in Autism > 24-1 (January 2020) . - p.211-220 Mots-clés : autism  children  cognitive behavioural therapy  therapeutic alliance Index. décimale : PER Périodiques Résumé : Therapeutic alliance is often an important aspect of psychotherapy, though it is rarely examined in clients with autism. This study aims to determine the child pre-treatment variables and treatment outcomes associated with early and late alliance in cognitive behaviour therapy targeting emotion regulation for children with autism. Data were collected from 48 children with autism who participated in a larger randomized-controlled trial. Pre-treatment child characteristics included child, parent, and clinician report of child emotional and behavioural functioning. Primary outcome measures included child and parent-reported emotion regulation. Therapeutic alliance (bond and task-collaboration) was measured using observational coding of early and late therapy sessions. Pre-treatment levels of child-reported emotion inhibition were associated with subsequent early and late bond. Pre-treatment levels of parent and child-reported emotion regulation were related to early and late task-collaboration. Late task-collaboration was also associated with pre-treatment levels of behavioural and emotional symptom severity. Task-collaboration in later sessions predicted improvements in parent-reported emotion regulation from pre- to post-therapy. Future research is needed to further examine the role of task-collaboration as a mechanism of treatment change in therapies for children with autism. En ligne : http://dx.doi.org/10.1177/1362361319849985 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414

A randomized waitlist-controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism / J. A. WEISS in Journal of Child Psychology and Psychiatry, 59-11 (November 2018)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 59-11 (November 2018) . - p.1180-1191 Titre : A randomized waitlist-controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism Type de document : Texte imprimé et/ou numérique Auteurs : J. A. WEISS, Auteur ; K. THOMSON, Auteur ; Priscilla BURNHAM RIOSA, Auteur ; Carly ALBAUM, Auteur ; Victoria CHAN, Auteur ; A. MAUGHAN, Auteur ; Paula TABLON-MODICA, Auteur ; Karen R. BLACK, Auteur Article en page(s) : p.1180-1191 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  cognitive behavior therapy  emotion regulation  mental health  treatment Index. décimale : PER Périodiques Résumé : BACKGROUND: Mental health problems are common among individuals with autism spectrum disorder (ASD), and difficulties with emotion regulation processes may underlie these issues. Cognitive behavior therapy (CBT) is considered an efficacious treatment for anxiety in children with ASD. Additional research is needed to examine the efficacy of a transdiagnostic treatment approach, whereby the same treatment can be applied to multiple emotional problems, beyond solely anxiety. The purpose of the present study was to examine the efficacy of a manualized and individually delivered 10-session, transdiagnostic CBT intervention, aimed at improving emotion regulation and mental health difficulties in children with ASD. METHODS: Sixty-eight children (M age = 9.75, SD = 1.27) and their parents participated in the study, randomly allocated to either a treatment immediate (n = 35) or waitlist control condition (n = 33) (ISRCTN #67079741). Parent-, child-, and clinician-reported measures of emotion regulation and mental health were administered at baseline, postintervention/postwaitlist, and at 10-week follow-up. RESULTS: Children in the treatment immediate condition demonstrated significant improvements on measures of emotion regulation (i.e., emotionality, emotion regulation abilities with social skills) and aspects of psychopathology (i.e., a composite measure of internalizing and externalizing symptoms, adaptive behaviors) compared to those in the waitlist control condition. Treatment gains were maintained at follow-up. CONCLUSIONS: This study is the first transdiagnostic CBT efficacy trial for children with ASD. Additional investigations are needed to further establish its relative efficacy compared to more traditional models of CBT for children with ASD and other neurodevelopmental conditions. En ligne : http://dx.doi.org/10.1111/jcpp.12915 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 [article] A randomized waitlist-controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism [Texte imprimé et/ou numérique] / J. A. WEISS, Auteur ; K. THOMSON, Auteur ; Priscilla BURNHAM RIOSA, Auteur ; Carly ALBAUM, Auteur ; Victoria CHAN, Auteur ; A. MAUGHAN, Auteur ; Paula TABLON-MODICA, Auteur ; Karen R. BLACK, Auteur . - p.1180-1191. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 59-11 (November 2018) . - p.1180-1191 Mots-clés : Autism spectrum disorder  cognitive behavior therapy  emotion regulation  mental health  treatment Index. décimale : PER Périodiques Résumé : BACKGROUND: Mental health problems are common among individuals with autism spectrum disorder (ASD), and difficulties with emotion regulation processes may underlie these issues. Cognitive behavior therapy (CBT) is considered an efficacious treatment for anxiety in children with ASD. Additional research is needed to examine the efficacy of a transdiagnostic treatment approach, whereby the same treatment can be applied to multiple emotional problems, beyond solely anxiety. The purpose of the present study was to examine the efficacy of a manualized and individually delivered 10-session, transdiagnostic CBT intervention, aimed at improving emotion regulation and mental health difficulties in children with ASD. METHODS: Sixty-eight children (M age = 9.75, SD = 1.27) and their parents participated in the study, randomly allocated to either a treatment immediate (n = 35) or waitlist control condition (n = 33) (ISRCTN #67079741). Parent-, child-, and clinician-reported measures of emotion regulation and mental health were administered at baseline, postintervention/postwaitlist, and at 10-week follow-up. RESULTS: Children in the treatment immediate condition demonstrated significant improvements on measures of emotion regulation (i.e., emotionality, emotion regulation abilities with social skills) and aspects of psychopathology (i.e., a composite measure of internalizing and externalizing symptoms, adaptive behaviors) compared to those in the waitlist control condition. Treatment gains were maintained at follow-up. CONCLUSIONS: This study is the first transdiagnostic CBT efficacy trial for children with ASD. Additional investigations are needed to further establish its relative efficacy compared to more traditional models of CBT for children with ASD and other neurodevelopmental conditions. En ligne : http://dx.doi.org/10.1111/jcpp.12915 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370

The impact of COVID-19 on the mental health and wellbeing of caregivers of autistic children and youth: A scoping review / V. LEE in Autism Research, 14-12 (December 2021)  

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