Effects of cognitive-behavioral therapy on core aspects of anxiety in anxious youth with autism / Matti CERVIN in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102221 Titre : Effects of cognitive-behavioral therapy on core aspects of anxiety in anxious youth with autism Type de document : Texte imprimé et/ou numérique Auteurs : Matti CERVIN, Auteur ; Eric A. STORCH, Auteur ; Philip C. KENDALL, Auteur ; John D. HERRINGTON, Auteur ; Brent J. SMALL, Auteur ; Jeffrey J. WOOD, Auteur ; Connor M. KERNS, Auteur Article en page(s) : p.102221 Langues : Anglais (eng) Mots-clés : Anxiety  Children  Adolescents  Autism  Cognitive-behavioral therapy  Treatment Index. décimale : PER Périodiques Résumé : Background Anxiety disorders (ADs) are common in youth with autism and cognitive-behavioral therapy (CBT) may be less efficacious than among anxious youth without autism. Yet, little is known about which aspects of anxiety are targeted less effectively by CBT in youth with autism. Method We pooled youth with autism and ADs randomized to CBT or a control condition from five randomized controlled trials (RCTs; CBT, n = 197, Mage = 10.30 [2.05], age range: 7-16; control conditions, n = 83; Mage = 10.57 [2.30], age range: 7-16) and examined whether CBT outperformed control conditions across core aspects of anxiety and whether more pronounced autism traits predicted outcomes. CBT response in youth with autism was also compared to CBT response among anxious youth without autism (n = 129; Mage = 11.16 [2.80], age range: 7-17). Results CBT for youth with autism yielded significantly better effects than control conditions for frequency of symptoms, intensity of anxiety, avoidance, family interference, and social interference but not for physical symptoms of anxiety. Youth with more pronounced autism traits had poorer outcomes for frequency of symptoms, family interference, and social interference. Compared to anxious youth without autism, youth with autism had poorer outcomes for physical symptoms and family interference. Conclusions CBT is efficacious across core aspects of anxiety for youth with autism, but outcomes for anxiety-related interference, particularly for those with more pronounced autism traits, may be poorer than among youth without autism. More work is needed to better understand how anxiety impacts the everyday lives of anxious youth with autism and which interventions and support are needed. En ligne : https://doi.org/10.1016/j.rasd.2023.102221 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Effects of cognitive-behavioral therapy on core aspects of anxiety in anxious youth with autism [Texte imprimé et/ou numérique] / Matti CERVIN, Auteur ; Eric A. STORCH, Auteur ; Philip C. KENDALL, Auteur ; John D. HERRINGTON, Auteur ; Brent J. SMALL, Auteur ; Jeffrey J. WOOD, Auteur ; Connor M. KERNS, Auteur . - p.102221. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102221 Mots-clés : Anxiety  Children  Adolescents  Autism  Cognitive-behavioral therapy  Treatment Index. décimale : PER Périodiques Résumé : Background Anxiety disorders (ADs) are common in youth with autism and cognitive-behavioral therapy (CBT) may be less efficacious than among anxious youth without autism. Yet, little is known about which aspects of anxiety are targeted less effectively by CBT in youth with autism. Method We pooled youth with autism and ADs randomized to CBT or a control condition from five randomized controlled trials (RCTs; CBT, n = 197, Mage = 10.30 [2.05], age range: 7-16; control conditions, n = 83; Mage = 10.57 [2.30], age range: 7-16) and examined whether CBT outperformed control conditions across core aspects of anxiety and whether more pronounced autism traits predicted outcomes. CBT response in youth with autism was also compared to CBT response among anxious youth without autism (n = 129; Mage = 11.16 [2.80], age range: 7-17). Results CBT for youth with autism yielded significantly better effects than control conditions for frequency of symptoms, intensity of anxiety, avoidance, family interference, and social interference but not for physical symptoms of anxiety. Youth with more pronounced autism traits had poorer outcomes for frequency of symptoms, family interference, and social interference. Compared to anxious youth without autism, youth with autism had poorer outcomes for physical symptoms and family interference. Conclusions CBT is efficacious across core aspects of anxiety for youth with autism, but outcomes for anxiety-related interference, particularly for those with more pronounced autism traits, may be poorer than among youth without autism. More work is needed to better understand how anxiety impacts the everyday lives of anxious youth with autism and which interventions and support are needed. En ligne : https://doi.org/10.1016/j.rasd.2023.102221 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Examining the Relationship Between Anxiety Severity and Autism-Related Challenges During Cognitive Behavioral Therapy for Children with Autism / Madeleine N. FUSELIER in Journal of Autism and Developmental Disorders, 54-5 (May 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-5 (May 2024) . - p.1849-1856 Titre : Examining the Relationship Between Anxiety Severity and Autism-Related Challenges During Cognitive Behavioral Therapy for Children with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Madeleine N. FUSELIER, Auteur ; Andrew G. GUZICK, Auteur ; Jafar BAKHSHAIE, Auteur ; Jeffrey J. WOOD, Auteur ; Philip C. KENDALL, Auteur ; Connor M. KERNS, Auteur ; Brent J. SMALL, Auteur ; Wayne K. GOODMAN, Auteur ; Eric A. STORCH, Auteur Article en page(s) : p.1849-1856 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Purpose: Using data from a randomized clinical trial evaluating cognitive behavioral therapy (CBT) for children with autism and co-occurring anxiety, this study examined the relationship between autism features and anxiety symptoms throughout CBT. Methods: Two multilevel mediation analyses were run which examined the mediating role of changes in anxiety for changes in two core features of autism, (a) repetitive and restrictive behaviors (RRBs) and (b) social communication/interaction impairments, between pre- and post-treatment. Results: Indirect effects between time and autism characteristics were significant for both models, indicating that as anxiety changes, so do RRBs and social communication/interaction as the outcomes respectively. Conclusion: Findings suggest a bidirectional relationship between anxiety and autism features. Implications of these findings are discussed. En ligne : https://doi.org/10.1007/s10803-023-05912-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=530 [article] Examining the Relationship Between Anxiety Severity and Autism-Related Challenges During Cognitive Behavioral Therapy for Children with Autism [Texte imprimé et/ou numérique] / Madeleine N. FUSELIER, Auteur ; Andrew G. GUZICK, Auteur ; Jafar BAKHSHAIE, Auteur ; Jeffrey J. WOOD, Auteur ; Philip C. KENDALL, Auteur ; Connor M. KERNS, Auteur ; Brent J. SMALL, Auteur ; Wayne K. GOODMAN, Auteur ; Eric A. STORCH, Auteur . - p.1849-1856. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 54-5 (May 2024) . - p.1849-1856 Index. décimale : PER Périodiques Résumé : Purpose: Using data from a randomized clinical trial evaluating cognitive behavioral therapy (CBT) for children with autism and co-occurring anxiety, this study examined the relationship between autism features and anxiety symptoms throughout CBT. Methods: Two multilevel mediation analyses were run which examined the mediating role of changes in anxiety for changes in two core features of autism, (a) repetitive and restrictive behaviors (RRBs) and (b) social communication/interaction impairments, between pre- and post-treatment. Results: Indirect effects between time and autism characteristics were significant for both models, indicating that as anxiety changes, so do RRBs and social communication/interaction as the outcomes respectively. Conclusion: Findings suggest a bidirectional relationship between anxiety and autism features. Implications of these findings are discussed. En ligne : https://doi.org/10.1007/s10803-023-05912-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=530

Idiographic Coping Outcomes in Youth with Autism Spectrum Disorder and Co-Occurring Anxiety: Results from the TAASD Study / Jonathan C. RABNER ; Eric A. STORCH ; Jeffrey J. WOOD ; Connor KERNS ; Adam B. LEWIN ; Brent J. SMALL ; Philip C. KENDALL in Journal of Autism and Developmental Disorders, 53-12 (December 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-12 (December 2023) . - p.4711-4718 Titre : Idiographic Coping Outcomes in Youth with Autism Spectrum Disorder and Co-Occurring Anxiety: Results from the TAASD Study Type de document : Texte imprimé et/ou numérique Auteurs : Jonathan C. RABNER, Auteur ; Eric A. STORCH, Auteur ; Jeffrey J. WOOD, Auteur ; Connor KERNS, Auteur ; Adam B. LEWIN, Auteur ; Brent J. SMALL, Auteur ; Philip C. KENDALL, Auteur Article en page(s) : p.4711-4718 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Versions of cognitive behavioral therapy (Coping Cat, CC; Behavioral Interventions for Anxiety in Children with Autism, BIACA) have shown efficacy in treating anxiety among youth with autism spectrum disorder. Measures of efficacy have been primarily nomothetic symptom severity assessments. The current study examined idiographic coping outcomes in the Treatment of Anxiety in Autism Spectrum Disorder study (N=167). Longitudinal changes in coping with situations individualized to youth fears (Coping Questionnaire) were examined across CC, BIACA and treatment as usual (TAU) in a series of multilevel models. CC and BIACA produced significantly greater improvements than TAU in caregiver-reported coping. Youth report did not reflect significant differences. Results show the efficacy of CC and BIACA in improving idiographic caregiver-, but not youth-, reported youth coping. En ligne : https://doi.org/10.1007/s10803-022-05716-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=515 [article] Idiographic Coping Outcomes in Youth with Autism Spectrum Disorder and Co-Occurring Anxiety: Results from the TAASD Study [Texte imprimé et/ou numérique] / Jonathan C. RABNER, Auteur ; Eric A. STORCH, Auteur ; Jeffrey J. WOOD, Auteur ; Connor KERNS, Auteur ; Adam B. LEWIN, Auteur ; Brent J. SMALL, Auteur ; Philip C. KENDALL, Auteur . - p.4711-4718. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-12 (December 2023) . - p.4711-4718 Index. décimale : PER Périodiques Résumé : Versions of cognitive behavioral therapy (Coping Cat, CC; Behavioral Interventions for Anxiety in Children with Autism, BIACA) have shown efficacy in treating anxiety among youth with autism spectrum disorder. Measures of efficacy have been primarily nomothetic symptom severity assessments. The current study examined idiographic coping outcomes in the Treatment of Anxiety in Autism Spectrum Disorder study (N=167). Longitudinal changes in coping with situations individualized to youth fears (Coping Questionnaire) were examined across CC, BIACA and treatment as usual (TAU) in a series of multilevel models. CC and BIACA produced significantly greater improvements than TAU in caregiver-reported coping. Youth report did not reflect significant differences. Results show the efficacy of CC and BIACA in improving idiographic caregiver-, but not youth-, reported youth coping. En ligne : https://doi.org/10.1007/s10803-022-05716-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=515

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