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 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] / 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 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] / 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 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] / 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

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 Auteurs : E. A. STORCH, Auteur ; J. J. WOOD, Auteur ; A. G. GUZICK, Auteur ; Brent 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] / E. A. STORCH, Auteur ; J. J. WOOD, Auteur ; A. G. GUZICK, Auteur ; Brent 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

Presentation and Correlates of Hoarding Behaviors in Children with Autism Spectrum Disorders and Comorbid Anxiety or Obsessive-Compulsive Symptoms / V. LA BUISSONNIERE-ARIZA in Journal of Autism and Developmental Disorders, 48-12 (December 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4167-4178 Titre : Presentation and Correlates of Hoarding Behaviors in Children with Autism Spectrum Disorders and Comorbid Anxiety or Obsessive-Compulsive Symptoms Type de document : texte imprimé Auteurs : V. LA BUISSONNIERE-ARIZA, Auteur ; J. J. WOOD, Auteur ; P. C. KENDALL, Auteur ; N. M. MCBRIDE, Auteur ; S. L. CEPEDA, Auteur ; Brent J. SMALL, Auteur ; A. B. LEWIN, Auteur ; Connor M. KERNS, Auteur ; E. A. STORCH, Auteur Article en page(s) : p.4167-4178 Langues : Anglais (eng) Mots-clés : Asd  Anxiety  Autism  Hoarding  Ocd  Pediatric  Prevalence Index. décimale : PER Périodiques Résumé : We investigated the presentation and correlates of hoarding behaviors in 204 children aged 7-13 with autism spectrum disorder (ASD) and comorbid anxiety or obsessive-compulsive disorder (OCD) symptoms. Approximately 34% of the sample presented at least moderate levels, and with 7% presenting severe to extreme levels of hoarding. Child gender predicted hoarding severity. In addition, child ASD-related social difficulties together with attention-deficit and hyperactivity disorder symptom severity positively predicted hoarding controlling for child gender and restricted and repetitive behaviors. Finally, child anxiety/OCD symptoms positively predicted hoarding, controlling for all other factors. These results suggest hoarding behaviors may constitute a common feature of pediatric ASD with comorbid anxiety/OCD, particularly in girls and children with greater social difficulties and comorbid psychiatric symptom severity. En ligne : http://dx.doi.org/10.1007/s10803-018-3645-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371 [article] Presentation and Correlates of Hoarding Behaviors in Children with Autism Spectrum Disorders and Comorbid Anxiety or Obsessive-Compulsive Symptoms [texte imprimé] / V. LA BUISSONNIERE-ARIZA, Auteur ; J. J. WOOD, Auteur ; P. C. KENDALL, Auteur ; N. M. MCBRIDE, Auteur ; S. L. CEPEDA, Auteur ; Brent J. SMALL, Auteur ; A. B. LEWIN, Auteur ; Connor M. KERNS, Auteur ; E. A. STORCH, Auteur . - p.4167-4178. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4167-4178 Mots-clés : Asd  Anxiety  Autism  Hoarding  Ocd  Pediatric  Prevalence Index. décimale : PER Périodiques Résumé : We investigated the presentation and correlates of hoarding behaviors in 204 children aged 7-13 with autism spectrum disorder (ASD) and comorbid anxiety or obsessive-compulsive disorder (OCD) symptoms. Approximately 34% of the sample presented at least moderate levels, and with 7% presenting severe to extreme levels of hoarding. Child gender predicted hoarding severity. In addition, child ASD-related social difficulties together with attention-deficit and hyperactivity disorder symptom severity positively predicted hoarding controlling for child gender and restricted and repetitive behaviors. Finally, child anxiety/OCD symptoms positively predicted hoarding, controlling for all other factors. These results suggest hoarding behaviors may constitute a common feature of pediatric ASD with comorbid anxiety/OCD, particularly in girls and children with greater social difficulties and comorbid psychiatric symptom severity. En ligne : http://dx.doi.org/10.1007/s10803-018-3645-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371

The relationship between peer victimization and the psychological characteristics of youth with autism spectrum disorder / Danielle UNG in Research in Autism Spectrum Disorders, 32 (December 2016)  

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