Emotion regulation and behavior concerns: An examination of outcomes for a school-based CBT intervention for anxiety in students with autism or suspected autism / Allison T. MEYER in Research in Autism, 128 (October 2025)  

Public ISBD [article]  inResearch in Autism > 128 (October 2025) . - p.202711 Titre : Emotion regulation and behavior concerns: An examination of outcomes for a school-based CBT intervention for anxiety in students with autism or suspected autism Type de document : texte imprimé Auteurs : Allison T. MEYER, Auteur ; Katherine PICKARD, Auteur ; Nuri M. REYES, Auteur ; Richard BOLES, Auteur ; Lisa HAYUTIN, Auteur ; Caitlin MIDDLETON, Auteur ; Audrey BLAKELEY-SMITH, Auteur ; Judy REAVEN, Auteur Article en page(s) : p.202711 Langues : Anglais (eng) Mots-clés : Autism  Anxiety  Emotion regulation  Externalizing behaviors  Cognitive behavioral therapy (CBT)  School-based intervention Index. décimale : PER Périodiques Résumé : Autistic youth are at elevated risk for co-occurring mental health challenges, including internalizing and externalizing symptoms. Emotion regulation (ER) difficulties may be a transdiagnostic mechanism underlying these symptoms; however, further research is needed to examine how anxiety interventions impact ER in autistic youth. Emerging evidence suggests that Cognitive Behavior Therapy (CBT) for anxiety such as the Facing Your Fears (FYF) program, may also influence ER and understanding these outcomes could provide critical insights for tailoring interventions to better address the complex mental health needs of autistic youth. This study utilized secondary data from a cluster randomized trial evaluating the Facing Your Fears in Schools (FYF-S) program, a manualized, group-based, CBT intervention for autistic youth with anxiety. We assessed changes in (1) emotion dysregulation; and (2) externalizing behavior for youth randomized to either FYF-S or Usual Care (UC). Participants included 81 students aged 8–14 with autism or suspected autism and interfering anxiety symptoms, all receiving services through an Individualized Education Plan (IEP). Parents and students reported on ER and externalizing symptoms pre-post intervention. Results indicated that children in the FYF-S group reported significantly greater reductions in emotional symptoms and behavioral difficulties compared to UC, with marginal improvements in conduct problems based on child report. No significant changes were noted in parent-reported outcomes. This suggests that the impact of FYF-S may go beyond anxiety reduction alone according to youth report; however, it was surprising that parent report of ER and externalizing symptoms did not change pre-post intervention. En ligne : https://doi.org/10.1016/j.reia.2025.202711 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=570 [article] Emotion regulation and behavior concerns: An examination of outcomes for a school-based CBT intervention for anxiety in students with autism or suspected autism [texte imprimé] / Allison T. MEYER, Auteur ; Katherine PICKARD, Auteur ; Nuri M. REYES, Auteur ; Richard BOLES, Auteur ; Lisa HAYUTIN, Auteur ; Caitlin MIDDLETON, Auteur ; Audrey BLAKELEY-SMITH, Auteur ; Judy REAVEN, Auteur . - p.202711. Langues : Anglais (eng) in Research in Autism > 128 (October 2025) . - p.202711 Mots-clés : Autism  Anxiety  Emotion regulation  Externalizing behaviors  Cognitive behavioral therapy (CBT)  School-based intervention Index. décimale : PER Périodiques Résumé : Autistic youth are at elevated risk for co-occurring mental health challenges, including internalizing and externalizing symptoms. Emotion regulation (ER) difficulties may be a transdiagnostic mechanism underlying these symptoms; however, further research is needed to examine how anxiety interventions impact ER in autistic youth. Emerging evidence suggests that Cognitive Behavior Therapy (CBT) for anxiety such as the Facing Your Fears (FYF) program, may also influence ER and understanding these outcomes could provide critical insights for tailoring interventions to better address the complex mental health needs of autistic youth. This study utilized secondary data from a cluster randomized trial evaluating the Facing Your Fears in Schools (FYF-S) program, a manualized, group-based, CBT intervention for autistic youth with anxiety. We assessed changes in (1) emotion dysregulation; and (2) externalizing behavior for youth randomized to either FYF-S or Usual Care (UC). Participants included 81 students aged 8–14 with autism or suspected autism and interfering anxiety symptoms, all receiving services through an Individualized Education Plan (IEP). Parents and students reported on ER and externalizing symptoms pre-post intervention. Results indicated that children in the FYF-S group reported significantly greater reductions in emotional symptoms and behavioral difficulties compared to UC, with marginal improvements in conduct problems based on child report. No significant changes were noted in parent-reported outcomes. This suggests that the impact of FYF-S may go beyond anxiety reduction alone according to youth report; however, it was surprising that parent report of ER and externalizing symptoms did not change pre-post intervention. En ligne : https://doi.org/10.1016/j.reia.2025.202711 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=570

Implementing school-based cognitive behavior therapy for anxiety in students with autism or suspected autism via a train-the-trainer approach: Results from a clustered randomized trial / Katherine PICKARD ; Allison T. MEYER ; Lisa HAYUTIN ; Caitlin MIDDLETON ; Nuri M. REYES ; Tanea TANDA ; Aubyn STAHMER ; Audrey BLAKELEY-SMITH ; Richard BOLES in Autism, 28-2 (February 2024)  

Public ISBD [article]  inAutism > 28-2 (February 2024) . - p.484?497 Titre : Implementing school-based cognitive behavior therapy for anxiety in students with autism or suspected autism via a train-the-trainer approach: Results from a clustered randomized trial Type de document : texte imprimé Auteurs : Katherine PICKARD, Auteur ; Allison T. MEYER, Auteur ; Lisa HAYUTIN, Auteur ; Caitlin MIDDLETON, Auteur ; Nuri M. REYES, Auteur ; Tanea TANDA, Auteur ; Aubyn STAHMER, Auteur ; Audrey BLAKELEY-SMITH, Auteur ; Richard BOLES, Auteur Article en page(s) : p.484?497 Mots-clés : anxiety  autism spectrum disorders  education services  interventions?psychosocial/behavioral  school-age children Index. décimale : PER Périodiques Résumé : Autistic youth frequently experience interfering anxiety, and schools may be an ideal setting to deliver mental health care. A type 1 hybrid-effectiveness, cluster randomized trial was used to examine the effectiveness of school-based Facing Your Fears compared to usual care. Change in provider cognitive behavior therapy knowledge and treatment fidelity (adherence and provider competence) were also examined. Seventy-seven interdisciplinary school providers across 25 elementary/middle schools were trained via a train-the-trainer approach. Eighty-one students, ages 8 14 years, with autism or suspected autism and anxiety participated. Students who received school-based Facing Your Fears displayed significantly greater reductions in anxiety compared to students in usual care according to caregiver and child report (Screen for Anxiety and Related Emotional Disorders). Significant reductions in total anxiety (p 0.012), separation (p 0.002), and social anxiety (p 0.003) subscales occurred, according to parent report. Student self-report indicated significant reductions on the social anxiety subscales (p 0.001). Interdisciplinary school providers demonstrated significantly increased cognitive behavior therapy knowledge following training (p?< 0.001). Mean adherence and competence ratings were strong. The positive effectiveness and implementation outcomes are encouraging. Training interdisciplinary school providers to deliver school-based Facing Your Fears has the potential to increase access to care for anxious autistic students. Future directions and limitations are discussed. Lay Abstract Autistic youth frequently experience anxiety that can negatively affect them at home, with friends, and at school. Autistic youth have difficulty accessing mental health care, and this is particularly true for youth from traditionally underserved backgrounds. Providing mental health programs in schools may increase access to care for autistic youth with anxiety. The purpose of the study was to train interdisciplinary school providers to deliver school-based Facing Your Fears, a cognitive behavior therapy program for anxiety in autistic youth. Seventy-seven interdisciplinary school providers across 25 elementary/middle schools were trained by their colleagues and members of the research (train-the-trainer approach). Eighty-one students with autism or suspected autism, ages 8 14 years, were randomly assigned to either school-based Facing Your Fears or usual care. Students in school-based Facing Your Fears showed significant reductions in anxiety compared to students in usual care according to caregiver and student report. Other measures involved examining change in provider cognitive behavior therapy knowledge after training and determining how well interdisciplinary school providers were able to deliver school-based Facing Your Fears. Results indicated that interdisciplinary school providers showed significant improvements in cognitive behavior therapy knowledge after training. Interdisciplinary school providers were able to deliver most of school-based Facing Your Fears activities and with good quality. The positive outcomes in this study are encouraging. Training interdisciplinary school providers to deliver school-based Facing Your Fears may increase access to care for anxious autistic students. Future directions and limitations are discussed. En ligne : https://dx.doi.org/10.1177/13623613231175951 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519 [article] Implementing school-based cognitive behavior therapy for anxiety in students with autism or suspected autism via a train-the-trainer approach: Results from a clustered randomized trial [texte imprimé] / Katherine PICKARD, Auteur ; Allison T. MEYER, Auteur ; Lisa HAYUTIN, Auteur ; Caitlin MIDDLETON, Auteur ; Nuri M. REYES, Auteur ; Tanea TANDA, Auteur ; Aubyn STAHMER, Auteur ; Audrey BLAKELEY-SMITH, Auteur ; Richard BOLES, Auteur . - p.484?497. in Autism > 28-2 (February 2024) . - p.484?497 Mots-clés : anxiety  autism spectrum disorders  education services  interventions?psychosocial/behavioral  school-age children Index. décimale : PER Périodiques Résumé : Autistic youth frequently experience interfering anxiety, and schools may be an ideal setting to deliver mental health care. A type 1 hybrid-effectiveness, cluster randomized trial was used to examine the effectiveness of school-based Facing Your Fears compared to usual care. Change in provider cognitive behavior therapy knowledge and treatment fidelity (adherence and provider competence) were also examined. Seventy-seven interdisciplinary school providers across 25 elementary/middle schools were trained via a train-the-trainer approach. Eighty-one students, ages 8 14 years, with autism or suspected autism and anxiety participated. Students who received school-based Facing Your Fears displayed significantly greater reductions in anxiety compared to students in usual care according to caregiver and child report (Screen for Anxiety and Related Emotional Disorders). Significant reductions in total anxiety (p 0.012), separation (p 0.002), and social anxiety (p 0.003) subscales occurred, according to parent report. Student self-report indicated significant reductions on the social anxiety subscales (p 0.001). Interdisciplinary school providers demonstrated significantly increased cognitive behavior therapy knowledge following training (p?< 0.001). Mean adherence and competence ratings were strong. The positive effectiveness and implementation outcomes are encouraging. Training interdisciplinary school providers to deliver school-based Facing Your Fears has the potential to increase access to care for anxious autistic students. Future directions and limitations are discussed. Lay Abstract Autistic youth frequently experience anxiety that can negatively affect them at home, with friends, and at school. Autistic youth have difficulty accessing mental health care, and this is particularly true for youth from traditionally underserved backgrounds. Providing mental health programs in schools may increase access to care for autistic youth with anxiety. The purpose of the study was to train interdisciplinary school providers to deliver school-based Facing Your Fears, a cognitive behavior therapy program for anxiety in autistic youth. Seventy-seven interdisciplinary school providers across 25 elementary/middle schools were trained by their colleagues and members of the research (train-the-trainer approach). Eighty-one students with autism or suspected autism, ages 8 14 years, were randomly assigned to either school-based Facing Your Fears or usual care. Students in school-based Facing Your Fears showed significant reductions in anxiety compared to students in usual care according to caregiver and student report. Other measures involved examining change in provider cognitive behavior therapy knowledge after training and determining how well interdisciplinary school providers were able to deliver school-based Facing Your Fears. Results indicated that interdisciplinary school providers showed significant improvements in cognitive behavior therapy knowledge after training. Interdisciplinary school providers were able to deliver most of school-based Facing Your Fears activities and with good quality. The positive outcomes in this study are encouraging. Training interdisciplinary school providers to deliver school-based Facing Your Fears may increase access to care for anxious autistic students. Future directions and limitations are discussed. En ligne : https://dx.doi.org/10.1177/13623613231175951 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519

“It’s Really Complicated”: Engaging Key Stakeholders to Inform a Novel Parent-led Sexual Health Education Program for Autistic Youth / Kelly T. COSGROVE in Journal of Autism and Developmental Disorders, 56-3 (March 2026)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 56-3 (March 2026) . - p.1150-1162 Titre : “It’s Really Complicated”: Engaging Key Stakeholders to Inform a Novel Parent-led Sexual Health Education Program for Autistic Youth Type de document : texte imprimé Auteurs : Kelly T. COSGROVE, Auteur ; Caitlin MIDDLETON, Auteur ; Talia G. THOMPSON, Auteur ; Brian BE, Auteur ; Lindsey DEVRIES, Auteur Article en page(s) : p.1150-1162 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Autistic adolescents frequently encounter difficulties in managing changes associated with puberty, sexuality, and relationships, and parents may be a useful source of sexual and reproductive health education (SRE) for this population. Despite this, few evidence-based programs exist to support parents in this role. Thus, there is a need for the development of such programs, particularly those incorporating the lived experiences of key stakeholders. The present qualitative investigation aimed to determine the SRE needs of autistic youth and to inform a novel, parent-led SRE program. Data were collected through semi-structured interviews conducted with two rounds of focus groups with two stakeholder groups: parents of autistic children (N = 4) and adult autistic self-advocates (N = 4). Focus groups were recorded and transcribed verbatim. The research team conducted rapid qualitative analysis on all four transcripts, and major findings were summarized and triangulated across groups. Four overarching themes were identified: “Empower parents as educators,” “Individualize supports and education,” “Consider cultural and intersecting identities,” and “Prioritize safety.” Parents can serve a primary role in providing SRE to autistic youth and would likely benefit from participating in a tailored program that prioritizes safety and considers the influence of culture and other aspects of identity on content delivery. Future research on the implementation of such a program is needed. En ligne : https://doi.org/10.1007/s10803-024-06620-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=582 [article] “It’s Really Complicated”: Engaging Key Stakeholders to Inform a Novel Parent-led Sexual Health Education Program for Autistic Youth [texte imprimé] / Kelly T. COSGROVE, Auteur ; Caitlin MIDDLETON, Auteur ; Talia G. THOMPSON, Auteur ; Brian BE, Auteur ; Lindsey DEVRIES, Auteur . - p.1150-1162. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 56-3 (March 2026) . - p.1150-1162 Index. décimale : PER Périodiques Résumé : Autistic adolescents frequently encounter difficulties in managing changes associated with puberty, sexuality, and relationships, and parents may be a useful source of sexual and reproductive health education (SRE) for this population. Despite this, few evidence-based programs exist to support parents in this role. Thus, there is a need for the development of such programs, particularly those incorporating the lived experiences of key stakeholders. The present qualitative investigation aimed to determine the SRE needs of autistic youth and to inform a novel, parent-led SRE program. Data were collected through semi-structured interviews conducted with two rounds of focus groups with two stakeholder groups: parents of autistic children (N = 4) and adult autistic self-advocates (N = 4). Focus groups were recorded and transcribed verbatim. The research team conducted rapid qualitative analysis on all four transcripts, and major findings were summarized and triangulated across groups. Four overarching themes were identified: “Empower parents as educators,” “Individualize supports and education,” “Consider cultural and intersecting identities,” and “Prioritize safety.” Parents can serve a primary role in providing SRE to autistic youth and would likely benefit from participating in a tailored program that prioritizes safety and considers the influence of culture and other aspects of identity on content delivery. Future research on the implementation of such a program is needed. En ligne : https://doi.org/10.1007/s10803-024-06620-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=582

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