Autism Spectrum Disorder Versus Obsessive-Compulsive Disorder and Tourette?s Disorder / Stacey C. GREBE ; Rebecca J. CLAYTON ; Sophie C. SCHNEIDER ; Andres G. VIANA ; Sarah S. MIRE ; Yasmine OMAR ; Wayne K. GOODMAN ; Eric A. STORCH

Public ISBD in Differential diagnosis of autism spectrum disorder / Katherine K. M. STAVROPOULOS Titre : Autism Spectrum Disorder Versus Obsessive-Compulsive Disorder and Tourette?s Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Stacey C. GREBE, Auteur ; Rebecca J. CLAYTON, Auteur ; Sophie C. SCHNEIDER, Auteur ; Andres G. VIANA, Auteur ; Sarah S. MIRE, Auteur ; Yasmine OMAR, Auteur ; Wayne K. GOODMAN, Auteur ; Eric A. STORCH, Auteur Année de publication : 2022 Importance : p.158-175 Langues : Anglais (eng) Index. décimale : AUT-D AUT-D - L'Autisme - Dépistage et Diagnostic Résumé : This chapter discusses considerations, methods, and procedures to assist clinicians in making differential diagnoses of autism spectrum disorder (ASD) versus obsessive-compulsive disorder (OCD) and/or Tourette?s disorder (TD). After reviewing the respective clinical presentations and comorbidities of OCD, TD, and ASD, the chapter discusses the symptom overlap of these diagnoses. The shared features among OCD, TD, and the restricted and repetitive patterns of behaviors, interests, and activities seen in ASD can make differential or dual diagnosis challenging. Two clinical case studies, assessment recommendations, and a clinical decision-making tree are included to assist readers in making accurate differential diagnoses. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528 in Differential diagnosis of autism spectrum disorder / Katherine K. M. STAVROPOULOS Autism Spectrum Disorder Versus Obsessive-Compulsive Disorder and Tourette?s Disorder [Texte imprimé et/ou numérique] / Stacey C. GREBE, Auteur ; Rebecca J. CLAYTON, Auteur ; Sophie C. SCHNEIDER, Auteur ; Andres G. VIANA, Auteur ; Sarah S. MIRE, Auteur ; Yasmine OMAR, Auteur ; Wayne K. GOODMAN, Auteur ; Eric A. STORCH, Auteur . - 2022 . - p.158-175. Langues : Anglais (eng) Index. décimale : AUT-D AUT-D - L'Autisme - Dépistage et Diagnostic Résumé : This chapter discusses considerations, methods, and procedures to assist clinicians in making differential diagnoses of autism spectrum disorder (ASD) versus obsessive-compulsive disorder (OCD) and/or Tourette?s disorder (TD). After reviewing the respective clinical presentations and comorbidities of OCD, TD, and ASD, the chapter discusses the symptom overlap of these diagnoses. The shared features among OCD, TD, and the restricted and repetitive patterns of behaviors, interests, and activities seen in ASD can make differential or dual diagnosis challenging. Two clinical case studies, assessment recommendations, and a clinical decision-making tree are included to assist readers in making accurate differential diagnoses. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528

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Efficacy and acceptability of cognitive-behavioral therapy and serotonin reuptake inhibitors for pediatric obsessive-compulsive disorder: a network meta-analysis / Matti CERVIN in Journal of Child Psychology and Psychiatry, 65-5 (May 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.594-609 Titre : Efficacy and acceptability of cognitive-behavioral therapy and serotonin reuptake inhibitors for pediatric obsessive-compulsive disorder: a network meta-analysis Type de document : Texte imprimé et/ou numérique Auteurs : Matti CERVIN, Auteur ; Joseph F. MCGUIRE, Auteur ; Johann M. D'SOUZA, Auteur ; Alessandro S. DE NADAI, Auteur ; Kristina ASPVALL, Auteur ; Wayne K. GOODMAN, Auteur ; Per ANDRÉN, Auteur ; Sophie C. SCHNEIDER, Auteur ; Daniel A. GELLER, Auteur ; David MATAIX-COLS, Auteur ; Eric A. STORCH, Auteur Article en page(s) : p.594-609 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Cognitive-behavioral therapy (CBT) and serotonin reuptake inhibitors (SRIs) are recommended treatments for pediatric obsessive-compulsive disorder (OCD), but their relative efficacy and acceptability have not been comprehensively examined. Further, it remains unclear whether the efficacy of in-person CBT is conserved when delivered in other formats, such as over telephone/webcam or as Internet-delivered CBT (ICBT). Methods PubMed, PsycINFO, trial registries, and previous systematic reviews were searched for randomized controlled trials (RCTs) comparing CBT (in-person, webcam/telephone-delivered, or ICBT) or SRIs with control conditions or each other. Network meta-analyses were conducted to examine efficacy (post-treatment Children's Yale-Brown Obsessive Compulsive Scale) and acceptability (treatment discontinuation). Confidence in effect estimates was evaluated with CINeMA (Confidence in Network Meta-Analysis). Results Thirty eligible RCTs and 35 contrasts comprising 2,057 youth with OCD were identified. In-person CBT was significantly more efficacious than ICBT, waitlist, relaxation training, and pill placebo (MD range: 3.95-11.10; CINeMA estimate of confidence: moderate) but did not differ significantly from CBT delivered via webcam/telephone (MD: 0.85 [?2.51, 4.21]; moderate), SRIs (MD: 3.07 [?0.07, 6.20]; low), or the combination of in-person CBT and SRIs (MD: ?1.20 [?5.29, 2.91]; low). SRIs were significantly more efficacious than pill placebo (MD: 4.59 [2.70, 6.48]; low) and waitlist (MD: 8.03 [4.24, 11.82]; moderate). No significant differences for acceptability emerged, but confidence in estimates was low. Conclusions In-person CBT and SRIs produce clear benefits compared to waitlist and pill placebo and should be integral parts of the clinical management of pediatric OCD, with in-person CBT overall having a stronger evidence base. The combination of in-person CBT and SRIs may be most efficacious, but few studies hinder firm conclusions. The efficacy of CBT appears conserved when delivered via webcam/telephone, while more trials evaluating ICBT are needed. En ligne : https://doi.org/10.1111/jcpp.13934 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526 [article] Efficacy and acceptability of cognitive-behavioral therapy and serotonin reuptake inhibitors for pediatric obsessive-compulsive disorder: a network meta-analysis [Texte imprimé et/ou numérique] / Matti CERVIN, Auteur ; Joseph F. MCGUIRE, Auteur ; Johann M. D'SOUZA, Auteur ; Alessandro S. DE NADAI, Auteur ; Kristina ASPVALL, Auteur ; Wayne K. GOODMAN, Auteur ; Per ANDRÉN, Auteur ; Sophie C. SCHNEIDER, Auteur ; Daniel A. GELLER, Auteur ; David MATAIX-COLS, Auteur ; Eric A. STORCH, Auteur . - p.594-609. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.594-609 Index. décimale : PER Périodiques Résumé : Background Cognitive-behavioral therapy (CBT) and serotonin reuptake inhibitors (SRIs) are recommended treatments for pediatric obsessive-compulsive disorder (OCD), but their relative efficacy and acceptability have not been comprehensively examined. Further, it remains unclear whether the efficacy of in-person CBT is conserved when delivered in other formats, such as over telephone/webcam or as Internet-delivered CBT (ICBT). Methods PubMed, PsycINFO, trial registries, and previous systematic reviews were searched for randomized controlled trials (RCTs) comparing CBT (in-person, webcam/telephone-delivered, or ICBT) or SRIs with control conditions or each other. Network meta-analyses were conducted to examine efficacy (post-treatment Children's Yale-Brown Obsessive Compulsive Scale) and acceptability (treatment discontinuation). Confidence in effect estimates was evaluated with CINeMA (Confidence in Network Meta-Analysis). Results Thirty eligible RCTs and 35 contrasts comprising 2,057 youth with OCD were identified. In-person CBT was significantly more efficacious than ICBT, waitlist, relaxation training, and pill placebo (MD range: 3.95-11.10; CINeMA estimate of confidence: moderate) but did not differ significantly from CBT delivered via webcam/telephone (MD: 0.85 [?2.51, 4.21]; moderate), SRIs (MD: 3.07 [?0.07, 6.20]; low), or the combination of in-person CBT and SRIs (MD: ?1.20 [?5.29, 2.91]; low). SRIs were significantly more efficacious than pill placebo (MD: 4.59 [2.70, 6.48]; low) and waitlist (MD: 8.03 [4.24, 11.82]; moderate). No significant differences for acceptability emerged, but confidence in estimates was low. Conclusions In-person CBT and SRIs produce clear benefits compared to waitlist and pill placebo and should be integral parts of the clinical management of pediatric OCD, with in-person CBT overall having a stronger evidence base. The combination of in-person CBT and SRIs may be most efficacious, but few studies hinder firm conclusions. The efficacy of CBT appears conserved when delivered via webcam/telephone, while more trials evaluating ICBT are needed. En ligne : https://doi.org/10.1111/jcpp.13934 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526

Stepped-Care Cognitive Behavioral Therapy in Children on the Autism Spectrum with Co-occurring Anxiety / Sophie C. SCHNEIDER ; Sean M. OLSEN ; Ana C. RAMIREZ ; Leandra N. BERRY ; Robin P. GOIN-KOCHEL ; Morgan MCNEEL ; Abigail E. CANDELARI ; Andrew G. GUZICK ; Sandra L. CEPEDA ; Saira WEINZIMMER ; Robert G. VOIGT ; Troy QUAST ; Wayne K. GOODMAN ; Alison SALLOUM in Journal of Autism and Developmental Disorders, 54-1 (January 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-1 (January 2024) . - p.93-108 Titre : Stepped-Care Cognitive Behavioral Therapy in Children on the Autism Spectrum with Co-occurring Anxiety Type de document : Texte imprimé et/ou numérique Auteurs : Sophie C. SCHNEIDER, Auteur ; Sean M. OLSEN, Auteur ; Ana C. RAMIREZ, Auteur ; Leandra N. BERRY, Auteur ; Robin P. GOIN-KOCHEL, Auteur ; Morgan MCNEEL, Auteur ; Abigail E. CANDELARI, Auteur ; Andrew G. GUZICK, Auteur ; Sandra L. CEPEDA, Auteur ; Saira WEINZIMMER, Auteur ; Robert G. VOIGT, Auteur ; Troy QUAST, Auteur ; Wayne K. GOODMAN, Auteur ; Alison SALLOUM, Auteur Article en page(s) : p.93-108 Index. décimale : PER Périodiques Résumé : This trial examined stepped-care cognitive-behavioral treatment (CBT) among 96 autistic youth with co-occurring anxiety. Step 1 included an open trial of parent-led, therapist-guided bibliotherapy. Step 2 was family-based CBT for those who did not respond to Step 1 or maintenance for those who did. Eighteen participants (28%) who completed Step 1 responded. Responders reported significantly lower pre-treatment anxiety, internalizing symptoms, and functional impairment than non-responders. After Steps 1 and 2, 80% of completers (55% intent-to-treat) were responders. Anxiety, impairment, and ASD-related impairments significantly improved. Youth in maintenance experienced faster improvement through post-treatment, though there were no group differences at 3-month-follow-up. A stepped approach may help some individuals in Step 1, particularly those who are less anxious. En ligne : https://doi.org/10.1007/s10803-022-05775-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520 [article] Stepped-Care Cognitive Behavioral Therapy in Children on the Autism Spectrum with Co-occurring Anxiety [Texte imprimé et/ou numérique] / Sophie C. SCHNEIDER, Auteur ; Sean M. OLSEN, Auteur ; Ana C. RAMIREZ, Auteur ; Leandra N. BERRY, Auteur ; Robin P. GOIN-KOCHEL, Auteur ; Morgan MCNEEL, Auteur ; Abigail E. CANDELARI, Auteur ; Andrew G. GUZICK, Auteur ; Sandra L. CEPEDA, Auteur ; Saira WEINZIMMER, Auteur ; Robert G. VOIGT, Auteur ; Troy QUAST, Auteur ; Wayne K. GOODMAN, Auteur ; Alison SALLOUM, Auteur . - p.93-108. in Journal of Autism and Developmental Disorders > 54-1 (January 2024) . - p.93-108 Index. décimale : PER Périodiques Résumé : This trial examined stepped-care cognitive-behavioral treatment (CBT) among 96 autistic youth with co-occurring anxiety. Step 1 included an open trial of parent-led, therapist-guided bibliotherapy. Step 2 was family-based CBT for those who did not respond to Step 1 or maintenance for those who did. Eighteen participants (28%) who completed Step 1 responded. Responders reported significantly lower pre-treatment anxiety, internalizing symptoms, and functional impairment than non-responders. After Steps 1 and 2, 80% of completers (55% intent-to-treat) were responders. Anxiety, impairment, and ASD-related impairments significantly improved. Youth in maintenance experienced faster improvement through post-treatment, though there were no group differences at 3-month-follow-up. A stepped approach may help some individuals in Step 1, particularly those who are less anxious. En ligne : https://doi.org/10.1007/s10803-022-05775-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520

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