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

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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