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 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] / 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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