Feasibility and preliminary efficacy of behavioral activation for treatment of depression in autistic adolescents / Christina BURROUGHS ; Jessica PAPPAGIANOPOULOS ; Eleonora SADIKOVA ; Emily FUHRMANN ; Genevieve BOHAC ; Robert CROSS ; Lauren WITTE ; Gabrielle BRINKMANN ; Rachel LEMLEY ; Denis G. SUKHODOLSKY ; Micah O. MAZUREK in Autism, 28-12 (December 2024)  

Public ISBD [article]  inAutism > 28-12 (December 2024) . - p.3021-3032 Titre : Feasibility and preliminary efficacy of behavioral activation for treatment of depression in autistic adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Christina BURROUGHS, Auteur ; Jessica PAPPAGIANOPOULOS, Auteur ; Eleonora SADIKOVA, Auteur ; Emily FUHRMANN, Auteur ; Genevieve BOHAC, Auteur ; Robert CROSS, Auteur ; Lauren WITTE, Auteur ; Gabrielle BRINKMANN, Auteur ; Rachel LEMLEY, Auteur ; Denis G. SUKHODOLSKY, Auteur ; Micah O. MAZUREK, Auteur Article en page(s) : p.3021-3032 Langues : Anglais (eng) Mots-clés : anxiety  autism spectrum disorders  depression  interventions-psychosocial/behavioral  psychiatric comorbidity Index. décimale : PER Périodiques Résumé : Depression is common among autistic youth and is associated with worse quality of life in this group. Despite significant need for high-quality efficacious treatments, there has been very limited research on interventions for depression in autistic youth. This single-arm pilot study examined the feasibility and preliminary efficacy of a novel, behavior-based approach for treatment of depression symptoms in autistic adolescents without intellectual disability (i.e. Behavioral Activation for Autistic Adolescents, BA-A). BA-A is an individually delivered manualized 12-session treatment that utilizes established BA strategies and incorporates common mental health treatment adaptations for autistic young people. Of the 18 youth (11-16 years old) who enrolled, 15 completed all 12 treatment sessions, as well as pre-treatment, post-treatment, and follow-up assessment visits. Clinician treatment fidelity was quite high. Paired sample t-tests found that depression symptoms decreased pre- to post-BA-A according to multiple informants (i.e. self, caregiver, and independent evaluator), and treatment gains were maintained at 1-month follow-up. Paired sample t-tests also found that caregiver-reported anxiety symptoms and social skills improved pre-treatment to post-treatment. The results, although preliminary, indicate that BA-A may improve depression symptoms in autistic youth without intellectual disability. Furthermore, these promising findings suggest that a randomized controlled trial of BA-A is warranted. This trial was pre-registered at ClinicalTrials.gov (NCT05018169). Lay Abstract Depression is common among autistic youth and has a significant negative impact on quality of life and day-to-day functioning. Despite great need for efficacious treatments, there are currently limited research-supported interventions for depression symptoms in autistic young people. This study tested a novel, behavior-based approach or psychotherapy for treatment of depression symptoms in autistic adolescents without intellectual disability (i.e. Behavioral Activation for Autistic Adolescents, BA-A) with 15 youth (11-16 years old). BA-A is an individually delivered 12-session therapy that was developed for and to meet the needs of autistic youth with depression. Results found that autistic youth and their caregivers were able to participate in BA-A therapy sessions, and clinicians were able to deliver BA-A in accordance with the treatment manual. Notably, results demonstrated that autistic youth depression symptoms significantly improved after participating in BA-A. Furthermore, anxiety symptoms and social skills significantly improved following BA-A. En ligne : https://dx.doi.org/10.1177/13623613241252470 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543 [article] Feasibility and preliminary efficacy of behavioral activation for treatment of depression in autistic adolescents [Texte imprimé et/ou numérique] / Christina BURROUGHS, Auteur ; Jessica PAPPAGIANOPOULOS, Auteur ; Eleonora SADIKOVA, Auteur ; Emily FUHRMANN, Auteur ; Genevieve BOHAC, Auteur ; Robert CROSS, Auteur ; Lauren WITTE, Auteur ; Gabrielle BRINKMANN, Auteur ; Rachel LEMLEY, Auteur ; Denis G. SUKHODOLSKY, Auteur ; Micah O. MAZUREK, Auteur . - p.3021-3032. Langues : Anglais (eng) in Autism > 28-12 (December 2024) . - p.3021-3032 Mots-clés : anxiety  autism spectrum disorders  depression  interventions-psychosocial/behavioral  psychiatric comorbidity Index. décimale : PER Périodiques Résumé : Depression is common among autistic youth and is associated with worse quality of life in this group. Despite significant need for high-quality efficacious treatments, there has been very limited research on interventions for depression in autistic youth. This single-arm pilot study examined the feasibility and preliminary efficacy of a novel, behavior-based approach for treatment of depression symptoms in autistic adolescents without intellectual disability (i.e. Behavioral Activation for Autistic Adolescents, BA-A). BA-A is an individually delivered manualized 12-session treatment that utilizes established BA strategies and incorporates common mental health treatment adaptations for autistic young people. Of the 18 youth (11-16 years old) who enrolled, 15 completed all 12 treatment sessions, as well as pre-treatment, post-treatment, and follow-up assessment visits. Clinician treatment fidelity was quite high. Paired sample t-tests found that depression symptoms decreased pre- to post-BA-A according to multiple informants (i.e. self, caregiver, and independent evaluator), and treatment gains were maintained at 1-month follow-up. Paired sample t-tests also found that caregiver-reported anxiety symptoms and social skills improved pre-treatment to post-treatment. The results, although preliminary, indicate that BA-A may improve depression symptoms in autistic youth without intellectual disability. Furthermore, these promising findings suggest that a randomized controlled trial of BA-A is warranted. This trial was pre-registered at ClinicalTrials.gov (NCT05018169). Lay Abstract Depression is common among autistic youth and has a significant negative impact on quality of life and day-to-day functioning. Despite great need for efficacious treatments, there are currently limited research-supported interventions for depression symptoms in autistic young people. This study tested a novel, behavior-based approach or psychotherapy for treatment of depression symptoms in autistic adolescents without intellectual disability (i.e. Behavioral Activation for Autistic Adolescents, BA-A) with 15 youth (11-16 years old). BA-A is an individually delivered 12-session therapy that was developed for and to meet the needs of autistic youth with depression. Results found that autistic youth and their caregivers were able to participate in BA-A therapy sessions, and clinicians were able to deliver BA-A in accordance with the treatment manual. Notably, results demonstrated that autistic youth depression symptoms significantly improved after participating in BA-A. Furthermore, anxiety symptoms and social skills significantly improved following BA-A. En ligne : https://dx.doi.org/10.1177/13623613241252470 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543

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