Adapted cognitive behavior therapy for obsessive-compulsive disorder with co-occurring autism spectrum disorder: A clinical effectiveness study / Oskar FLYGARE in Autism, 24-1 (January 2020)  

Public ISBD [article]  inAutism > 24-1 (January 2020) . - p.190-199 Titre : Adapted cognitive behavior therapy for obsessive-compulsive disorder with co-occurring autism spectrum disorder: A clinical effectiveness study Type de document : texte imprimé Auteurs : Oskar FLYGARE, Auteur ; Erik ANDERSSON, Auteur ; Helene RINGBERG, Auteur ; Anna-Clara HELLSTADIUS, Auteur ; Johan EDBACKEN, Auteur ; Jesper ENANDER, Auteur ; Matti DAHL, Auteur ; Kristina ASPVALL, Auteur ; Indra WINDH, Auteur ; Ailsa RUSSELL, Auteur ; David MATAIX-COLS, Auteur ; C. RUCK, Auteur Article en page(s) : p.190-199 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  cognitive behavior therapy  obsessive-compulsive disorder Index. décimale : PER Périodiques Résumé : Obsessive-compulsive disorder and autism spectrum disorder commonly co-occur. Adapted cognitive behavior therapy for obsessive-compulsive disorder in adults with autism spectrum disorder has not previously been evaluated outside the United Kingdom. In this study, 19 adults with obsessive-compulsive disorder and autism spectrum disorder were treated using an adapted cognitive behavior therapy protocol that consisted of 20 sessions focused on exposure with response prevention. The primary outcome was the clinician-rated Yale-Brown Obsessive-Compulsive Scale. Participants were assessed up to 3 months after treatment. There were significant reductions on the Yale-Brown Obsessive-Compulsive Scale at post-treatment (d = 1.5), and improvements were sustained at follow-up (d = 1.2). Self-rated obsessive-compulsive disorder and depressive symptoms showed statistically significant reductions. Improvements in general functioning and quality of life were statistically non-significant. Three participants (16%) were responders at post-treatment and four (21%) were in remission from obsessive-compulsive disorder. At follow-up, three participants (16%) were responders and one (5%) was in full remission. Adapted cognitive behavior therapy for obsessive-compulsive disorder in adults with co-occurring autism spectrum disorder is associated with reductions in obsessive-compulsive symptoms and depressive symptoms. However, outcomes are modest; few patients were completely symptom free, and treatment engagement was low with few completed exposures and low adherence to homework assignments. We identify and discuss the need for further treatment refinement for this vulnerable group. En ligne : http://dx.doi.org/10.1177/1362361319856974 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414 [article] Adapted cognitive behavior therapy for obsessive-compulsive disorder with co-occurring autism spectrum disorder: A clinical effectiveness study [texte imprimé] / Oskar FLYGARE, Auteur ; Erik ANDERSSON, Auteur ; Helene RINGBERG, Auteur ; Anna-Clara HELLSTADIUS, Auteur ; Johan EDBACKEN, Auteur ; Jesper ENANDER, Auteur ; Matti DAHL, Auteur ; Kristina ASPVALL, Auteur ; Indra WINDH, Auteur ; Ailsa RUSSELL, Auteur ; David MATAIX-COLS, Auteur ; C. RUCK, Auteur . - p.190-199. Langues : Anglais (eng) in Autism > 24-1 (January 2020) . - p.190-199 Mots-clés : autism spectrum disorder  cognitive behavior therapy  obsessive-compulsive disorder Index. décimale : PER Périodiques Résumé : Obsessive-compulsive disorder and autism spectrum disorder commonly co-occur. Adapted cognitive behavior therapy for obsessive-compulsive disorder in adults with autism spectrum disorder has not previously been evaluated outside the United Kingdom. In this study, 19 adults with obsessive-compulsive disorder and autism spectrum disorder were treated using an adapted cognitive behavior therapy protocol that consisted of 20 sessions focused on exposure with response prevention. The primary outcome was the clinician-rated Yale-Brown Obsessive-Compulsive Scale. Participants were assessed up to 3 months after treatment. There were significant reductions on the Yale-Brown Obsessive-Compulsive Scale at post-treatment (d = 1.5), and improvements were sustained at follow-up (d = 1.2). Self-rated obsessive-compulsive disorder and depressive symptoms showed statistically significant reductions. Improvements in general functioning and quality of life were statistically non-significant. Three participants (16%) were responders at post-treatment and four (21%) were in remission from obsessive-compulsive disorder. At follow-up, three participants (16%) were responders and one (5%) was in full remission. Adapted cognitive behavior therapy for obsessive-compulsive disorder in adults with co-occurring autism spectrum disorder is associated with reductions in obsessive-compulsive symptoms and depressive symptoms. However, outcomes are modest; few patients were completely symptom free, and treatment engagement was low with few completed exposures and low adherence to homework assignments. We identify and discuss the need for further treatment refinement for this vulnerable group. En ligne : http://dx.doi.org/10.1177/1362361319856974 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414

Adapting psychological therapies for autism / Kate COOPER in Research in Autism Spectrum Disorders, 45 (January 2018)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 45 (January 2018) . - p.43-50 Titre : Adapting psychological therapies for autism Type de document : texte imprimé Auteurs : Kate COOPER, Auteur ; Maria Elizabeth LOADES, Auteur ; Ailsa RUSSELL, Auteur Article en page(s) : p.43-50 Langues : Anglais (eng) Mots-clés : Cognitive behavioural therapy  Training  Psychological therapy  Autism  Therapist training Index. décimale : PER Périodiques Résumé : AbstractBackground Psychological interventions informed by cognitive behavioural theory have proven efficacy in treating mild-moderate anxiety and depression. They have been successfully adapted for autistic children and adults who experience disproportionately high rates of co-occurring emotional problems. There has been little research into the perspectives and experience of psychological therapists adapting cognitive behavioural therapy (CBT) as part of routine clinical practice. We surveyed therapist skills, experience and confidence in working psychologically with autistic people, in order to highlight gaps and needs, as well as strengths in terms of therapist skills when working with this group. Method Fifty therapists attending a training event completed a survey about their experience of adapting CBT for autistic clients, alongside a measure of therapist confidence. Results Almost all therapists reported making adaptations to CBT practice when working with autistic clients. Key challenges identified were rigidity in thinking and pacing sessions appropriately. Therapists were relatively confident about core engagement and assessment skills but reported less confidence in using their knowledge to help this group. Therapist confidence was not associated with years of practice or number of adaptations made, but was positively associated with level of therapy training received. Conclusions This study highlights a need for training and ongoing supervision to increase therapist confidence in and ability to make appropriate adaptations to CBT treatment protocols for autistic people. En ligne : https://doi.org/10.1016/j.rasd.2017.11.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=327 [article] Adapting psychological therapies for autism [texte imprimé] / Kate COOPER, Auteur ; Maria Elizabeth LOADES, Auteur ; Ailsa RUSSELL, Auteur . - p.43-50. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 45 (January 2018) . - p.43-50 Mots-clés : Cognitive behavioural therapy  Training  Psychological therapy  Autism  Therapist training Index. décimale : PER Périodiques Résumé : AbstractBackground Psychological interventions informed by cognitive behavioural theory have proven efficacy in treating mild-moderate anxiety and depression. They have been successfully adapted for autistic children and adults who experience disproportionately high rates of co-occurring emotional problems. There has been little research into the perspectives and experience of psychological therapists adapting cognitive behavioural therapy (CBT) as part of routine clinical practice. We surveyed therapist skills, experience and confidence in working psychologically with autistic people, in order to highlight gaps and needs, as well as strengths in terms of therapist skills when working with this group. Method Fifty therapists attending a training event completed a survey about their experience of adapting CBT for autistic clients, alongside a measure of therapist confidence. Results Almost all therapists reported making adaptations to CBT practice when working with autistic clients. Key challenges identified were rigidity in thinking and pacing sessions appropriately. Therapists were relatively confident about core engagement and assessment skills but reported less confidence in using their knowledge to help this group. Therapist confidence was not associated with years of practice or number of adaptations made, but was positively associated with level of therapy training received. Conclusions This study highlights a need for training and ongoing supervision to increase therapist confidence in and ability to make appropriate adaptations to CBT treatment protocols for autistic people. En ligne : https://doi.org/10.1016/j.rasd.2017.11.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=327

Are Mental Health, Family and Childhood Adversity, Substance Use and Conduct Problems Risk Factors for Offending in Autism? / Katy-Louise PAYNE in Journal of Autism and Developmental Disorders, 51-6 (June 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-6 (June 2021) . - p.2057-2067 Titre : Are Mental Health, Family and Childhood Adversity, Substance Use and Conduct Problems Risk Factors for Offending in Autism? Type de document : texte imprimé Auteurs : Katy-Louise PAYNE, Auteur ; Katie L. MARAS, Auteur ; Ailsa RUSSELL, Auteur ; M.J. BROSNAN, Auteur Article en page(s) : p.2057-2067 Langues : Anglais (eng) Mots-clés : Adolescent  Adult  Autism Spectrum Disorder/epidemiology/psychology  Autistic Disorder/epidemiology/psychology  Criminals/psychology  Family Health  Female  Humans  Male  Mental Health  Pregnancy  Problem Behavior  Risk Factors  Substance-Related Disorders/epidemiology/psychology  Autism spectrum disorder  Conduct problems  Crime  Family and childhood adversity  Offending  Substance use Index. décimale : PER Périodiques Résumé : Mental health difficulties, family and childhood adversity factors, substance use and conduct problems have all been linked to offending behaviour in the general population. However, no large-scale study with comparison groups has investigated these risk factors in relation to autistic offenders. The current research included 40 autistic offenders, 40 autistic non-offenders, 40 typically developed (TD) offenders and 39 TD non-offenders. Conduct problems risk factors differentiated autistic offenders from both non-offender groups (autistic and TD) and mental health risk factors differentiated autistic offenders from both TD groups (offenders and non-offenders). Further research is required to understand more about the role of both conduct problems risk factors in autistic offenders (e.g., age at onset, frequency of behaviours) and the mental health needs of autistic offenders. En ligne : http://dx.doi.org/10.1007/s10803-020-04622-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=452 [article] Are Mental Health, Family and Childhood Adversity, Substance Use and Conduct Problems Risk Factors for Offending in Autism? [texte imprimé] / Katy-Louise PAYNE, Auteur ; Katie L. MARAS, Auteur ; Ailsa RUSSELL, Auteur ; M.J. BROSNAN, Auteur . - p.2057-2067. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-6 (June 2021) . - p.2057-2067 Mots-clés : Adolescent  Adult  Autism Spectrum Disorder/epidemiology/psychology  Autistic Disorder/epidemiology/psychology  Criminals/psychology  Family Health  Female  Humans  Male  Mental Health  Pregnancy  Problem Behavior  Risk Factors  Substance-Related Disorders/epidemiology/psychology  Autism spectrum disorder  Conduct problems  Crime  Family and childhood adversity  Offending  Substance use Index. décimale : PER Périodiques Résumé : Mental health difficulties, family and childhood adversity factors, substance use and conduct problems have all been linked to offending behaviour in the general population. However, no large-scale study with comparison groups has investigated these risk factors in relation to autistic offenders. The current research included 40 autistic offenders, 40 autistic non-offenders, 40 typically developed (TD) offenders and 39 TD non-offenders. Conduct problems risk factors differentiated autistic offenders from both non-offender groups (autistic and TD) and mental health risk factors differentiated autistic offenders from both TD groups (offenders and non-offenders). Further research is required to understand more about the role of both conduct problems risk factors in autistic offenders (e.g., age at onset, frequency of behaviours) and the mental health needs of autistic offenders. En ligne : http://dx.doi.org/10.1007/s10803-020-04622-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=452

Attention Deficit Hyperactivity Disorder Symptoms in Adults with Autism Spectrum Disorders / Kate JOHNSTON in Autism Research, 6-4 (August 2013)  

Public ISBD [article]  inAutism Research > 6-4 (August 2013) . - p.225-236 Titre : Attention Deficit Hyperactivity Disorder Symptoms in Adults with Autism Spectrum Disorders Type de document : texte imprimé Auteurs : Kate JOHNSTON, Auteur ; Antonia DITTNER, Auteur ; Jessica BRAMHAM, Auteur ; Clodagh M. MURPHY, Auteur ; Anya KNIGHT, Auteur ; Ailsa RUSSELL, Auteur Article en page(s) : p.225-236 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  attention deficit hyperactivity disorder (ADHD)  attention  adults  neuropsychology Index. décimale : PER Périodiques Résumé : Features of attention deficit hyperactivity disorder (ADHD) and impairments on neuropsychological, tests of attention have been documented in children with autism spectrum disorders (ASDs). To date, there has been a lack of research comparing attention in adults with ASD and adults with ADHD. In study 1, 31 adults with ASD and average intellectual function completed self-report measures of ADHD symptoms. These were compared with self-report measures of ADHD symptoms in 38 adults with ADHD and 29 general population controls. In study 2, 28 adults with a diagnosis of ASD were compared with an age- and intelligence quotient-matched sample of 28 adults with ADHD across a range of measures of attention. Study 1 showed that 36.7% of adults with ASD met Diagnostic and Statistical Manual-IV criteria for current ADHD “caseness” (Barkley Current self-report scores questionnaire). Those with a diagnosis of pervasive developmental disorder—not otherwise specified were most likely to describe ADHD symptoms. The ASD group differed significantly from both the ADHD and control groups on total and individual symptom self-report scores. On neuropsychological testing, adults with ASD and ADHD showed comparable performance on tests of selective attention. Significant group differences were seen on measures of attentional switching; adults with ADHD were significantly faster and more inaccurate, and individuals with Asperger's syndrome showed a significantly slower and more accurate response style. Self-reported rates of ADHD among adults with ASD are significantly higher than in the general adult population and may be underdiagnosed. Adults with ASD have attentional difficulties on some neuropsychological measures. En ligne : http://dx.doi.org/10.1002/aur.1283 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212 [article] Attention Deficit Hyperactivity Disorder Symptoms in Adults with Autism Spectrum Disorders [texte imprimé] / Kate JOHNSTON, Auteur ; Antonia DITTNER, Auteur ; Jessica BRAMHAM, Auteur ; Clodagh M. MURPHY, Auteur ; Anya KNIGHT, Auteur ; Ailsa RUSSELL, Auteur . - p.225-236. Langues : Anglais (eng) in Autism Research > 6-4 (August 2013) . - p.225-236 Mots-clés : autism spectrum disorder  attention deficit hyperactivity disorder (ADHD)  attention  adults  neuropsychology Index. décimale : PER Périodiques Résumé : Features of attention deficit hyperactivity disorder (ADHD) and impairments on neuropsychological, tests of attention have been documented in children with autism spectrum disorders (ASDs). To date, there has been a lack of research comparing attention in adults with ASD and adults with ADHD. In study 1, 31 adults with ASD and average intellectual function completed self-report measures of ADHD symptoms. These were compared with self-report measures of ADHD symptoms in 38 adults with ADHD and 29 general population controls. In study 2, 28 adults with a diagnosis of ASD were compared with an age- and intelligence quotient-matched sample of 28 adults with ADHD across a range of measures of attention. Study 1 showed that 36.7% of adults with ASD met Diagnostic and Statistical Manual-IV criteria for current ADHD “caseness” (Barkley Current self-report scores questionnaire). Those with a diagnosis of pervasive developmental disorder—not otherwise specified were most likely to describe ADHD symptoms. The ASD group differed significantly from both the ADHD and control groups on total and individual symptom self-report scores. On neuropsychological testing, adults with ASD and ADHD showed comparable performance on tests of selective attention. Significant group differences were seen on measures of attentional switching; adults with ADHD were significantly faster and more inaccurate, and individuals with Asperger's syndrome showed a significantly slower and more accurate response style. Self-reported rates of ADHD among adults with ASD are significantly higher than in the general adult population and may be underdiagnosed. Adults with ASD have attentional difficulties on some neuropsychological measures. En ligne : http://dx.doi.org/10.1002/aur.1283 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212

Autism and the transition to university from the student perspective / Sinead LAMBE in Autism, 23-6 (August 2019)  

Public ISBD [article]  inAutism > 23-6 (August 2019) . - p.1531-1541 Titre : Autism and the transition to university from the student perspective Type de document : texte imprimé Auteurs : Sinead LAMBE, Auteur ; Ailsa RUSSELL, Auteur ; Catherine BUTLER, Auteur ; Sangeet FLETCHER, Auteur ; Chris ASHWIN, Auteur ; Mark BROSNAN, Auteur Article en page(s) : p.1531-1541 Langues : Anglais (eng) Mots-clés : education services  qualitative research  transition  university  young adult Index. décimale : PER Périodiques Résumé : University provides individuals with the opportunity to develop greater independence in living skills and social networks, while also gaining valuable qualifications. Despite a high proportion of autistic individuals aspiring to attend university, many either do not seek or gain entry or drop out prematurely. Although some steps have been taken to develop effective support, a recent review highlighted the scarcity of research into programmes designed to support autistic students transitioning to university. In addition, few studies have examined the views of autistic students themselves. This study investigated the perspectives of autistic students transitioning to university. Three focus groups were conducted with 25 autistic students preparing to start university. Participants were asked about their hopes for starting university, as well as their worries and concerns. Data were analysed using thematic analysis, from which five main themes were identified: The Social World, Academic Demands, Practicalities of University Living, Leaving the Scaffolding of Home and Transition to Adulthood. The results provide an important account of the challenges autistic students face when transitioning to university, as well as their aspirations. These findings have a number of practical implications. En ligne : http://dx.doi.org/10.1177/1362361318803935 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 [article] Autism and the transition to university from the student perspective [texte imprimé] / Sinead LAMBE, Auteur ; Ailsa RUSSELL, Auteur ; Catherine BUTLER, Auteur ; Sangeet FLETCHER, Auteur ; Chris ASHWIN, Auteur ; Mark BROSNAN, Auteur . - p.1531-1541. Langues : Anglais (eng) in Autism > 23-6 (August 2019) . - p.1531-1541 Mots-clés : education services  qualitative research  transition  university  young adult Index. décimale : PER Périodiques Résumé : University provides individuals with the opportunity to develop greater independence in living skills and social networks, while also gaining valuable qualifications. Despite a high proportion of autistic individuals aspiring to attend university, many either do not seek or gain entry or drop out prematurely. Although some steps have been taken to develop effective support, a recent review highlighted the scarcity of research into programmes designed to support autistic students transitioning to university. In addition, few studies have examined the views of autistic students themselves. This study investigated the perspectives of autistic students transitioning to university. Three focus groups were conducted with 25 autistic students preparing to start university. Participants were asked about their hopes for starting university, as well as their worries and concerns. Data were analysed using thematic analysis, from which five main themes were identified: The Social World, Academic Demands, Practicalities of University Living, Leaving the Scaffolding of Home and Transition to Adulthood. The results provide an important account of the challenges autistic students face when transitioning to university, as well as their aspirations. These findings have a number of practical implications. En ligne : http://dx.doi.org/10.1177/1362361318803935 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403

Autism disclosure ? The decisions autistic adults make / Armita FARSINEJAD in Research in Autism Spectrum Disorders, 93 (May 2022)  

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'Autism is the Arena and OCD is the Lion': Autistic adults' experiences of co-occurring obsessive-compulsive disorder and repetitive restricted behaviours and interests / Hannah LONG in Autism, 28-11 (November 2024)  

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Autistic adults’ experience of restricted repetitive behaviours / E. COLLIS in Research in Autism Spectrum Disorders, 90 (February 2022)  

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Autistic adults' inclination to lie in everyday situations / Ralph BAGNALL in Autism, 28-3 (March 2024)  

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Book review: New Developments in Autism: the future is today edited by Juan Martos Perez, Pedro M Gonzalez, Maria Llorente Comi and Carmen Nieto. London: Jessica Kingsley, 2007. ISBN 9781843104490 / Ailsa RUSSELL in Autism, 13-1 (January 2009)  

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Childhood psychopathology mediates associations between childhood adversities and multiple health risk behaviours in adolescence: analysis using the ALSPAC birth cohort / David TROY in Journal of Child Psychology and Psychiatry, 62-9 (September 2021)  

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Cognitive processes in autism: Repetitive thinking in autistic versus non-autistic adults / Kate COOPER in Autism, 26-4 (May 2022)  

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Compliance in autism: Self-report in action / Robert J. CHANDLER in Autism, 23-4 (May 2019)  

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Deceptive behaviour in autism: A scoping review / Ralph BAGNALL in Autism, 26-2 (February 2022)  

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Developing an Online Tool to Measure Social Network Structure and Perceived Social Support Amongst Autistic Students in Higher Education: A Feasibility Study / Jiedi LEI in Journal of Autism and Developmental Disorders, 49-9 (September 2019)  

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