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Moderators of Response to Personalized and Standard Care Cognitive-Behavioral Therapy for Youth with Autism Spectrum Disorder and Comorbid Anxiety / E. A. STORCH in Journal of Autism and Developmental Disorders, 52-2 (February 2022)
[article]
Titre : Moderators of Response to Personalized and Standard Care Cognitive-Behavioral Therapy for Youth with Autism Spectrum Disorder and Comorbid Anxiety Type de document : Texte imprimé et/ou numérique Auteurs : E. A. STORCH, Auteur ; J. J. WOOD, Auteur ; A. G. GUZICK, Auteur ; B. J. SMALL, Auteur ; Connor M. KERNS, Auteur ; D. L. ORDAZ, Auteur ; S. C. SCHNEIDER, Auteur ; P. C. KENDALL, Auteur Article en page(s) : p.950-958 Langues : Anglais (eng) Mots-clés : Adolescent Anxiety/epidemiology/therapy Anxiety Disorders/epidemiology/therapy Autism Spectrum Disorder/therapy Child Cognitive Behavioral Therapy Humans Obsessive-Compulsive Disorder/epidemiology/therapy Treatment Outcome Asd Adolescents Cbt Children Predictors Treatment Index. décimale : PER Périodiques Résumé : Anxiety/obsessive-compulsive disorders are common among youth with autism spectrum disorder (ASD). Two versions of cognitive behavior therapy (CBT) are effective, with some advantage for a personalized, adapted version. This study evaluated predictors and moderators of standard CBT and adapted CBT. Youth (N?=?167) ages 7-13 were randomized to standard or adapted CBT, or treatment-as-usual. Age, IQ, ASD severity, and emotional-behavioral symptom severity were examined. More severe internalizing and emotional-behavioral problems predicted poorer treatment outcomes especially in standard versus personalized CBT. Elevated repetitive behaviors and restricted interests predicted poorer treatment outcomes across treatments, though youth with "moderate" repetitive behaviors and restricted interested experienced poorer outcomes only in standard but not personalized CBT. Externalizing symptoms directly predicted treatment outcomes. Older age predicted improved outcomes in adapted but not standard CBT. Findings highlight the need for further treatment refinements and the value in adapting treatment for youth with more complex presentations. Trial Registration Clinicialtrials.gov: NCT02028247; https://clinicaltrials.gov/ct2/show/NCT02028247 . En ligne : http://dx.doi.org/10.1007/s10803-021-05000-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455
in Journal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.950-958[article] Moderators of Response to Personalized and Standard Care Cognitive-Behavioral Therapy for Youth with Autism Spectrum Disorder and Comorbid Anxiety [Texte imprimé et/ou numérique] / E. A. STORCH, Auteur ; J. J. WOOD, Auteur ; A. G. GUZICK, Auteur ; B. J. SMALL, Auteur ; Connor M. KERNS, Auteur ; D. L. ORDAZ, Auteur ; S. C. SCHNEIDER, Auteur ; P. C. KENDALL, Auteur . - p.950-958.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.950-958
Mots-clés : Adolescent Anxiety/epidemiology/therapy Anxiety Disorders/epidemiology/therapy Autism Spectrum Disorder/therapy Child Cognitive Behavioral Therapy Humans Obsessive-Compulsive Disorder/epidemiology/therapy Treatment Outcome Asd Adolescents Cbt Children Predictors Treatment Index. décimale : PER Périodiques Résumé : Anxiety/obsessive-compulsive disorders are common among youth with autism spectrum disorder (ASD). Two versions of cognitive behavior therapy (CBT) are effective, with some advantage for a personalized, adapted version. This study evaluated predictors and moderators of standard CBT and adapted CBT. Youth (N?=?167) ages 7-13 were randomized to standard or adapted CBT, or treatment-as-usual. Age, IQ, ASD severity, and emotional-behavioral symptom severity were examined. More severe internalizing and emotional-behavioral problems predicted poorer treatment outcomes especially in standard versus personalized CBT. Elevated repetitive behaviors and restricted interests predicted poorer treatment outcomes across treatments, though youth with "moderate" repetitive behaviors and restricted interested experienced poorer outcomes only in standard but not personalized CBT. Externalizing symptoms directly predicted treatment outcomes. Older age predicted improved outcomes in adapted but not standard CBT. Findings highlight the need for further treatment refinements and the value in adapting treatment for youth with more complex presentations. Trial Registration Clinicialtrials.gov: NCT02028247; https://clinicaltrials.gov/ct2/show/NCT02028247 . En ligne : http://dx.doi.org/10.1007/s10803-021-05000-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 Conducting CBT for Anxiety in Children with Autism Spectrum Disorder During COVID-19 Pandemic / Carla B. KALVIN in Journal of Autism and Developmental Disorders, 51-11 (November 2021)
[article]
Titre : Conducting CBT for Anxiety in Children with Autism Spectrum Disorder During COVID-19 Pandemic Type de document : Texte imprimé et/ou numérique Auteurs : Carla B. KALVIN, Auteur ; R. P. JORDAN, Auteur ; S. N. ROWLEY, Auteur ; A. WEIS, Auteur ; K. S. WOOD, Auteur ; J. J. WOOD, Auteur ; K. IBRAHIM, Auteur ; D. G. SUKHODOLSKY, Auteur Article en page(s) : p.4239-4247 Langues : Anglais (eng) Mots-clés : Anxiety/epidemiology/therapy Autism Spectrum Disorder/epidemiology/therapy Covid-19 Child Cognitive Behavioral Therapy Humans Pandemics SARS-CoV-2 Telemedicine Treatment Outcome Anxiety Autism spectrum disorder COVID-19 pandemic Cognitive-behavior therapy Telehealth for anger and aggression in children. Drs. Wood developed the CBT program for autism and anxiety discussed herein this program is available free of charge on the internet and the authors have no financial conflict of interest associated with it. Other authors (CBK, RPJ, SNR, AW, and KI) have no biomedical financial interests or potential conflict of interest to declare related to this present study. Index. décimale : PER Périodiques Résumé : This commentary describes the transition to remote delivery of cognitive-behavioral therapy (CBT) for anxiety in children with autism spectrum disorder (ASD) who participates in a clinical trial during the COVID-19 pandemic. The effects of COVID-19 on children's anxiety and on the family functioning are discussed. Modifications to CBT necessitated by telehealth delivery were aimed at maximizing engagement of children and their parents while maintaining treatment fidelity and adhering to the research protocol. Treatment targets were updated to address new sources of anxiety and CBT exposure exercises were modified to accommodate the new reality of quarantine restrictions. If the COVID-19 pandemic continues to affect treatment delivery it may require a widespread utilization of telehealth for treating anxiety in children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-020-04845-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=454
in Journal of Autism and Developmental Disorders > 51-11 (November 2021) . - p.4239-4247[article] Conducting CBT for Anxiety in Children with Autism Spectrum Disorder During COVID-19 Pandemic [Texte imprimé et/ou numérique] / Carla B. KALVIN, Auteur ; R. P. JORDAN, Auteur ; S. N. ROWLEY, Auteur ; A. WEIS, Auteur ; K. S. WOOD, Auteur ; J. J. WOOD, Auteur ; K. IBRAHIM, Auteur ; D. G. SUKHODOLSKY, Auteur . - p.4239-4247.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-11 (November 2021) . - p.4239-4247
Mots-clés : Anxiety/epidemiology/therapy Autism Spectrum Disorder/epidemiology/therapy Covid-19 Child Cognitive Behavioral Therapy Humans Pandemics SARS-CoV-2 Telemedicine Treatment Outcome Anxiety Autism spectrum disorder COVID-19 pandemic Cognitive-behavior therapy Telehealth for anger and aggression in children. Drs. Wood developed the CBT program for autism and anxiety discussed herein this program is available free of charge on the internet and the authors have no financial conflict of interest associated with it. Other authors (CBK, RPJ, SNR, AW, and KI) have no biomedical financial interests or potential conflict of interest to declare related to this present study. Index. décimale : PER Périodiques Résumé : This commentary describes the transition to remote delivery of cognitive-behavioral therapy (CBT) for anxiety in children with autism spectrum disorder (ASD) who participates in a clinical trial during the COVID-19 pandemic. The effects of COVID-19 on children's anxiety and on the family functioning are discussed. Modifications to CBT necessitated by telehealth delivery were aimed at maximizing engagement of children and their parents while maintaining treatment fidelity and adhering to the research protocol. Treatment targets were updated to address new sources of anxiety and CBT exposure exercises were modified to accommodate the new reality of quarantine restrictions. If the COVID-19 pandemic continues to affect treatment delivery it may require a widespread utilization of telehealth for treating anxiety in children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-020-04845-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=454