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Cognitive behaviour therapy for adults with autism spectrum disorders and psychiatric co-morbidity: A review / Debbie SPAIN in Research in Autism Spectrum Disorders, 9 (January 2015)
[article]
Titre : Cognitive behaviour therapy for adults with autism spectrum disorders and psychiatric co-morbidity: A review Type de document : Texte imprimé et/ou numérique Auteurs : Debbie SPAIN, Auteur ; Jacqueline SIN, Auteur ; Trudie CHALDER, Auteur ; Declan MURPHY, Auteur ; Francesca HAPPE, Auteur Année de publication : 2015 Article en page(s) : p.151-162 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Psychiatric co-morbidity Mental health Cognitive behaviour therapy CBT Mindfulness Index. décimale : PER Périodiques Résumé : Abstract Co-morbid mental health conditions are highly prevalent in autism spectrum disorders (ASD). Cognitive behaviour therapy (CBT) is frequently used to treat these symptoms. Hence, a systematic review was undertaken to synthesise published data about the effectiveness of CBT interventions for adults with ASD and psychiatric co-morbidity. Only six studies met pre-determined review inclusion criteria: two RCTs; one quasi-experimental study; one case series; and two case studies. Meta-analysis was not possible due to study heterogeneity. A narrative analysis of the data suggested that CBT interventions – including behavioural, cognitive, and mindfulness-based techniques – were moderately effective treatments for co-morbid anxiety and depression symptoms, albeit that sample sizes were small, participant characteristics varied widely, and psychometric properties of self-report outcome measurements utilised in the ASD population remain subject to some debate. Several studies described adaptations to standard CBT including an increase in the number of sessions, or accommodation of core ASD characteristics and associated neuropsychological impairments within the therapy process. We suggest further empirical research is needed to (1) investigate the acceptability and effectiveness of a range of CBT interventions for adults who have ASD and co-morbidity, and (2) to identify which adaptations are requisite for optimising CBT techniques and outcomes in this population. En ligne : http://dx.doi.org/10.1016/j.rasd.2014.10.019 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243
in Research in Autism Spectrum Disorders > 9 (January 2015) . - p.151-162[article] Cognitive behaviour therapy for adults with autism spectrum disorders and psychiatric co-morbidity: A review [Texte imprimé et/ou numérique] / Debbie SPAIN, Auteur ; Jacqueline SIN, Auteur ; Trudie CHALDER, Auteur ; Declan MURPHY, Auteur ; Francesca HAPPE, Auteur . - 2015 . - p.151-162.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 9 (January 2015) . - p.151-162
Mots-clés : Autism spectrum disorder Psychiatric co-morbidity Mental health Cognitive behaviour therapy CBT Mindfulness Index. décimale : PER Périodiques Résumé : Abstract Co-morbid mental health conditions are highly prevalent in autism spectrum disorders (ASD). Cognitive behaviour therapy (CBT) is frequently used to treat these symptoms. Hence, a systematic review was undertaken to synthesise published data about the effectiveness of CBT interventions for adults with ASD and psychiatric co-morbidity. Only six studies met pre-determined review inclusion criteria: two RCTs; one quasi-experimental study; one case series; and two case studies. Meta-analysis was not possible due to study heterogeneity. A narrative analysis of the data suggested that CBT interventions – including behavioural, cognitive, and mindfulness-based techniques – were moderately effective treatments for co-morbid anxiety and depression symptoms, albeit that sample sizes were small, participant characteristics varied widely, and psychometric properties of self-report outcome measurements utilised in the ASD population remain subject to some debate. Several studies described adaptations to standard CBT including an increase in the number of sessions, or accommodation of core ASD characteristics and associated neuropsychological impairments within the therapy process. We suggest further empirical research is needed to (1) investigate the acceptability and effectiveness of a range of CBT interventions for adults who have ASD and co-morbidity, and (2) to identify which adaptations are requisite for optimising CBT techniques and outcomes in this population. En ligne : http://dx.doi.org/10.1016/j.rasd.2014.10.019 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243 The mental health of individuals referred for assessment of autism spectrum disorder in adulthood: A clinic report / Ailsa J RUSSELL in Autism, 20-5 (July 2016)
[article]
Titre : The mental health of individuals referred for assessment of autism spectrum disorder in adulthood: A clinic report Type de document : Texte imprimé et/ou numérique Auteurs : Ailsa J RUSSELL, Auteur ; Clodagh M. MURPHY, Auteur ; Ellie WILSON, Auteur ; Nicola GILLAN, Auteur ; Cordelia BROWN, Auteur ; Dene M ROBERTSON, Auteur ; Michael C. CRAIG, Auteur ; Quinton DEELEY, Auteur ; Janneke ZINKSTOK, Auteur ; Kate JOHNSTON, Auteur ; Grainne M MCALONAN, Auteur ; Deborah SPAIN, Auteur ; Declan GM MURPHY, Auteur Article en page(s) : p.623-627 Langues : Anglais (eng) Mots-clés : autism spectrum disorders psychiatric co-morbidity Index. décimale : PER Périodiques Résumé : Growing awareness of autism spectrum disorders has increased the demand for diagnostic services in adulthood. High rates of mental health problems have been reported in young people and adults with autism spectrum disorder. However, sampling and methodological issues mean prevalence estimates and conclusions about specificity in psychiatric co-morbidity in autism spectrum disorder remain unclear. A retrospective case review of 859 adults referred for assessment of autism spectrum disorder compares International Classification of Diseases, Tenth Revision diagnoses in those that met criteria for autism spectrum disorder (n?=?474) with those that did not (n?=?385). Rates of psychiatric diagnosis (>57%) were equivalent across both groups and exceeded general population rates for a number of conditions. The prevalence of anxiety disorders, particularly obsessive compulsive disorder, was significantly higher in adults with autism spectrum disorder than adults without autism spectrum disorder. Limitations of this observational clinic study, which may impact generalisability of the findings, include the lack of standardised structured psychiatric diagnostic assessments by assessors blind to autism spectrum disorder diagnosis and inter-rater reliability. The implications of this study highlight the need for careful consideration of mental health needs in all adults referred for autism spectrum disorder diagnosis. En ligne : http://dx.doi.org/10.1177/1362361315604271 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=290
in Autism > 20-5 (July 2016) . - p.623-627[article] The mental health of individuals referred for assessment of autism spectrum disorder in adulthood: A clinic report [Texte imprimé et/ou numérique] / Ailsa J RUSSELL, Auteur ; Clodagh M. MURPHY, Auteur ; Ellie WILSON, Auteur ; Nicola GILLAN, Auteur ; Cordelia BROWN, Auteur ; Dene M ROBERTSON, Auteur ; Michael C. CRAIG, Auteur ; Quinton DEELEY, Auteur ; Janneke ZINKSTOK, Auteur ; Kate JOHNSTON, Auteur ; Grainne M MCALONAN, Auteur ; Deborah SPAIN, Auteur ; Declan GM MURPHY, Auteur . - p.623-627.
Langues : Anglais (eng)
in Autism > 20-5 (July 2016) . - p.623-627
Mots-clés : autism spectrum disorders psychiatric co-morbidity Index. décimale : PER Périodiques Résumé : Growing awareness of autism spectrum disorders has increased the demand for diagnostic services in adulthood. High rates of mental health problems have been reported in young people and adults with autism spectrum disorder. However, sampling and methodological issues mean prevalence estimates and conclusions about specificity in psychiatric co-morbidity in autism spectrum disorder remain unclear. A retrospective case review of 859 adults referred for assessment of autism spectrum disorder compares International Classification of Diseases, Tenth Revision diagnoses in those that met criteria for autism spectrum disorder (n?=?474) with those that did not (n?=?385). Rates of psychiatric diagnosis (>57%) were equivalent across both groups and exceeded general population rates for a number of conditions. The prevalence of anxiety disorders, particularly obsessive compulsive disorder, was significantly higher in adults with autism spectrum disorder than adults without autism spectrum disorder. Limitations of this observational clinic study, which may impact generalisability of the findings, include the lack of standardised structured psychiatric diagnostic assessments by assessors blind to autism spectrum disorder diagnosis and inter-rater reliability. The implications of this study highlight the need for careful consideration of mental health needs in all adults referred for autism spectrum disorder diagnosis. En ligne : http://dx.doi.org/10.1177/1362361315604271 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=290 Gender differences in co-morbid psychopathology and clinical management in adults with autism spectrum disorders / Elias TSAKANIKOS in Research in Autism Spectrum Disorders, 5-2 (April-June 2011)
[article]
Titre : Gender differences in co-morbid psychopathology and clinical management in adults with autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Elias TSAKANIKOS, Auteur ; Lisa UNDERWOOD, Auteur ; Eugenia KRAVARITI, Auteur ; Nick BOURAS, Auteur ; Jane MCCARTHY, Auteur Année de publication : 2011 Article en page(s) : p.803-808 Langues : Anglais (eng) Mots-clés : Autism Gender differences Intellectual disability/mental retardation Psychiatric co-morbidity Index. décimale : PER Périodiques Résumé : The present study examined rates of co-morbid psychopathology and clinical management/care pathways in adult females (N = 50) and males (N = 100) with autism spectrum disorders (ASD) and intellectual disability (ID) living in community settings. We also compared a sub-sample (N = 60) with ASD to an age-, gender- and ID-matched control group (N = 90) on ratings of psychopathology and autism-related symptoms. All participants were referrals to specialist mental heath services for people with ID. Clinical diagnoses of psychopathology and ASD were based on ICD-10 criteria. Key informants also completed the Psychopathology Assessment Schedule for Adults with Developmental Disabilities (PAS-ADD) checklist. The analysis showed that there were statistically significant differences in rates of co-morbid psychopathology and clinical management between males and females with ASD, although there were no significant differences in level of ID and age. More specifically, personality disorder and schizophrenia were more common among males, where as dementia was more common among females. Regarding clinical management, males were more likely to be prescribed a combination of medication and females were more likely to receive sedation. Overall, the results suggest that male and female patients with ASD have, at least to some extent, different mental health needs. En ligne : http://dx.doi.org/10.1016/j.rasd.2010.09.009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=114
in Research in Autism Spectrum Disorders > 5-2 (April-June 2011) . - p.803-808[article] Gender differences in co-morbid psychopathology and clinical management in adults with autism spectrum disorders [Texte imprimé et/ou numérique] / Elias TSAKANIKOS, Auteur ; Lisa UNDERWOOD, Auteur ; Eugenia KRAVARITI, Auteur ; Nick BOURAS, Auteur ; Jane MCCARTHY, Auteur . - 2011 . - p.803-808.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 5-2 (April-June 2011) . - p.803-808
Mots-clés : Autism Gender differences Intellectual disability/mental retardation Psychiatric co-morbidity Index. décimale : PER Périodiques Résumé : The present study examined rates of co-morbid psychopathology and clinical management/care pathways in adult females (N = 50) and males (N = 100) with autism spectrum disorders (ASD) and intellectual disability (ID) living in community settings. We also compared a sub-sample (N = 60) with ASD to an age-, gender- and ID-matched control group (N = 90) on ratings of psychopathology and autism-related symptoms. All participants were referrals to specialist mental heath services for people with ID. Clinical diagnoses of psychopathology and ASD were based on ICD-10 criteria. Key informants also completed the Psychopathology Assessment Schedule for Adults with Developmental Disabilities (PAS-ADD) checklist. The analysis showed that there were statistically significant differences in rates of co-morbid psychopathology and clinical management between males and females with ASD, although there were no significant differences in level of ID and age. More specifically, personality disorder and schizophrenia were more common among males, where as dementia was more common among females. Regarding clinical management, males were more likely to be prescribed a combination of medication and females were more likely to receive sedation. Overall, the results suggest that male and female patients with ASD have, at least to some extent, different mental health needs. En ligne : http://dx.doi.org/10.1016/j.rasd.2010.09.009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=114 Prenatal pregnancy complications and psychiatric symptoms: Children with ASD versus clinic controls / Megan E. TUDOR in Research in Autism Spectrum Disorders, 6-4 (October-December 2012)
[article]
Titre : Prenatal pregnancy complications and psychiatric symptoms: Children with ASD versus clinic controls Type de document : Texte imprimé et/ou numérique Auteurs : Megan E. TUDOR, Auteur ; Carla DEVINCENT, Auteur ; Kenneth D. GADOW, Auteur Année de publication : 2012 Article en page(s) : p.1401-1405 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Pregnancy complications Psychiatric co-morbidity Attention-deficit hyperactivity disorder Generalized anxiety disorderDepression Index. décimale : PER Périodiques Résumé : The current study examined the association between prenatal pregnancy complications (PPC) and childhood psychiatric symptoms in children with an autism spectrum disorder (ASD) and non-ASD children who were referred to a psychiatric clinic (Controls). Parents completed a DSM-IV-referenced rating scale and developmental history questionnaire. Participants were classified as having ≥1 PPC (+PPC) versus none (−PPC). Children with ASD were significantly more likely to have PPC than Controls. Intra-group comparisons demonstrated that children in the ASD + PPC group had more severe anxiety than ASD/−PPC group. The Control + PPC group obtained higher symptom ratings of inattention, hyperactivity, and oppositional behavior than Control/−PPC. Children in the ASD + PPC group were rated as having more severe anxiety and depression symptoms than Control + PPC. Dissimilar associations in ASD and non-ASD samples were found, suggesting divergent pathogenic processes in different clinical phenotypes. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.06.001 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=165
in Research in Autism Spectrum Disorders > 6-4 (October-December 2012) . - p.1401-1405[article] Prenatal pregnancy complications and psychiatric symptoms: Children with ASD versus clinic controls [Texte imprimé et/ou numérique] / Megan E. TUDOR, Auteur ; Carla DEVINCENT, Auteur ; Kenneth D. GADOW, Auteur . - 2012 . - p.1401-1405.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 6-4 (October-December 2012) . - p.1401-1405
Mots-clés : Autism spectrum disorder Pregnancy complications Psychiatric co-morbidity Attention-deficit hyperactivity disorder Generalized anxiety disorderDepression Index. décimale : PER Périodiques Résumé : The current study examined the association between prenatal pregnancy complications (PPC) and childhood psychiatric symptoms in children with an autism spectrum disorder (ASD) and non-ASD children who were referred to a psychiatric clinic (Controls). Parents completed a DSM-IV-referenced rating scale and developmental history questionnaire. Participants were classified as having ≥1 PPC (+PPC) versus none (−PPC). Children with ASD were significantly more likely to have PPC than Controls. Intra-group comparisons demonstrated that children in the ASD + PPC group had more severe anxiety than ASD/−PPC group. The Control + PPC group obtained higher symptom ratings of inattention, hyperactivity, and oppositional behavior than Control/−PPC. Children in the ASD + PPC group were rated as having more severe anxiety and depression symptoms than Control + PPC. Dissimilar associations in ASD and non-ASD samples were found, suggesting divergent pathogenic processes in different clinical phenotypes. En ligne : http://dx.doi.org/10.1016/j.rasd.2012.06.001 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=165