Stepped-Care Cognitive Behavioral Therapy in Children on the Autism Spectrum with Co-occurring Anxiety

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....

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Detalles Bibliográficos
Autores principales: Storch, Eric A., Schneider, Sophie C., Olsen, Sean M., Ramirez, Ana C., Berry, Leandra N., Goin-Kochel, Robin P., McNeel, Morgan, Candelari, Abigail E., Guzick, Andrew G., Cepeda, Sandra L., Weinzimmer, Saira, Voigt, Robert G., Quast, Troy, Goodman, Wayne K., Salloum, Alison
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Original Paper
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561323/
https://www.ncbi.nlm.nih.gov/pubmed/36239830
http://dx.doi.org/10.1007/s10803-022-05775-w
Descripción
Sumario: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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10803-022-05775-w.

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