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The effect of cognitive-behavioral therapy versus treatment as usual for anxiety in children with autism spectrum disorders: a randomized, controlled trial.
- Source :
-
Journal of the American Academy of Child and Adolescent Psychiatry [J Am Acad Child Adolesc Psychiatry] 2013 Feb; Vol. 52 (2), pp. 132-142.e2. Date of Electronic Publication: 2013 Jan 02. - Publication Year :
- 2013
-
Abstract
- Objective: To examine the efficacy of a modular cognitive-behavioral therapy (CBT) protocol relative to treatment as usual (TAU) among children with high-functioning autism spectrum disorders (ASD) and clinically significant anxiety.<br />Method: A total of 45 children (7-11 years of age) with high-functioning ASD and clinically significant anxiety were randomized to receive 16 sessions of weekly CBT or TAU for an equivalent duration. After screening, assessments were conducted at baseline, post-treatment, and 3-month follow-up. Raters were blind to treatment condition.<br />Results: Youth receiving CBT showed substantial improvement relative to TAU on primary anxiety outcomes. Of 24 children randomized to the CBT arm, 18 (75%) were treatment responders, versus only 3 of 21 children (14%) in the TAU arm. Gains were generally maintained at 3-month follow-up for CBT responders.<br />Conclusions: Relative to usual care, CBT adapted for anxious youth with high-functioning ASD demonstrates large effects in reducing anxiety symptoms. This study contributes to the growing literature supporting adapted CBT approaches for treating anxiety in youth with ASD.<br /> (Copyright © 2013 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Behavioral Symptoms diagnosis
Behavioral Symptoms therapy
Child
Child Development Disorders, Pervasive diagnosis
Child Development Disorders, Pervasive psychology
Female
Humans
Male
Psychiatric Status Rating Scales
Treatment Outcome
Anxiety diagnosis
Anxiety etiology
Anxiety psychology
Anxiety therapy
Child Behavior drug effects
Child Behavior psychology
Child Development Disorders, Pervasive complications
Cognitive Behavioral Therapy methods
Psychotropic Drugs therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1527-5418
- Volume :
- 52
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of the American Academy of Child and Adolescent Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 23357440
- Full Text :
- https://doi.org/10.1016/j.jaac.2012.11.007