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- Title
Stepped-Care Cognitive Behavioral Therapy in Children on the Autism Spectrum with Co-occurring Anxiety.
- Authors
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
- Abstract
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.
- Subjects
TREATMENT of autism; ANXIETY treatment; MEDICAL care; QUESTIONNAIRES; CHI-squared test; DESCRIPTIVE statistics; DATA analysis software; COGNITIVE therapy; CHILDREN
- Publication
Journal of Autism & Developmental Disorders, 2024, Vol 54, Issue 1, p93
- ISSN
0162-3257
- Publication type
Article
- DOI
10.1007/s10803-022-05775-w