Cognitive Behaviour Therapy Versus a Counselling Intervention for Anxiety in Young People with High-Functioning Autism Spectrum Disorders: A Pilot Randomised Controlled Trial

Murphy, Suzanne; Chowdhury, Uttom; White, Susan W.; Reynolds, Laura; Donald, L.; Gahan, Hilary; Iqbal, Zeinab; Kulkarni, Mahesh; Scrivener, Louise; Shaker-Naeeni, Hadi; Press, Dee A.

doi:10.1007/s10803-017-3252-8

Cited by 27 publications

(29 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While this body of work suggests that CBT shows moderate effect sizes for co‐occurring anxiety and ASD in youth, there remains considerable heterogeneity in the effects between studies (Kreslins, Robertson, & Melville, ; Reynolds, Wilson, Austin, & Hooper, ; Ung, Selles, Small, & Storch, ), with estimates ranging from large (e.g., Chalfant et al, ) to small (e.g., Sofronoff, Attwood, & Hinton, ), and at least one documented instance of increased anxiety over treatment (as rated by parents, but not clinicians; Ooi et al, ). A Cochrane review further found that while CBT was effective for reducing anxiety diagnoses in youth with ASD when compared with waitlist controls, no differences were found when comparing CBT to active control treatments or treatment as usual (James, James, Cowdrey, Soler, & Choke, ), which aligns with other recent work showing no differences between CBT and person‐centered therapy for youth with co‐occurring ASD and anxiety (Murphy et al, ).…”

Section: Introductionsupporting

confidence: 70%

Novel four‐session treatment intervention for anxiety and high‐functioning autism: A single case report for Externalizing Metaphors Therapy

McGuinty

Bird

Nelson

et al. 2018

Child Adoles Psych Nursing

View full text Add to dashboard Cite

Topic: The Brief Services psychotherapy paradigm has evolved to produce costeffective and clinically significant outcomes in children's mental health. Though its clinical evaluation is still in its infancy, it has been utilized to a much lesser degree with autism spectrum disorders, which typically require a longer-term approach to psychotherapy treatment.Purpose: The current paper introduces a novel, four-session intervention that aims to decrease anxiety experienced by clients presenting with high-functioning autism. Externalizing Metaphors Therapy is based upon the externalization of problems, transformation of metaphoric imagery, shifting of maladaptive emotional schemas, and the generalization of problems. A case study is utilized to visually aid in the understanding of this new treatment intervention. Source: A composite literature review was conducted with regards to significant works in Narrative Therapy, treatment interventions for anxiety and high functioning autism, evidence-based treatments for anxiety, and practice based approaches in psychotherapy. Works were selected based on their relevance to the research filed of anxiety and autism. Conclusions: This clinical research challenges the children's mental health field in addressing anxiety and high-functioning autism from a brief framework. Further clinical research is needed to clinically evaluate the current model. K E Y W O R D S brief services, externalizing, high-functioning autism, metaphor, narrative therapy, process research, psychotherapy

show abstract

Section: Introductionsupporting

confidence: 70%

Novel four‐session treatment intervention for anxiety and high‐functioning autism: A single case report for Externalizing Metaphors Therapy

McGuinty

Bird

Nelson

et al. 2018

Child Adoles Psych Nursing

View full text Add to dashboard Cite

show abstract

“…As shown in Table 4, the overall quality of almost all the studies reviewed was “moderate” ( N = 16; 48.5%) or “weak” ( N = 15; 45.5%), with only two studies meeting “strong” global ratings (i.e. McConachie et al, 2014; Murphy et al, 2017). Of the 13 effectiveness studies, 5 studies (39%) were of “moderate” quality and 6 (46%) were of “weak” quality.…”

Section: Resultsmentioning

confidence: 99%

“…Post-implementation, two studies evaluated therapists’ training efforts (Drmic et al, 2017; Reaven et al, 2015), and about half gathered information about the acceptability of the intervention (e.g. satisfaction, attendance, written feedback, treatment completion, interviews; Burke et al, 2017; Drmic et al, 2017; Hepburn et al, 2016; Mackay et al, 2017; McConachie et al, 2014; Murphy et al, 2017; Reaven et al, 2015), often from multiple perspectives (e.g. therapists, parents, teachers, children/youth).…”

Section: Resultsmentioning

confidence: 99%

“…therapist fidelity, program adaptations). For example, about half of the studies reviewed measured therapist treatment fidelity, whether through integrity checklists or coding video-recorded sessions (Hepburn et al, 2016; Mackay et al, 2017; McConachie et al, 2014; McNally Keehn et al, 2013; Murphy et al, 2017; Reaven et al, 2015). For example, in one study attending a training workshop led to significant gains in clinicians’ CBT knowledge and adherence to the treatment protocol (Reaven et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Considering efficacy and effectiveness trials of cognitive behavioral therapy among youth with autism: A systematic review

Lake

Modica

Chan

et al. 2020

Autism

View full text Add to dashboard Cite

Cognitive behavioral therapy is a widely studied and commonly used psychosocial intervention for treating emotional problems in individuals with autism. To date, most studies of cognitive behavioral therapy and autism have focused on efficacy. Effectiveness trials, by contrast, measure whether an intervention produces particular results under “real-world” clinical conditions. We conducted a systematic review of cognitive behavioral therapy interventions targeting affective disorders among youth with autism and (a) classified studies as either efficacy or effectiveness trials and (b) coded how the effectiveness trials reflect the implementation characteristics outlined in the Framework of Dissemination in Health Services Intervention Research. The systematic search yielded 2959 articles, with 33 studies meeting inclusion criteria. Thirteen studies were categorized as effectiveness and 20 as efficacy. We discuss how the effectiveness studies considered elements of the implementation framework and provide recommendations for future studies, including greater consideration and measurement of adoption and sustainability processes, as well as organizational- and system-level outcomes. Results shed light on our understanding of the effectiveness of cognitive behavioral therapy in routine clinical practice, how an implementation framework can be used to guide and improve effectiveness studies, and identify barriers, facilitators, and gaps in the implementation process. Lay abstract Cognitive behavioral therapy is a common treatment for emotional problems in people with autism. Most studies of cognitive behavioral therapy and autism have focused on efficacy, meaning whether a treatment produces results under “ideal” conditions, like a lab or research setting. Effectiveness trials, by contrast, investigate whether a treatment produces results under “real-world” conditions, like a community setting (e.g. hospital, community mental health center, school). There can be challenges in bringing a cognitive behavioral therapy treatment out of a lab or research setting into the community, and the field of implementation science uses frameworks to help guide researchers in this process. In this study, we reviewed efficacy and effectiveness studies of cognitive behavioral therapy treatments for emotional problems (e.g. anxiety, depression) in children and youth with autism. Our search found 2959 articles, with 33 studies meeting our criteria. In total, 13 studies were labelled as effectiveness and 20 as efficacy. We discuss how the effectiveness studies used characteristics of an implementation science framework, such as studying how individuals learn about the treatment, accept or reject it, how it is used in the community over time, and any changes that happened to the individual or the organization (e.g. hospital, school, community mental health center) because of it. Results help us better understand the use of cognitive behavioral therapy in the community, including how a framework can be used to improve effectiveness studies.

show abstract

“…Only one intervention study has used independent observer ratings of alliance with participants with autism. As part of a pilot randomized-controlled trial (RCT) comparing CBT to non-directive, supportive counselling for adolescents with autism, Murphy and colleagues (2017) used the Therapy Process Observational Coding Scheme–Alliance Scale (TPOCS-A; McLeod & Weisz, 2005) as an index of treatment fidelity. Results indicated good interrater agreement among coders, and independent observer ratings of alliance were comparable to those given in previous therapy studies involving youth without autism (Brown et al, 2015).…”

mentioning

confidence: 99%

Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism

Albaum

Tablon

Roudbarani

et al. 2019

Autism

View full text Add to dashboard Cite

Therapeutic alliance is often an important aspect of psychotherapy, though it is rarely examined in clients with autism. This study aims to determine the child pre-treatment variables and treatment outcomes associated with early and late alliance in cognitive behaviour therapy targeting emotion regulation for children with autism. Data were collected from 48 children with autism who participated in a larger randomized-controlled trial. Pre-treatment child characteristics included child, parent, and clinician report of child emotional and behavioural functioning. Primary outcome measures included child and parent-reported emotion regulation. Therapeutic alliance (bond and task-collaboration) was measured using observational coding of early and late therapy sessions. Pre-treatment levels of child-reported emotion inhibition were associated with subsequent early and late bond. Pre-treatment levels of parent and child-reported emotion regulation were related to early and late task-collaboration. Late task-collaboration was also associated with pre-treatment levels of behavioural and emotional symptom severity. Task-collaboration in later sessions predicted improvements in parent-reported emotion regulation from pre- to post-therapy. Future research is needed to further examine the role of task-collaboration as a mechanism of treatment change in therapies for children with autism.

show abstract

Cognitive Behaviour Therapy Versus a Counselling Intervention for Anxiety in Young People with High-Functioning Autism Spectrum Disorders: A Pilot Randomised Controlled Trial

Cited by 27 publications

References 37 publications

Novel four‐session treatment intervention for anxiety and high‐functioning autism: A single case report for Externalizing Metaphors Therapy

Novel four‐session treatment intervention for anxiety and high‐functioning autism: A single case report for Externalizing Metaphors Therapy

Considering efficacy and effectiveness trials of cognitive behavioral therapy among youth with autism: A systematic review

Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism

Contact Info

Product

Resources

About