Individual CBT for Anxiety and Related Symptoms in Children With Autism Spectrum Disorders

Wood, Jeffrey J.; Klebanoff, Sami; Renno, Patricia; Fujii, Cori; Danial, John T.

doi:10.1016/b978-0-12-805122-1.00007-7

Cited by 16 publications

(11 citation statements)

References 35 publications

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“…However, few one-on-one psychotherapy protocols for children have focused on autism-related symptoms such as SC difficulties. In two recent reviews of the literature, one of which was also a meta-analysis (Weston et al, 2016; Wood et al, 2017), only one one-on-one psychotherapy protocol was identified that targeted autism-related symptoms (as well as clinical anxiety), and this protocol was a precursor of the CBT intervention used in the present randomized controlled trial (RCT), which showed promise in a small pilot study ( N = 13; Wood et al, 2014). One additional protocol utilized mixed group-based and one-on-one CBT and also yielded promising results, as compared with a waitlist condition, based on parent ratings of autism-related symptoms (White et al, 2013).…”

Section: Cognitive Behavioral Therapy Programs For Children and Adole...mentioning

confidence: 99%

Modular cognitive behavioral therapy for autism-related symptoms in children: A randomized controlled trial.

Wood

Cho

et al. 2021

Journal of Consulting and Clinical Psychology

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Objective: To date, no one-on-one psychotherapy protocol for elementary and middle school-aged children with autism spectrum disorder (ASD) has been found to be efficacious for treating autism-related symptoms such as failure to initiate social interactions. This study compared modular cognitive behavioral therapy (CBT) with enhanced standard community treatment (ESCT) in terms of impact on the severity of autism-related symptoms. Method: Children with ASD (N = 107; aged 6-13 years) were randomly assigned to a treatment condition (CBT or ESCT). Both treatments provided 32 therapy sessions. The CBT condition utilized a modular design, matching specific evidence-based treatment elements to each child's clinical needs (e.g., social-communication symptoms). The ESCT condition provided social skills training and cognitive behavioral training in a structured and linear group therapy format. The primary outcome measure was independent evaluator ratings of peer engagement during school recess using a structured and validated observation system. Parents also made sessionby-session ratings on personalized autism-related symptom profiles throughout treatment. Results: CBT outperformed ESCT on the primary outcome measure ( p < .001; d = .50; 95% CI [.06, .93]) and the secondary outcome measure ( p = .003; d = .87; 95% CI [.45, 1.27]). Conclusions: The modular one-on-one CBT program evaluated in this study may be beneficial for reducing the severity of autism-related symptoms in some children with ASD. Further research is needed to clarify the extent of the treatment effect and the feasibility of implementation for therapists in the community. Public Health Significance StatementThere is currently no well-established psychotherapy treatment for autism-related symptoms. The present study identified cognitive behavioral therapy as a potential treatment for reducing symptom severity among children with autism spectrum disorder.

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Section: Cognitive Behavioral Therapy Programs For Children and Adole...mentioning

confidence: 99%

Modular cognitive behavioral therapy for autism-related symptoms in children: A randomized controlled trial.

Wood

Cho

et al. 2021

Journal of Consulting and Clinical Psychology

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“…Modified CBT protocols have been developed specifically for youth with ASD to treat anxiety, as well as ASD-related impairments. Modified CBT protocols may include additional modules focused on teaching social skills and adaptive functioning skills (Wood et al, 2017). Other modifications include the incorporation of a child' s restricted interests to maximize engagement in the session and to use as reinforcement, the use of visual aids (e.g., cartoons of feared situations), and a comprehensive rewards system (Wood et al, 2017).…”

Section: Cognitive Behavior Therapymentioning

confidence: 99%

The autism spectrum: Intervention, treatment, and services.

Gulsrud¹,

Renno²

2021

APA Handbook of Intellectual and Developmental Disabilities: Clinical and Educational Implications: Prevention, Intervention, A

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Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by impairments in social communication and the presence of restricted and repetitive behaviors. The symptom severity and functional impact of ASD varies widely among individuals. While some individuals speak fluently and function with few supports, other individuals remain nonverbal and need high levels of care. Core impairments in social communication include deficits in social and emotional reciprocity; nonverbal communication; and developing, maintaining, and understanding relationships. Restricted and repetitive behaviors, interests, or activities may include repetitive motor movements, insistence on sameness, highly fixated interests, and hyperreactivity or hyporeactivity to sensory input (American Psychiatric Association, 2013; see also Volume 1, Chapter 9, this handbook). A diagnosis of ASD is based on a clinician's best clinical estimate. Several "gold standard" diagnostic instruments (e.g., the Autism Diagnostic Observation Schedule, Second Edition [Lord et al., 2012], the Autism Diagnostic Interview, Revised [Le Couteur et al., 2003]) have been developed that aid clinicians in determining whether an individual meets diagnostic criteria for ASD.Current prevalence rates indicate that 1 in 59 children in the United States has ASD and that it is more common in boys than girls (by a 4:1 ratio; Baio et al., 2018). While ASD can be reliably diagnosed

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“…CBT has been effective in treating anxiety in young persons with ASD (Reaven, Blakeley-Smith, Culhane-Shelburne, & Hepburn, 2012; White, Schry, Miyazaki, Ollendick, & Scahill, 2015). In individuals with autism, emotional dysregulation can be internalized through anxiety, depression, or obsessive-compulsive disorder or externalized through difficult behaviors (Wood, Klebanoff, Renno, Fujii, & Danial, 2017). A modified version of CBT was created to address social and adaptive deficits, poor motivation, school issues, and comorbidity.…”

Section: Treatment and Intervention With Autismmentioning

confidence: 99%

Families With Children Diagnosed With Autism

Kurz

2018

The Family Journal

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This article explores struggles faced by parents with children diagnosed with autism (ASD). Experiences of parents are examined through identification of stressors, maladaptive coping, and negative emotions. Current counselor education research is presented on how counselors may work to help this population, including topics in supervision, multicultural and ethical competency, and need for integrative health care. Behavioral and supportive interventions used in working with children with ASD and their families are discussed.

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Individual CBT for Anxiety and Related Symptoms in Children With Autism Spectrum Disorders

Cited by 16 publications

References 35 publications

Modular cognitive behavioral therapy for autism-related symptoms in children: A randomized controlled trial.

Modular cognitive behavioral therapy for autism-related symptoms in children: A randomized controlled trial.

The autism spectrum: Intervention, treatment, and services.

Families With Children Diagnosed With Autism

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