“Less stress”: a pilot study on a cognitive behavioral treatment program for anxiety in children with autism spectrum disorders

Oerbeck, Beate; Øvergaard, Kristin Romvig; Attwood, Tony; Bjaastad, Jon Fauskanger

doi:10.21307/sjcapp-2021-005

Cited by 3 publications

(20 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These included adaptations of group or individual CBT for anxiety (Bemmer et al, 2021;Burke et al, 2017;Chalfant et al, 2007;Cook et al, 2017;Driscoll et al, 2020;Ehrenreich-May et al, 2014;Ekman et al, 2015;Fujii et al, 2013;Hepburn et al, 2016;E. Higgins et al, 2019;Kilburn et al, 2019Kilburn et al, , 2020Oerbeck et al, 2021;Ollendick et al, 2021;J. Reaven, Blakeley-Smith, Leuthe, et al, 2012;A.…”

Section: Service-level Strategies and Adapted Interventionsmentioning

confidence: 99%

“…Facilitators to acceptability reported by participants included perceived positive intervention impact (E. Higgins et al, 2019;Kilburn et al, 2020;Langdon et al, 2016;McConachie et al, 2014;Oerbeck et al, 2021;Ollendick et al, 2021;Sofronoff et al, 2005;Solish et al, 2020) and perceived usefulness of intervention's information/activities/techniques (Bemmer et al, 2021;E. Higgins et al, 2019;Langdon et al, 2016;McConachie et al, 2014;Oerbeck et al, 2021;J. Reaven et al, 2015;J.…”

Section: Cbt For Anxiety (N=38)mentioning

confidence: 99%

“…Higgins et al, 2019;Langdon et al, 2016;McConachie et al, 2014;Sofronoff et al, 2005), and individual preparatory sessions prior to group sessions (Langdon et al, 2016) also appeared important. Additionally, receiving preparatory handout for upcoming sessions (E. Higgins et al, 2019), perceived parental confidence with the intervention content and thus being able to support their child (Sofronoff et al, 2005;Solish et al, 2020), understanding assignments (Oerbeck et al, 2021), and getting rewards (Oerbeck et al, 2021) were seen as facilitators. Using visualisation was viewed as helpful (Ekman et al, 2015).…”

Section: Cbt For Anxiety (N=38)mentioning

confidence: 99%

“…Participants also reported barriers to acceptability, including perceiving the sessions to be too long/short (Bemmer et al, 2021;Langdon et al, 2016), difficulties with group dynamics (Bemmer et al, 2021;Langdon et al, 2016), feeling anxiety limited their learning (Bemmer et al, 2021), feeling the individual sessions involved too much talking (Oerbeck et al, 2021), perceived lack of learning (McConachie et al, 2014), dissatisfaction with visuals (Oerbeck et al, 2021), children's reluctance to talk to parents about content beyond the sessions (E. Higgins et al, 2019), difficulties with homework assignments (Oerbeck et al, 2021), and difficulties with making phone calls (Bemmer et al, 2021). Practical issues related to transport, parking, heating in session rooms and timings also appeared to hinder acceptability (E. Higgins et al, 2019;Langdon et al, 2016).…”

Section: Cbt For Anxiety (N=38)mentioning

confidence: 99%

See 3 more Smart Citations

Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

Pemovska,

Loizou,

Appleton

et al. 2023

Preprint

View full text Add to dashboard Cite

Autistic children and young people (CYP) experience mental health difficulties but face many barriers to accessing and benefiting from mental health care. There is a need to explore strategies in mental health care for autistic CYP to guide clinical practice and future research and support their mental health needs. Our aim was to identify strategies used to improve mental health care for autistic CYP and examine evidence on their acceptability, feasibility, and effectiveness. A systematic review and meta-analysis were carried out. All study designs reporting acceptability/feasibility outcomes and empirical quantitative studies reporting effectiveness outcomes for strategies tested within mental health care were eligible. We conducted a narrative synthesis and separate meta-analyses by informant (self, parent, clinician). Fifty-seven papers were included, with most investigating cognitive behavioural therapy (CBT)-based interventions for anxiety and several exploring service-level strategies, such as autism screening tools, clinician training, adaptations regarding organisation of services. Most papers described caregiver involvement in therapy and reported adaptations to communication and intervention content; a few reported environmental adjustments. In the meta-analyses, parent- and clinician-reported outcomes, but not self-reported outcomes, showed with moderate certainty that CBT for anxiety was an effective treatment compared to any comparison condition in reducing anxiety symptoms in autistic individuals. The certainty of evidence for effectiveness, synthesised narratively, ranged from low to moderate. Evidence for feasibility and acceptability tended to be positive. Many identified strategies are simple, reasonable adjustments that can be implemented in services to enhance mental health care for autistic individuals. Notable research gaps persist, however.

show abstract

Section: Service-level Strategies and Adapted Interventionsmentioning

confidence: 99%

Section: Cbt For Anxiety (N=38)mentioning

confidence: 99%

Section: Cbt For Anxiety (N=38)mentioning

confidence: 99%

Section: Cbt For Anxiety (N=38)mentioning

confidence: 99%

See 2 more Smart Citations

Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

Pemovska,

Loizou,

Appleton

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Therefore, there is a need to develop therapeutic strategies to improve the quality of life of individuals with ASD. The comorbidity of internalizing disorders, such as depression (DeFilippis, 2018;Gegelashvili, 2019), anxiety (Adams & Emerson, 2021;Vasa et al, 2020), and stress-related disorders (Oerbeck et al, 2021;Taylor et al, 2021), with ASD is very often present and can affect the deficit severity and the overall quality of life of individuals with ASD. Some non-invasive brain stimulation (NIBS) techniques based on different technologies, such as transcranial magnetic stimulation (Enticott et al, 2019) (TMS) and transcranial direct current stimulation (Amatachaya et al, 2014;Garcia-Gonzalez et al, 2021) (TDCS), have been proven to induce improvements in social, health, and behavioral problems among these individuals.…”

mentioning

confidence: 99%

REAC Non-invasive Neurobiological Stimulation for Mitigating the Impact of Internalizing Disorders in Autism Spectrum Disorder

Rinaldi

Maioli

Martins³

et al. 2021

Adv Neurodev Disord

View full text Add to dashboard Cite

Objectives Allostatic overload occurs when environmental factors become excessive for the individual capacity of neurobiological response and can trigger internalizing disorders. These disorders have a strong impact on individuals with autism spectrum disorder (ASD) and can exacerbate ASD symptoms and deficits. A non-invasive neurobiological stimulation technology, called the radio electric asymmetric conveyer (REAC), has been shown to be effective in improving internalizing disorders and remodeling the individual allostatic response. On these premises, REAC neurobiological stimulation treatments have been introduced for the treatment of internalizing disorders in ASD. The aim of this current research was to retrospectively verify the effects of REAC treatments on motor, cognitive, and behavioral skills and symptoms, assessed using the Autism Profiling Questionnaire (APQ). Methods Data were collected through administration of the APQ to the caregivers of 112 individuals with ASD. The caregivers rated every cluster of the questionnaire with a score based on an evaluation scale ranging from 0 to 10. Results At the 3-month follow-up, the caregivers perceived and rated a global improvement of the individuals with ASD in all clusters. Conclusions This research suggests that the mitigating effects of REAC neuromodulation treatments in relation to the severity of internalizing disorders can enhance the quality of life and the autonomy of individuals with ASD, as shown by the shift in the median values in all 21 items of the APQ toward an improvement in symptoms and skills.

show abstract

Approaches to improving mental health care for autistic children and young people: a systematic review and meta-analysis

Pemovska,

Loizou,

Appleton

et al. 2024

Psychol. Med.

View full text Add to dashboard Cite

Autistic children and young people (CYP) experience mental health difficulties but face many barriers to accessing and benefiting from mental health care. There is a need to explore strategies in mental health care for autistic CYP to guide clinical practice and future research and support their mental health needs. Our aim was to identify strategies used to improve mental health care for autistic CYP and examine evidence on their acceptability, feasibility, and effectiveness. A systematic review and meta-analysis were carried out. All study designs reporting acceptability/feasibility outcomes and empirical quantitative studies reporting effectiveness outcomes for strategies tested within mental health care were eligible. We conducted a narrative synthesis and separate meta-analyses by informant (self, parent, and clinician). Fifty-seven papers were included, with most investigating cognitive behavioral therapy (CBT)-based interventions for anxiety and several exploring service-level strategies, such as autism screening tools, clinician training, and adaptations regarding organization of services. Most papers described caregiver involvement in therapy and reported adaptations to communication and intervention content; a few reported environmental adjustments. In the meta-analyses, parent- and clinician-reported outcomes, but not self-reported outcomes, showed with moderate certainty that CBT for anxiety was an effective treatment compared to any comparison condition in reducing anxiety symptoms in autistic individuals. The certainty of evidence for effectiveness, synthesized narratively, ranged from low to moderate. Evidence for feasibility and acceptability tended to be positive. Many identified strategies are simple, reasonable adjustments that can be implemented in services to enhance mental health care for autistic individuals. Notable research gaps persist, however.

show abstract

“Less stress”: a pilot study on a cognitive behavioral treatment program for anxiety in children with autism spectrum disorders

Cited by 3 publications

References 59 publications

Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

REAC Non-invasive Neurobiological Stimulation for Mitigating the Impact of Internalizing Disorders in Autism Spectrum Disorder

Approaches to improving mental health care for autistic children and young people: a systematic review and meta-analysis

Contact Info

Product

Resources

About