Group cognitive behavioural treatment for anxiety in adolescents with ASD and intellectual disability: A pilot and feasibility study

Group cognitive behavioural treatment for anxiety in adolescents with ASD and intellectual disability: A pilot and feasibility study
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DOI:
10.1111/jar.12854
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发表时间:
2021-01-06
影响因子:
2.4
通讯作者:
Reaven, Judy
Reaven, Judy
中科院分区:
医学3区
文献类型:
--
作者:
Blakeley-Smith, Audrey;Meyer, Allison T.;Reaven, Judy

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背景自闭症谱系障碍(ASD)和智力残疾的青少年表现出明显的焦虑。本研究的目的是适应一组认知行为疗法(CBT)计划,专为青少年与ASD和焦虑,以满足认知,沟通和行为的青少年与智力disability.Methods的干预的需要,并评估初步的可行性和有效性进行了调整,以14周的家庭为中心的CBT干预的结构,内容和程序的适应。23名患有ASD、智力残疾和焦虑的青少年被纳入。治疗的可接受性沿着青少年焦虑症状进行了评估,通过家长报告measures.Results的23名参与者,19完成治疗,并出席了94%的会议。家长的接受度很高。显著减少注意到焦虑症状post-intervention.Conclusions结果表明,CBT组是可行的和可接受的。初步结果表明,青少年焦虑改善,但复制与更大的样本和对照组的比较是必要的。
Background Adolescents with Autism Spectrum Disorder (ASD) and intellectual disability evidence significant anxiety. This study aimed to adapt a group cognitive behaviour therapies (CBT) programme designed for youth with ASD and anxiety to meet the cognitive, communication, and behavioural needs of adolescents with intellectual disability, and assess initial feasibility and efficacy of the intervention.Methods Structural, content and procedural adaptations were made to a 14-week family-focused CBT intervention. Twenty-three adolescents with ASD, intellectual disability and anxiety were included. Treatment acceptability along with adolescent anxiety symptoms was assessed via parent report measures.Results Of the 23 participants, 19 completed treatment and attended 94% of sessions. Parent acceptability was high. Significant reductions were noted on anxiety symptoms post-intervention.Conclusions Results indicate that the CBT group was feasible and acceptable. Preliminary outcomes suggest that adolescent anxiety improved, although replication with a larger sample and comparison to a control group is needed.