Enhancing CBT for the Treatment of Autism Spectrum Disorders and Concurrent Anxiety

Enhancing CBT for the Treatment of Autism Spectrum Disorders and Concurrent Anxiety
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加强 CBT 治疗自闭症谱系障碍和并发焦虑症

DOI:
10.1017/s1352465808004384
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发表时间:
2008
影响因子:
1.8
通讯作者:
J. Wood
J. Wood
中科院分区:
心理学4区
文献类型:
--
作者:
Karen M. Sze;J. Wood

文献摘要

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摘要由于焦虑和其他同时存在的心理问题在患有高功能自闭症和阿斯伯格综合征的儿童中很常见,因此研究计划致力于开发有效的治疗方法,以解决青少年的多方面需求。新出现的研究表明,当仔细调整以适应自闭症谱系障碍(ASD)儿童的独特需求时,认知行为疗法(CBT)可能是一种可行的治疗方式。由于ASD的固有特征可能会损害传统CBT的疗效,我们的初步工作表明,将干预努力转向直接解决核心自闭症症状以促进最佳治疗反应可能是重要的。这篇文章描述了一个循证CBT治疗手册,修改和扩展,以解决ASD的核心特征以上和超越焦虑症状。一个患有阿斯伯格综合征的10岁男孩的案例被提出,并提供了支持数据来说明治疗改进及其原理。在此病例中获得的积极治疗反应表明,标准CBT方案的强化变体可能是治疗ASD和并发焦虑的儿童的有效方法。
Abstract Because anxiety and other concurrent psychological problems are common among children with high-functioning autism and Asperger syndrome, research initiatives have been devoted to the development of efficacious treatments to address the multifaceted needs of youth with this presentation. Emerging research indicates that when carefully adapted to accommodate for the unique needs of children with autism spectrum disorders (ASD), cognitive-behavioural therapy (CBT) may be a viable treatment modality. Because inherent features of ASD may compromise the efficacy of traditional CBT, our preliminary work suggests that it may be important to gear intervention efforts towards directly addressing core autism symptoms to promote optimal treatment response. This article describes an evidence-based CBT treatment manual modified and expanded to address core ASD features above and beyond anxiety symptomatology. A case example of a 10-year-old boy with Asperger syndrome is presented with supporting data to illustrate the treatment modifications and their rationale. The positive treatment response attained in this case suggests that an enhanced variant of a standard CBT programme may be an efficacious treatment approach for children with ASD and concurrent anxiety.
DOI: 10.1207/s15374424jccp2702_4
发表时间: 1998
期刊: Journal of clinical child psychology.
影响因子: --
作者:
Rogers,SJ
通讯作者: Rogers,SJ
DOI: 10.1037/0022-006x.62.1.100
发表时间: 1994-02-01
影响因子: 5.9
作者:
KENDALL, PC
通讯作者: KENDALL, PC