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.
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DOI：
10.1037/ccp0000621
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发表时间：
2021-03
影响因子：
5.9
通讯作者：
Hellemann G
中科院分区：
文献类型：
--
作者：
Wood JJ;Sze Wood K;Chuen Cho A;Rosenau KA;Cornejo Guevara M;Galán C;Bazzano A;Zeldin AS;Hellemann G
到目前为止，没有一对一的心理治疗方案，小学和中学学龄儿童自闭症谱系障碍（ASD）已被发现是有效的治疗自闭症相关的症状，如未能启动社会交往。本研究比较了模块化认知行为治疗（CBT）与增强标准社区治疗（ESCT）对自闭症相关症状严重程度的影响。ASD儿童（N=107;年龄6-13岁）被随机分配到一种治疗条件（CBT或ESCT）。两种治疗均提供了32次治疗。CBT条件采用模块化设计，将特定的循证治疗元素与每个儿童的临床需求相匹配（例如，社交症状）。ESCT条件以结构化和线性的团体治疗形式提供社交技能训练和认知行为训练。主要的结果衡量是独立的评估员在学校课间休息时使用结构化和有效的观察系统的同行参与评级。在整个治疗过程中，父母还对个性化的自闭症相关症状进行了逐期评分。CBT在主要结局指标（p<0.001; d= 0.50; 95%CI [0.06，0.93]）和次要结局指标（p= 0.003; d= 0.87; 95%CI [0.45，1.27]）上优于ESCT。在这项研究中评估的模块化一对一CBT计划可能有利于减少自闭症相关症状的严重程度，在一些自闭症儿童。需要进一步的研究来阐明治疗效果的程度和在社区治疗师实施的可行性。
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. 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 session-by-session ratings on personalized autism-related symptom profiles throughout treatment. 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]). 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.
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自闭症诊断观察表： 提高诊断有效性的修订算法
影响因子：
3.9
作者：
Gotham, Katherine;Risi, Susan;Lord, Catherine
通讯作者：
Lord, Catherine
DOI：
10.1111/j.1469-7610.2011.02493.x
发表时间：
2012-04
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Kasari C;Rotheram-Fuller E;Locke J;Gulsrud A
通讯作者：
Gulsrud A
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P
DOI：
10.15585/mmwr.ss6706a1
发表时间：
2018-04-27
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
--
作者：
Baio J;Wiggins L;Christensen DL;Maenner MJ;Daniels J;Warren Z;Kurzius-Spencer M;Zahorodny W;Robinson Rosenberg C;White T;Durkin MS;Imm P;Nikolaou L;Yeargin-Allsopp M;Lee LC;Harrington R;Lopez M;Fitzgerald RT;Hewitt A;Pettygrove S;Constantino JN;Vehorn A;Shenouda J;Hall-Lande J;Van Naarden Braun K;Dowling NF
通讯作者：
Dowling NF
影响因子：
3.8
作者：
Bauer, Daniel J.;Sterba, Sonya K.;Hallfors, Denise Dion
通讯作者：
Hallfors, Denise Dion