Reward Sensitivity Predicts the Response to Cognitive Behavioral Therapy for Children with Autism and Anxiety.
Reward Sensitivity Predicts the Response to Cognitive Behavioral Therapy for Children with Autism and Anxiety.
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DOI：
10.1080/15374416.2022.2025596
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发表时间：
2023-11
影响因子：
4.2
通讯作者：
Kendall, Philip C.
中科院分区：
文献类型：
--
作者：
Hollocks, Matthew J.;Wood, Jeffrey J.;Storch, Eric A.;Cho, An-Chuen;Kerns, Connor M.;Kendall, Philip C.
认知行为疗法（CBT）是治疗青少年自闭症谱系障碍（ASD）焦虑的有效方法。然而，研究尚未研究哪些认知特征可能影响治疗反应。本研究探讨了决策能力和社会认知作为潜在的（a）两个版本的CBT和（B）治疗条件的效果的调节剂的差异治疗反应的预测。该研究包括148名患有干扰性焦虑和ASD诊断的儿童（平均年龄= 9.8岁），他们参加了一项随机临床试验，比较了两种版本的CBT焦虑（标准和适应ASD）。参与者完成了决策能力（适应爱荷华州赌博任务）和社会认知（奇怪的故事）的预处理措施，并分析了任务表现是否预测治疗反应之间和（适度）治疗条件。我们的研究结果表明，决策能力调节了患有ASD和焦虑的青少年的治疗结果，对于那些接受标准而非适应性CBT的人来说，更好的决策表现与更高的治疗后焦虑评分相关。患有ASD和焦虑症的儿童对奖励偶然性和强化更敏感，可能会从适应CBT方法中受益更多，这些方法更明确地与奖励一起工作。
Cognitive behavioral therapy (CBT) is an effective treatment for anxiety in youth with autism spectrum disorder (ASD). However, research has yet to examine what cognitive characteristics may influence treatment response. The current study investigated decision-making ability and social cognition as potential (a) predictors of differential treatment response to two versions of CBT and (b) moderators of the effect of treatment condition. The study included 148 children (mean age = 9.8 years) with interfering anxiety and a diagnosis of ASD who were enrolled in a randomized clinical trial comparing two versions of CBT for anxiety (standard and adapted for ASD). Participants completed pretreatment measures of decision-making ability (adapted Iowa Gambling Task) and social cognition (Strange Stories) and analyses tested whether task performance predicted treatment response across and between (moderation) treatment conditions. Our findings indicate that decision-making ability moderated treatment outcomes in youth with ASD and anxiety, with a better decision-making performance being associated with higher post-treatment anxiety scores for those who received standard, not adapted CBT. Children with ASD and anxiety who are more sensitive to reward contingencies and reinforcement may benefit more from adapted CBT approaches that work more explicitly with reward.
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DOI：
10.1176/appi.ajp.2020.20010094
发表时间：
2021-04-01
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Sequeira SL;Silk JS;Ladouceur CD;Hanson JL;Ryan ND;Morgan JK;McMakin DL;Kendall PC;Dahl RE;Forbes EE
通讯作者：
Forbes EE
影响因子：
6.9
作者：
Charman, T.;Pickles, A.;Baird, G.
通讯作者：
Baird, G.
DOI：
10.1097/01.chi.0000020259.43550.f4
发表时间：
2002-09-01
影响因子：
13.3
作者：
Riddle, MA;Ginsburg, GS;Roper, M
通讯作者：
Roper, M
影响因子：
5.2
作者：
Brent, E;Rios, P;Charman, T
通讯作者：
Charman, T
DOI：
10.1080/15374416.2016.1138408
发表时间：
2018-01-01
影响因子：
4.2
作者：
Silk, Jennifer S.;Tan, Patricia Z.;Ryan, Neal D.
通讯作者：
Ryan, Neal D.