Benefits and Harms of Interventions to Improve Anxiety, Depression, and Other Mental Health Outcomes for Autistic People: A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials

Autor/inn/en	Linden, Audrey; Best, Lawrence; Elise, Freya; Roberts, Danielle; Branagan, Aoife; Tay, Yong Boon Ernest; Crane, Laura; Cusack, James; Davidson, Brian; Davidson, Ian; Hearst, Caroline; Mandy, William; Rai, Dheeraj; Smith, Edward; Gurusamy, Kurinchi
Titel	Benefits and Harms of Interventions to Improve Anxiety, Depression, and Other Mental Health Outcomes for Autistic People: A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials
Quelle	In: Autism: The International Journal of Research and Practice, 27 (2023) 1, S.7-30 (24 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Linden, Audrey) ORCID (Crane, Laura) ORCID (Davidson, Ian) ORCID (Mandy, William)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613221117931
Schlagwörter	Mental Health; Autism Spectrum Disorders; Depression (Psychology); Anxiety Disorders; Crisis Intervention; Literature Reviews; Cognitive Restructuring; Behavior Modification; Psychotherapy + Suchen Sie Ihr Suchwort? Psychohygiene; Autism; Autismus; Krisenintervention; Behaviour modification; Verhaltensänderung; Psychotherapie
Abstract	Mental health difficulties are prevalent in autistic people with [approximately]14%-50% having experienced depression and [approximately]40%-80% having experienced anxiety disorders. Identifying interventions that improve autistic people's mental health is a top priority. However, at present, there is no high-quality network meta-analysis of benefits and harms of different interventions. We conducted a systematic review and network meta-analysis of randomised controlled trials, searching MEDLINE, EMBASE, other databases, and trial registers until 17 October 2020. We included randomised controlled trials reporting anxiety or depression in a suitable format. We calculated effect estimates and 95% credible intervals using Bayesian network meta-analysis. Our search identified 13,794 reports, of which 71 randomised controlled trials (3630 participants) were eligible for inclusion. All trials had high risk of bias. The follow-up period ranged from 1 to 24 months. Evidence indicates uncertainty about the effects of different interventions, with more high-quality evidence needed. Available evidence suggests that some forms of cognitive behavioural therapy may decrease anxiety and depression scores in autistic children and adults; mindfulness therapy may decrease anxiety and depression scores in autistic adults with previous mental health conditions; and behavioural interventions may provide some benefit for depression in autistic children. We recommend that autistic people are given access to mental health interventions available to non-autistic people, following principles of person-centred care. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01