Moderators of Response to Personalized and Standard Care Cognitive-Behavioral Therapy for Youth with Autism Spectrum Disorder and Comorbid Anxiety

Autor/inn/en	Storch, Eric A.; Wood, Jeffrey J.; Guzick, Andrew G.; Small, Brent J.; Kerns, Connor M.; Ordaz, D. Luis; Schneider, Sophie C.; Kendall, Philip C.
Titel	Moderators of Response to Personalized and Standard Care Cognitive-Behavioral Therapy for Youth with Autism Spectrum Disorder and Comorbid Anxiety
Quelle	In: Journal of Autism and Developmental Disorders, 52 (2022) 2, S.950-958 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0162-3257
DOI	10.1007/s10803-021-05000-0
Schlagwörter	Cognitive Restructuring; Behavior Modification; Youth; Autism; Pervasive Developmental Disorders; Anxiety Disorders; Comorbidity; Predictor Variables; Severity (of Disability); Symptoms (Individual Disorders); Outcomes of Treatment; Age Differences + Suchen Sie Ihr Suchwort? Behaviour modification; Verhaltensänderung; Jugend; Jugendlicher; Jugendalter; Autismus; Prädiktor; Schweregrad; Psychiatrische Symptomatik; Age; Difference; Age difference; Altersunterschied
Abstract	Anxiety/obsessive-compulsive disorders are common among youth with autism spectrum disorder (ASD). Two versions of cognitive behavior therapy (CBT) are effective, with some advantage for a personalized, adapted version. This study evaluated predictors and moderators of standard CBT and adapted CBT. Youth (N = 167) ages 7-13 were randomized to standard or adapted CBT, or treatment-as-usual. Age, IQ, ASD severity, and emotional-behavioral symptom severity were examined. More severe internalizing and emotional-behavioral problems predicted poorer treatment outcomes especially in standard versus personalized CBT. Elevated repetitive behaviors and restricted interests predicted poorer treatment outcomes across treatments, though youth with "moderate" repetitive behaviors and restricted interested experienced poorer outcomes only in standard but not personalized CBT. Externalizing symptoms directly predicted treatment outcomes. Older age predicted improved outcomes in adapted but not standard CBT. Findings highlight the need for further treatment refinements and the value in adapting treatment for youth with more complex presentations. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01