69253
document
Cognitive behavioral therapy for early adolescents with autism spectrum disorders and clinical anxiety : a randomized , controlled trial . Clinically elevated anxiety is a common , impairing feature of autism spectrum disorders ( ASD ) . A modular CBT program designed for preteens with ASD , Behavioral Interventions for Anxiety in Children with Autism ( BIACA ; Wood et al. , 2009 ) was enhanced and modified to address the developmental needs of early adolescents with ASD and clinical anxiety . Thirty-three adolescents ( 11-15 years old ) were randomly assigned to 16 sessions of CBT or an equivalent waitlist period . The CBT model emphasized exposure , challenging irrational beliefs , and behavioral supports provided by caregivers , as well as numerous ASD-specific treatment elements . Independent evaluators , parents , and adolescents rated symptom severity at baseline and posttreatment/postwaitlist . In intent-to-treat analyses , the CBT group outperformed the waitlist group on independent evaluators ' ratings of anxiety severity on the Pediatric Anxiety Rating Scale ( PARS ) and 79 % of the CBT group met Clinical Global Impressions-Improvement scale criteria for positive treatment response at posttreatment , as compared to only 28.6 % of the waitlist group . Group differences were not found for diagnostic remission or questionnaire measures of anxiety . However , parent-report data indicated that there was a positive treatment effect of CBT on autism symptom severity . The CBT manual under investigation , enhanced for early adolescents with ASD , yielded meaningful treatment effects on the primary outcome measure ( PARS ) , although additional developmental modifications to the manual are likely warranted . Future studies examining this protocol relative to an active control are needed .
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Intervention_Educational
Cognitive behavioral therapy
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Intervention_Educational
CBT
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Intervention_Educational
Behavioral Interventions
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Intervention_Educational
CBT
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Intervention_Control
equivalent waitlist period
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Intervention_Educational
CBT
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Intervention_Educational
exposure , challenging irrational beliefs
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Intervention_Educational
behavioral supports
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Intervention_Educational
CBT
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Intervention_Educational
CBT
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Intervention_Educational
CBT
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Outcome_Mental
symptom severity
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Outcome_Mental
ratings of anxiety severity on the Pediatric Anxiety Rating Scale ( PARS )
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Outcome_Mental
Clinical Global Impressions-Improvement scale
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Outcome_Mental
diagnostic remission or questionnaire measures of anxiety .
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Outcome_Mental
parent-report data
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Outcome_Mental
positive treatment effect of CBT on autism symptom severity .
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Participant_Age
early adolescents
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Participant_Condition
autism spectrum disorders and clinical anxiety
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Participant_Age
preteens
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Participant_Condition
ASD
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Participant_Age
early adolescents
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Participant_Condition
ASD and clinical anxiety
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Participant_Sample-size
Thirty-three
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Participant_Age
adolescents ( 11-15 years old )