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document
Cognitive behavioral therapy for anxiety in children with autism spectrum disorders : a randomized , controlled trial . BACKGROUND Children with autism spectrum disorders often present with comorbid anxiety disorders that cause significant functional impairment . This study tested a modular cognitive behavioral therapy ( CBT ) program for children with this profile . A standard CBT program was augmented with multiple treatment components designed to accommodate or remediate the social and adaptive skill deficits of children with ASD that could pose barriers to anxiety reduction . METHOD Forty children ( 7-11 years old ) were randomly assigned to 16 sessions of CBT or a 3-month waitlist ( 36 completed treatment or waitlist ) . Therapists worked with individual families . The CBT model emphasized behavioral experimentation , parent-training , and school consultation . Independent evaluators blind to treatment condition conducted structured diagnostic interviews and parents and children completed anxiety symptom checklists at baseline and posttreatment/postwaitlist . RESULTS In intent-to-treat analyses , 78.5 % of the CBT group met Clinical Global Impressions-Improvement scale criteria for positive treatment response at posttreatment , as compared to only 8.7 % of the waitlist group . CBT also outperformed the waitlist on diagnostic outcomes and parent reports of child anxiety , but not children 's self-reports . Treatment gains were maintained at 3-month follow-up . CONCLUSIONS The CBT manual employed in this study is one of the first adaptations of an evidence-based treatment for children with autism spectrum disorders . Remission of anxiety disorders appears to be an achievable goal among high-functioning children with autism .
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Intervention_Psychological
Cognitive behavioral therapy
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Intervention_Psychological
cognitive behavioral therapy ( CBT )
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Intervention_Psychological
CBT
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Intervention_Psychological
CBT
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Intervention_Educational
3-month waitlist
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Intervention_Psychological
CBT
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Intervention_Psychological
CBT
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Intervention_Educational
waitlist
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Intervention_Psychological
CBT
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Intervention_Educational
waitlist
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Intervention_Psychological
CBT
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Outcome_Mental
anxiety
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Outcome_Mental
functional impairment
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Outcome_Mental
anxiety reduction
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Outcome_Mental
anxiety symptom checklists
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Outcome_Mental
Clinical Global Impressions-Improvement scale criteria
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Outcome_Mental
parent reports of child anxiety
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Outcome_Mental
anxiety
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Participant_Condition
anxiety in children with autism spectrum disorders :
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Participant_Condition
Children with autism spectrum disorders
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Participant_Condition
children with ASD
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Participant_Age
Forty children ( 7-11 years old ) were randomly assigned