OBJECTIVE: To date, no one-on-one psychotherapy protocol for elementary and middle school-aged children with autism spectrum disorder (ASD) has been found to be efficacious for treating autism-related symptoms such as failure to initiate social interactions. This study compared modular cognitive behavioral therapy (CBT) with enhanced standard community treatment (ESCT) in terms of impact on the severity of autism-related symptoms. METHOD: Children with ASD (N = 107; aged 6-13 years) were randomly assigned to a treatment condition (CBT or ESCT). Both treatments provided 32 therapy sessions. The CBT condition utilized a modular design, matching specific evidence-based treatment elements to each child's clinical needs (e.g., social-communication symptoms). The ESCT condition provided social skills training and cognitive behavioral training in a structured and linear group therapy format. The primary outcome measure was independent evaluator ratings of peer engagement during school recess using a structured and validated observation system. Parents also made session-by-session ratings on personalized autism-related symptom profiles throughout treatment. RESULTS: CBT outperformed ESCT on the primary outcome measure (p < .001; d = .50; 95% CI [.06, .93]) and the secondary outcome measure (p = .003; d = .87; 95% CI [.45, 1.27]). CONCLUSIONS: The modular one-on-one CBT program evaluated in this study may be beneficial for reducing the severity of autism-related symptoms in some children with ASD. Further research is needed to clarify the extent of the treatment effect and the feasibility of implementation for therapists in the community. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
OBJECTIVE: To date, no one-on-one psychotherapy protocol for elementary and middle school-aged children with autism spectrum disorder (ASD) has been found to be efficacious for treating autism-related symptoms such as failure to initiate social interactions. This study compared modular cognitive behavioral therapy (CBT) with enhanced standard community treatment (ESCT) in terms of impact on the severity of autism-related symptoms. METHOD: Children with ASD (N = 107; aged 6-13 years) were randomly assigned to a treatment condition (CBT or ESCT). Both treatments provided 32 therapy sessions. The CBT condition utilized a modular design, matching specific evidence-based treatment elements to each child's clinical needs (e.g., social-communication symptoms). The ESCT condition provided social skills training and cognitive behavioral training in a structured and linear group therapy format. The primary outcome measure was independent evaluator ratings of peer engagement during school recess using a structured and validated observation system. Parents also made session-by-session ratings on personalized autism-related symptom profiles throughout treatment. RESULTS: CBT outperformed ESCT on the primary outcome measure (p < .001; d = .50; 95% CI [.06, .93]) and the secondary outcome measure (p = .003; d = .87; 95% CI [.45, 1.27]). CONCLUSIONS: The modular one-on-one CBT program evaluated in this study may be beneficial for reducing the severity of autism-related symptoms in some children with ASD. Further research is needed to clarify the extent of the treatment effect and the feasibility of implementation for therapists in the community. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Authors: Stephen M Kanne; Andrew J Gerber; Linda M Quirmbach; Sara S Sparrow; Domenic V Cicchetti; Celine A Saulnier Journal: J Autism Dev Disord Date: 2011-08
Authors: Eric A Storch; Elysse B Arnold; Adam B Lewin; Josh M Nadeau; Anna M Jones; Alessandro S De Nadai; P Jane Mutch; Robert R Selles; Danielle Ung; Tanya K Murphy Journal: J Am Acad Child Adolesc Psychiatry Date: 2013-01-02 Impact factor: 8.829
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Authors: Tony Charman; Eva Loth; Julian Tillmann; Daisy Crawley; Caroline Wooldridge; David Goyard; Jumana Ahmad; Bonnie Auyeung; Sara Ambrosino; Tobias Banaschewski; Simon Baron-Cohen; Sarah Baumeister; Christian Beckmann; Sven Bölte; Thomas Bourgeron; Carsten Bours; Michael Brammer; Daniel Brandeis; Claudia Brogna; Yvette de Bruijn; Bhismadev Chakrabarti; Ineke Cornelissen; Flavio Dell' Acqua; Guillaume Dumas; Sarah Durston; Christine Ecker; Jessica Faulkner; Vincent Frouin; Pilar Garcés; Lindsay Ham; Hannah Hayward; Joerg Hipp; Rosemary J Holt; Johan Isaksson; Mark H Johnson; Emily J H Jones; Prantik Kundu; Meng-Chuan Lai; Xavier Liogier D'ardhuy; Michael V Lombardo; David J Lythgoe; René Mandl; Luke Mason; Andreas Meyer-Lindenberg; Carolin Moessnang; Nico Mueller; Laurence O'Dwyer; Marianne Oldehinkel; Bob Oranje; Gahan Pandina; Antonio M Persico; Barbara Ruggeri; Amber N V Ruigrok; Jessica Sabet; Roberto Sacco; Antonia San Jóse Cáceres; Emily Simonoff; Roberto Toro; Heike Tost; Jack Waldman; Steve C R Williams; Marcel P Zwiers; Will Spooren; Declan G M Murphy; Jan K Buitelaar Journal: Mol Autism Date: 2017-06-23 Impact factor: 7.509