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Published on: July 31, 2017
Effects of Stepped Cognitive Behavioral Therapy on Child Depressive and Externalizing Symptoms in Autistic Children
Catherine E Rast1, Andrew G Guzick1, Keaton J Soileau1
1Catherine E. Rast, Baylor College of Medicine; Andrew G. Guzick, University of Pennsylvania; Keaton J. Soileau, Baylor College of Medicine; Orri Smarason, University of Iceland; Leandra N. Berry, Robin P. Goin-Kochel, Wayne K. Goodman, and Sophie C. Schneider, Baylor College of Medicine; Alison Salloum, University of South Florida; and Eric A. Storch, Baylor College of Medicine.
Abstract:
Despite the strong evidence basis for the treatment of anxiety in autistic youth, accessibility remains a significant challenge. Stepped care addresses this gap, although there is limited research into its broad effects in autistic youth with anxiety. In this project, 76 autistic youth with anxiety entered parent-led-bibliotherapy for 12 weeks; 44 stepped up to receive therapist-led cognitive behavioral therapy (CBT). Those who did not step up entered a maintenance phase. Youth were assessed for externalizing and depressive symptoms at mid-treatment, post-treatment, and 3 months after treatment (3MFU). Focal symptoms decreased across groups at all timepoints; those who entered maintenance experienced greater decreases. At 3MFU there were no differences between groups. Parents were assessed for depression, anxiety, and stress at the same timepoints; no significant changes were observed.
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