共查询到20条相似文献,搜索用时 15 毫秒
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Sung M Ooi YP Goh TJ Pathy P Fung DS Ang RP Chua A Lam CM 《Child psychiatry and human development》2011,42(6):634-649
We compared the effects of a 16-week Cognitive-Behavioral Therapy (CBT) program and a Social Recreational (SR) program on
anxiety in children with Autism Spectrum Disorders (ASD). Seventy children (9–16 years old) were randomly assigned to either
of the programs (n
CBT = 36; n
SR = 34). Measures on child’s anxiety using the Spence Child Anxiety Scale—Child (SCAS-C) and the Clinical Global Impression—Severity
scale (CGI-S) were administered at pre-, post-treatment, and follow-ups (3- and 6-month). Children in both programs showed
significantly lower levels of generalized anxiety and total anxiety symptoms at 6-month follow-up on SCAS-C. Clinician ratings
on the CGI-S demonstrated an increase in the percentage of participants rated as “Normal” and “Borderline” for both programs.
Findings from the present study suggest factors such as regular sessions in a structured setting, consistent therapists, social
exposure and the use of autism-friendly strategies are important components of an effective framework in the management of
anxiety in children and adolescents with ASD. 相似文献
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Mello Catherine Rivard Mélina Morin Diane Patel Shaneha Morin Marjorie 《Journal of autism and developmental disorders》2022,52(6):2400-2413
Journal of Autism and Developmental Disorders - The present study examined which aspects of the child’s behavior and clinical profile accounted for three dimensions of parenting stress:... 相似文献
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Amy Drahota Jeffrey J. Wood Karen M. Sze Marilyn Van Dyke 《Journal of autism and developmental disorders》2011,41(3):257-265
CBT is a promising treatment for children with autism spectrum disorders (ASD) and focuses, in part, on children’s independence
and self-help skills. In a trial of CBT for anxiety in ASD (Wood et al. in J Child Psychol Psychiatry 50:224–234, 2009), children’s daily living skills and related parental intrusiveness were assessed. Forty children with ASD (7–11 years) and
their primary caregiver were randomly assigned to an immediate treatment (IT; n = 17) or 3-month waitlist (WL; n = 23) condition. In comparison to WL, IT parents reported increases in children’s total and personal daily living skills,
and reduced involvement in their children’s private daily routines. Reductions correlated with reduced anxiety severity. These
results provide preliminary evidence that CBT may yield increased independence and daily living skills among children with
ASD. 相似文献
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Social functioning was assessed using the Child Behavior Checklist and Teacher Report Form for children with anxiety disorders who participated in a randomized clinical trial (N = 161, aged 7–14). Significant relationships were found between severity of children’s principal anxiety disorder and most measures of social functioning, such that poorer social functioning was associated with more severe anxiety. Among youth who received cognitive-behavioral therapy (n = 111), significant associations were found between parent-reported social competence and both absence of principal anxiety disorder and lower anxiety severity at posttreatment and 1-year follow-up, controlling for the severity of the child’s principal anxiety disorder at pretreatment. Findings support a relationship between anxiety severity and social difficulties, and suggest the importance of social competence for a favorable treatment response. 相似文献
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Cori Fujii Patricia Renno Bryce D. McLeod C. Enjey Lin Kelly Decker Kaycie Zielinski Jeffrey J. Wood 《School mental health》2013,5(1):25-37
Children with autism spectrum disorders (ASDs) frequently present with a comorbid anxiety disorder that can cause significant functional impairment, particularly at school. An intensive modular cognitive behavioral treatment (CBT) program was delivered to address anxiety, self-regulation, and social engagement in school and in the community. A particular emphasis was placed on increasing generalizability of coping skills and positive social behavior by involving school personnel in the treatment process. Children (7–11 years old) were randomly assigned to an immediate treatment condition (IT) that included 32 sessions of CBT (n = 7) or a 16-week treatment-as-usual (TAU) condition (n = 5). The CBT sessions emphasized behavioral experimentation and emotion regulation training as well as social coaching on increasing positive peer interactions. School observations and consultations were included in the treatment model. Independent evaluators blind to treatment condition conducted structured diagnostic interviews at baseline and post-IT/post-TAU. Post-treatment analyses showed that 71.4 % of the IT group had remitted from their primary anxiety disorder diagnosis as compared with none of the TAU group. In addition, an ANCOVA analysis conducted with baseline anxiety scores included as a covariate revealed a statistically significant difference by treatment group in anxiety severity favoring the IT group at post-treatment. The 32-session CBT program is an intensive approach for children with ASD and moderate-to-severe anxiety disorders that appears to yield a clinically significant impact on anxiety symptoms. The generalizability of coping skills may be enhanced by the inclusion of school-based treatment components due to the consistency of supports this permits across the child’s daily settings. 相似文献
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Elevated parenting stress is observed among mothers of older children with autism spectrum disorders (ASD), but little is known about parents of young newly-diagnosed children. Associations between child behavior and parenting stress were examined in mothers and fathers of 54 toddlers with ASD (mean age = 26.9 months). Parents reported elevated parenting stress. Deficits/delays in children's social relatedness were associated with overall parenting stress, parent-child relationship problems, and distress for mothers and fathers. Regulatory problems were associated with maternal stress, whereas externalizing behaviors were associated with paternal stress. Cognitive functioning, communication deficits, and atypical behaviors were not uniquely associated with parenting stress. Clinical assessment of parental stress, acknowledging differences in parenting experiences for mothers and fathers of young children with ASD, is needed. 相似文献
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Symptoms of autism spectrum disorder (ASD) were assessed (Social Responsiveness Scale-Parent (SRS-P); coded in-session behavior)
in typically-developing, anxiety-disordered children (N = 50) treated with cognitive-behavioral therapy (CBT). Study 1: children with moderate autistic symptomology (per SRS-P) were significantly more likely to improve from family CBT (FCBT)
than individual CBT (ICBT; OR = 8.67). Coded behavior did not predict outcome. Study 2: CBT components were compared by treatment and ASD symptom status. At-home exposure completion was greater in FCBT and there
was an interaction in child involvement for treatment and ASD status. Though both treatments reduced anxiety, FCBT outperformed
ICBT for children with moderate ASD symptoms, a benefit potentially linked to more at-home exposures and greater child involvement
in FCBT. 相似文献
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Yasser S. Almogbel Rohit Goyal Sujit S. Sansgiry 《Community mental health journal》2017,53(4):405-414
The objective of this study was to examine the association between parenting stress and functional impairment among children with Neurodevelopmental Disorder (NDD). A sample of 150 parents of children diagnosed with NDD were recruited from schools that offer special education services. Parents completed a self-administered survey containing the parenting stress index-short form (PSI-SF) scale and the Columbia Impairment Scale. The multiple logistic regression conducted to compare those with clinically significant PSI-SF scores indicated that the risk of parents with clinically significant scores of parenting stress increased 5.5 times with functionally impaired children with NDD. Further the risk of stress increased 4.6 times when these parents reported having their own disorder/disease. The risk of stress was reduced by 57% for those who had higher than a college level education compared to those with a college level education or below. These findings might help health care providers to initiate early intervention strategies such as peer support and education that can prevent parenting stress and reduce the risk of potential incidence of depression. 相似文献
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Strang JF Kenworthy L Daniolos P Case L Wills MC Martin A Wallace GL 《Research in autism spectrum disorders》2012,6(1):406-412
Recent studies have shown that rates of depression and anxiety symptoms are elevated among individuals with autism spectrum disorders (ASDs) of various ages and IQs and that depression/anxiety symptoms are associated with higher IQ and fewer ASD symptoms. In this study which examined correlates of depression and anxiety symptoms in the full school-age range of children and adolescents (age 6-18) with ASDs and IQs ≥ 70 (n = 95), we also observed elevated rates of depression/anxiety symptoms, but we did not find higher IQ or fewer ASD symptoms among individuals with ASDs and depression or anxiety symptoms. These findings indicate an increased risk for depression/anxiety symptoms in children and adolescents with ASDs without intellectual disability, regardless of age, IQ, or ASD symptoms. 相似文献
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Morren M Muris P Kindt M Schouten E van den Hout M 《Child psychiatry and human development》2008,39(4):351-367
Emotional and parent-based reasoning refer to the tendency to rely on personal or parental anxiety response information rather
than on objective danger information when estimating the dangerousness of a situation. This study investigated the prospective
relationships of emotional and parent-based reasoning with anxiety symptoms in a sample of non-clinical children aged 8–14 years
(n = 122). Children completed the anxiety subscales of the Revised Children’s Anxiety and Depression Scale (Muris et al. Clin
Psychol Psychother 9:430–442, 2002) and provided danger ratings of scenarios that systematically combined objective danger
and objective safety information with anxiety-response and positive-response information. These measurements were repeated
10 months later (range 8–11 months). Emotional and parent-based reasoning effects emerged on both occasions. In addition,
both effects were modestly stable, but only in case of objective safety. Evidence was found that initial anxiety levels were
positively related to emotional reasoning 10 months later. In addition, initial levels of emotional reasoning were positively
related to anxiety at a later time, but only when age was taken into account. That is, this relationship changed with increasing
age from positive to negative. No significant prospective relationships emerged between anxiety and parent-based reasoning.
As yet the clinical implications of these findings are limited, although preliminary evidence indicates that interpretation
bias can be modified to decrease anxiety. 相似文献