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The Coping Cat Program for Children with Anxiety and Autism Spectrum Disorder: A Pilot Randomized Controlled Trial
Authors:Rebecca H. McNally Keehn  Alan J. Lincoln  Milton Z. Brown  Denise A. Chavira
Affiliation:1. California School of Professional Psychology, Alliant International University, 10455 Pomerado Road, San Diego, CA, 92131, USA
2. Center for Autism Research, Evaluation and Service, San Diego, CA, USA
3. Department of Psychiatry, University of California, San Diego, CA, USA
4. Child and Adolescent Services Research Center, Rady Children’s Hospital, San Diego, CA, USA
Abstract:The purpose of this pilot study was to evaluate whether a modified version of the Coping Cat program could be effective in reducing anxiety in children with autism spectrum disorder (ASD). Twenty-two children (ages 8–14; IQ ≥ 70) with ASD and clinically significant anxiety were randomly assigned to 16 sessions of the Coping Cat program (cognitive-behavioral therapy; CBT) or a 16-week waitlist. Children in the CBT condition evidenced significantly larger reductions in anxiety than those in the waitlist. Treatment gains were largely maintained at two-month follow-up. Results provide preliminary evidence that a modified version of the Coping Cat program may be a feasible and effective program for reducing clinically significant levels of anxiety in children with high-functioning ASD.
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