Intolerance of Uncertainty Predicts Anxiety Outcomes Following CBT in Youth with ASD.

Autor: Keefer A; Center for Autism and Related Disorder, Kennedy Krieger Institute, Baltimore, MD, 21286, USA. keefer@kennedykrieger.org.; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA. keefer@kennedykrieger.org., Kreiser NL; Center for Autism and Related Disorder, Kennedy Krieger Institute, Baltimore, MD, 21286, USA.; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA., Singh V; Center for Autism and Related Disorder, Kennedy Krieger Institute, Baltimore, MD, 21286, USA., Blakeley-Smith A; University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA., Duncan A; Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA., Johnson C; Center for Autism and Related Disorder, Kennedy Krieger Institute, Baltimore, MD, 21286, USA., Klinger L; TEACCH Autism Program, Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Meyer A; TEACCH Autism Program, Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Reaven J; University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA., Vasa RA; Center for Autism and Related Disorder, Kennedy Krieger Institute, Baltimore, MD, 21286, USA.; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jazyk: angličtina
Zdroj: Journal of autism and developmental disorders [J Autism Dev Disord] 2017 Dec; Vol. 47 (12), pp. 3949-3958.
DOI: 10.1007/s10803-016-2852-z
Abstrakt: Modified cognitive-behavioral therapy (MCBT) has been demonstrated to reduce anxiety in youth with autism spectrum disorder (ASD). However, non-response rates are fairly high. Few studies have investigated factors associated with response. Intolerance of uncertainty (IU) is a treatment target for anxiety and worry in neurotypical populations and has been linked to anxiety and ASD. We sought to examine whether IU affects outcomes following MCBT in 43 children, ages 8-14 years, with ASD without intellectual disability. Consistent with prior data, there was a significant reduction in parent reported anxiety following MCBT. Higher levels of pre-intervention IU predicted higher anxiety and worry pre- and post-intervention. These findings suggest that targeting IU may improve outcomes following MCBT in youth with ASD and anxiety.
Databáze: MEDLINE