Examining the Relationship Between Anxiety Severity and Autism-Related Challenges During Cognitive Behavioral Therapy for Children with Autism.

Autor: Fuselier MN; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Blvd, Suite 4-400, Houston, TX 77030, USA., Guzick AG; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Blvd, Suite 4-400, Houston, TX 77030, USA., Bakhshaie J; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA., Wood JJ; Department of Education, University of California, Los Angeles, Los Angeles, CA, USA.; Department of Psychiatry, University of California, Los Angeles, Los Angeles, CA, USA., Kendall PC; Department of Psychology, Temple University, Philadelphia, PA, USA., Kerns CM; Department of Psychology, University of British Columbia, Vancouver, BC, Canada., Small BJ; School of Aging Studies, University of South Florida, Tampa, FL, USA., Goodman WK; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Blvd, Suite 4-400, Houston, TX 77030, USA., Storch EA; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Blvd, Suite 4-400, Houston, TX 77030, USA. eric.storch@bcm.edu.
Jazyk: angličtina
Zdroj: Journal of autism and developmental disorders [J Autism Dev Disord] 2024 May; Vol. 54 (5), pp. 1849-1856. Date of Electronic Publication: 2023 Feb 27.
DOI: 10.1007/s10803-023-05912-z
Abstrakt: Purpose: Using data from a randomized clinical trial evaluating cognitive behavioral therapy (CBT) for children with autism and co-occurring anxiety, this study examined the relationship between autism features and anxiety symptoms throughout CBT.
Methods: Two multilevel mediation analyses were run which examined the mediating role of changes in anxiety for changes in two core features of autism, (a) repetitive and restrictive behaviors (RRBs) and (b) social communication/interaction impairments, between pre- and post-treatment.
Results: Indirect effects between time and autism characteristics were significant for both models, indicating that as anxiety changes, so do RRBs and social communication/interaction as the outcomes respectively.
Conclusion: Findings suggest a bidirectional relationship between anxiety and autism features. Implications of these findings are discussed.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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