Parent-Led Cognitive Behavioral Teletherapy for Anxiety in Autistic Youth: A Randomized Trial Comparing Two Levels of Therapist Support.

Autor: Guzick AG; University of Pennsylvania; Baylor College of Medicine. Electronic address: Andrew.guzick@pennmedicine.upenn.edu., Schneider SC; Baylor College of Medicine., Kook M; Baylor College of Medicine., Rose Iacono J; Baylor College of Medicine., Weinzimmer SA; Baylor College of Medicine., Quast T; Baylor College of Medicine., Olsen SM; Baylor College of Medicine., Hughes KR; University of Texas Health-Houston., Jellinek-Russo E; Baylor College of Medicine; University of Houston., Garcia AP; Baylor College of Medicine., Candelari A; Baylor College of Medicine., Berry LN; Baylor College of Medicine, Meyer Center for Developmental Pediatrics and Autism, Texas Children's Hospital., Goin-Kochel RP; Baylor College of Medicine, Meyer Center for Developmental Pediatrics and Autism, Texas Children's Hospital., Goodman WK; Baylor College of Medicine., Storch EA; Baylor College of Medicine.
Jazyk: angličtina
Zdroj: Behavior therapy [Behav Ther] 2024 May; Vol. 55 (3), pp. 499-512. Date of Electronic Publication: 2023 Sep 06.
DOI: 10.1016/j.beth.2023.08.008
Abstrakt: Parent-led cognitive behavioral therapy (CBT) is an efficient, promising form of therapy that may be well suited for autistic youth with anxiety disorders, though to date it has been minimally tested. In this study, 87 autistic youth (7 to 13 years old) with anxiety disorders and their parents were randomized to two forms of parent-led CBT in which parents led their child through a guided CBT workbook across 12 weeks: one with low therapist contact (four 30-minute telehealth calls), and one with standard therapist contact (ten 60-minute telehealth calls). Anxiety, functional impairment, and autism features significantly declined across therapy, without differences between groups. High satisfaction was reported in both groups, though significantly higher satisfaction ratings were reported in standard-contact CBT. Responder rates were 69% of completers at posttreatment (70% in standard contact, 68% in low contact) and 86% at 3-month follow-up (86% in standard contact, 87% in low contact). Low-contact CBT was estimated to incur an average cost of $755.70 per family compared with $1,978.34 in standard-contact CBT. Parent-led CBT with minimal or standard therapist contact both appear to be effective CBT delivery formats for autistic youth with anxiety disorders, with significant cost savings for low-contact CBT.
(Copyright © 2023 Association for Behavioral and Cognitive Therapies. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: