Conflict of interest statement: J.R., A.B.-S., and S.H. will receive royalties for the Facing Your Fears program (Reavens et al., 2011).
Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: a randomized trial
Version of Record online: 15 NOV 2011
© 2011 The Authors. Journal of Child Psychology and Psychiatry © 2011 Association for Child and Adolescent Mental Health
Journal of Child Psychology and Psychiatry
Volume 53, Issue 4, pages 410–419, April 2012
How to Cite
Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K. and Hepburn, S. (2012), Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: a randomized trial. Journal of Child Psychology and Psychiatry, 53: 410–419. doi: 10.1111/j.1469-7610.2011.02486.x
- Issue online: 13 FEB 2012
- Version of Record online: 15 NOV 2011
- Accepted for publication: 13 September 2011 Published online: 15 November 2011
- cognitive behavioral therapies;
Background: Children with high-functioning autism spectrum disorders (ASD) are at high risk for developing significant anxiety. Anxiety can adversely impact functioning across school, home and community environments. Cognitive behavioral therapies (CBT) are frequently used with success for children with anxiety symptoms. Modified CBT interventions for anxiety in children with ASD have also yielded promising results.
Methods: Fifty children with high-functioning ASD and anxiety were randomized to group CBT or treatment-as-usual (TAU) for 12 weeks. Independent clinical evaluators, blind to condition, completed structured interviews (Anxiety Disorders Interview Schedule – Parent Version; ADIS-P) pre- and post-intervention condition.
Results: Forty-seven children completed either the CBT or TAU condition. Results indicated markedly better outcomes for the CBT group. Significant differences by group were noted in Clinician Severity Ratings, diagnostic status, and clinician ratings of global improvement. In the intent-to-treat sample, 10 of 20 children (50%) in the CBT group had a clinically meaningful positive treatment response, compared to 2 of 23 children (8.7%) in the TAU group.
Conclusions: Initial results from this randomized, designed treatment study suggest that a group CBT intervention specifically developed for children with ASD may be effective in decreasing anxiety. Limitations of this study include small sample size, lack of an attention control group, and use of outcome measures normed with typically developing children.