Effects of Cognitive-Behavioral Therapy on Anxiety in Children with Autism Spectrum Disorders: A Randomized Controlled Trial
Abstract
We compared the effects of a 16-week Cognitive-Behavioral Therapy (CBT) program and a Social Recreational (SR) program on anxiety in children with Autism Spectrum Disorders (ASD). Seventy children (9-16 years old) were randomly assigned to either of the programs (n (CBT) = 36; n (SR) = 34). Measures on child's anxiety using the Spence Child Anxiety Scale--Child (SCAS-C) and the Clinical Global Impression-Severity scale (CGI--S) were administered at pre-, post-treatment, and follow-ups (3- and 6-month). Children in both programs showed significantly lower levels of generalized anxiety and total anxiety symptoms at 6-month follow-up on SCAS-C. Clinician ratings on the CGI-S demonstrated an increase in the percentage of participants rated as "Normal" and "Borderline" for both programs. Findings from the present study suggest factors such as regular sessions in a structured setting, consistent therapists, social exposure and the use of autism-friendly strategies are important components of an effective framework in the management of anxiety in children and adolescents with ASD.
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- Authors
- Sung, M., Ooi, Y. P., Goh, T. J., Pathy, P., Fung, D. S. S., Ang, R. P., Chua, A., & Lam, C. M.
- Affiliations
- Institute of Mental Health (SG)
- National University of Singapore (SG)
- Nanyang Technological University (SG)
- Corresponding author
- Sung, Min
- Venue
- Child Psychiatry & Human Development
- Published
- 2011-06-10
- Volume
- 42
- Issue
- 6
- Pages
- 634-649
- ISSN
- 0009-398X (ISSN-L)
- 1573-3327
- OpenAlex
- W2007608934
- Cited by
- 131
- References
- 35
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 8 · 2023: 3 · 2022: 8 · 2021: 9 · 2020: 10 · 2019: 12 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 9 · 2014: 18 · 2013: 21 · 2012: 2
- FWCI
- 6.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Child Psychiatry & Human Development (publishedVersion)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- cognitive behavioral therapy, autism spectrum disorder, childhood anxiety, generalized anxiety disorder, Clinical Global Impression Scale, social exposure, children and adolescents
- MeSH terms
- Adolescent, Anxiety, Behavioral Symptoms, Child, Child Behavior, Child Development Disorders, Pervasive, Female, Humans, Male, Severity of Illness Index, Social Support, Program Evaluation, Cognitive Behavioral Therapy, Treatment Outcome, Diagnostic and Statistical Manual of Mental Disorders
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