Preliminary Efficacy of a Cognitive-Behavioral Treatment Program for Anxious Youth with Autism Spectrum Disorders
Open accessAbstract
Anxiety is a commonly occurring psychiatric concern in adolescents with autism spectrum disorders (ASD). This pilot study examined the preliminary efficacy of a manual-based intervention targeting anxiety and social competence in four adolescents with high-functioning ASD. Anxiety and social functioning were assessed at baseline, midpoint, endpoint, and 6 months following treatment. Treatment consisted of cognitive-behavioral therapy, supplemented with parent education and group social skills training. The treatment program was effective in reducing anxiety in three of the four subjects and improving the social skills in all four subjects. Recommendations for the assessment and treatment of anxiety youth with ASD such as use of self-report measures to complement clinician and parent-reports and adaptations to traditional child-based CBT, are offered.
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A range of CBT programmes for young people with anxiety and ASD have been evaluated, with generally moderate effect sizes.
“A range of cognitive behaviour therapy (CBT) programmes for young people with anxiety and ASD have been evaluated (Chalfant et al. 2007; White et al. 2009; Wood et al. 2009; McConachie et al. 2013), with generally moderate effect sizes.”
From Towards a Treatment for Intolerance of Uncertainty in Young People with Autism Spectrum Disorder: Development of the Coping with Uncertainty in Everyday Situations (CUES©) Programme. (2017) · cites this paper as White et al. 2009
The Discussion reports that this paper evaluated a CBT programme for four adolescents with ASD and anxiety, with significant improvement on the primary anxiety measure in three. The Data Analysis section describes reliable change for individual participants, not a moderate effect size. Thus the paper supports its inclusion among evaluated programmes but does not establish the sentence’s effect-size characterization. (LLM, conf=0.87)
Experimental — accuracy not yet measuredA variety of CBT based programmes for anxiety and ASD have been evaluated recently, mainly in children and adolescents, with variable evidence for their effectiveness.
“A variety of cognitive behaviour therapy (CBT) based programmes for anxiety and ASD have been evaluated recently, mainly in children and adolescents (Chalfant et al. 2007; McConachie et al. 2014; White et al. 2009; Wood et al. 2009) and with variable evidence for their effectiveness.”
From Towards a Treatment for Intolerance of Uncertainty for Autistic Adults: A Single Case Experimental Design Study. (2018) · cites this paper as White et al. 2009
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- Authors
- White, S. W., Ollendick, T., Scahill, L., Oswald, D., & Albano, A. M.
- Affiliations
- Virginia Tech (US)
- Yale University (US)
- Virginia Commonwealth University (US)
- Columbia University Irving Medical Center (US)
- Corresponding author
- White, Susan W.
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2009-06-30
- Volume
- 39
- Issue
- 12
- Pages
- 1652-1662
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC2907432
- OpenAlex
- W2007616897
- Cited by
- 129
- References
- 37
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 7 · 2021: 4 · 2020: 6 · 2019: 5 · 2018: 7 · 2017: 6 · 2016: 9 · 2015: 11 · 2014: 14 · 2013: 15 · 2012: 12
- FWCI
- 5.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Virginia Commonwealth University
- National Institute of Mental Health (K01MH079945)
- 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 › Psychological Treatments and Assessments
- Keywords
- autism spectrum disorder, adolescent anxiety, cognitive behavioral therapy, social skills training, parent education, social competence, high-functioning autism, treatment efficacy, self-report measures
- MeSH terms
- Adolescent, Anxiety, Anxiety Disorders, Child, Child Development Disorders, Pervasive, Female, Humans, Male, Pilot Projects, Social Behavior, Cognitive Behavioral Therapy, Treatment Outcome
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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