A conceptual perspective on the role of cognitive behavioural therapy for anxiety in autism spectrum disorder
Open accessAbstract
Diagnostic and Statistical Manual of Mental Disorders (DSM)-5, with its revised criteria for diagnosis, highlights the dynamics between the presence of other conditions and the severity of symptoms in Autism Spectrum Disorder (ASD), along with atypical cognitive profiles. This theoretical review intends to explore various facets of adopting Cognitive Behavioural Therapy (CBT) for anxiety in ASD, exploring the existing literature. Recent trends are inching toward exploring efficacious interventions, including CBT for anxiety in ASD. Clinical trials point towards favourable outcomes of CBT for anxiety in ASD Level 1. Engaging adaptations and customizations to CBT well within the conceptual confines to compensate for the gaps and framing ASD-specific outcome measures are crucial to addressing the symptom diversity in ASD.
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The effectiveness of CBT in treating anxiety in autism may depend on how it is adapted for this population.
“The effectiveness of CBT in treating anxiety in autism may depend on how it is adapted for this population (Prasanna & Nayak, 2024; Spain & Happé, 2020).”
From Understanding Autistic Adults' Psychological Experiences of Anxiety Problems: A Qualitative Interview Study. (2026) · cites this paper as Prasanna & Nayak, 2024
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Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
Lai, M.-C., Lombardo, M. V., & Baron-Cohen, S. (2014) · The Lancet · doi:10.1016/s0140-6736(13)61539-1 · Cited by 2,371 · see citing works
Lord, C., Brugha, T. S., Charman, T., Cusack, J., Dumas, G., Frazier, T., Jones, E. J. H., Jones, R. M., Pickles, A., State, M. W., et al. (2020) · Nature Reviews Disease Primers · doi:10.1038/s41572-019-0138-4 · Cited by 1,859 · cited 1× · see citing works
“Difficulties with language acquisition, emotion recognition, sensory attention and executive functions are observed in varying degrees in individuals with ASD [16].”
Anxiety Disorders in Children and Adolescents with Autistic Spectrum Disorders: A Meta-Analysis
van Steensel, F. J. A., Bögels, S. M., & Perrin, S. (2011) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-011-0097-0 · Cited by 1,463 · cited 1× · see citing works
“Various other factors, such as the type of anxiety disorder, the subtype of ASD, as well as the assessment methods, including age and IQ, play a role in exploring the interventions [27].”
Anxiety in children and adolescents with autism spectrum disorders
White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.01.003 · Cited by 1,427 · cited 3× · see citing works
“Anxiety is one of the most common co-occurring conditions in ASD individuals that present differently across the spectrum and age groups [19].”
InfluentialThe Epidemiology of Autism Spectrum Disorders
Newschaffer, C. J., Croen, L. A., Daniels, J., Giarelli, E., Grether, J. K., Levy, S. E., Mandell, D. S., Miller, L. A., Pinto-Martin, J., Reaven, J., et al. (2007) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.28.021406.144007 · Cited by 1,228 · see citing works
An Overview of Autism Spectrum Disorder, Heterogeneity and Treatment Options
Masi, A., DeMayo, M. M., Glozier, N., & Guastella, A. J. (2017) · Neuroscience Bulletin · doi:10.1007/s12264-017-0100-y · Cited by 987 · see citing works
Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2008.01948.x · Cited by 666 · see citing works
Evidence-Based Practices for Children, Youth, and Young Adults with Autism: Third Generation Review
Hume, K., Steinbrenner, J. R. D., Odom, S. L., Morin, K. L., Nowell, S. W., Tomaszewski, B. R., Szendrey, S., McIntyre, N. S., Özkan, Ş. Y., & Savage, M. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04844-2 · Cited by 607 · see citing works
Cognitive-behavioral therapy for anxiety disorders: An update on the empirical evidence
Kaczkurkin, A. N., & Foa, E. B. (2015) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2015.17.3/akaczkurkin · Cited by 523 · see citing works
Cognitive Therapy of Anxiety Disorders: Science and Practice
Sudak, D. M. (2010) · Journal of Psychiatric Practice · doi:10.1097/01.pra.0000386918.08053.3d · Cited by 479 · see citing works
Chalfant, A. M., Rapee, R., & Carroll, L. (2007) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0318-4 · Cited by 428 · see citing works
(2009) · Cited by 407 · see citing works
Exploring the nature and function of anxiety in youth with autism spectrum disorders.
Wood, J. J., & Gadow, K. D. (2010) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.2010.01220.x · Cited by 407 · see citing works
Boulter, C., Freeston, M., South, M., & Rodgers, J. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-2001-x · Cited by 401 · cited 1× · see citing works
“Intolerance of Uncertainty is another critical factor that can explain anxiety in ASD [23].”
Chorpita, B. F., Daleiden, E. L., Ebesutani, C., Young, J., Becker, K. D., Nakamura, B. J., Phillips, L., Ward, A., Lynch, R., Trent, L., et al. (2011) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.2011.01247.x · Cited by 393 · see citing works
Subgrouping the Autism Spectrum: Reflections on DSM-5
Lai, M.-C., Lombardo, M. V., Chakrabarti, B., & Baron-Cohen, S. (2013) · PLoS Biology · doi:10.1371/journal.pbio.1001544 · Cited by 330 · see citing works
Reaven, J., Blakeley‐Smith, A., Culhane‐Shelburne, K., & Hepburn, S. (2012) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2011.02486.x · Cited by 314 · see citing works
Comorbidities in autism spectrum disorder and their etiologies
Khachadourian, V., Mahjani, B., Sandin, S., Kolevzon, A., Buxbaum, J. D., Reichenberg, A., & Janecka, M. (2023) · Translational Psychiatry · doi:10.1038/s41398-023-02374-w · Cited by 291 · see citing works
Cognitive Behavioral Treatments for Anxiety in Children With Autism Spectrum Disorder
Wood, J. J., Kendall, P. C., Wood, K. S., Kerns, C. M., SELTZER, M. H., Small, B. J., Lewin, A. B., & Storch, E. A. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.4160 · Cited by 272 · see citing works
White, S. W., Mazefsky, C. A., Dichter, G. S., Chiu, P. H., Richey, J. A., & Ollendick, T. H. (2014) · International Journal of Developmental Neuroscience · doi:10.1016/j.ijdevneu.2014.05.012 · Cited by 252 · see citing works
Ung, D., Selles, R., Small, B. J., & Storch, E. A. (2015) · Child Psychiatry & Human Development · doi:10.1007/s10578-014-0494-y · Cited by 231 · see citing works
Lang, R., Regester, A., Lauderdale, S., Ashbaugh, K., & Haring, A. (2010) · Developmental Neurorehabilitation · doi:10.3109/17518420903236288 · Cited by 226 · see citing works
Moree, B. N., & Davis, T. E. (2010) · Research in Autism Spectrum Disorders · doi:10.1016/j.rasd.2009.10.015 · Cited by 220 · cited 1× · see citing works
“As research indicates that CBT with individualized modifications will benefit ASD individuals in managing their anxiety, there is a need for standardizing a treatment plan for the ASD population, including all levels [33].”
Friendship and Internalizing Symptoms Among Children and Adolescents with ASD
Mazurek, M. O., & Kanne, S. M. (2010) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-010-1014-y · Cited by 218 · see citing works
The cognitive neuroscience of autism
Baron‐Cohen, S. (2004) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.2003.018713 · Cited by 188 · see citing works
THEORETICAL FOUNDATIONS OF COGNITIVE-BEHAVIOR THERAPY FOR ANXIETY AND DEPRESSION
Brewin, C. R. (1996) · Annual Review of Psychology · doi:10.1146/annurev.psych.47.1.33 · Cited by 184 · see citing works
Association of Comorbid Mood and Anxiety Disorders With Autism Spectrum Disorder
Kirsch, A. C., Huebner, A. R. S., Mehta, S. Q., Howie, F. R., Weaver, A. L., Myers, S. M., Voigt, R. G., & Katusic, S. K. (2020) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2019.4368 · Cited by 139 · see citing works
Cognitive behaviour therapy for children and adults with Asperger’s syndrome
Attwood, T. (2004) · Behaviour Change · doi:10.1375/bech.21.3.147.55995 · Cited by 131 · see citing works
Avni, E., Ben‐Itzchak, E., & Zachor, D. A. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00717 · Cited by 126 · see citing works
Cognitive behavior therapy for anxiety disorders: 40 years of progress
Öst, L. (2008) · Nordic Journal of Psychiatry · doi:10.1080/08039480802315590 · Cited by 111 · see citing works
Sharma, S., Hucker, A., Matthews, T., Grohmann, D., & Laws, K. R. (2021) · BMC Psychology · doi:10.1186/s40359-021-00658-8 · Cited by 109 · see citing works
Spain, D., & Happé, F. (2020) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-019-00335-1 · Cited by 97 · see citing works
Cognitive Behavioral Therapy for Children With Autism
Danial, J. T., & Wood, J. J. (2013) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e31829f676c · Cited by 94 · see citing works
Leo Kanner and autism: a 75-year perspective
Harris, J. C. (2018) · International Review of Psychiatry · doi:10.1080/09540261.2018.1455646 · Cited by 91 · see citing works
Treatment of comorbid anxiety and autism spectrum disorders
Nadeau, J. M., Sulkowski, M. L., Ung, D., Wood, J. J., Lewin, A. B., Murphy, T. K., Ehrenreich, J. T., & Storch, E. A. (2011) · Neuropsychiatry · doi:10.2217/npy.11.62 · Cited by 84 · see citing works
Lickel, A., MacLean, W. E., Blakeley-Smith, A., & Hepburn, S. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1330-x · Cited by 65 · see citing works
Modified CBT for social anxiety and social functioning in young adults with autism spectrum disorder
Bemmer, E. R., Boulton, K. A., Thomas, E. E., Larke, B., Lah, S., Hickie, I. B., & Guastella, A. J. (2021) · Molecular Autism · doi:10.1186/s13229-021-00418-w · Cited by 59 · see citing works
Maddox, B., Crabbe, S. R., Fishman, J., Beidas, R., Brookman-Frazee, L., Miller, J. S., Nicolaidis, C., & Mandell, D. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-04156-0 · Cited by 56 · see citing works
Anxiety and ASD: Current Progress and Ongoing Challenges
South, M., Rodgers, J., & Hecke, A. V. V. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3322-y · Cited by 49 · see citing works
Pegg, S. L., Hill, K. E., Argiros, A. P., Olatunji, B. O., & Kujawa, A. (2022) · Current Psychiatry Reports · doi:10.1007/s11920-022-01384-7 · Cited by 49 · see citing works
Anxiety problems in young people with autism spectrum disorder: A case series
Ozsivadjian, A., & Knott, F. J. (2011) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104511404749 · Cited by 47 · see citing works
Lake, J. K., Modica, P. T., Chan, V., & Weiss, J. A. (2020) · Autism · doi:10.1177/1362361320918754 · Cited by 38 · see citing works
Phenomenology and Presentation of Anxiety in Autism Spectrum Disorder
Magiati, I., Ozsivadjian, A., & Kerns, C. M. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-805122-1.00003-x · Cited by 37 · see citing works
Anxiety in youth with autism spectrum disorders: implications for treatment
Johnco, C. J., & Storch, E. A. (2015) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.2015.1111762 · Cited by 32 · see citing works
Wichers, R., van der Wouw, L. C., Brouwer, M. E., Lok, A., & Bockting, C. (2022) · Psychological Medicine · doi:10.1017/s0033291722003415 · Cited by 32 · see citing works
Review of interventions for the management of anxiety symptoms in children with ASD
Delli, C. K. S., Polychronopoulou, S. A., Kolaitis, G. A., & Antoniou, A. S. G. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.10.023 · Cited by 30 · see citing works
Albaum, C. S., Modica, P. T., Roudbarani, F., & Weiss, J. A. (2019) · Autism · doi:10.1177/1362361319849985 · Cited by 25 · see citing works
Reaven, J., Pickard, K. E., Meyer, A. T., Hayutin, L. G., Middleton, C., Reyes, N., Tanda, T., Stahmer, A. C., Blakeley‐Smith, A., & Boles, R. E. (2023) · Autism · doi:10.1177/13623613231175951 · Cited by 16 · see citing works
Hollocks, M. J., Wood, J. J., Storch, E. A., Cho, A. C., Kerns, C. M., & Kendall, P. C. (2022) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2022.2025596 · Cited by 12 · see citing works
Cognitive behavioural therapy for anxiety disorders in children and adolescents.
James, A., Reardon, T., Soler, A., James, G., & Creswell, C. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013162 · Cited by 9 · see citing works
Optimising Anxiety Treatment for Autistic Children: a Narrative Review
Pearce, R. T., Kelly, A. B., & Campbell, M. A. (2023) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-023-00397-z · Cited by 5 · see citing works
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Roberts-Davis, R. J., Happé, F. G., & Lau-Zhu, A. (2026) · Autism · doi:10.1177/13623613261455375 · Cited by 1 · see citing works
“The effectiveness of CBT in treating anxiety in autism may depend on how it is adapted for this population (Prasanna & Nayak, 2024; Spain & Happé, 2020).”
Warner, J. N., Sim, L. A., Cotter, A., Long, J., Weiss, K., Vater, L., Iacobone, R., & Black, W. R. (2026) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-026-10138-z · Cited by 1 · see citing works
Raish, S. M. A., Shokr, M. M., Eladawy, R. M., & Azar, Y. O. (2026) · Biology · doi:10.3390/biology15100745 · Cited by 1 · see citing works
- Authors
- Prasanna, N. V. T., & Nayak, M.
- Affiliations
- CMR University (IN)
- Corresponding author
- Prasanna, N. Venkata Tejo
- Venue
- Discover Psychology
- Published
- 2024-12-06
- Volume
- 4
- Issue
- 1
- ISSN
- 2731-4537 (ISSN-L)
- OpenAlex
- W4405123309
- Cited by
- 3
- References
- 52
- Citations by year
- 2026: 3
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Discover Psychology (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (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 › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- autism spectrum disorder, anxiety, cognitive behavioral therapy, comorbidities, symptom severity, DSM-5 diagnostic criteria
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