Treatment of anxiety in older adolescents and young adults with autism spectrum disorders: A pilot study
Abstract
Anxiety disorders are commonly comorbid in adolescents and young adults with high-functioning autism. Cognitive-behavioral treatments (CBT) for anxiety, when adapted and expanded to target autism spectrum disorder (ASD) characteristics, may be beneficial, but there is minimal evidence to guide clinicians in their application. This multiple-baseline design study evaluated the initial efficacy of a CBT protocol adapted to address anxiety symptoms and adaptive functioning in this population. Anxiety and ASD symptoms were assessed for six participants at intake, after baseline, posttreatment, and at 1-month follow-up. Parent- and child-reported anxiety was also assessed during baseline and treatment. Visual inspection and reliable change index scores were used to evaluate change. All participants improved on clinician-rated measures of disorder severity, and gains were maintained at follow-up. Results were more equivocal for parent- and self-rated anxiety and parent-rated ASD, partly because of spontaneous changes during baseline.
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Some previous treatment studies have included autism-specific modifications, but their effects have not been directly tested.
“Although some previous treatment studies have included autism-specific modifications (Ehrenreich-May et al., 2020;Hesselmark et al., 2014;Russell et al., 2013;Sizoo & Kuiper, 2017;Spek et al., 2013), their effects have not been directly tested.”
From A mixed methods study of autistic adults' mental health therapy experiences (2023) · cites this paper as Ehrenreich-May et al., 2020
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Wise, J. M., Cepeda, S. L., Ordaz, D. L., McBride, N. M., Cavitt, M. A., Howie, F. R., Scalli, L., Ehrenreich-May, J., Wood, J. J., Lewin, A. B., et al. (2019) · Child Psychiatry & Human Development · doi:10.1007/s10578-018-0817-5 · Cited by 18 · see citing works
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A mixed methods study of autistic adults' mental health therapy experiences
Mazurek, M. O., Pappagianopoulos, J., Brunt, S., Sadikova, E., Nevill, R., Menezes, M., & Harkins, C. (2023) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2835 · Cited by 33 · see citing works
- Authors
- Ehrenreich-May, J., Simpson, G., Stewart, L. M., Kennedy, S. M., Rowley, A. N., Beaumont, A., Alessandri, M., Storch, E. A., Laugeson, E. A., Frankel, F. D., & Wood, J. J.
- Affiliations
- Professor, Department of Psychology, University of Miami, Coral Gables, Florida.
- University of Guelph (CA)
- Clinical psychologist, private practice, Fort Lauderdale, Florida.
- University of Colorado Anschutz (US)
- Boston Children's Hospital (US)
- University of Miami (US)
- Baylor College of Medicine (US)
- University of California, Los Angeles (US)
- ORCID
- Venue
- Bulletin of the Menninger Clinic
- Publisher
- Guilford Publications
- Published
- 2020-06
- Volume
- 84
- Issue
- 2
- Pages
- 105-136
- ISSN
- 0025-9284 (ISSN-L)
- OpenAlex
- W3002801503
- Cited by
- 3
- References
- 8
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 1
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Bulletin of the Menninger Clinic (publishedVersion)
- PubMed (publishedVersion)
- 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
- anxiety disorders, autism spectrum disorder, adolescents and young adults, cognitive behavioral therapy, treatment adaptation, comorbidities, adaptive behavior, parent-reported anxiety, treatment efficacy, high-functioning autism
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Adult, Anxiety Disorders, Female, Humans, Male, Pilot Projects, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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