Intolerance of Uncertainty Predicts Anxiety Outcomes Following CBT in Youth with ASD

被引：41

作者：

Keefer, Amy ^{[1
,2
]}

Kreiser, Nicole L. ^{[1
,2
]}

Singh, Vini ^{[1
]}

Blakeley-Smith, Audrey ^{[3
]}

Duncan, Amie ^{[4
]}

Johnson, Catherine ^{[1
]}

Klinger, Laura ^{[5
]}

Meyer, Allison ^{[6
]}

Reaven, Judy ^{[3
]}

Vasa, Roma A. ^{[1
,2
]}

机构：

[1] Kennedy Krieger Inst, Ctr Autism & Related Disorder, Baltimore, MD 21286 USA

[2] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA

[3] Univ Colorado, Sch Med, Anschutz Med Campus, Aurora, CO USA

[4] Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USA

[5] Univ N Carolina, Dept Psychiat, TEACCH Autism Program, Chapel Hill, NC USA

[6] Univ N Carolina, Dept Psychol, TEACCH Autism Program, Chapel Hill, NC USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2017年 / 47卷 / 12期

关键词：

Autism spectrum disorders; Anxiety; Cognitive-behavioral therapy; Intolerance of uncertainty; AUTISM SPECTRUM DISORDER; COGNITIVE-BEHAVIORAL THERAPY; STATE WORRY QUESTIONNAIRE; HIGH-FUNCTIONING AUTISM; PSYCHOMETRIC PROPERTIES; EXPERIMENTAL MANIPULATION; EMOTIONAL DISORDERS; ADOLESCENT WORRY; CONTROLLED-TRIAL; CHILDREN;

D O I：

10.1007/s10803-016-2852-z

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Modified cognitive-behavioral therapy (MCBT) has been demonstrated to reduce anxiety in youth with autism spectrum disorder (ASD). However, non-response rates are fairly high. Few studies have investigated factors associated with response. Intolerance of uncertainty (IU) is a treatment target for anxiety and worry in neurotypical populations and has been linked to anxiety and ASD. We sought to examine whether IU affects outcomes following MCBT in 43 children, ages 8-14 years, with ASD without intellectual disability. Consistent with prior data, there was a significant reduction in parent reported anxiety following MCBT. Higher levels of pre-intervention IU predicted higher anxiety and worry pre- and post-intervention. These findings suggest that targeting IU may improve outcomes following MCBT in youth with ASD and anxiety.

引用

页码：3949 / 3958

页数：10

共 50 条

[11] Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression [J].