Group-based cognitive behavioural psychotherapy for children and adolescents with ASD: the randomized, multicentre, controlled SOSTA - net trial

被引：43

作者：

Freitag, Christine M. ^{[1
]}

Jensen, Katrin ^{[2
]}

Elsuni, Leyla ^{[1
]}

Sachse, Michael ^{[1
]}

Herpertz-Dahlmann, Beate ^{[3
]}

Schulte-Ruether, Martin ^{[3
]}

Haenig, Susann ^{[4
]}

von Gontard, Alexander ^{[4
]}

Poustka, Luise ^{[5
,6
]}

Schad-Hansjosten, Tanja ^{[5
]}

Wenzl, Christina ^{[7
]}

Sinzig, Judith ^{[7
,8
]}

Taurines, Regina ^{[9
]}

Geissler, Julia ^{[9
]}

Kieser, Meinhard ^{[2
]}

Cholemkery, Hannah ^{[1
]}

机构：

[1] Goethe Univ Frankfurt, Univ Hosp, Dept Child & Adolescent Psychiat, Psychosomat & Psychotherapy, D-60528 Frankfurt, Germany

[2] Heidelberg Univ, Inst Med Biometry & Informat, Heidelberg, Germany

[3] Univ Hosp RWTH Aachen, Dept Child & Adolescent Psychiat, Psychosomat & Psychotherapy, Aachen, Germany

[4] Univ Saarland, Hosp Homburg, Dept Child & Adolescent Psychiat, Psychosomat & Psychotherapy, D-66123 Saarbrucken, Germany

[5] Heidelberg Univ, Dept Child & Adolescent Psychiat & Psychotherapy, Cent Inst Mental Hlth, Med Fac Mannheim, Heidelberg, Germany

[6] Med Univ Vienna, Dept Child & Adolescent Psychiat, Vienna, Austria

[7] Univ Hosp Koln, Dept Child & Adolescent Psychiat, Psychosomat & Psychotherapy, Cologne, Germany

[8] LVR Klin Bonn, Dept Child & Adolescent Psychiat, Bonn, Germany

[9] Univ Hosp Wurzburg, Dept Child & Adolescent Psychiat, Psychosomat & Psychotherapy, Wurzburg, Germany

来源：

JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY | 2016年 / 57卷 / 05期

关键词：

Group therapy; social skills; autism spectrum disorders; randomized-controlled trial; HIGH-FUNCTIONING AUTISM; SOCIAL-SKILLS; SPECTRUM DISORDER; DIFFICULTIES QUESTIONNAIRE; EMOTION RECOGNITION; ASPERGER-SYNDROME; YOUNG-CHILDREN; INTERVENTION; POPULATION; ADULTHOOD;

D O I：

10.1111/jcpp.12509

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Background: Group-based psychotherapy in Autism Spectrum Disorder (ASD) has predominantly been studied in the United States by small studies in school-aged children without long-term follow-up. We report results of a large, confirmatory, multicentre randomized-controlled phase-III trial in children and adolescents studying the ASD specific, manualized group-based cognitive behavioural SOSTA-FRA approach. Methods: High-functioning ASD individuals aged 8-19 years old were randomized to 12 sessions SOSTA-FRA or treatment as usual. Primary outcomes were change in total raw score of the parent-rated Social Responsiveness Scale (pSRS) between baseline (T2) and end of intervention (T4), and between T2 and 3 months after end of intervention (T5). Trial registration: ISRCTN94863788. Results: Between 20/5/2010 and 14/2/2013, n = 320 ASD patients were screened, n = 228 patients were randomized, and N = 209 analysed. Mean pSRS difference between groups at T4 was -6.5 (95% CI -11.6 to -1.4; p = .013), and at T5 -6.4 (-11.5 to -1.3, p = .015). Pre-treatment SRS and IQ were positively associated with stronger improvement at T4 and T5. Conclusions: Short-term ASD-specific add-on group-based psychotherapy has shown postintervention efficacy with regard to parent-rated social responsiveness predominantly in male high-functioning children and adolescents with ASD. Future studies should implement blinded standardized observational measures of peer-related social interaction.

引用

页码：596 / 605

页数：10

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