Preliminary Randomized Trial of Function-Based Cognitive-Behavioral Therapy to Treat Obsessive Compulsive Behavior in Children With Autism Spectrum Disorder

被引：17

作者：

Vause, Tricia ^{[1
]}

Neil, Nicole ^{[1
]}

Jaksic, Heather ^{[1
]}

Jackiewicz, Grazyna

Feldman, Maurice ^{[1
]}

机构：

[1] Brock Univ, St Catharines, ON, Canada

来源：

FOCUS ON AUTISM AND OTHER DEVELOPMENTAL DISABILITIES | 2017年 / 32卷 / 03期

关键词：

autism spectrum disorder; obsessive-compulsive behavior; cognitive-behavioral therapy; function-based assessment; REPETITIVE BEHAVIOR; ANXIETY DISORDERS; PSYCHOSOCIAL TREATMENTS; RESPONSE PREVENTION; INDIVIDUALS; INTERVENTION; EXPOSURE; SCALE;

D O I：

10.1177/1088357615588517

中图分类号：

G76 [特殊教育];

学科分类号：

040109 ;

摘要：

Individuals with high functioning autism spectrum disorder (ASD) frequently experience obsessions and/or compulsions that are similar to those specified in Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) criteria for obsessive-compulsive disorder (OCD). However, little research exists on effective interventions for OCD-like behaviors (referred to as OCBs) in ASD. In a preliminary randomized controlled trial (RCT; N = 14), a manualized function-based cognitive-behavior therapy (Fb-CBT) consisting of traditional CBT components (psychoeducation and mapping, cognitive-behavioral skills training, exposure, and response prevention) as well as function-based behavioral assessment and intervention significantly decreased OCBs in 8- to 12-year-old children with ASD at post-treatment and 5-month follow-up. This multi-component treatment shows considerable promise, and a larger RCT is needed to further validate and expand these findings.

引用

页码：218 / 228

页数：11

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