The Relationship Between Treatment Acceptability and Youth Outcome in Group CBT for Youth with ASD and Anxiety

被引：5
作者：
Walsh C.E. [1 ]
Moody E. [2 ]
Blakeley-Smith A. [2 ]
Duncan A. [3 ]
Hepburn S. [4 ]
Keefer A. [5 ,6 ]
Klinger L. [7 ]
Meyer A. [2 ]
O’Kelley S. [8 ]
Reaven J. [2 ]
机构：
[1] Department of Pediatrics, University of Colorado, 13123 E. 16th Ave., Box 140, Aurora, 80045, CO
[2] Department of Psychiatry & Pediatrics, University of Colorado, JFK Partners, 13121 E. 17th Ave., Box C-234, Aurora, 80045, CO
[3] Division of Developmental and Behavioral Pediatrics, The Kelly O’Leary Center for Autism Spectrum Disorders, Cincinnati Children’s Hospital, 333 Burnet Ave., Cincinnati, 45229, OH
[4] Department of Human Development and Family Studies, Colorado State University, 1510 Pitkin Street, Campus Box 1570, Fort Collins, 80524, CO
[5] Center for Autism and Related Disorders, Kennedy Krieger Institute, Baltimore, MD
[6] Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
[7] TEACCH Autism Program & Department of Psychiatry, University of North Carolina at Chapel Hill, CB#7180, Chapel Hill, 27599-7180, NC
[8] Department of Psychology, The University of Alabama at Birmingham, Campbell Hall 415, 1720 2nd Avenue South, Birmingham, 35294-1170, AL
来源：
Journal of Contemporary Psychotherapy | 2018年 / 48卷 / 3期
基金：
美国国家卫生研究院;
关键词：
Anxiety; Autism; Cognitive behavior therapy; Treatment acceptability;
D O I：
10.1007/s10879-018-9380-4
中图分类号：
学科分类号：
摘要：
Anxiety is one of the most common co-occurring diagnoses in youth with autism spectrum disorder (ASD). Cognitive behavior therapy (CBT) is an evidence-based treatment that has been tailored for youth with ASD and anxiety and has shown good efficacy in reducing youth anxiety immediately after treatment. One area that has not been widely studied is acceptability of CBT for anxiety in this population. Acceptability includes beliefs about the potential helpfulness and satisfaction with a given treatment and may be important in understanding treatment outcomes. This study focuses on parent, youth, and clinician acceptability of a well-researched CBT program, Facing Your Fears, for youth with ASD and anxiety. Data was collected as part of a larger multi-site study that compared three different instructional conditions for clinicians learning the intervention. Results indicated that parents rated acceptability as higher for the overall treatment compared to youth. Further, youth and parents rated exposure related sessions as more acceptable than psychoeducation, and higher exposure acceptability ratings were predictive of lower youth anxiety levels post-treatment. Clinicians who received ongoing consultation rated treatment acceptability lower than clinicians in the other training conditions. While some clinicians may be hesitant to implement exposure techniques with this population, findings suggest that it is the technique that parents and youth rated as the most acceptable. Results are discussed in terms of treatment and research implications for youth with ASD and their families. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
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页码：123 / 132
页数：9
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