Lang Russell, Regester April, Lauderdale Stacy, Ashbaugh Kristen, Haring Anna
The Eli and Edythe L Broad Asperger Research Center, University of California, Santa Barbara, CA 93106-9490, USA.
Dev Neurorehabil. 2010 Feb;13(1):53-63. doi: 10.3109/17518420903236288.
To review studies involving the treatment of anxiety in people with autism spectrum disorders (ASD) using Cognitive Behaviour Therapy (CBT) with the intent to inform practice and to identify areas for future research.
Systematic searches of electronic databases, reference lists and journals identified nine studies. Each identified study that met pre-determined inclusion criteria was analysed and summarized in terms of: (a) participants, (b) intervention procedures, (c) dependent variables, (d) results of intervention and (e) certainty of evidence. To assess the certainty of evidence, each study's design and related methodological details were critically appraised.
Positive outcomes were ubiquitous, suggesting CBT is an effective treatment for anxiety in individuals with Asperger's. However, data involving other ASD diagnostic sub-types is limited.
CBT has been modified for individuals with ASD by adding intervention components typically associated with applied behaviour analysis (e.g. systematic prompting and differential reinforcement). Future research involving a component analysis could potentially elucidate the mechanisms by which CBT reduces anxiety in individuals with ASD, ultimately leading to more efficient or effective interventions.
回顾使用认知行为疗法（CBT）治疗自闭症谱系障碍（ASD）患者焦虑症的研究，旨在为实践提供信息并确定未来研究的领域。
对电子数据库、参考文献列表和期刊进行系统检索，确定了9项研究。对每项符合预定纳入标准的已确定研究，从以下方面进行分析和总结：（a）参与者，（b）干预程序，（c）因变量，（d）干预结果，以及（e）证据的确定性。为评估证据的确定性，对每项研究的设计和相关方法细节进行了严格评估。
积极结果普遍存在，表明CBT是治疗阿斯伯格综合征患者焦虑症的有效方法。然而，涉及其他ASD诊断子类型的数据有限。
通过添加通常与应用行为分析相关的干预成分（如系统提示和差别强化），CBT已针对ASD个体进行了修改。未来涉及成分分析的研究可能会阐明CBT减轻ASD个体焦虑的机制，最终带来更高效或有效的干预措施。
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