Institute of Mental Health, Singapore, Singapore.
Child Psychiatry Hum Dev. 2011 Dec;42(6):634-49. doi: 10.1007/s10578-011-0238-1.
We compared the effects of a 16-week Cognitive-Behavioral Therapy (CBT) program and a Social Recreational (SR) program on anxiety in children with Autism Spectrum Disorders (ASD). Seventy children (9-16 years old) were randomly assigned to either of the programs (n (CBT) = 36; n (SR) = 34). Measures on child's anxiety using the Spence Child Anxiety Scale--Child (SCAS-C) and the Clinical Global Impression-Severity scale (CGI--S) were administered at pre-, post-treatment, and follow-ups (3- and 6-month). Children in both programs showed significantly lower levels of generalized anxiety and total anxiety symptoms at 6-month follow-up on SCAS-C. Clinician ratings on the CGI-S demonstrated an increase in the percentage of participants rated as "Normal" and "Borderline" for both programs. Findings from the present study suggest factors such as regular sessions in a structured setting, consistent therapists, social exposure and the use of autism-friendly strategies are important components of an effective framework in the management of anxiety in children and adolescents with ASD.
我们比较了 16 周认知行为疗法（CBT）和社会娱乐（SR）项目对自闭症谱系障碍（ASD）儿童焦虑的影响。70 名儿童（9-16 岁）被随机分配到其中一个项目（CBT 组 n=36；SR 组 n=34）。使用斯宾塞儿童焦虑量表-儿童版（SCAS-C）和临床总体印象严重程度量表（CGI-S）对儿童的焦虑进行了评估，分别在治疗前、治疗后和随访（3 个月和 6 个月）时进行。SCAS-C 显示，在 6 个月的随访中，两个项目组的广泛性焦虑和总焦虑症状均显著降低。CGI-S 的临床医生评估显示，两个项目组的“正常”和“边缘”参与者比例均有所增加。本研究的结果表明，在结构化环境中定期进行、治疗师一致、社会接触和使用自闭症友好策略等因素是管理 ASD 儿童和青少年焦虑的有效框架的重要组成部分。
