1 Drexel University, USA.
2 Adelphi University, USA.
Autism. 2018 Jul;22(5):636-640. doi: 10.1177/1362361316685556. Epub 2017 May 17.
Symptoms of autism spectrum disorder may influence alliance in psychotherapy. This study examined therapeutic alliance and its relationship with child characteristics and anxiety treatment outcomes in youth with autism spectrum disorder. Youth ( N = 64) with autism spectrum disorder and co-occurring anxiety (7-16 years, IQ > 70) received 16 sessions of modular cognitive-behavioral therapy. Post-treatment therapist, youth and parent ratings of alliance as well as pre- and post-treatment ratings of child behavior were gathered. Ratings of alliance were commensurate to ratings seen in children without autism spectrum disorder. Measures of treatment outcome, but not pretreatment characteristics, were significantly associated with therapist ratings of alliance strength. Data suggest that therapeutic alliance may not be impaired in anxious youth with autism spectrum disorder and may be associated with treatment outcome.
自闭症谱系障碍的症状可能会影响心理治疗中的联盟关系。本研究调查了自闭症谱系障碍儿童的治疗联盟及其与儿童特征和焦虑症治疗结果之间的关系。有自闭症谱系障碍和共患焦虑症的青年（N=64，智商>70，7-16 岁）接受了 16 节模块式认知行为疗法。在治疗后，收集了治疗师、青少年和家长对联盟的评价，以及儿童行为的治疗前后评分。对联盟的评价与在没有自闭症谱系障碍的儿童中看到的评价相当。治疗结果的衡量标准，但不是治疗前的特征，与治疗师对联盟实力的评价显著相关。数据表明，在患有自闭症谱系障碍的焦虑青年中，治疗联盟可能不会受到损害，并且可能与治疗结果相关。
