Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI), University of Pennsylvania, Philadelphia, PA, USA.
J Autism Dev Disord. 2019 Nov;49(11):4421-4428. doi: 10.1007/s10803-019-04156-0.
Cognitive-behavioral therapy (CBT) can improve anxiety and depression in autistic adults, but few autistic adults receive this treatment. We examined factors that may influence clinicians' use of CBT with autistic adults. One hundred clinicians completed an online survey. Clinicians reported stronger intentions (p = .001), more favorable attitudes (p < .001), greater normative pressure (p < .001), and higher self-efficacy (p < .001) to start CBT with non-autistic adults than with autistic adults. The only significant predictor of intentions to begin CBT with clients with anxiety or depression was clinicians' attitudes (p < .001), with more favorable attitudes predicting stronger intentions. These findings are valuable for designing effective, tailored implementation strategies to increase clinicians' adoption of CBT for autistic adults.
认知行为疗法 (CBT) 可以改善自闭症成年人的焦虑和抑郁，但很少有自闭症成年人接受这种治疗。我们研究了可能影响临床医生为自闭症成年人使用 CBT 的因素。100 名临床医生完成了一项在线调查。临床医生报告说，他们更倾向于（p=0.001）、更赞成（p<0.001）、规范性压力更大（p<0.001）、自我效能感更高（p<0.001），愿意为非自闭症成年人开始 CBT，而不是自闭症成年人。预测开始为有焦虑或抑郁的客户提供 CBT 的意图的唯一显著因素是临床医生的态度（p<0.001），更赞成的态度预示着更强的意图。这些发现对于设计有效的、量身定制的实施策略，以增加临床医生对自闭症成年人采用 CBT 非常有价值。
