JFK Partners, Psychiatry & Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
JFK Partners, Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
J Appl Res Intellect Disabil. 2021 May;34(3):777-788. doi: 10.1111/jar.12854. Epub 2021 Jan 6.
Adolescents with Autism Spectrum Disorder (ASD) and intellectual disability evidence significant anxiety. This study aimed to adapt a group cognitive behaviour therapies (CBT) programme designed for youth with ASD and anxiety to meet the cognitive, communication, and behavioural needs of adolescents with intellectual disability, and assess initial feasibility and efficacy of the intervention.
Structural, content and procedural adaptations were made to a 14-week family-focused CBT intervention. Twenty-three adolescents with ASD, intellectual disability and anxiety were included. Treatment acceptability along with adolescent anxiety symptoms was assessed via parent report measures.
Of the 23 participants, 19 completed treatment and attended 94% of sessions. Parent acceptability was high. Significant reductions were noted on anxiety symptoms post-intervention.
Results indicate that the CBT group was feasible and acceptable. Preliminary outcomes suggest that adolescent anxiety improved, although replication with a larger sample and comparison to a control group is needed.
自闭症谱系障碍（ASD）和智力障碍的青少年表现出明显的焦虑。本研究旨在改编专为 ASD 和焦虑青少年设计的团体认知行为疗法（CBT）计划，以满足具有智力障碍的青少年的认知、沟通和行为需求，并评估干预措施的初步可行性和效果。
对为期 14 周的以家庭为中心的 CBT 干预进行了结构性、内容性和程序性的调整。共纳入 23 名 ASD、智力障碍和焦虑的青少年。通过父母报告的措施评估治疗的可接受性以及青少年的焦虑症状。
在 23 名参与者中，19 人完成了治疗并参加了 94%的课程。父母的接受度很高。干预后焦虑症状显著减轻。
结果表明 CBT 小组是可行和可接受的。初步结果表明，青少年的焦虑有所改善，但需要更大样本的复制和与对照组的比较。
