Byrne Gary, Vickers Louise, Ni Longphuirt Eithne, Cunningham Roisin
Health Service Executive, Dublin, Ireland.
Focus Autism Other Dev Disabl. 2022 Dec;37(4):251-256. doi: 10.1177/10883576221121280.
The COVID-19 pandemic has led to governments around the world imposing varying levels of restrictions and lockdowns leading to home confinement and closure of schools. Children with autism spectrum disorder (ASD) and their families may be particularly susceptible to increased anxiety. A growing evidence base has developed for parent-led cognitive-behavioral therapy (CBT) for child anxiety disorders. The current pilot study aimed to evaluate the preliminary clinical utility (acceptability, feasibility, and efficacy) of a parent-led CBT program in Dublin, Ireland, through an online format. Parents of nine children completed the program. The child did not participate in any part of the online program. Acceptability was strong, and although technical issues were problematic at times, all families completed the program. Preliminary efficacy analysis is mixed, with significant reductions on youth anxiety as measured by clinician-administered questionnaire but no reduction in parent-report measures. Findings suggest that the online program is acceptance, feasible, and effective.
新冠疫情导致世界各国政府实施了不同程度的限制措施和封锁，致使人们居家隔离，学校关闭。患有自闭症谱系障碍（ASD）的儿童及其家庭可能特别容易出现焦虑情绪加剧的情况。越来越多的证据表明，由家长主导的认知行为疗法（CBT）对儿童焦虑症有效。当前的这项试点研究旨在通过在线形式评估爱尔兰都柏林一项由家长主导的CBT项目的初步临床效用（可接受性、可行性和有效性）。九名儿童的家长完成了该项目。孩子未参与在线项目的任何部分。可接受性良好，尽管技术问题时有出现，但所有家庭都完成了该项目。初步疗效分析结果不一，通过临床医生 administered问卷测量，青少年焦虑症有显著减轻，但家长报告的测量结果没有减轻。研究结果表明，该在线项目是可接受的、可行的且有效的。
