University of Pennsylvania; Baylor College of Medicine.
Baylor College of Medicine.
Behav Ther. 2024 May;55(3):499-512. doi: 10.1016/j.beth.2023.08.008. Epub 2023 Sep 6.
Parent-led cognitive behavioral therapy (CBT) is an efficient, promising form of therapy that may be well suited for autistic youth with anxiety disorders, though to date it has been minimally tested. In this study, 87 autistic youth (7 to 13 years old) with anxiety disorders and their parents were randomized to two forms of parent-led CBT in which parents led their child through a guided CBT workbook across 12 weeks: one with low therapist contact (four 30-minute telehealth calls), and one with standard therapist contact (ten 60-minute telehealth calls). Anxiety, functional impairment, and autism features significantly declined across therapy, without differences between groups. High satisfaction was reported in both groups, though significantly higher satisfaction ratings were reported in standard-contact CBT. Responder rates were 69% of completers at posttreatment (70% in standard contact, 68% in low contact) and 86% at 3-month follow-up (86% in standard contact, 87% in low contact). Low-contact CBT was estimated to incur an average cost of $755.70 per family compared with $1,978.34 in standard-contact CBT. Parent-led CBT with minimal or standard therapist contact both appear to be effective CBT delivery formats for autistic youth with anxiety disorders, with significant cost savings for low-contact CBT.
家长主导的认知行为疗法（CBT）是一种高效、有前途的治疗方法，可能非常适合患有焦虑症的自闭症青年，但迄今为止，这种方法的测试还很少。在这项研究中，87 名患有焦虑症的自闭症青年（7 至 13 岁）及其父母被随机分为两种形式的家长主导的 CBT，即家长在 12 周内通过指导 CBT 工作簿引导孩子进行治疗：一种是与治疗师联系较少（四次 30 分钟的远程医疗电话），另一种是与治疗师联系较多（十次 60 分钟的远程医疗电话）。治疗过程中，焦虑、功能障碍和自闭症特征明显下降，两组之间没有差异。两组都报告了较高的满意度，但标准联系 CBT 的满意度评分明显更高。治疗结束时，完成治疗的患者中有 69%（标准接触组为 70%，低接触组为 68%）和 3 个月随访时的 86%（标准接触组为 86%，低接触组为 87%）为应答者。低接触 CBT 的估计每个家庭的平均成本为 755.70 美元，而标准接触 CBT 的成本为 1978.34 美元。低接触 CBT 或标准接触 CBT 似乎都是治疗自闭症青少年焦虑症的有效 CBT 方法，低接触 CBT 可显著节省成本。
