A Systematic Review and Meta-Analysis of Cognitive-Behavioral Therapy for Anxiety in Youth with High-Functioning Autism Spectrum Disorders
- Forfatter(e)
- D. Ung R. Selles B. J. Small E. A. Storch
- År
- 2015
- Tidsskrift
- Child Psychiatry & Human Development
- Sider
- 533-47
- Kategori(er)
- Angst og engstelighet (inkl. både vansker og lidelse) Autismespekter
- Tiltakstype(r)
- Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi
- Abstract
Cognitive-behavioral therapy (CBT) has been developed and modified to treat anxiety symptoms in youth with high-functioning autism spectrum disorders (ASD) but has yielded varying findings.
The present report is a systematic review and meta-analysis examining the efficacy of CBT for anxiety among youth with ASD. A systematic search identified 14 studies involving 511 youth with high-functioning ASD.
A random effects meta-analysis yielded a statistically significant pooled treatment effect size (g) estimate for CBT (g = -0.71, p < .001) with significant heterogeneity [Q (13) = 102.27, p < .001]. Removal of a study outlier yielded a statistically significant pooled treatment effect size, (g = -0.47, p < .001). Anxiety informant and treatment modality were not statistically significant moderators of treatment response.
Findings suggest that CBT demonstrates robust efficacy in reducing anxiety symptoms in youth with high-functioning ASD.