Effects of cognitive-behavioural therapy on anxiety for children with high-functioning autistic spectrum disorders.
BACKGROUND
Children with autistic spectrum disorders (ASD) often exhibit one or more comorbid disorders, including anxiety, disruptive behaviour, mental retardation, and depression. Various studies have documented the effectiveness of cognitive-behavioural therapy (CBT) in treating children with anxiety. Although studies have indicated a high prevalence of anxiety in individuals with ASD, there is a lack of systematic studies substantiating the effectiveness of cognitive-behavioural interventions among children with high-functioning autism.


METHODS
This pilot study investigated the effects of a 16-session CBT programme on six high-functioning children diagnosed with ASD (mean age 11.50 years, standard deviation 0.84 years). These children were diagnosed with ASD or Asperger's syndrome by the DSM-IV criteria. Measures on levels of child's anxiety, parental and teacher stress were administered at pre- and post-treatment.


RESULTS
Children showed lower levels of anxiety at post-treatment. Parents and teachers also reported lower levels of stress following the CBT programme.


CONCLUSIONS
Findings from the present study provided some evidence of the effects of CBT for high-functioning autistic children in reducing anxiety, parental and teacher stress. Interpretation of the findings, recommendations for future research and implications of the present study are presented.
Ooi
Y P
YP
Department of Child and Adolescent Psychiatry, Institute of Mental Health, Child Guidance Clinic, Health Promotion Board, 3 Second Hospital Avenue #03-01, Singapore 168937.
Lam
C M
CM
Sung
M
M
Tan
W T S
WT
Goh
T J
TJ
Fung
D S S
DS
Pathy
P
P
Ang
R P
RP
Chua
A
A
D000293:Adolescent; D001008:Anxiety Disorders / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D001321:Autistic Disorder / Q000150:complications* / Q000453:epidemiology; D002648:Child; D002659:Child Development Disorders, Pervasive / Q000150:complications* / Q000453:epidemiology; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D015995:Prevalence; D011581:Psychological Tests; D011594:Psychometrics; D012307:Risk Factors; D012846:Singapore / Q000453:epidemiology; D016896:Treatment Outcome