title: Intervention for Anxiety and Problem Behavior in Children with Autism Spectrum Disorder and Intellectual Disability.
abstract: There is little research on the functional assessment and treatment of anxiety and related problem behavior in children with autism spectrum disorder (ASD), particularly those with intellectual and developmental disability (IDD). In a recent study, we evaluated a multimethod strategy for assessing anxiety in children with ASD and IDD (Am J Intellect Dev Disabil 118:419-434, 2013). In the present study, we developed treatments for the anxiety and associated problem behavior in these same children. A multiple baseline design was used to evaluate the effectiveness of a multicomponent intervention package, incorporating individualized strategies from Positive Behavior Support and Cognitive Behavioral Therapy. During intervention, all three participants showed substantial decreases in anxiety and problem behavior and significant increases in respiratory sinus arrhythmia in the situations that had previously been identified as anxiety-provoking.
authors.affiliation: St. John's University, Queens, NY, USA. Moskowil@stjohns.edu.
authors.forename: Lauren J
authors.initials: LJ
authors.lastname: Moskowitz
authors.affiliation: University of Colorado School of Medicine, Denver, CO, USA.
authors.forename: Caitlin E
authors.initials: CE
authors.lastname: Walsh
authors.affiliation: The Shoreline Center, Grand Haven, MI, USA.
authors.forename: Emile
authors.initials: E
authors.lastname: Mulder
authors.affiliation: Positive Behavior Support Consulting, Centerport, NY, USA.
authors.forename: Darlene Magito
authors.initials: DM
authors.lastname: McLaughlin
authors.affiliation: Stony Brook University, Stony Brook, NY, USA.
authors.forename: Greg
authors.initials: G
authors.lastname: Hajcak
authors.affiliation: Stony Brook University, Stony Brook, NY, USA.
authors.forename: Edward G
authors.initials: EG
authors.lastname: Carr
authors.affiliation: Johns Hopkins School of Medicine, Baltimore, MD, USA.
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Zarcone
mesh_terms: D001007:Anxiety / Q000523:psychology / Q000628:therapy*; D000067877:Autism Spectrum Disorder / Q000523:psychology / Q000628:therapy*; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology / Q000628:therapy*; D008297:Male; D000066553:Problem Behavior / Q000523:psychology; D016896:Treatment Outcome
keywords: Anxiety; Applied behavior analysis; Autism; Cognitive Behavioral Therapy; Intellectual disability; Positive Behavior Support; Respiratory sinus arrhythmia