A Systematic Review and Meta-Analysis of Cognitive-Behavioral Therapy for Anxiety in Youth with High-Functioning Autism Spectrum Disorders

被引：144
|
作者：
Ung, Danielle [1 ]
Selles, Robert [1 ]
Small, Brent J. [2 ]
Storch, Eric A. [1 ,3 ,4 ]
机构：
[1] Univ S Florida, Dept Psychol, Tampa, FL 33620 USA
[2] Univ S Florida, Sch Aging Studies, Tampa, FL 33620 USA
[3] Univ S Florida, Dept Pediat, Tampa, FL 33620 USA
[4] Univ S Florida, Dept Psychiat & Behav Neurosci, Tampa, FL 33620 USA
来源：
CHILD PSYCHIATRY & HUMAN DEVELOPMENT | 2015年 / 46卷 / 04期
基金：
美国医疗保健研究与质量局; 美国国家卫生研究院;
关键词：
Treatment; Efficacy; Children; Adolescents; Comorbid conditions; Autism spectrum disorder; MULTIPLE INFORMANT AGREEMENT; RANDOMIZED CONTROLLED-TRIAL; INTERVIEW SCHEDULE; CHILD ANXIETY; SYMPTOMS; INTERVENTION; ADOLESCENTS; CBT;
D O I：
10.1007/s10578-014-0494-y
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
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.
引用
收藏
页码：533 / 547
页数：15
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