Impact of Cognitive Behavioral Therapy on Observed Autism Symptom Severity During School Recess: A Preliminary Randomized, Controlled Trial.
This study compared cognitive behavioral therapy (CBT) and treatment-as-usual (TAU) in terms of effects on observed social communication-related autism symptom severity during unstructured play time at school for children with autism spectrum disorders (ASD). Thirteen children with ASD (7-11 years o...
| Publicado en: | Journal of Autism & Developmental Disorders Vol. 44; no. 9; pp. 2264 - 2277 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Sep2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103986555&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103986555 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01623257 AUT jtl: Journal of Autism & Developmental Disorders issn: 01623257 maglogo: N pubinfo: dt: Sep2014 vid: 44 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 103986555 97444405 10.1007/s10803-014-2097-7 NLM24671750 103986555 ppf: 2264 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Impact of Cognitive Behavioral Therapy on Observed Autism Symptom Severity During School Recess: A Preliminary Randomized, Controlled Trial. aug: au: Wood, Jeffrey Fujii, Cori Renno, Patricia Dyke, Marilyn affil: Department of Education, University of California, Los Angeles, Moore Hall Los Angeles 90095 USA sug: subj: Cognitive Therapy Evaluation Autism Spectrum Disorder Symptoms Recreation In Infancy and Childhood Program Evaluation Human Randomized Controlled Trials Child Schools, Elementary Students, Elementary Observational Methods Language Development Male Female Interview Guides Interviews Questionnaires Intelligence Tests Interrater Reliability Scales Analysis of Covariance Descriptive Statistics Qualitative Studies Child: 6-12 years Male Female ab: This study compared cognitive behavioral therapy (CBT) and treatment-as-usual (TAU) in terms of effects on observed social communication-related autism symptom severity during unstructured play time at school for children with autism spectrum disorders (ASD). Thirteen children with ASD (7-11 years old) were randomly assigned to 32 sessions of CBT or community-based psychosocial treatment (TAU) for 16 weeks. The CBT program is based on the memory retrieval competition model and emphasizes the development of perspective-taking through guided behavioral experimentation supplemented with reflective Socratic discussion and supported by parent training and school consultation to promote generalization of social communication and emotion regulation skills. Trained observers blind to treatment condition observed each child during recess on two separate days at baseline and again at posttreatment, using a structured behavioral observation system that generates frequency scores for observed social communication-related autism symptoms. CBT outperformed TAU at posttreatment on the frequency of self-isolation, the proportion of time spent with peers, the frequency of positive or appropriate interaction with peers, and the frequency of positive or appropriate peer responses to the target child (d effect size range 1.34-1.62). On average, children in CBT were engaged in positive or appropriate social interaction with peers in 68.6 % of observed intervals at posttreatment, compared to 25 % of intervals for children in TAU. Further investigation of this intervention modality with larger samples and follow-up assessments is warranted. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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