An Exploratory Analysis of Child Characteristics Predicting Clinical Outcomes in Parent-Led Cognitive Behavioral Teletherapy for Anxiety in Autistic Children.

Parent-led cognitive behavioral therapy (CBT) is an efficient, promising form of therapy that may be well suited for autistic youth with anxiety disorders. A recent clinical trial found that parent-led CBT – in which parents led their child through a guided CBT workbook with varying degrees of thera...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 56; no. 5; pp. 1795 - 1808
Autores principales: Frederick, Renee M., Smárason, Orri, Boedeker, Peter J., Spencer, Samuel D., Guzick, Andrew G., Storch, Eric A.
Formato: research tables/charts Journal Article
Publicado: Springer Nature May2026
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: An Exploratory Analysis of Child Characteristics Predicting Clinical Outcomes in Parent-Led Cognitive Behavioral Teletherapy for Anxiety in Autistic Children.
      aug:
        au:
          Frederick, Renee M.
          Smárason, Orri
          Boedeker, Peter J.
          Spencer, Samuel D.
          Guzick, Andrew G.
          Storch, Eric A.
        affil: https://ror.org/02pttbw34 Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Boulevard, 77030, Houston, TX, USA
      sug:
        subj:
          Autism Spectrum Disorder In Infancy and Childhood
          Cognitive Therapy
          Mental Health Teletherapy
          Anxiety Therapy
          Treatment Outcomes
          Population Characteristics In Infancy and Childhood
          Parent-Child Relations
          Human
          Exploratory Research
          Functional Status
          Family Characteristics
          Severity of Illness
          Psychopathology
          Externalizing Behavior
          Family Relations
          Scales
          Linear Regression
          Child
          Adolescence
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Parent-led cognitive behavioral therapy (CBT) is an efficient, promising form of therapy that may be well suited for autistic youth with anxiety disorders. A recent clinical trial found that parent-led CBT – in which parents led their child through a guided CBT workbook with varying degrees of therapist support – was efficacious for reducing anxiety and associated functional impairment. While such findings demonstrate promise for future intervention development and dissemination efforts with this population, more work is needed to elucidate clinical factors that impact response to treatment as well as drop-out. Using data from the aforementioned clinical trial (N = 87), the present exploratory study examined pre-treatment patient characteristics, including family accommodation (FA), anxiety severity, autism features, and externalizing psychopathology, and their relationship with relevant treatment outcomes (i.e., anxiety severity and functional impairment) at both post-treatment and three-month follow-up and drop-out/completer status. Our findings did not reveal any consistent relations between pre-treatment patient characteristics and clinical outcomes, with several isolated exceptions: (a) baseline autism features were associated with greater post-treatment functional impairment; (b) non-male (vs. male) gender was associated with greater functional impairment at 3-month follow-up; and (c) Hispanic ethnicity (vs. non-Hispanic) was associated with greater likelihood of premature treatment drop-out. Findings are discussed in the context of the importance of continuing to elucidate unique patient characteristics predictive of optimal clinical outcomes for autistic youth with anxiety disorders.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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