Internet-based, parent-led cognitive behavioral therapy for autistic youth with anxiety-related disorders: A randomized trial comparing email vs. telehealth support

IF 4.2 2区心理学 Q1 PSYCHOLOGY, CLINICAL Behaviour Research and Therapy Pub Date : 2024-09-29 DOI:10.1016/j.brat.2024.104639

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Abstract

This study tested two versions of parent-led, Internet-delivered cognitive behavioral therapy for anxiety among autistic youth; one that provided weekly email support (iCBT-Email), and one that provided alternating bi-weekly emails and video calls (iCBT-Video) across 12 weeks. It was expected that those in the iCBT-Video condition would complete more treatment content, which in turn would lead to more anxiety improvement. Fifty-seven autistic youth (7-15 years-old) with anxiety disorders were randomized to iCBT-Email or iCBT-Video. There were no significant differences in improvement in clinician-rated, child-reported, or parent-reported anxiety severity or functional impairment. Posttreatment response rates were 55% in iCBT-Email and 67% in iCBT-Video. Module completion predicted improved treatment outcome, though there was no difference in module completion across groups. Therapists spent an average of 16.29 min/family/week (SD = 7.11) in the iCBT-Email condition and 24.13 min/family/week (SD = 6.84) in the iCBT-Video condition. Email and telehealth-supported, parent-led iCBT both appear to be effective treatments for autistic youth with anxiety disorders that require reduced therapist effort. Future research should seek novel methods to enhance engagement with iCBT content.

ClinicalTrials.gov identifier

NCT05284435.

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对患有焦虑症的自闭症青少年进行以互联网为基础、家长为主导的认知行为疗法：比较电子邮件与远程医疗支持的随机试验。

本研究测试了两种由家长主导、通过互联网向自闭症青少年提供的焦虑认知行为疗法；一种是每周提供一次电子邮件支持（iCBT-Email），另一种是每两周交替提供一次电子邮件和视频通话（iCBT-Video），为期 12 周。我们预计，iCBT-视频条件下的受试者将完成更多的治疗内容，这反过来又会带来更多的焦虑改善。57 名患有焦虑症的自闭症青少年（7-15 岁）被随机分配到 iCBT-Email 或 iCBT-Video 治疗方案中。在临床医生评分、儿童报告或家长报告的焦虑严重程度或功能障碍方面，两者的改善程度没有明显差异。iCBT-Email和iCBT-Video的治疗后反应率分别为55%和67%。尽管各组的模块完成情况没有差异，但模块完成情况预示着治疗效果的改善。治疗师在 iCBT-Email 条件下平均花费 16.29 分钟/家庭/周（SD = 7.11），在 iCBT-Video 条件下平均花费 24.13 分钟/家庭/周（SD = 6.84）。对于患有焦虑症的自闭症青少年来说，电子邮件和远程医疗支持的、由家长主导的 iCBT 似乎都是有效的治疗方法，而且还能减少治疗师的工作量。未来的研究应寻求新的方法来提高 iCBT 内容的参与度。clinicaltrials.gov 标识符：NCT05284435。

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来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.