探索为自闭症成年人提供个性化模块化心理干预的可行性和可接受性的随机对照试验:个性化焦虑治疗自闭症(PAT-A)。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Journal of Autism and Developmental Disorders Pub Date : 2024-11-01 Epub Date: 2023-09-20 DOI:10.1007/s10803-023-06112-5
Jacqui Rodgers, Samuel Brice, Patrick Welsh, Barry Ingham, Colin Wilson, Gemma Evans, Katie Steele, Emily Cropper, Ann Le Couteur, Mark Freeston, Jeremy R Parr
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引用次数: 0

摘要

自闭症患者通常会经历焦虑,焦虑会影响生活质量和社会参与。需要新的焦虑干预措施来有效满足自闭症患者的需求。个性化焦虑治疗自闭症(PAT-A©)是一种定制的模块化方法,可在多达12个疗程中治疗焦虑。本研究探讨了在英国国家医疗服务体系(NHS)提供PAT-A©的可行性和可接受性。一项单盲随机对照试验设计。34名自闭症成年人通过临床服务招募,并随机接受PAT-A©或常规强化治疗(CCSP)。在基线时,即干预后立即完成与焦虑、生活质量和相关结构相关的结果评估;在3个月和12个月时。71%的PAT-A©组和65%的CCSP符合至少三种焦虑症的诊断阈值。两组患者的保留率均良好,82%(N = 14/17)完成全部PAT-A©课程和71%(N = 12/17)参加CCSP的两次心理教育课程。94%的PAT-A患者和82%的CCSP患者在干预后3个月完成了一些随访评估。对访谈数据的专题分析显示,许多参与者重视个性化的方法,发展了可转移的技能,并经历了焦虑的积极变化。参与者愿意被招募和随机分配,PAT-A©在英国国家医疗服务体系中是可行的,试验方法和材料是可接受的。我们的研究结果表明,PAT-a©的全面临床和成本效益试验是有必要的。
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A Pilot Randomised Control Trial Exploring the Feasibility and Acceptability of Delivering a Personalised Modular Psychological Intervention for Anxiety Experienced by Autistic Adults: Personalised Anxiety Treatment-Autism (PAT-A).

Anxiety is commonly experienced by autistic people and impacts on quality of life and social participation. New anxiety interventions are required to effectively meet the needs of autistic people. Personalised Anxiety Treatment-Autism (PAT-A©) is a bespoke, modular approach to treating anxiety in up to 12 sessions. This study explored the feasibility and acceptability of delivering PAT-A© in the UK National Health Service (NHS). A single-blind randomised controlled trial design. Thirty-four autistic adults were recruited via clinical services and randomised to receive either PAT-A© or enhanced treatment as usual (CCSP). Outcome assessments relating to anxiety, quality of life and related constructs were completed at baseline, immediately post intervention; and at 3 and 12 months. Seventy-one percent of the PAT-A© group and 65% of the CCSP met diagnostic threshold for at least three anxiety disorders. Retention was good across both groups, with 82% (N = 14/17) completing the full course of PAT-A© and 71% (N = 12/17) attending both psychoeducational sessions in CCSP. 94% in PAT-A© and 82% in CCSP completed some follow up assessment 3 months post-intervention. Thematic analysis of interview data revealed that many participants valued the personalised approach, developed transferable skills and experienced positive changes to their anxiety. Participants were willing to be recruited and randomised, PAT-A© was feasible to deliver in the NHS and the trial methods and materials were acceptable. Our findings indicate that a fully powered clinical and cost-effectiveness trial of PAT-A© is warranted.

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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
期刊最新文献
Correction: The Knowledge of Autism Questionnaire-UK: Development and Initial Psychometric Evaluation. Correction: Analyzing Community-Based Support Requests Made by Black Families Raising Autistic Children. Brief Report: Differential Persistence of Primary Reflexes for Children with Autism Spectrum Disorder: A Systematic Replication. Increasing Vocabulary and Listening Comprehension During Adapted Shared Reading: An Intervention for Preschoolers with Autism Spectrum Disorder. Developmental Play Skills as Outcomes of Early Intervention.
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