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Title: Effects of cognitive-behavioral therapy on anxiety in children with autism spectrum disorders: A randomized controlled trial
Authors: Sung, M.
Ooi, Y.P. 
Goh, T.J.
Pathy, P.
Fung, D.S.S. 
Ang, R.P.
Chua, A.
Lam, C.M.
Keywords: Anxiety
Asperger syndrome
Autism spectrum disorder
Cognitive-behavior therapy
High-functioning autism
Social recreational
Issue Date: Dec-2011
Citation: Sung, M., Ooi, Y.P., Goh, T.J., Pathy, P., Fung, D.S.S., Ang, R.P., Chua, A., Lam, C.M. (2011-12). Effects of cognitive-behavioral therapy on anxiety in children with autism spectrum disorders: A randomized controlled trial. Child Psychiatry and Human Development 42 (6) : 634-649. ScholarBank@NUS Repository.
Abstract: We compared the effects of a 16-week Cognitive-Behavioral Therapy (CBT) program and a Social Recreational (SR) program on anxiety in children with Autism Spectrum Disorders (ASD). Seventy children (9-16 years old) were randomly assigned to either of the programs (n CBT = 36; n SR = 34). Measures on child's anxiety using the Spence Child Anxiety Scale-Child (SCAS-C) and the Clinical Global Impression-Severity scale (CGI-S) were administered at pre-, post-treatment, and follow-ups (3- and 6-month). Children in both programs showed significantly lower levels of generalized anxiety and total anxiety symptoms at 6-month follow-up on SCAS-C. Clinician ratings on the CGI-S demonstrated an increase in the percentage of participants rated as "Normal" and "Borderline" for both programs. Findings from the present study suggest factors such as regular sessions in a structured setting, consistent therapists, social exposure and the use of autism-friendly strategies are important components of an effective framework in the management of anxiety in children and adolescents with ASD. © 2011 Springer Science+Business Media, LLC.
Source Title: Child Psychiatry and Human Development
ISSN: 0009398X
DOI: 10.1007/s10578-011-0238-1
Appears in Collections:Staff Publications

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