DEVELOPMENT OF A GROUP COGNITIVE BEHAVIOR THERAPY PROGRAM FOR ANXIETY IN CHILDREN WITH AUTISM SPECTRUM DISORDER: A PRELIMINARY FEASIBILITY STUDY

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  • NONAKA Shunsuke
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • OKAJIMA Junko
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • MIYAKE Atsuko
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • OHARA Yuka
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • OGINO Kazuo
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • HARAGUCHI Hideyuki
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • YAMAGUCHI Honami
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • ISHITOBI Makoto
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • TAKAHASHI Hidetoshi
    National Center of Neurology and Psychiatry, National Institute of Mental Health
  • ISHIKAWA Shin-ichi
    Faculty of Psychology, Doshisha University
  • KAMIO Yoko
    National Center of Neurology and Psychiatry, National Institute of Mental Health

Bibliographic Information

Other Title
  • 自閉スペクトラム症児童の不安に対する集団認知行動療法プログラムの開発
  • 自閉スペクトラム症児童の不安に対する集団認知行動療法プログラムの開発 : 実施可能性に関する予備的検討
  • ジヘイスペクトラムショウ ジドウ ノ フアン ニ タイスル シュウダン ニンチ コウドウ リョウホウ プログラム ノ カイハツ : ジッシ カノウセイ ニ カンスル ヨビテキ ケントウ
  • ─実施可能性に関する予備的検討─

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Abstract

<p>Background: Cognitive Behavior Therapy (CBT) is recommended for anxiety symptoms in children with Autism Spectrum Disorder (ASD) as a first line of intervention. However, considering the large number of ASD children with anxiety symptoms, an ideal approach would be that allowing for early intervention in the education setting.</p><p>Objective: A group CBT program was developed to address anxiety symptoms in children with ASD, which was implemented to: 1) investigate the feasibility of implementation in ASD children (Study 1), and 2) the feasibility of teacher delivery of the program in an educational setting (Study 2).</p><p>Method: In Study 1, the 10-session program was conducted by a clinical psychologist in a clinical setting on 3 boys with ASD (age 8-11 years). Study 2 was delivered by a trained teacher in a special resources classroom for children with relatively mild impairments within the regular school system. The three boys (grade 5), parents, and regular homeroom teachers were requested to complete separate questionnaires addressing understanding by the children, and social validity of the program by the adults.</p><p>Results: Findings from Study 1 indicated feasibility and promise of conducting the program in ASD children through attendance rate and parent comments regarding favorable change in the children's behavior. Study 2 indicated feasibility of teacher-delivered program implementation in an education setting. Some of the children showed indications of lasting improvement. On the other hand, it was noted that long school hours and teaching responsibilities made the burden of preparation for program implementation too heavy to be borne by a teacher alone.</p><p>Conclusion: The findings suggested feasibility of implementing the teacher-delivered program as group intervention for anxiety symptoms in children with ASD, given prior training, and provision of help and support from school staff and outside experts. Further study is required to examine efficacy and validity of the program for alleviating anxiety in ASD children, enlisting larger groups of subjects and study designs allowing for randomized comparison.</p>

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