The Role of Maternal Anxiety in Treatment Response for Youth with ASD and Co-occurring Anxiety.
Anxiety
Autism
Cognitive behavioral therapy
Maternal anxiety
Journal
Child psychiatry and human development
ISSN: 1573-3327
Titre abrégé: Child Psychiatry Hum Dev
Pays: United States
ID NLM: 1275332
Informations de publication
Date de publication:
12 2023
12 2023
Historique:
received:
10
05
2021
accepted:
21
05
2022
revised:
17
05
2022
medline:
23
10
2023
pubmed:
10
6
2022
entrez:
9
6
2022
Statut:
ppublish
Résumé
Anxiety disorders occur at higher rates in youth with ASD than in neurotypical youth. Although the efficacy of CBT for anxiety in children with ASD is widely supported, factors that influence treatment outcomes are not well understood. This study examined the role of maternal anxiety in treatment outcomes for youth with ASD. Youth with ASD and anxiety (ages 8 to 14), along with their mothers (n = 87), participated in a group CBT intervention. Results indicated that maternal anxiety did not improve over the course of treatment. However, findings suggest that high levels of maternal anxiety at pre-treatment predicted higher levels of youth anxiety post-treatment. Importantly, the relationship between parent anxiety and youth outcomes was moderated by child age. The findings of the present study may provide initial insight into the role that maternal anxiety plays in treatment outcomes for children with ASD and co-occurring anxiety, particularly when considering child age.
Identifiants
pubmed: 35678890
doi: 10.1007/s10578-022-01381-0
pii: 10.1007/s10578-022-01381-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1789-1798Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
van Steensel FJ, Bögels SM, Perrin S (2011) Anxiety disorders in children and adolescents with autistic spectrum disorders: a meta-analysis. Clin Child Fam Psychol Rev 14(3):636–645
Simonoff E, Pickles A, Charman T, Chandler S, Loucas T, Baird G (2008) Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Psy 47(8):921–929
doi: 10.1097/CHI.0b013e318179964f
Kerns CM, Kendall PC, Zickgraf H, Franklin ME, Miller J, Herrington J (2015) Not to be overshadowed or overlooked: Functional impairments associated with comorbid anxiety disorders in youth with ASD. Behav Ther 46(1):29–39
pubmed: 25526833
doi: 10.1016/j.beth.2014.03.005
Wood JJ, Gadow KD (2010) Exploring the nature and function of anxiety in youth with autism spectrum disorders. Clin Psychol Sci Pract 17(4):281–292
doi: 10.1111/j.1468-2850.2010.01220.x
Chalfant AM, Rapee R, Carroll L (2007) Treating anxiety disorders in children with high functioning autism spectrum disorders: A controlled trial. J Autism Dev Disord 37(10):1842–1857
pubmed: 17171539
doi: 10.1007/s10803-006-0318-4
Reaven J, Blakeley-Smith A, Culhane‐Shelburne K, Hepburn S (2012) Group cognitive behavior therapy for children with high‐functioning autism spectrum disorders and anxiety: A randomized trial. J Child Psychol Psychiatry 53(4):410–419
pubmed: 22435114
pmcid: 4392045
doi: 10.1111/j.1469-7610.2011.02486.x
Wood JJ, Drahota A, Sze K, Har K, Chiu A, Langer DA (2009) Cognitive behavioral therapy for anxiety in children with autism spectrum disorders: A randomized, controlled trial. J Child Psychol Psychiatry 50(3):224–234
pubmed: 19309326
pmcid: 4231198
doi: 10.1111/j.1469-7610.2008.01948.x
Wood JJ, Kendall PC, Wood KS, Kerns CM, Seltzer M, Small BJ et al (2020) Cognitive behavioral treatments for anxiety in children with autism spectrum disorder: A randomized clinical trial. Jama Psychiatry 77(5):474–483
pubmed: 31755906
doi: 10.1001/jamapsychiatry.2019.4160
Blakeley-Smith A, Meyer AT, Boles RE, Reaven J (2021) Group cognitive behavioural treatment for anxiety in autistic adolescents with intellectual disability: A pilot and feasibility study. J Appl Res Intellect Disabil 34(3):777–788
pubmed: 33410240
doi: 10.1111/jar.12854
Lake JK, Tablon Modica P, Chan V, Weiss JA (2020) Considering efficacy and effectiveness trials of cognitive behavioral therapy among youth with autism: A systematic review. Autism 24(7):1590–1606
pubmed: 32423224
doi: 10.1177/1362361320918754
Ung D, Selles R, Small BJ, Storch EA (2015) A systematic review and meta-analysis of cognitive-behavioral therapy for anxiety in youth with high-functioning autism spectrum disorders. Child Psychiatry Hum Dev 46(4):533–547
pubmed: 25246292
doi: 10.1007/s10578-014-0494-y
White SW, Ollendick T, Albano AM, Oswald D, Johnson C, Southam-Gerow MA et al (2013) Randomized controlled trial: Multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. J Autism Dev Disord 43(2):382–394
pubmed: 22735897
pmcid: 3494811
doi: 10.1007/s10803-012-1577-x
Manassis K, Lee TC, Bennett K, Zhao XY, Mendlowitz S, Duda S et al (2014) Types of parental involvement in CBT with anxious youth: a preliminary meta-analysis. J Consult Clin Psychol 82(6):1163–1172
pubmed: 24841867
doi: 10.1037/a0036969
Reynolds S, Wilson C, Austin J, Hooper L (2012) Effects of psychotherapy for anxiety in children and adolescents: A meta-analytic review. Clin Psychol Rev 32(4):251–262
pubmed: 22459788
doi: 10.1016/j.cpr.2012.01.005
Seligman LD, Ollendick TH (2011) Cognitive-behavioral therapy for anxiety disorders in youth. Child Adolesc Psychiatr Clin N Am 20(2):217–238
pubmed: 21440852
pmcid: 3091167
doi: 10.1016/j.chc.2011.01.003
Southam-Gerow MA, Kendall PC, Weersing VR (2001) Examining outcome variability: Correlates of treatment response in a child and adolescent anxiety clinic. J Clin Child Adolesc Psychology 30(3):422–436
doi: 10.1207/S15374424JCCP3003_13
Bodden DH, Bögels SM, Nauta MH, De Haan E, Ringrose J, Appelboom C et al (2008) Child versus family cognitive-behavioral therapy in clinically anxious youth: an efficacy and partial effectiveness study. J Am Acad Child Psy 47(12):1384–1394
doi: 10.1097/CHI.0b013e318189148e
Bennett K, Manassis K, Walter SD, Cheung A, Wilansky-Traynor P, Diaz‐Granados N et al (2013) Cognitive behavioral therapy age effects in child and adolescent anxiety: an individual patient data metaanalysis. Depress Anxiety 30(9):829–841
pubmed: 23658135
pmcid: 4854623
doi: 10.1002/da.22099
Barmish AJ, Kendall PC (2005) Should parents be co-clients in cognitive-behavioral therapy for anxious youth? J Clin Child Adolesc Psychol 34(3):569–581
pubmed: 16026220
doi: 10.1207/s15374424jccp3403_12
Murray L, Creswell C, Cooper PJ (2009) The development of anxiety disorders in childhood: an integrative review. Psychol Med 39(9):1413–1423
pubmed: 19215631
doi: 10.1017/S0033291709005157
Rapee RM (1997) Potential role of childrearing practices in the development of anxiety and depression. Clin Psychol Rev 17(1):47–67
pubmed: 9125367
doi: 10.1016/S0272-7358(96)00040-2
Cobham VE, Dadds MR, Spence SH (1998) The role of parental anxiety in the treatment of childhood anxiety. J Consult Clin Psychol 66(6):893–905
pubmed: 9874902
doi: 10.1037/0022-006X.66.6.893
Creswell C, Willetts L, Murray L, Singhal M, Cooper P (2008) Treatment of child anxiety: An exploratory study of the role of maternal anxiety and behaviours in treatment outcome. Clin Psychol Psychother 15(1):38–44
pubmed: 19115426
doi: 10.1002/cpp.559
Kendall PC, Hudson JL, Gosch E, Flannery-Schroeder E, Suveg C (2008) Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. J Consult Clin Psychol 76(2):282–297
pubmed: 18377124
doi: 10.1037/0022-006X.76.2.282
Wergeland GJH, Fjermestad KW, Marin CE, Bjelland I, Haugland BSM, Silverman WK et al (2016) Predictors of treatment outcome in an effectiveness trial of cognitive behavioral therapy for children with anxiety disorders. Behav Res Ther 76:1–12
pubmed: 26583954
doi: 10.1016/j.brat.2015.11.001
Wesseldijk LW, Dieleman GC, van Steensel FJ, Bleijenberg EJ, Bartels M, Bögels SM et al (2018) Do Parental Psychiatric Symptoms Predict Outcome in Children With Psychiatric Disorders? A Naturalistic Clinical Study. J Am Acad Child Psy 57(9):669–677
doi: 10.1016/j.jaac.2018.05.017
Cobham VE, Dadds MR, Spence SH, McDermott B (2010) Parental anxiety in the treatment of childhood anxiety: A different story three years later. J Clin Child Adolesc Psychol 39(3):410–420
pubmed: 20419581
doi: 10.1080/15374411003691719
Gar NS, Hudson JL (2009) The association between maternal anxiety and treatment outcome for childhood anxiety disorders. Behav Change 26(1):1–15
doi: 10.1375/bech.26.1.1
Conner CM, Maddox BB, White SW (2013) Parents’ state and trait anxiety: Relationships with anxiety severity and treatment response in adolescents with autism spectrum disorders. J Autism Dev Disord 43(8):1811–1818
pubmed: 23224592
doi: 10.1007/s10803-012-1728-0
White SW, Schry AR, Miyazaki Y, Ollendick TH, Scahill L (2015) Effects of verbal ability and severity of autism on anxiety in adolescents with ASD: One-year follow-up after cognitive behavioral thearpy. J Clin Child Adolesc Psychol 44(5):839–845
pubmed: 24731184
doi: 10.1080/15374416.2014.893515
Reaven J, Washington L, Moody EJ, Stern JA, Hepburn SL, Blakeley-Smith A (2015) Examining the relationship between parental anxiety and treatment response in children and adolescents with autism spectrum disorder and anxiety. J Autism Dev Disord 45(8):2464–2473
pubmed: 25778837
pmcid: 4515159
doi: 10.1007/s10803-015-2410-0
van Steensel FJ, Zegers VM, Bögels SM (2017) Predictors of treatment effectiveness for youth with ASD and comorbid anxiety disorders: It all depends on the family? J Autism Dev Disord 47(3):636–645
pubmed: 28004234
doi: 10.1007/s10803-016-2956-5
Reaven JA (2009) Children with high-functioning autism spectrum disorders and co‐occurring anxiety symptoms: Implications for assessment and treatment. J Spec Pediatr Nurs 14(3):192–199
pubmed: 19614828
doi: 10.1111/j.1744-6155.2009.00197.x
Reaven J, Moody EJ, Grofer Klinger L, Keefer A, Duncan A, O’Kelley S et al (2018) Training clinicians to deliver group CBT to manage anxiety in youth with ASD: Results of a multisite trial. J Consult Clin Psychol 86(3):205–217
pubmed: 29504790
pmcid: 5841598
doi: 10.1037/ccp0000285
Reaven J, Blakeley-Smith A, Nichols S, Hepburn S (2011) Facing your fears: Group therapy for managing anxiety in children with high-functioning autism spectrum disorders. Brookes, Baltimore, MD
Lord C, Rutter M, DiLavore P, Risi S, Gotham K, Bishop S (2012) Autism Diagnostic Observation Schedule, Second Edition. Torrance, CA: Western Psychological Services
Berument SK, Rutter M, Lord C, Pickles A, Bailey A (1999) Autism screening questionnaire: diagnostic validity. Br J Psychiatry 175(5):444–451
pubmed: 10789276
doi: 10.1192/bjp.175.5.444
Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a replication study. J Am Acad Child Psy 38(10):1230–1236
doi: 10.1097/00004583-199910000-00011
Hale WW, Crocetti E, Raaijmakers QA, Meeus WH (2011) A meta-analysis of the cross‐cultural psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED). J Child Psychol Psychiatry 52(1):80–90
pubmed: 20662993
doi: 10.1111/j.1469-7610.2010.02285.x
Stern JA, Gadgil MS, Blakeley-Smith A, Reaven JA, Hepburn SL (2014) Psychometric properties of the SCARED in youth with autism spectrum disorder. Res Autism Spectr Disord 8(9):1225–1234
pubmed: 25147580
pmcid: 4136967
doi: 10.1016/j.rasd.2014.06.008
Lecavalier L, Wood JJ, Halladay AK, JonesNE, Aman MG, Cook EH et al (2014) Measuring anxiety as a treatment endpoint in youth with autism spectrum disorder. J Autism Dev Disord 44(5):1128–1143
pubmed: 24158679
pmcid: 3981870
doi: 10.1007/s10803-013-1974-9
Spielberger CD, Gorsuch RL (1983) State-trait anxiety inventory (form Y). Consulting Psychologists Press
Barnes LL, Harp D, Jung WS (2002) Reliability generalization of scores on the Spielberger state-trait anxiety inventory. Educ Psychol Meas 62(4):603–618
doi: 10.1177/0013164402062004005
Aiken LS, West SG (1991) Multiple regression: Testing and interpreting interactions. Sage, Thousand Oaks, CA
Bitsika V, Sharpley CF (2004) Stress, anxiety and depression among parents of children with autism spectrum disorder. J of Psych and Counsellors in Schools 14(2):151–161
Kagan ER, Peterman JS, Carper MM, Kendall PC (2016) Accommodation and treatment of anxious youth. Depress Anxiety 33(9):840–847
pubmed: 27213722
doi: 10.1002/da.22520
Lebowitz ER, MarinC, Martino A, Shimshoni Y, Silverman WK (2020) Parent-based treatment as efficacious as cognitive-behavioral therapy for childhood anxiety: A randomized noninferiority study of supportive parenting for anxious childhood emotions. J Am Acad Child Psy 59(3):362–372
doi: 10.1016/j.jaac.2019.02.014
Storch EA, Zavrou S, Collier AB, Ung D, Arnold EB, Mutch PJ et al (2015) Preliminary study of family accommodation in youth with autism spectrum disorders and anxiety: Incidence, clinical correlates, and behavioral treatment response. J Anxiety Disord 34:94–99
pubmed: 26188615
doi: 10.1016/j.janxdis.2015.06.007
Thirlwall K, Cooper P, Creswell C (2017) Guided parent-delivered cognitive behavioral therapy for childhood anxiety: predictors of treatment response. J Anxiety Disord 45:43–48
pubmed: 27930939
pmcid: 5240848
doi: 10.1016/j.janxdis.2016.11.003
Reaven J (2011) The treatment of anxiety symptoms in youth with high-functioning autism spectrum disorders: Developmental considerations for parents. Brain Res 1380:255–263
pubmed: 20875799
doi: 10.1016/j.brainres.2010.09.075