دورية أكاديمية
Community-Guided, Autism-Adapted Group Cognitive Behavioral Therapy for Depression in Autistic Youth (CBT-DAY): Preliminary Feasibility, Acceptability, and Efficacy
| العنوان: | Community-Guided, Autism-Adapted Group Cognitive Behavioral Therapy for Depression in Autistic Youth (CBT-DAY): Preliminary Feasibility, Acceptability, and Efficacy |
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| اللغة: | English |
| المؤلفون: | Jessica M. Schwartzman (ORCID |
| المصدر: | Autism: The International Journal of Research and Practice. 2024 28(8):1902-1918. |
| الإتاحة: | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com |
| Peer Reviewed: | Y |
| Page Count: | 17 |
| تاريخ النشر: | 2024 |
| Sponsoring Agency: | National Center for Advancing Translational Sciences (NCATS) (NIH), Clinical and Translational Science Awards (CTSA) Program National Institute of Mental Health (NIMH) (DHHS/NIH) National Institute on Deafness and Other Communication Disorders (NIDCD) (DHHS/NIH) National Institute of General Medical Sciences (NIGMS) (DHHS/NIH) |
| Contract Number: | 5UL1TR002243 UL1TR000445 K23MH131852 F30DC019510 T32GM007347 |
| نوع الوثيقة: | Journal Articles Reports - Research |
| Descriptors: | Autism Spectrum Disorders, Youth, Depression (Psychology), Cognitive Restructuring, Group Therapy, Behavior Modification, Pilot Projects, Emotional Response, Self Esteem, Bayesian Statistics, Item Analysis |
| مصطلحات جغرافية: | Tennessee |
| DOI: | 10.1177/13623613231213543 |
| تدمد: | 1362-3613 1461-7005 |
| مستخلص: | This study examined the preliminary feasibility, acceptability, and efficacy of an autism-adapted cognitive behavioral therapy for depression in autistic youth, CBT-DAY. Twenty-four autistic youth (11-17 years old) participated in the pilot non-randomized trial including 5 cisgender females, 14 cisgender males, and 5 non-binary youth. Youth participated in 12 weeks of, CBT-DAY and youth depressive symptoms (i.e., primary clinical outcome) and emotional reactivity and self-esteem (i.e., intervention mechanisms) were assessed through self-report and caregiver report at four timepoints: baseline (week 0), midpoint (week 6), post-treatment (week 12), and follow-up (week 24). Results suggested that CBT-DAY may be feasible (16.67% attrition) in an outpatient setting and acceptable to adolescents and their caregivers. Bayesian linear mixed-effects models showed that CBT-DAY may be efficacious in targeting emotional reactivity [[beta][subscript T1-T3] = -2.53, CrI[subscript 95%] (-4.62, -0.58), P[subscript d] = 0.995, d = -0.35] and self-esteem [[beta][subscript T1-T3] = -3.57, CrI[subscript 95%] (-5.17, -2.00), P[subscript d] > 0.999, d = -0.47], as well as youth depressive symptom severity [[beta] = -2.72, CrI[subscript 95%] (-3.85, -1.63), P[subscript d] > 0.999]. Treatment gains were maintained at follow-up. A cognitive behavioral group therapy designed for and with autistic people demonstrates promise in targeting emotional reactivity and self-esteem to improve depressive symptom severity in youth. Findings can be leveraged to implement larger, more controlled trials of CBT-DAY. The trial was registered at Clinicaltrials.gov (Identifier: NCT05430022; https://beta.clinicaltrials.gov/study/NCT05430022). |
| Abstractor: | As Provided |
| Entry Date: | 2024 |
| رقم الأكسشن: | EJ1434758 |
| قاعدة البيانات: | ERIC |
Full Text Finder | تدمد: | 1362-3613 1461-7005 |
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| DOI: | 10.1177/13623613231213543 |