Article

Psychological Treatment for Obsessive-Compulsive Disorder in People with Autism Spectrum Disorders - A Pilot Study

Department of Psychology, Institute of Psychiatry, Kings College London, London, UK.
Psychotherapy and Psychosomatics (Impact Factor: 9.2). 12/2008; 78(1):59-61. DOI: 10.1159/000172622
Source: PubMed

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    • "At the time of writing, there were no published trials of CBT for anxiety in adults with ASD, only a handful of case studies (e.g., Cardaciotto and Herbert 2004). A notable exception is a pilot trial by Russell et al. (2009) which found CBT superior to treatment as usual for adults with ASD and comorbid obsessive-compulsive disorder . Table 4 summarizes the available treatment outcome studies of CBT programs for anxious youth with ASD that have so far been published and their key components. "
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    ABSTRACT: Individuals with autism spectrum disorder (ASD) experience high levels of anxiety symptomatology with an estimated prevalence rate of anxiety disorders as high as 40 %. It is likely that anxiety is prominent in individuals with ASD throughout the life-span and that factors such as age, IQ, and ASD symptoms may influence the rates, symptoms, or anxiety subtypes. The high comorbidity rate of anxiety in ASD is likely to be explained by ASD deficits that make the individual more prone to develop anxiety disorders; however, diagnostic overlap may also partly explain the high rates of anxiety. In addition, there is some limited evidence that the same risk factors identified in the development and maintenance of anxiety disorders in typically developing children may also play a role in youth with ASD. Self-reports as well as other informant reports, physiological measures, and direct observations are likely to be useful in assessing anxiety in ASD. To date, cognitive-behavioral therapy appears to hold the most evidence in treating anxiety in individuals with ASD. Other psychosocial interventions (including mindfulness-based and social-recreational interventions) may also be considered, although evidence has only recently began to emerge and more work is needed to understand which ASD-specific modifications or adaptations are likely to be most helpful.
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    • "Excluding the RCT bySpek et al. (2013)which was principally a mindfulness intervention, each of the studies incorporated both cognitive and behavioural techniques. Interventions described included (1) exposure-based work whereby participants identified and worked through a hierarchy of difficult situations (Hare, 1997;Russell et al., 2009Russell et al., , 2013); (2) relaxation techniques (Hare, 1997); (3) distraction techniques (Hare, 1997;4)social skills training (Cardaciotto & Herbert, 2004); (5) skills rehearsal (role plays) (Cardaciotto & Herbert, 2004); and (5) identification, examination and restructuring of negative thoughts and beliefs (Cardaciotto & Herbert, 2004;Russell et al., 2009;Weiss & Lunsky, 2010). Several studies also reported including a psycho-educational component about emotions or anxiety (Weiss & Lunsky, 2010), or rumination (Spek et al., 2013). "

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    ABSTRACT: Cognitive behaviour therapy (CBT) and selective serotonin reuptake inhibitors have both been established as effective interventions for paediatric obsessive-compulsive disorder (OCD), with CBT being the recommended first-line treatment in most cases. While the majority of young people respond well to these treatments, a significant proportion remain symptomatic. Although the research on treatment-resistant OCD remains limited, increasing empirical attention is being paid to predictors of treatment outcome in young people with OCD, and efforts are being made to identify the factors that hinder recovery. This article outlines potential barriers in treatment and highlights strategies for optimising outcome, with particular focus on cognitive behavioural techniques.
    No preview · Article · Oct 2009 · Child and Adolescent Mental Health
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