Digital Object Identifier (DOI)
Anxiety disorders affect up to 50% of individuals with autism spectrum disorder (ASD) and are significantly impairing to the person affected, as well as to their loved ones. Cognitive-behavioral therapy (CBT) has been established as the gold-standard treatment for anxiety disorders among typically developing youth and adults, and demonstrates similar efficacy among youth with high-functioning autism (HFA). Many CBT interventions utilize a “full-package” treatment approach to treat co-occurring anxiety in youth with ASD. However, these service delivery systems are often therapist-intensive, costly, and impractical, thereby compromising full engagement and treatment adherence. This paper describes the design, rationale, and methodology of a study examining stepped-care CBT for youth with HFA and co-occurring anxiety – a clinical trial examining the efficacy of low-intensity, parent-led CBT as the first line of treatment and utilizing a more intensive, therapist-led intervention for nonresponders. The study will evaluate the potential benefits of stepped-care and parent-led therapist-assisted interventions, predictors of treatment response, and the economic value of using a stepped-care model. Implications for practice will be discussed.
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Citation / Publisher Attribution
Brazilian Journal of Psychiatry, v. 42, issue 6, p. 638-645
Scholar Commons Citation
Ramirez, Ana C.; Grebe, Stacey C.; McNeel, Morgan M.; Limon, Danica L.; Schneider, Sophie C.; Berry, Leandra N.; Goin-Kochel, Robin P.; Cepeda, Sandra L.; Voigt, Robert G.; Salloum, Alison; and Storch, Eric A., "Parent-led, Stepped-care Cognitive-behavioral Therapy for Youth with Autism and Co-occurring Anxiety: Study Rationale and Method" (2020). Social Work Faculty Publications. 195.