scholarly journals A Person-Centered Approach in Investigating a Mindfulness-Based Program for Adolescents with Autism Spectrum Disorder

Mindfulness ◽  
2021 ◽  
Author(s):  
Anna Ridderinkhof ◽  
Mette Elmose ◽  
Esther I. de Bruin ◽  
René Blom ◽  
Sandra Salem-Guirgis ◽  
...  
Keyword(s):  
Single Case ◽  
Autism Spectrum ◽  
Personal Goals ◽  
Baseline Phase ◽  
Baseline Design ◽  
Adolescents With Autism ◽  
Evidence Based Treatments ◽  
Person Centered Approach ◽  
Internalizing Disorder

Abstract Objectives Adolescents with autism often experience comorbid internalizing disorders such as anxiety disorders or depression but the available evidence-based treatments to support the mental health of adolescents with autism are limited. The aim of this study was to investigate if and how MYmind, a mindfulness-based program (MBP) for youth with autism, could benefit adolescents with comorbid internalizing disorder(s). Methods A person-centered approach with a multiple baseline design was used to investigate the effects of MYmind. Five adolescents with autism and an internalizing disorder took part in the 9-week MYmind program. The adolescents and their parents completed a daily questionnaire on their personal goals during a baseline phase, the intervention, a 2-month follow-up phase, and a 1-year follow-up phase. We analyzed the effects on their personal goals using visual inspection and statistical analysis for single-case designs. Also, we investigated potential processes of change by analyzing how changes were related over time. Results Findings indicated that most, but not all, adolescents benefitted from the MBP. Four out of five adolescents showed medium-sized improvement in some of their personal goals. However, one adolescent reported a deterioration during the intervention and 2-month follow-up phase. Decreased worry preceded behavioral improvements in two adolescents, whereas other potential mechanisms of change showed inconclusive results. Conclusion The findings indicated that most of the adolescents with autism and a comorbid internalizing disorder partially benefitted from the MBP.

Treatment of anxiety in older adolescents and young adults with autism spectrum disorders: A pilot study

2020 ◽  
Vol 84 (2) ◽  
pp. 105-136
Author(s):  
Jill Ehrenreich-May ◽  
Gregory Simpson ◽  
Lindsay M. Stewart ◽  
Sarah M. Kennedy ◽  
Amelia N. Rowley ◽  
...  
Keyword(s):  
Young Adults ◽  
Adaptive Functioning ◽  
High Functioning Autism ◽  
Autism Spectrum ◽  
Adolescents And Young Adults ◽  
Reliable Change Index ◽  
Adults With Autism ◽  
Baseline Design ◽  
Behavioral Treatments

Anxiety disorders are commonly comorbid in adolescents and young adults with high-functioning autism. Cognitive-behavioral treatments (CBT) for anxiety, when adapted and expanded to target autism spectrum disorder (ASD) characteristics, may be beneficial, but there is minimal evidence to guide clinicians in their application. This multiple-baseline design study evaluated the initial efficacy of a CBT protocol adapted to address anxiety symptoms and adaptive functioning in this population. Anxiety and ASD symptoms were assessed for six participants at intake, after baseline, posttreatment, and at 1-month follow-up. Parent- and child-reported anxiety was also assessed during baseline and treatment. Visual inspection and reliable change index scores were used to evaluate change. All participants improved on clinician-rated measures of disorder severity, and gains were maintained at follow-up. Results were more equivocal for parent- and self-rated anxiety and parent-rated ASD, partly because of spontaneous changes during baseline.

Effects of School-Home Communication With Parent-Implemented Reinforcement on Off-Task Behavior for Students With ASD

2019 ◽  
Vol 57 (2) ◽  
pp. 95-111 ◽  
Author(s):  
Samantha E. Goldman ◽  
Kelli A. Sanderson ◽  
Blair P. Lloyd ◽  
Erin E. Barton
Keyword(s):  
Single Case ◽  
Autism Spectrum ◽  
Future Research ◽  
Single Case Design ◽  
Design Standards ◽  
Baseline Design ◽  
Functional Relations ◽  
Task Behavior ◽  
Students With Autism ◽  
Spectrum Disorders

AbstractSchool-home communication is highly valued for parents of students with autism spectrum disorders (ASD) and other developmental disabilities. However, parents report poor communication as a common barrier to developing partnerships with schools. Using a multiple baseline design, we evaluated the effects of a school-home note intervention with parent-implemented reinforcement for decreasing off-task behavior of students with ASD at school. We also evaluated social validity (i.e., feasibility and acceptability) of the intervention and outcomes. Only two of the four participants showed clear behavior change, which precluded the demonstration of functional relations. However, all participating parents and teachers reported the school-home note and parent-implemented contingent reinforcement were highly feasible and acceptable, and indicated positive outcomes relating to improved family-school partnership and communication. Findings of this study, which meets single-case design standards and quality indicators, are discussed in terms of future research and practice.

Cognitive behavioural therapy in the treatment of social skills deficits and social phobia in a man with an autism spectrum disorder: a single-case study

2016 ◽  
Vol 9 ◽  
Author(s):  
Mark A. Turner ◽  
Neil Hammond
Keyword(s):  
Social Skills ◽  
Social Anxiety ◽  
Social Phobia ◽  
Single Case ◽  
Behavioural Therapy ◽  
Autism Spectrum ◽  
Single Case Study ◽  
Cognitive Behavioural

AbstractAutism spectrum disorders (ASD) including high-functioning types such as Asperger's syndrome (AS) are diagnosed when there is evidence of a triad of qualitative impairments in social interaction, communication, and stereotyped/repetitive behaviours. It is not uncommon for these impairments to be accompanied by social anxiety. The present single-case study investigates the use of cognitive behavioural therapy (CBT) to treat a 47-year-old man who was assessed as having difficulties with social skills and social phobia in the context of a late diagnosis of AS. He received 20 h of CBT adapted for his AS in 15 sessions including a 1-month follow-up. Following a highly individualized formulation, treatment included modelling, role-playing, reinforcement, thought challenging, and behavioural experimentation. Results from five self-report measures showed continued improvements from the start of therapy to follow-up in social anxiety, global distress, depression and self-esteem. The client gave positive feedback about his experience of treatment. The case study is discussed with reference to limitations and some reflections for CBT in ASD.

scholarly journals MODIFIKASI PERILAKU UNTUK MENINGKATKAN KEPATUHAN PADA ANAK DENGAN HIGH FUNCTIONING AUTISM SPECTRUM DISORDER

2020 ◽  
Vol 3 (1) ◽  
pp. 1-21
Author(s):  
Theresia Michelle Alessandra ◽  
Sri Hartati R-Suradijono
Keyword(s):  
Autism Spectrum Disorder ◽  
Positive Reinforcement ◽  
High Functioning Autism ◽  
Single Case ◽  
Autism Spectrum ◽  
Behavioral Momentum ◽  
Spectrum Disorder ◽  
High Functioning ◽  
Compliance Training

Anak dengan autism spectrum disorder (ASD) memiliki karakteristik utama yaitu perilaku repetitif dan minat yang terbatas, serta defisit dalam kemampuan berkomunikasi dan berinteraksi sosial sehari-hari. Anak dengan ASD memiliki risiko lebih besar untuk mengembangkan perilaku bermasalah, seperti perilaku tidak patuh yang berdampak buruk pada keberfungsian anak sehari-hari baik dalam aspek akademis maupun dalam lingkungan sosial. Perilaku tidak patuh yang berlebihan dapat dikurangi melalui program modifikasi perilaku. Tujuan penelitian ini adalah mengukur efektivitas program modifikasi perilaku untuk meningkatkan kepatuhan pada anak dengan High Functioning Autism Spectrum Disorder (HF-ASD) melalui single case A-B with follow-up design. Partisipan dalam penelitian ini adalah seorang anak laki-laki dengan kondisi HF-ASD yang berusia 8 tahun dan menunjukkan perilaku tidak patuh. Intervensi dilakukan sebanyak 19 sesi dengan menerapkan prinsip errorless compliance training seperti behavioral momentum, errorless learning, penyampaian instruksi yang efektif, dan positive reinforcement. Hasil menunjukkan bahwa program modifikasi perilaku efektif meningkatkan perilaku kepatuhan pada anak dengan HF-ASD dari 8% menjadi 81% serta terdapat efek generalisasi pada instruksi yang tidak dilatih selama intervensi.  Kata kunci: modifikasi perilaku; kepatuhan; high functioning autism spectrum disorder

The Effects of Social Skill Interventions for Adolescents With Autism: A Meta-Analysis

2020 ◽  
pp. 074193252095636 ◽  
Author(s):  
Salena Babb ◽  
Tracy J. Raulston ◽  
David McNaughton ◽  
Joo-Young Lee ◽  
Rachel Weintraub
Keyword(s):  
General Education ◽  
Social Skill ◽  
Visual Analysis ◽  
Single Case ◽  
Meta Analysis ◽  
Autism Spectrum ◽  
Effect Sizes ◽  
Single Case Design ◽  
Adolescents With Autism ◽  
Adolescents With Asd

Communicating with peers often poses challenges for individuals with autism spectrum disorder (ASD); these social interactions, however, can be especially difficult during the teenage years. For many adolescents with ASD, peer interaction is often limited or nonexistent, even for those taught in general education settings. The purpose of this meta-analysis was to investigate social interaction interventions for adolescents with ASD within public school settings, with a focus on studies that utilized single-case design. Studies were evaluated per the What Works Clearinghouse guidelines. This meta-analysis includes 24 studies with participants with ASD ranging in ages from 13 to 21 years. The effects of social skill interventions were evaluated using visual analysis, Tau- U, and a parametric effect size ( d-Hedges–Pustejovsky–Shadish [DHPS]). Combined effect sizes were calculated and compared. Results provide evidence that interventions can produce positive change in social behavior of adolescents with ASD. Effect sizes were generally large. Interpretations and implications are discussed.

Life Minus Violence-Enhanced (LMV-E) with women in custody: single-case experimental design

2019 ◽  
Vol 5 (4) ◽  
pp. 295-306
Author(s):  
Annette McKeown ◽  
Sarah McCrory
Keyword(s):  
Single Case ◽  
Baseline Period ◽  
Small Sample ◽  
Indirect Aggression ◽  
Reliable Change ◽  
Content Type ◽  
Baseline Design ◽  
Psychometric Measures ◽  
Clinically Significant

Purpose The purpose of this single-case experimental design paper is to examine the efficacy of the high-dosage Life Minus Violence – Enhanced (LMV-E) programme with a small sample of four violent women in custody. All participants were undertaking LMV-E as one component of their treatment pathway in an Offender Personality Disorder (OPD) treatment service for women with personality disorder. The methodology employed an AB baseline design with a six-month baseline period, nine-month treatment period and six-month follow-up. Levels of direct and indirect aggression were recorded throughout the baseline, intervention, and follow-up period. In the follow-up period, women were engaging in further treatment. Psychometric measures linked to treatment domains were used to explore clinically significant and reliable change following the intervention. Clinical and reliable change was indicated in some treatment domains for each participant following the intervention. The pattern of these reductions varied between the women. The patterns of findings are discussed and recommendations presented. Design/methodology/approach The methodology employed an AB baseline design with a six-month baseline period, nine-month treatment period and six-month follow-up. Levels of direct and indirect aggression were recorded throughout the baseline, intervention and follow-up period. In the follow-up period, women were engaging in further treatment. Psychometric measures linked to treatment domains were used to explore clinically significant and reliable change following the intervention. Findings Clinical and reliable change was indicated in some treatment domains for each participant following the intervention. The pattern of these reductions varied between the female offenders. The patterns of findings are discussed and recommendations presented. Practical implications The LMV-E programme was associated with some positive improvements in treatment domains measured in a small sample of female violent offenders. Improvements to some degree were most commonly found in the domains of anger, emotional control and components of criminal thinking. It would be clinically useful to examine characteristics of individuals that appear to benefit most from particular interventions. Originality/value There are no existing published findings related to the implementation of LMV-E with females. Therefore, this paper provides preliminary contribution to the evidence base in this area.

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