The therapeutic alliance in cognitive-behavioral therapy for school-aged children with autism and clinical anxiety

Autism ◽  
2019 ◽  
Vol 23 (8) ◽  
pp. 2031-2042 ◽  
Author(s):  
Sami M Klebanoff ◽  
Kashia A Rosenau ◽  
Jeffrey J Wood
Keyword(s):  
Autism Spectrum Disorder ◽  
Cognitive Behavioral Therapy ◽  
Therapeutic Alliance ◽  
Behavioral Therapy ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Cognitive Behavioral ◽  
Typically Developing ◽  
Typically Developing Children

Little is known about the alliance between therapists and children with autism spectrum disorder who are receiving psychological therapies in outpatient treatment settings. This study examined the therapeutic alliance in children with autism spectrum disorder and clinical anxiety, who were receiving cognitive behavioral therapy in a randomized, controlled trial. The Therapeutic Alliance Scale for Children was administered to a sample of children and youth with autism spectrum disorder and anxiety ( N = 64; aged 7–14) as well as to their parents and therapists. A comparison sample of typically developing youth with clinical anxiety ( N = 36; aged 5–12) was included. The child-therapist alliance was more positive among typically developing children than among children with autism spectrum disorder; correspondingly, the parent-therapist alliance was also more positive among parents of typically developing children. Therapist reports of positive child-therapist alliance predicted post-treatment reductions in anxiety among children with autism spectrum disorder, although child reports of this alliance did not. Parent reports of positive parent-therapist alliance also predicted post-treatment reductions in the child’s anxiety in the group with autism spectrum disorder. A strong therapeutic alliance appears to be associated with better treatment outcomes in children with autism spectrum disorder receiving cognitive behavioral therapy, although a thoughtful and diagnostically sensitive approach is advisable to promote a positive alliance with children with autism spectrum disorder.

Functional changes during visuo-spatial working memory in autism spectrum disorder: 2-year longitudinal functional magnetic resonance imaging study

Autism ◽  
2018 ◽  
Vol 23 (3) ◽  
pp. 639-652 ◽  
Author(s):  
Vanessa M Vogan ◽  
Benjamin R Morgan ◽  
Mary Lou Smith ◽  
Margot J Taylor
Keyword(s):  
Autism Spectrum Disorder ◽  
Neural Activity ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Typically Developing ◽  
Functional Magnetic Resonance ◽  
Resonance Imaging ◽  
Typically Developing Children ◽  
Functional Changes

This study examined functional changes longitudinally over 2 years in neural correlates associated with working memory in youth with and without autism spectrum disorder, and the impact of increasing cognitive load. We used functional magnetic resonance imaging and a visuo-spatial 1-back task with four levels of difficulty. A total of 14 children with autism spectrum disorder and 15 typically developing children (ages 7–13) were included at baseline and followed up approximately 2 years later. Despite similar task performance between groups, differences were evident in the developmental trajectories of neural responses. Typically developing children showed greater load-dependent activation which intensified over time in the frontal, parietal and occipital lobes and the right fusiform gyrus, compared to those with autism spectrum disorder. Children with autism spectrum disorder showed minimal age-related changes in load-dependent activation, but greater longitudinal load-dependent deactivation in default mode network compared to typically developing children. Results suggest inadequate modulation of neural activity with increasing cognitive demands in children with autism spectrum disorder, which does not mature into adolescence, unlike their typically developing peers. Diminished ability for children with autism spectrum disorder to modulate neural activity during this period of maturation suggests that they may be more vulnerable to the increasing complexity of social and academic demands as they progress through adolescence than their peers.

scholarly journals Object-directed imitation in autism spectrum disorder is differentially influenced by motoric task complexity, but not social contextual cues

Autism ◽  
2017 ◽  
Vol 23 (1) ◽  
pp. 199-211 ◽  
Author(s):  
Lacey Chetcuti ◽  
Kristelle Hudry ◽  
Megan Grant ◽  
Giacomo Vivanti
Keyword(s):  
Autism Spectrum Disorder ◽  
Task Complexity ◽  
Children With Autism ◽  
Social Motivation ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Typically Developing ◽  
Motor Execution ◽  
Typically Developing Children ◽  
Socially Responsive

We examined the role of social motivation and motor execution factors in object-directed imitation difficulties in autism spectrum disorder. A series of to-be-imitated actions was presented to 35 children with autism spectrum disorder and 20 typically developing children on an Apple® iPad® by a socially responsive or aloof model, under conditions of low and high motor demand. There were no differences in imitation performance (i.e. the number of actions reproduced within a fixed sequence), for either group, in response to a model who acted socially responsive or aloof. Children with autism spectrum disorder imitated the high motor demand task more poorly than the low motor demand task, while imitation performance for typically developing children was equivalent across the low and high motor demand conditions. Furthermore, imitative performance in the autism spectrum disorder group was unrelated to social reciprocity, though positively associated with fine motor coordination. These results suggest that difficulties in object-directed imitation in autism spectrum disorder are the result of motor execution difficulties, not reduced social motivation.

scholarly journals Mindful Parenting and Parenting Practices in Chinese Families of Children with Autism Spectrum Disorder

2019 ◽  
Vol 29 (2) ◽  
pp. 559-571
Author(s):  
Yaxuan Ren ◽  
Xiaoyi Hu ◽  
Zhuo Rachel Han ◽  
Xuan Yang ◽  
Mingyao Li
Keyword(s):  
Autism Spectrum Disorder ◽  
Parenting Practices ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Mindful Parenting ◽  
Spectrum Disorder ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Chinese Families ◽  
Biological Parents

Abstract Objectives Parenting children with autism spectrum disorder may be different from parenting typically developing children. The current study systematically compared mindful parenting and parenting practices in families of children with autism spectrum disorder and in families of typically developing children in China. Methods 167 biological parents (Mage = 37.87) of Chinese children with autism spectrum disorder and 167 biological parents (Mage = 38.04) of typical developing children completed questionnaires regarding mindful parenting and parenting practices. A multivariate analysis of variance was conducted to compare between the two types of families with parent/child gender effects on mindful parenting and parenting practices. Then a series of path analyses were also conducted to examine the associations between mindful parenting and parenting practices in the two types of families. Results Compared to parents of typically developing children, parents of children with autism spectrum disorder showed less listening with full attention, less proactive parenting, less supportiveness, more lax control, and more physical control to their children; in families of children with autism spectrum disorder (but not in families of typically developing children), fathers showed less proactive parenting and supportiveness to their children than mothers. We also found that parents’ listening with full attention and awareness of children’s emotions were significantly related to both positive and negative parenting practices in families of children with autism spectrum disorder. Conclusions Chinese parents of children with autism spectrum disorder and parents of typically developing children display different parenting behaviors. These findings can provide us more future directions in studying parenting behaviors in Chinese families of children with autism spectrum disorder.

Sign in / Sign up

Export Citation Format

Share Document