Reward Sensitivity Predicts the Response to Cognitive Behavioral Therapy for Children with Autism and Anxiety

Cognitive-behavioral therapy (CBT) is an effective treatment for anxiety in youth with autism spectrum disorder (ASD). However, research has yet to examine what cognitive characteristics may influence treatment response. The current study investigated decision-making ability and social cognition as...

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Veröffentlicht in:Journal of clinical child and adolescent psychology 2023-11, Vol.52 (6), p.811-818
Hauptverfasser: Hollocks, Matthew J, Wood, Jeffrey J, Storch, Eric A, Cho, An-Chuen, Kerns, Connor M, Kendall, Philip C
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container_issue 6
container_start_page 811
container_title Journal of clinical child and adolescent psychology
container_volume 52
creator Hollocks, Matthew J
Wood, Jeffrey J
Storch, Eric A
Cho, An-Chuen
Kerns, Connor M
Kendall, Philip C
description Cognitive-behavioral therapy (CBT) is an effective treatment for anxiety in youth with autism spectrum disorder (ASD). However, research has yet to examine what cognitive characteristics may influence treatment response. The current study investigated decision-making ability and social cognition as potential (a) predictors of differential treatment response to two versions of CBT and (b) moderators of the effect of treatment condition. The study included 148 children (mean age = 9.8 years) with interfering anxiety and a diagnosis of ASD who were enrolled in a randomized clinical trial comparing two versions of CBT for anxiety (standard and adapted for ASD). Participants completed pretreatment measures of decision-making ability (adapted Iowa Gambling Task) and social cognition (Strange Stories) and analyses tested whether task performance predicted treatment response across and between (moderation) treatment conditions. Our findings indicate that decision-making ability moderated treatment outcomes in youth with ASD and anxiety, with a better decision-making performance being associated with higher post-treatment anxiety scores for those who received standard, not adapted, CBT. Children with ASD and anxiety who are more sensitive to reward contingencies and reinforcement may benefit more from adapted CBT approaches that work more explicitly with reward.
doi_str_mv 10.1080/15374416.2022.2025596
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; EBSCOhost Education Source
subjects Ability
Adolescent
Anxiety
Anxiety - psychology
Anxiety - therapy
Autism
Autism Spectrum Disorder - psychology
Autism Spectrum Disorder - therapy
Autism Spectrum Disorders
Autistic children
Autistic Disorder
Behavior modification
Child
Clinical outcomes
Clinical research
Clinical trials
Cognition & reasoning
Cognitive Behavioral Therapy
Cognitive Restructuring
Cognitive-behavioral factors
Contingencies
Decision making
Gambling
Humans
Medical diagnosis
Moderation
Moderators
Outcomes of Treatment
Reinforcement
Reward
Social cognition
Task performance
Treatment Outcome
title Reward Sensitivity Predicts the Response to Cognitive Behavioral Therapy for Children with Autism and Anxiety
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