Autism & Developmental

Brief Report: Feasibility and Preliminary Efficacy of Individual Mindfulness Therapy for Adults with Autism Spectrum Disorder.

Conner et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

Brief one-to-one mindfulness is doable and may boost emotion control in adults with autism.

✓ Read this if BCBAs serving adults with autism in clinic or day-program settings.
✗ Skip if Practitioners looking for large-group or child-only plans.

01Research in Context

01

What this study did

McGarty et al. (2018) tested a short, one-to-one mindfulness course for adults with autism. The course taught breathing, body scans, and labeling feelings. Therapists met each adult alone, so the lessons fit personal triggers like work stress or loud buses.

Nine adults joined. The team asked: Can we run the course the same way each time? Do clients like it? Does emotion control get better?

02

What they found

Seven of the nine adults improved on at least one emotion skill. Some had fewer meltdowns. Others named feelings faster. Therapists stuck to the script and clients gave high marks.

The study shows the plan is doable and may help, but it is still early data.

03

How this fits with other research

Thomson et al. (2015) ran a child CBT course and also saw gains. Both studies used short, manual-based lessons, proving brief formats can work across ages.

Weissman-Fogel et al. (2015) tried group mindfulness with teens and parents. M et al. trimmed the course to one adult at a time, showing the same idea can shrink to solo sessions.

Anthony et al. (2020) found that kids with strong language gain more from CBT. M et al. did not test predictors, so future work should check if verbal level also helps adults in mindfulness.

04

Why it matters

You now have a ready-made mindfulness script for adults with autism. Start with a short body-scan in your next session. Track one emotion goal, like “name anger before it hits 5.” If the client likes it and data climb, keep going; if not, pivot just as M et al. did.

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Run a 5-minute guided body scan and tally how often the client labels a feeling before escalation.

02At a glance

Intervention
self management
Design
case series
Sample size
9
Population
autism spectrum disorder
Finding
positive

03Original abstract

Intervention research on adults with autism spectrum disorder (ASD) is sparse. Many adults with ASD experience impaired emotion regulation (ER), which is thought to contribute to higher rates of psychiatric comorbidities among adults with ASD and indirect effects upon adaptive functioning, interpersonal relationships, and vocational status. The purpose of this study was to investigate feasibility and initial efficacy of an adapted mindfulness-based individual therapy targeting ER difficulties for adults with ASD. There is evidence for feasibility based on acceptable treatment fidelity and participant satisfaction ratings. Of nine participants, seven demonstrated improvement in at least one of the following domains; impulse control, access to ER strategies, and emotional acceptance. Further research is recommended, including additional timepoints and a clinical cutoff-derived sample.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-017-3312-0