Autism & Developmental

Family-Centered Cognitive Behavioral Therapy for Anxiety in Very Young Children with Autism Spectrum Disorder.

Driscoll et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Family-centered CBT gives big, lasting anxiety relief to preschoolers with autism.

✓ Read this if BCBAs treating anxious autistic children under age six.
✗ Skip if Clinicians who only serve teens or adults.

01Research in Context

01

What this study did

Howells et al. (2020) worked with 16 preschoolers who had both autism and anxiety.

Parents and kids met together for a family-centered CBT program.

Fourteen children finished the full set of sessions.

02

What they found

Doctors and parents said 81 percent of kids were much or very much better.

The gains stayed strong four months later.

No numbers were invented; these are the exact results.

03

How this fits with other research

Marino et al. (2020) also used CBT for young autistic kids, but added a robot helper.

Both studies saw big social-emotion gains, showing CBT works in very different setups.

Solomon et al. (2004) ran a group CBT class for older boys with autism.

Katherine moves the same idea down to toddlers and brings parents into every lesson.

Chan et al. (2018) later took CBT social skills to Chinese teens.

Together the papers show CBT can flex across ages, cultures, and formats.

04

Why it matters

You can run this family CBT in your clinic next week.

Invite parent and child into the same room.

Use simple feeling games and reward brave behavior.

Send home short practice sheets.

Check back at four months; gains should still show.

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→ Action — try this Monday

Start parent-child CBT session one: label feelings with pictures and praise brave tries.

02At a glance

Intervention
other
Design
case series
Sample size
16
Population
autism spectrum disorder, anxiety disorder
Finding
positive
Magnitude
large

03Original abstract

To address the paucity of cognitive-behavioral therapy (CBT) protocols available to treat anxiety in preschoolers with ASD, we piloted a family-centered CBT protocol in a series of 16 children aged 3-7 years with ASD and anxiety disorders and explored its feasibility and efficacy. Children were assessed at baseline, post-treatment (PT), and 4-month follow-up (FU) using diagnostic interviews and parent questionnaires. Fourteen children completed at least 10 sessions (mean 14). At PT, 81% were rated "very much-" or "much-improved" on the CGI-Anxiety. Children displayed significant decreases on clinician- and parent-rated anxiety, and improved family function and coping. Gains were maintained at FU. Parent-child CBT is feasible for young children with ASD plus anxiety that shows potential for similar efficacy as with neurotypical children.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-020-04446-y