Autism & Developmental

Mindfulness-based therapy in adults with an autism spectrum disorder: a randomized controlled trial.

Spek et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

A short mindfulness course can cut depression and anxiety in verbal adults with autism.

✓ Read this if BCBAs working with high-functioning adults with ASD in clinic or day-program settings.
✗ Skip if BCBAs serving non-verbal clients or young children.

01Research in Context

01

What this study did

Researchers tested a 9-week mindfulness program made for adults with autism.

They split 42 high-functioning adults into two groups. One group got the therapy right away. The other waited.

The therapy taught breathing, body scans, and gentle yoga. Sessions met once a week for 90 minutes.

02

What they found

The therapy group felt less sad and worried. Their scores on depression and anxiety tests dropped.

They also stopped overthinking as much and felt more positive day-to-day.

The wait-list group stayed the same.

03

How this fits with other research

Pahnke et al. (2014) ran a similar program using ACT skills with teens in special schools. Both studies cut stress and boosted social behavior. This shows mindfulness ideas work across ages.

Callanan et al. (2021) surveyed college students with autistic traits. They found that higher self-compassion linked to lower anxiety. This supports the idea that mindfulness works by building self-kindness.

Noordenbos et al. (2012) showed that social motivation drives anxiety in adults with ASD. The mindfulness program may help by easing the social fears that fuel anxiety.

Scott et al. (2023) tracked autistic university students for a year. Mental-health scores stayed flat without any help. This makes the drop seen in the therapy group even more striking.

04

Why it matters

If you serve verbal adults with ASD, you now have a ready-made 9-week plan that cuts depression and anxiety. You can run it in small groups during clinic hours. The skills are simple: breathing, noticing thoughts, and gentle movement. Start with one group and track mood before and after.

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Pick two clients with ASD who can follow group instructions. Add a 5-minute breathing exercise to their next session and note mood before and after.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
42
Population
autism spectrum disorder
Finding
positive

03Original abstract

Research shows that depression and anxiety disorders are the most common psychiatric concern in autism spectrum disorders (ASD). Mindfulness-based therapy (MBT) has been found effective in reducing anxiety and depression symptoms, however research in autism is limited. Therefore, we examined the effects of a modified MBT protocol (MBT-AS) in high-functioning adults with ASD. 42 participants were randomized into a 9-week MBT-AS training or a wait-list control group. Results showed a significant reduction in depression, anxiety and rumination in the intervention group, as opposed to the control group. Furthermore, positive affect increased in the intervention group, but not in the control group. Concluding, the present study is the first controlled trial to demonstrate that adults with ASD can benefit from MBT-AS.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2012.08.009