Idiographic Coping Outcomes in Youth with Autism Spectrum Disorder and Co-Occurring Anxiety: Results from the TAASD Study

J Autism Dev Disord. 2023 Dec;53(12):4711-4718. doi: 10.1007/s10803-022-05716-7. Epub 2022 Sep 21.

Abstract

Versions of cognitive behavioral therapy (Coping Cat, CC; Behavioral Interventions for Anxiety in Children with Autism, BIACA) have shown efficacy in treating anxiety among youth with autism spectrum disorder. Measures of efficacy have been primarily nomothetic symptom severity assessments. The current study examined idiographic coping outcomes in the Treatment of Anxiety in Autism Spectrum Disorder study (N = 167). Longitudinal changes in coping with situations individualized to youth fears (Coping Questionnaire) were examined across CC, BIACA and treatment as usual (TAU) in a series of multilevel models. CC and BIACA produced significantly greater improvements than TAU in caregiver-reported coping. Youth report did not reflect significant differences. Results show the efficacy of CC and BIACA in improving idiographic caregiver-, but not youth-, reported youth coping.

Keywords: Anxiety; Autism spectrum disorder; Cognitive-behavioraltherapy; Coping; Idiographic assessment.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Anxiety / psychology
  • Anxiety / therapy
  • Anxiety Disorders / psychology
  • Autism Spectrum Disorder* / psychology
  • Autism Spectrum Disorder* / therapy
  • Autistic Disorder* / psychology
  • Child
  • Humans