Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial
Abstract Background Autistic people demonstrate focused interests, sensitivity to sensory stimulation, and, compared with the general population, differences in social communication and interaction. We examined whether a combination of the Awareness and Care for My Autistic Traits (ACAT) program and...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-023-05075-2 |
| _version_ | 1797557417953722368 |
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| author | Fumiyo Oshima William Mandy Mikuko Seto Minako Hongo Aki Tsuchiyagaito Yoshiyuki Hirano Chihiro Sutoh Siqing Guan Yusuke Nitta Yoshihito Ozawa Yohei Kawasaki Toshiyuki Ohtani Jiro Masuya Noriko Takahashi Noriyuki Sato Shizuka Nakamura Akiko Nakagawa Eiji Shimizu |
| author_facet | Fumiyo Oshima William Mandy Mikuko Seto Minako Hongo Aki Tsuchiyagaito Yoshiyuki Hirano Chihiro Sutoh Siqing Guan Yusuke Nitta Yoshihito Ozawa Yohei Kawasaki Toshiyuki Ohtani Jiro Masuya Noriko Takahashi Noriyuki Sato Shizuka Nakamura Akiko Nakagawa Eiji Shimizu |
| author_sort | Fumiyo Oshima |
| collection | DOAJ |
| description | Abstract Background Autistic people demonstrate focused interests, sensitivity to sensory stimulation, and, compared with the general population, differences in social communication and interaction. We examined whether a combination of the Awareness and Care for My Autistic Traits (ACAT) program and treatment-as-usual is more effective than only treatment-as-usual in increasing the understanding of autistic attributes, reducing treatment stigma, and improving mental health and social adaptation among autistic adolescents and their parents/guardians. Methods Forty-nine adolescents and their parents/guardians were randomly assigned to either a combination of ACAT and treatment-as-usual or only treatment-as-usual. The combined group received six weekly 100-minute ACAT sessions, while the treatment-as-usual group received no additional intervention. The primary outcome was the change in understanding of autistic attributes (Autism Knowledge Quiz-Child), administered from pre- to post-intervention. The secondary outcomes included the change in Autism Knowledge Quiz-Parent, reduced treatment stigma, and improved mental health and social adaptation among autistic adolescents and their parents/guardians. A primary outcome measure scale was scored by assessors who were blind to the group assignment. Results The combined group (both autistic adolescents and their parents/guardians) showed an increase in Autism Knowledge Quiz scores compared to those in the treatment-as-usual group. Autistic adolescents in the combined group also demonstrated a decrease in treatment-related stigma and an improvement in general mental health compared to those in the treatment-as-usual group, while there were no group differences in the change in social adaptation. For parents/guardians, there were no group differences in the change in treatment-related stigma, general mental health, adaptive skills, or attitudes toward their children. Conclusions The ACAT program could be an effective treatment modality to increase the understanding of autistic attributes among both autistic adolescents and their parents/guardians. The ACAT program positively affects self-understanding, reduces treatment stigma, and stabilizes behavioral issues for autistic adolescents as a part of mental health measures, but it does not effectively reduce treatment barriers or improve mental health for parents/guardians. Further research should consider whether additional support for parents/guardians could be beneficial. Trial registration : The study was registered in UMIN (UMIN000029851, 06/01/2018). |
| first_indexed | 2024-03-10T17:16:47Z |
| format | Article |
| id | doaj.art-f550b868a2114527a468fb2d97d22b08 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-03-10T17:16:47Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-f550b868a2114527a468fb2d97d22b082023-11-20T10:28:55ZengBMCBMC Psychiatry1471-244X2023-09-0123111510.1186/s12888-023-05075-2Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trialFumiyo Oshima0William Mandy1Mikuko Seto2Minako Hongo3Aki Tsuchiyagaito4Yoshiyuki Hirano5Chihiro Sutoh6Siqing Guan7Yusuke Nitta8Yoshihito Ozawa9Yohei Kawasaki10Toshiyuki Ohtani11Jiro Masuya12Noriko Takahashi13Noriyuki Sato14Shizuka Nakamura15Akiko Nakagawa16Eiji Shimizu17Research Center for Child Mental Development, Chiba UniversityResearch Department of Clinical, Educational & Health Psychology, University College LondonResearch Center for Child Mental Development, Chiba UniversityResearch Center for Child Mental Development, Chiba UniversityLaureate Instituto for Brain ResearchResearch Center for Child Mental Development, Chiba UniversityDepartment of Cognitive Behavioral Physiology, Chiba UniversityResearch Center for Child Mental Development, Chiba UniversityResearch Center for Child Mental Development, Chiba UniversityBiostatistics Section, Clinical Research Center, Chiba University Hospital, Chiba UniversityBiostatistics Section, Clinical Research Center, Chiba University Hospital, Chiba UniversityDivision of Cognitive Behavioral Science, United Graduate School of Child Development, Chiba University, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University, University of FukuiDepartment of Psychiatry, Tokyo Medical University Ibaraki, Medical CenterFukushima University Child Mental Health-Care CenterFukushima University Child Mental Health-Care CenterFukushima University Child Mental Health-Care CenterResearch Center for Child Mental Development, Chiba UniversityResearch Center for Child Mental Development, Chiba UniversityAbstract Background Autistic people demonstrate focused interests, sensitivity to sensory stimulation, and, compared with the general population, differences in social communication and interaction. We examined whether a combination of the Awareness and Care for My Autistic Traits (ACAT) program and treatment-as-usual is more effective than only treatment-as-usual in increasing the understanding of autistic attributes, reducing treatment stigma, and improving mental health and social adaptation among autistic adolescents and their parents/guardians. Methods Forty-nine adolescents and their parents/guardians were randomly assigned to either a combination of ACAT and treatment-as-usual or only treatment-as-usual. The combined group received six weekly 100-minute ACAT sessions, while the treatment-as-usual group received no additional intervention. The primary outcome was the change in understanding of autistic attributes (Autism Knowledge Quiz-Child), administered from pre- to post-intervention. The secondary outcomes included the change in Autism Knowledge Quiz-Parent, reduced treatment stigma, and improved mental health and social adaptation among autistic adolescents and their parents/guardians. A primary outcome measure scale was scored by assessors who were blind to the group assignment. Results The combined group (both autistic adolescents and their parents/guardians) showed an increase in Autism Knowledge Quiz scores compared to those in the treatment-as-usual group. Autistic adolescents in the combined group also demonstrated a decrease in treatment-related stigma and an improvement in general mental health compared to those in the treatment-as-usual group, while there were no group differences in the change in social adaptation. For parents/guardians, there were no group differences in the change in treatment-related stigma, general mental health, adaptive skills, or attitudes toward their children. Conclusions The ACAT program could be an effective treatment modality to increase the understanding of autistic attributes among both autistic adolescents and their parents/guardians. The ACAT program positively affects self-understanding, reduces treatment stigma, and stabilizes behavioral issues for autistic adolescents as a part of mental health measures, but it does not effectively reduce treatment barriers or improve mental health for parents/guardians. Further research should consider whether additional support for parents/guardians could be beneficial. Trial registration : The study was registered in UMIN (UMIN000029851, 06/01/2018).https://doi.org/10.1186/s12888-023-05075-2Autism spectrum disorderCognitive behavioral therapyFamily therapyPsychoeducation |
| spellingShingle | Fumiyo Oshima William Mandy Mikuko Seto Minako Hongo Aki Tsuchiyagaito Yoshiyuki Hirano Chihiro Sutoh Siqing Guan Yusuke Nitta Yoshihito Ozawa Yohei Kawasaki Toshiyuki Ohtani Jiro Masuya Noriko Takahashi Noriyuki Sato Shizuka Nakamura Akiko Nakagawa Eiji Shimizu Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial BMC Psychiatry Autism spectrum disorder Cognitive behavioral therapy Family therapy Psychoeducation |
| title | Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial |
| title_full | Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial |
| title_fullStr | Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial |
| title_full_unstemmed | Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial |
| title_short | Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial |
| title_sort | cognitive behavior therapy for autistic adolescents awareness and care for my autistic traits program a multicenter randomized controlled trial |
| topic | Autism spectrum disorder Cognitive behavioral therapy Family therapy Psychoeducation |
| url | https://doi.org/10.1186/s12888-023-05075-2 |
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