Cognitive Behavioural Therapy for Children With Autism Spectrum Disorder and Obsessive Compulsive Behaviour

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-01

Study Completion Date

2014-02-01

Brief Summary

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Individuals with high functioning autism spectrum disorder (ASD) frequently experience obsessions and/or compulsions that are similar to those specified in Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) criteria for obsessive compulsive disorder (OCD). However, little research exists on effective interventions for OCD symptoms (referred to as OCBs) in ASD. In a randomized controlled trial, a manualized functional behavior-based cognitive-behavior therapy (Fb-CBT) consisting of traditional CBT components (psychoeducation and mapping, cognitive-behavioral skills training, exposure, and response prevention) as well as function-based behavioral assessment will be evaluated. Participants will be assigned randomly to Fb-CBT or treatment as usual (TAU). Primary and secondary outcome measures will be used to evaluate the efficacy of the treatment, and will be administered at pre and post-intervention as well as six month follow-up.

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Detailed Description

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Conditions

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Autism Spectrum Disorder Obsessive-Compulsive Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Fb-Cognitive Behavioral Therapy

Functional Behavior-Based Cognitive Behavioral Therapy: Group activities, individual work in parent-child dyads, group parent training, and social skills exercises.

Group Type EXPERIMENTAL

Functional Behavior-Based Cognitive Behavioral Therapy

Intervention Type BEHAVIORAL

Fb-CBT involved nine 2-hour weekly sessions with three to four children in each group and two therapists. Therapy consisted of group activities, individual work in parent-child dyads, group parent training, and social skills exercises.

Treatment as Usual (TAU)

Children assigned to this condition received "usual care," meaning that they could continue with any services. This group acted as a control group whereby access to intervention was patient-directed.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Functional Behavior-Based Cognitive Behavioral Therapy

Fb-CBT involved nine 2-hour weekly sessions with three to four children in each group and two therapists. Therapy consisted of group activities, individual work in parent-child dyads, group parent training, and social skills exercises.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Previous diagnosis of ASD
* Presence of OCBs as defined by Sameness, Ritualistic and Compulsive subscales on the RBS-R
* a Full Scale IQ (WISC-IV; Wechsler, 2004) ≥ 70
* parent indicated no planned change in child medication during the study (unless the physician deemed the change medically necessary)

Exclusion Criteria

* participation in treatment for anxiety
* participation in treatment for repetitive behaviour
* participation in treatment for intensive behavioural intervention

Minimum Eligible Age

7 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No