Self-Guided Mindfulness and Cognitive Behavioural Practices Reduce Anxiety in Autistic Adults: A Pilot 8-Month Waitlist-Controlled Trial of Widely Available Online Tools

Autor/inn/en	Gaigg, Sebastian B.; Flaxman, Paul E.; McLaven, Gracie; Shah, Ritika; Bowler, Dermot M.; Meyer, Brenda; Roestorf, Amanda; Haenschel, Corinna; Rodgers, Jacqui; South, Mikle
Titel	Self-Guided Mindfulness and Cognitive Behavioural Practices Reduce Anxiety in Autistic Adults: A Pilot 8-Month Waitlist-Controlled Trial of Widely Available Online Tools
Quelle	In: Autism: The International Journal of Research and Practice, 24 (2020) 4, S.867-883 (17 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Gaigg, Sebastian B.) ORCID (Roestorf, Amanda) ORCID (South, Mikle)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361320909184
Schlagwörter	Autism; Pervasive Developmental Disorders; Metacognition; Anxiety; Cognitive Restructuring; Behavior Modification; Program Effectiveness; Cost Effectiveness; Computer Mediated Communication; Counseling Techniques; Foreign Countries; Self Help Programs; United Kingdom; Autism Diagnostic Observation Schedule; Wechsler Adult Intelligence Scale; Social Responsiveness Scale; State Trait Anxiety Inventory; Beck Anxiety Inventory + Suchen Sie Ihr Suchwort? Autismus; Meta cognitive ability; Meta-cognition; Metakognitive Fähigkeit; Metakognition; Angst; Behaviour modification; Verhaltensänderung; Kosten-Nutzen-Analyse; Kosten-Nutzen-Denken; Computerkonferenz; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Ausland; Self help programmes; Selbsthilfebewegung; Großbritannien
Abstract	Anxiety in autism is an important treatment target because of its consequences for quality of life and well-being. Growing evidence suggests that cognitive behaviour therapies and mindfulness-based therapies can ameliorate anxiety in autism but cost-effective delivery remains a challenge. This pilot randomised controlled trial examined whether online cognitive behaviour therapy and mindfulness-based therapy self-help programmes could help reduce anxiety in 54 autistic adults who were randomly allocated to either an online cognitive behaviour therapy (n = 16) or mindfulness-based therapy (n = 19) programme or a waitlist control group (n = 19). Primary outcome measures of anxiety, secondary outcome measures of broader well-being and potential process of change variables were collected at baseline, after programme completion, and then 3 and 6 months post-completion. Baseline data confirmed that intolerance of uncertainty and emotional acceptance accounted for up to 61% of self-reported anxiety across all participants. The 23 participants who were retained in the active conditions (14 mindfulness-based therapies, 9 cognitive behaviour therapies) showed significant decreases in anxiety that were maintained over 3, and to some extent also 6 months. Overall, results suggest that online self-help cognitive behaviour therapy and mindfulness-based therapy tools may provide a cost-effective method for delivering mental health support to those autistic adults who can engage effectively with online support tools. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01