Optimising Anxiety Treatment for Autistic Children: A Narrative Review

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Title: Optimising Anxiety Treatment for Autistic Children: A Narrative Review
Language: English
Authors: Rachel T. Pearce (ORCID 0000-0001-8343-2121), Adrian B. Kelly, Marilyn A. Campbell
Source: Review Journal of Autism and Developmental Disorders. 2025 12(3):404-414.
Availability: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 11
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: Anxiety Disorders, Autism Spectrum Disorders, Children, Cognitive Restructuring, Behavior Modification, Intervention, Program Effectiveness, Family Involvement, Experience, Fear
DOI: 10.1007/s40489-023-00397-z
ISSN: 2195-7177
2195-7185
Abstract: Anxiety disorders occurs at a high rate amongst autistic children. Cognitive behaviour therapy (CBT) is a reasonably well-established multi-component intervention used to reduce anxiety in this population. Whilst there are known effective intervention components in CBT for treating anxiety among autistic children, there are few guidelines for how to weight these intervention components to maximise positive outcomes. The objective of this study is to evaluate whether CBT is an effective intervention for autistic children, and if so, what the key components of effective CBT programs are for autistic children. A review of studies using manualised group-based CBT programs with family involvement was completed. The key finding was that the exposure-focused CBT (EF-CBT) studies reviewed showed a greater improvement in anxiety symptoms compared with CBT studies with fewer or no exposure-focused sessions. Compared to CBT without an exposure focus, EF-CBT may better fit the profiles of autistic children, potentially resulting in greater client and family engagement, and possibly greater intervention efficacy.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1490174
Database: ERIC
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  Data: Optimising Anxiety Treatment for Autistic Children: A Narrative Review
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  Data: <searchLink fieldCode="AR" term="%22Rachel+T%2E+Pearce%22">Rachel T. Pearce</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0001-8343-2121">0000-0001-8343-2121</externalLink>)<br /><searchLink fieldCode="AR" term="%22Adrian+B%2E+Kelly%22">Adrian B. Kelly</searchLink><br /><searchLink fieldCode="AR" term="%22Marilyn+A%2E+Campbell%22">Marilyn A. Campbell</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Review+Journal+of+Autism+and+Developmental+Disorders%22"><i>Review Journal of Autism and Developmental Disorders</i></searchLink>. 2025 12(3):404-414.
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  Data: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
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  Data: 11
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  Data: <searchLink fieldCode="DE" term="%22Anxiety+Disorders%22">Anxiety Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Autism+Spectrum+Disorders%22">Autism Spectrum Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+Restructuring%22">Cognitive Restructuring</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Modification%22">Behavior Modification</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Involvement%22">Family Involvement</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Fear%22">Fear</searchLink>
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  Data: 10.1007/s40489-023-00397-z
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  Data: Anxiety disorders occurs at a high rate amongst autistic children. Cognitive behaviour therapy (CBT) is a reasonably well-established multi-component intervention used to reduce anxiety in this population. Whilst there are known effective intervention components in CBT for treating anxiety among autistic children, there are few guidelines for how to weight these intervention components to maximise positive outcomes. The objective of this study is to evaluate whether CBT is an effective intervention for autistic children, and if so, what the key components of effective CBT programs are for autistic children. A review of studies using manualised group-based CBT programs with family involvement was completed. The key finding was that the exposure-focused CBT (EF-CBT) studies reviewed showed a greater improvement in anxiety symptoms compared with CBT studies with fewer or no exposure-focused sessions. Compared to CBT without an exposure focus, EF-CBT may better fit the profiles of autistic children, potentially resulting in greater client and family engagement, and possibly greater intervention efficacy.
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  Data: 2025
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        Value: 10.1007/s40489-023-00397-z
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      – Text: English
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        PageCount: 11
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      – SubjectFull: Anxiety Disorders
        Type: general
      – SubjectFull: Autism Spectrum Disorders
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Cognitive Restructuring
        Type: general
      – SubjectFull: Behavior Modification
        Type: general
      – SubjectFull: Intervention
        Type: general
      – SubjectFull: Program Effectiveness
        Type: general
      – SubjectFull: Family Involvement
        Type: general
      – SubjectFull: Experience
        Type: general
      – SubjectFull: Fear
        Type: general
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      – TitleFull: Optimising Anxiety Treatment for Autistic Children: A Narrative Review
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            NameFull: Marilyn A. Campbell
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