Overall three question naires were found robust in their measurement properties , the Spence Children 's Anxiety Scale , its revised version - the Revised Children 's Anxiety and Depression Scale , and also the Screen for Child Anxiety Related Emotional Disorders .
Crucially the articles on measurement properties provided almost no evidence on responsiveness to change , nor on the validity of use of the tools for evaluation of interventions for children with ASD .
BACKGROUND Evidence about relevant outcomes is required in the evaluation of clinical interventions for children with autism spectrum disorders ( ASD ) .
However , to date , the variety of outcome measurement tools being used , and lack of knowledge about the measurement properties of some , compromise conclusions regarding the most effective interventions .
OBJECTIVES This two-stage systematic review aim ed to identify the tools used in studies evaluating interventions for anxiety for high-functioning children with ASD in middle childhood , and then to evaluate the tools for their appropriateness and measurement properties .
Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: a randomized trial.
BACKGROUND Children with high-functioning autism spectrum disorders ( ASD ) are at high risk for developing significant anxiety . Anxiety can adversely impact functioning across school , home and community environments . Cognitive behavioral therapies ( CBT ) are frequently used with success for children with anxiety symptoms . Modified CBT interventions for anxiety in children with ASD have also yielded promising results . METHODS Fifty children with high-functioning ASD and anxiety were r and omizedto group CBT or treatment-as-usual ( TAU ) for 12 weeks . Independent clinical evaluators , blind to condition , completed structured interviews ( Anxiety Disorders Interview Schedule – Parent Version;ADIS-P ) pre- and post-intervention condition . RESULTS Forty-seven children completed either the CBT or TAU condition . Results indicated markedly better outcomes for the CBT group . Significant differences by group were noted in Clinician Severity Ratings , diagnostic status , and clinician ratings of global improvement . In the intent-to-treat sample , 10 of 20 children ( 50 % ) in the CBT group had a clinical ly meaningful positive treatment response , compared to 2 of 23 children ( 8.7 % ) in the TAU group . CONCLUSIONS Initial results from this r and omized , design ed treatment study suggest that agroup CBT intervention specifically developed for children with ASD may be effective in decreasing anxiety . Limitations of this study include small sample size , lack of an attention control group , and use of outcome measures normed with typically developing
Overall three question naires were found robust in their measurement properties , the Spence Children 's Anxiety Scale , its revised version - the Revised Children 's Anxiety and Depression Scale , and also the Screen for Child Anxiety Related Emotional Disorders .
Crucially the articles on measurement properties provided almost no evidence on responsiveness to change , nor on the validity of use of the tools for evaluation of interventions for children with ASD .
BACKGROUND Evidence about relevant outcomes is required in the evaluation of clinical interventions for children with autism spectrum disorders ( ASD ) .
However , to date , the variety of outcome measurement tools being used , and lack of knowledge about the measurement properties of some , compromise conclusions regarding the most effective interventions .
OBJECTIVES This two-stage systematic review aim ed to identify the tools used in studies evaluating interventions for anxiety for high-functioning children with ASD in middle childhood , and then to evaluate the tools for their appropriateness and measurement properties .