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Children with Autism Spectrum Disorder (ASD) often have other difficulties as a result of the disorder. Up to half of the children with ASD are thought to suffer with anxiety in a way that interferes with their wellbeing and every day functioning. In this project the investigators will study the effect of the group program The Cool Kids Anxiety Program: Autism Spectrum Disorder Adaptation (Cool Kids ASD) - an anxiety treatment program specific developed for children with ASD. The investigators expect a decrease in the overall anxiety level together with an increase in the ability of handling anxiety.
The primary objective is to investigate the effect of a manualised Cognitive Behavioural Therapy (CBT) programme The Cool Kids Anxiety Program: Autism Spectrum Disorder Adaptation (Cool Kids ASD) for anxiety disorder adapted to children with Autism Spectrum Disorder (ASD) in a waitlist controlled design.
The investigators will investigate treatment effects on anxiety diagnosis and anxiety symptoms. Further, the investigators will investigate outcomes related to general functioning, co-morbid psychiatric disorders (Obsessive-Compulsive Disorder (OCD), hyperkinetic disorder and depression) and level of ASD symptoms (social and communicative skills).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CBT | Active Comparator |
| |
| WL | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CBT | Behavioral | The group based manualised CBT intervention consists of The Cool Kids Anxiety Program: Autism Spectrum Disorder Adaptation (Cool Kids ASD). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety Disorders Interview Schedule for DSM-IV: Parent & Child interview schedule (ADIS/CP). | ADIS/CP is a structured interview involving both child and parents designed to assess for current episodes of anxiety disorders, and to permit differential diagnosis among the anxiety disorders according to DSM-IV criteria. | Change from baseline interview results at 14 weeks |
| Anxiety Disorders Interview Schedule for DSM-IV: Parent & Child interview schedule (ADIS/CP). | ADIS/CP is a structured interview involving both child and parents designed to assess for current episodes of anxiety disorders, and to permit differential diagnosis among the anxiety disorders according to DSM-IV criteria. | Change from baseline interview results at 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Spence Children's Anxiety Scale (SCAS), | SCAS is a questionnaire for children and parents assessing the severity of anxiety symptoms broadly in line with the dimensions of anxiety disorder proposed by the DSM-IV. The scale assesses six domains of anxiety including generalized anxiety, panic/agoraphobia, social phobia, separation anxiety, obsessive-compulsive disorder and physical injury fears. | Change from baseline results at 14 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Attention Deficit/Hyperactive Disorder-Rating Scale (ADHD-RS) | Change from baseline results at 14 weeks | |
| Attention Deficit/Hyperactive Disorder-Rating Scale (ADHD-RS) | Change from baseline results at 3 months |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for Child and Adolescent Psychiatry | Risskov | Region of Midtjylland | 8240 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29609630 | Derived | Kilburn TR, Sorensen MJ, Thastum M, Rapee RM, Rask CU, Arendt KB, Thomsen PH. Rationale and design for cognitive behavioral therapy for anxiety disorders in children with autism spectrum disorder: a study protocol of a randomized controlled trial. Trials. 2018 Apr 2;19(1):210. doi: 10.1186/s13063-018-2591-x. |
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Data will be on group basis only
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| Spence Children's Anxiety Scale (SCAS), | SCAS is a questionnaire for children and parents assessing the severity of anxiety symptoms broadly in line with the dimensions of anxiety disorder proposed by the DSM-IV. The scale assesses six domains of anxiety including generalized anxiety, panic/agoraphobia, social phobia, separation anxiety, obsessive-compulsive disorder and physical injury fears. | Change from baseline results at 3 months |
| Children's Anxiety Life Inference Scale (CALIS) | CALIS is designed to assess life interference attributed to fears and worries from child and parent perspectives. The measure targets interference on the child's life and on the parent's/family's life. | Change from baseline results at 14 weeks |
| Children's Anxiety Life Inference Scale (CALIS) | CALIS is designed to assess life interference attributed to fears and worries from child and parent perspectives. The measure targets interference on the child's life and on the parent's/family's life. | Change from baseline results at 3 months |
| Children's Automatic Thoughts Scale (CATS). | CATS is a developmentally sensitive, general measure of negative self-statements across both internalizing and externalizing problems. Four separate subscales of cognitive content are assessed including physical threat, social threat, personal failure, and hostility. | Change from baseline results at 14 weeks |
| Children's Automatic Thoughts Scale (CATS). | CATS is a developmentally sensitive, general measure of negative self-statements across both internalizing and externalizing problems. Four separate subscales of cognitive content are assessed including physical threat, social threat, personal failure, and hostility. | Change from baseline results at 3 months |
| Social Responsiveness Scale (SRS) | Change from baseline results at 14 weeks |
| Social Responsiveness Scale (SRS) | Change from baseline results at 3 months |
| Strength and Difficulties Questionnaire (SDQ) | Change from baseline results at 14 weeks |
| Strength and Difficulties Questionnaire (SDQ) | Change from baseline results at 3 months |
| The WHO-five Well-being Index (WHO-5) | Change from baseline results at 14 weeks |
| The WHO-five Well-being Index (WHO-5) | Change from baseline results at 3 months |
| Adaptive Behaviour Assessment System, Second Edition (ABAS-II) | Change from baseline results at 14 weeks |
| Adaptive Behaviour Assessment System, Second Edition (ABAS-II) | Change from baseline results at 3 months |