The development of the Cognitive Behavioural Social Competence Therapeutic Intervention for Adults with Autism: A mixed methods report

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-30 DOI:10.1002/capr.12711

David Tate, Linda Dubrow‐Marshall, Clare S. Allely

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引用次数: 0

Abstract

Abstract Background Many young people with autism can have an average or above average IQ, yet they still struggle with the social competencies needed to successfully navigate into adulthood. Despite many individuals with autism experiencing significant challenges during their transition into adulthood, evidence‐based therapeutic interventions to support individuals with autism during this transition are limited. The current literature suggests that cognitive behavioural therapy interventions can help improve social skills and the mental health of individuals with autism. However, little is known about the benefits for young adults with autism transitioning or who have transitioned into adulthood. Aims and Method The aim of this research was to deliver a newly developed Cognitive Behavioural Social Competence Therapeutic Intervention for Adults with Autism (CBSCTI‐A) to five young adults with autism. Research aims were to evaluate intervention feasibility and efficacy by triangulating data findings using a mixed methods approach. Results Results support feasibility, with CBSCTI‐A receiving very high user satisfaction ratings, and adherence to the intervention was high, recorded at ~90%. Fidelity to treatment was also high, ranging from ~86% to ~100%. Quantitative findings indicate that over an eight‐week time period, a small sample of young adults with autism experienced significant improvements with regard to their social motivation, non‐verbal conversation, emotional empathy, assertiveness, interpersonal relationships and self‐control. Qualitative findings provide further anecdotal support for intervention feasibility and efficacy. After the completion of the intervention, participants and their parents were invited to complete semistructured interviews. Thematic analysis (TA) revealed four main themes: user satisfaction, important components of therapeutic intervention, challenges and critiques, and recommendations. Conclusions CBSCTI‐A appears to be a feasible intervention; however, future research with larger samples and more rigorous controlled trials is needed before efficacy can be established.

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成人自闭症认知行为社会能力治疗干预的发展:一份混合方法的报告

许多患有自闭症的年轻人可能拥有平均或高于平均水平的智商，但他们仍然在成功进入成年期所需的社会能力方面苦苦挣扎。尽管许多自闭症患者在向成年过渡的过程中经历了重大挑战，但在这一过渡期间支持自闭症患者的循证治疗干预措施是有限的。目前的文献表明，认知行为疗法干预可以帮助改善自闭症患者的社交技能和心理健康。然而，对于患有自闭症的年轻人或已经过渡到成年的人来说，这种疗法的好处知之甚少。目的和方法本研究的目的是向5名年轻自闭症患者提供新开发的成人自闭症认知行为社会能力治疗干预(CBSCTI‐a)。研究目的是通过使用混合方法对数据结果进行三角测量来评估干预的可行性和有效性。结果:CBSCTI‐A获得了非常高的用户满意度，并且干预的依从性很高，达到了90%。对治疗的忠实度也很高，范围从~86%到~100%。定量研究结果表明，在八周的时间内，一小部分年轻自闭症患者在社交动机、非语言交谈、情感共鸣、自信、人际关系和自我控制方面有了显著的改善。定性研究结果为干预的可行性和有效性提供了进一步的轶事支持。干预结束后，参与者和他们的父母被邀请完成半结构化访谈。专题分析(TA)揭示了四个主要主题:用户满意度、治疗干预的重要组成部分、挑战和批评以及建议。结论:CBSCTI‐A似乎是一种可行的干预措施;然而，在确定有效性之前，需要进行更大样本和更严格的对照试验的未来研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.