Communications in Humanities Research ISSN: 2753-7072
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Research Article

Cognitive-Behavioral Therapy for Anxiety in Adolescents Diagnosed with Autism Spectrum Disorders: Modification Trends

Hui LinFaculty of Education, University of Macau, Macau, China*

* Corresponding author: [email protected]

Abstract

This essay explores the application of Cognitive-behavioral therapy (CBT) for anxiety disorders in adolescents diagnosed with Autism Spectrum Disorder (ASD). Although Anxiety disorders (AD) is not a defining comorbidity of ASD, the prevalence trends increase during adolescence as individuals encounter more complex social situations and become increasingly aware of their interpersonal challenges and their differences from others. Additionally, CBT has been proven as an effective intervention for addressing anxiety-related issues in typically developing populations, limitations remain in the literature regarding its use in managing anxiety in other population, such as adolescents and individuals with ASD. As a result, modifications are necessary to better adjust CBT for different populations. Drawing on recent studies and case analyses, this essay identifies three key trends in adapting CBT for adolescents with ASD: holistic treatment, integration of specific interests of adolescents with ASD, and adjusting the level of caregivers’ involvement. These trends have led to more effective treatment outcomes, making CBT a more suitable and impactful intervention for adolescents with ASD.

Keywords: Autism Spectrum Disorder; Cognitive-behavioral Therapy; Anxiety Disorders; Adolescents
Published: May 15, 2025
DOI: 10.54254/2753-7064/2024.22809
Volume: CHR Vol.59
pp. 126-131
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References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
  2. Bougeard, C., Picarel-Blanchot, F., Schmid, R., Campbell, R. & Buitelaar, J. (2021) Prevalence of Autism Spectrum Disorder and Co-morbidities in Children and Adolescents: A Systematic Literature Review. Front. Psychiatry 12:744709.
  3. Ezell, J., Hogan, A., Fairchild, A., Hills, K., Klusek, J., Abbeduto, L., & Roberts, J. (2019). Prevalence and Predictors of Anxiety Disorders in Adolescent and Adult Males with Autism Spectrum Disorder and Fragile X Syndrome. Journal of Autism and Developmental Disorders, 49(3), 1131-1141.
  4. Uljarević Mirko, Hedley, D., Rose-Foley, K., Iliana, M., Cai, R. Y., Dissanayake, C., Amanda, R., & Julian, T. (2020). Anxiety and Depression from Adolescence to Old Age in Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 50(9), 3155-3165.
  5. Kayla A. Lord, & David F. Tolin. (2024) Symptom distress and psychosocial functioning improve bidirectionally during cognitive-behavioral therapy for anxiety disorders, Journal of Anxiety Disorders 103: 102843.
  6. Noda, S., Honda, Y., Komatsu, C. et al. (2023) Low-Intensity Mindfulness and Cognitive Behavioral Therapy for Social Anxiety Disorder: Pilot Study. J Cogn Ther 16: 510–536.
  7. Katherin,C., & Dean, M. (2017). Efficacy of cognitive-behavioral therapy for childhood anxiety and depression. Journal of Anxiety Disorders 49: 76-87
  8. American Psychological Association. (2017). What is cognitive behavioral therapy? American Psychological Association. https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral
  9. Patriarca G.C., Pettit J.W., Silverman W.K. (2022) Implementing Cognitive-Behavioral Therapy in Children and Adolescents with Anxiety Disorders. Clinical Psychology and Special Education, 11(2), 108–122.
  10. Baourda, V. C., Brouzos, A., Mavridis, D., Vassilopoulos, S. P., Vatkali, E., & Boumpouli, C. (2021). Group Psychoeducation for Anxiety Symptoms in Youth: Systematic Review and Meta-analysis. The Journal for Specialists in Group Work, 47(1), 22–42.
  11. Ng TK, & Wong DFK. (2018) The efficacy of cognitive behavioral therapy for Chinese people: A meta-analysis. Australian & New Zealand Journal of Psychiatry, 52(7):620-637.
  12. Amonkar, N., Su W.C., Bhat, A. N., & Srinivasan, S. M. (2021). Effects of Creative Movement Therapies on Social Communication, Behavioral-Affective, Sensorimotor, Cognitive, and Functional Participation Skills of Individuals With Autism Spectrum Disorder: A Systematic Review. Frontiers in Psychiatry, vol. 12.
  13. Guastello, A. D., Lieneman, C., Brittany, B., Munson, M. , Barthle-Herrera, M., Higham, M., Druskin, L., & McNeil, C. B. (2023). Case report: Co-occurring autism spectrum disorder (Level One) and obsessive-compulsive disorder in a gender-diverse adolescent. Frontiers in Psychiatry. vol. 14.
  14. Chung, K., Chung, E., & Lee, H. (2024) Behavioral Interventions for Autism Spectrum Disorder: A Brief Review and Guidelines With a Specific Focus on Applied Behavior Analysis. J Korean Acad Child Adolesc Psychiatry 35: 29-38.
  15. Cardy, J.L., Waite, P., Cocks, F. & Creswell, C. (2020). A Systematic Review of Parental Involvement in Cognitive Behavioural Therapy for Adolescent Anxiety Disorders. Clin Child Fam Psychol Rev 23, 483–509.