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School-Based Application of the Brief Coping Cat Program for Children with Anxiety and Autism Spectrum Disorder

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Abstract

Anxiety commonly co-occurs in children with autism spectrum disorder (ASD) and contributes to the difficulties students experience at school. Few school-based interventions demonstrate strong empirical data for successfully treating anxiety in children with ASD at school. The factors that are important to maximizing school-based intervention outcomes are not well studied in this population. The present study examined the effectiveness of a modified version of the Brief Coping Cat, a cognitive behavioral therapy (CBT) intervention with three students identified with ASD and anxiety. Using a multiple-baseline design, students participated in an 8-week intervention designed to teach them how to recognize signs of anxious arousal and use learned strategies to manage the symptoms at school. The intervention was delivered in the classroom with direct and intentional teacher involvement. Intervention outcomes were measured with student self-reported weekly ratings of anxiety and teacher observational data, and moderate effects were found. Implications for the delivery of anxiety interventions in a flexible format at school for youth with autism spectrum disorder (ASD) are discussed.

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Acknowledgements

We would like to thank the teacher, students, and parents who participated in our study.

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Authors

Contributions

Both the authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by C. O’N. The first draft of the manuscript was written by E. B. and all the authors commented on previous versions of the manuscript. All the authors read and approved the final manuscript.

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Correspondence to Elana R. Bernstein.

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The University Institutional Review Board (IRB) approved this study prior to recruitment and data collection. Consent was obtained from the school principal and participating teacher, followed by parent consent for each of the three participants.

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Not applicable; no identifying information included.

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The authors declare no competing interests.

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Bernstein, E.R., O’Neal, C. School-Based Application of the Brief Coping Cat Program for Children with Anxiety and Autism Spectrum Disorder. Contemp School Psychol (2023). https://doi.org/10.1007/s40688-023-00483-3

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