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Effects of Cognitive Behavioral Therapy for Reducing Anxiety in Children with High Functioning ASD: A Systematic Review and Meta-Analysis

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Abstract

Children with autism spectrum disorder (ASD) are at greater risk for experiencing high levels of anxiety symptoms. Recent evidence suggests Cognitive behavioral therapy (CBT) may also be effective for anxiety reduction in some presentations of ASD. This meta-analysis evaluated twenty-three studies. Results yielded a moderate effect size (g = − 0.66) for the reduction of anxiety symptoms. Moderators indicated larger effects for studies were achieved with parental involvement (g = − 0.85, p < .05) than with child-only treatments (g = − 0.34, p < .05). Short-term interventions generated a smaller effect (g = − 0.37 p < .05) than either standard-term (g = − 1.02, p < .05) or long-term interventions (g = − 0.69, p < .05).Implications for children with ASD are discussed.

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  1. Department of Teaching and Education Studies, Idaho State University, 62 E Terry St, 83201, Pocatello, ID, USA

    Celal Perihan & Jennifer Gallup

  2. Department of Educational Psychology, Texas A&M University, College Station, TX, USA

    Mack Burke, Lisa Bowman-Perrott, Julie Thompson & Mary Sallese

  3. School of Teacher Education, University of Wyoming, Laramie, WY, USA

    Ali Bicer

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  1. Celal Perihan
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Perihan, C., Burke, M., Bowman-Perrott, L. et al. Effects of Cognitive Behavioral Therapy for Reducing Anxiety in Children with High Functioning ASD: A Systematic Review and Meta-Analysis. J Autism Dev Disord 50, 1958–1972 (2020). https://doi.org/10.1007/s10803-019-03949-7

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