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Treating Anxiety and Social Deficits in Children with Autism Spectrum Disorder in Two Schools in Nairobi, Kenya

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Abstract

Anxiety in children with Autism Spectrum Disorder (ASD) contributes to their functional impairment. We evaluated a cognitive-behavioral program for anxiety and social deficits in children with ASD in two schools in Nairobi City, Kenya. Parents and teachers of 40 children and adolescents with ASD (5–21 years) participated, randomized by school. The two schools were randomly assigned to either intervention (n = 20) or control (n = 20). There was a significant improvement in ASD severity as well as anxiety within the treatment group, which was not seen in the control group. These findings support the expansion of treatments for ASD core deficits and secondary problems in youth with ASD in develo** countries.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Beck, A. T. (1972). Depression: Causes and treatment. New York: University of Pennsylvania Press.

    Google Scholar 

  • Breslau, N., Breslau, J., Miller, E., & Raykov, T. (2011). Behaviour problems at ages 6 and 11 and high school academic achievement: Longitudinal latent variable modeling. Psychiatric Research, 185, 433–437.

    Article  Google Scholar 

  • Chalfant, A. M., Rapee, R., & Carroll, L. (2007). Treating anxiety disorders in children with high functioning autism spectrum disorders: A controlled trial. Journal of Autism and Developmental Disorders, 37(10), 1842–1857.

    Article  Google Scholar 

  • Cohen, T. (2012). The invisible disability: Perceptions and potential of children with Autism in Kisumu, Kenya. Independent Study Project (ISP) Collection Paper no 245.

  • Constantino, J. N., & Gruber, C. P. (2012). Social Responsiveness Scale (2nd ed.). Los Angeles: Western Psychologist Services.

    Google Scholar 

  • Cresswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five traditions (3rd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Dobson, D., & Dobson, K. S. (2009). Evidenced-based practice of cognitive behavioural therapy. New York: Guildford Press.

    Google Scholar 

  • Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012). Application of DSM-5 criteria for autism spectrum disorder to three samples of children with DSM-IV diagnoses of pervasive developmental disorders. American Journal of Psychiatry, 169(10), 1056–1064.

    Article  Google Scholar 

  • Kreslins, A., Robertson, A. E., & Melville, C. (2015). The effectiveness of psychosocial interventions for anxiety in children and adolescents with autism spectrum disorder: A systematic review and meta-analysis. Child and Adolescent Psychiatry and Mental Health, 9(22), 1–12. https://doi.org/10.1186/s13034-015-0054-7.

    Article  Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and co**. New York: Springer.

    Google Scholar 

  • McNally Keehn, R. H., Lincoln, A. J., Brown, M. Z., & Chavira, D. A. (2012). The co** cat program for children with anxiety and autism spectrum disorder: A pilot randomized controlled trial. Journal of Autism and Developmental Disorders, 43, 57–67.

    Article  Google Scholar 

  • Minahan, J., & Rappaport, N. (2013). Anxiety in students: A hidden culprit in behavior issues. Kappan Magazine, 94(4), 34–39.

    Google Scholar 

  • Murphy, T., Melville, H., Fradkin, E., Bistany, G., Branigan, G., Olsen, K., et al. (2017). Knockdown of epigenetic transcriptional co-regulator Brd2a disrupts apoptosis and proper formation of hindbrain and midbrain-hindbrain boundary (MHB) region in zebrafish. Mechanisms of Development, 146, 10–30.

    Article  Google Scholar 

  • National Autism Center. (2009). The National standards report. Randolph: National Autism Center.

    Google Scholar 

  • Reaven, J. A. (2009). Children with high-functioning autism spectrum disorders and co-occurring anxiety symptoms: Implications for assessment and treatment. Journal for Specialists in Pediatric Nursing, 14, 192–199.

    Article  Google Scholar 

  • Reaven, J. R., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2012). Group cognitive behaviour therapy for children with high-functioning autism spectrum disorders and anxiety: A randomized trial. Journal of Child Psychology and Psychiatry, 53, 410–419.

    Article  Google Scholar 

  • Riccio, A. (2011). Autism in Kenya: A social, educational and political perspective. Independent study project (ISP) Collection. Paper - 1203.

  • Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal. New York: Houghton Mifflin Company.

    Google Scholar 

  • Shaker-Naeeni, H., Govender, T., & Chowdhury, U. (2014). Cognitive behavioural therapy for anxiety in children and adolescents with autism spectrum disorder. British Journal of Medical Practitioners, 7(3), 723–730.

    Google Scholar 

  • Sofronoff, K., Attwood, T., & Hinton, S. (2005). A randomised controlled trial of a CBT intervention for anxiety in children with asperger syndrome. Journal of Child Psychology and Psychiatry and Allied Disciplines, 46(11), 1152–1160.

    Article  Google Scholar 

  • Storch, E. A., Arnold, E. B., Jones, A. M., Ale, C. M., Wood, J. J., Ehrenreich-May, J., et al. (2012). The role of co-occurring disruptive behavior in the clinical presentation of children and adolescents with anxiety in the context of autism spectrum disorders. Child Psychiatry and Human Development, 43, 734–746.

    Article  Google Scholar 

  • Sukhodolsky, D. G., Bloch, M. H., Panza, K. E., & Reichow, B. (2013). Cognitive-behavioral therapy for anxiety in children with high-functioning autism: A meta-analysis. Pediatrics, 132(5), e1341–e1350. https://doi.org/10.1542/peds.2013-1193.

    Article  Google Scholar 

  • Sukhodolsky, D. G., Scahill, L., Gadow, K. D., Arnold, L. E., Aman, M. G., & McDougle, C. J. (2008). Parent-rated anxiety symptoms in children with pervasive developmental disorders: Frequency and association with core autism symptoms and cognitive functioning. Journal of Abnormal Child Psychology, 36, 117–128.

    Article  Google Scholar 

  • Sung, M., Ooi, Y. P., Goh, T. J., Pathy, P., Fung, D. S., & Ang, R. P. (2011). Effects of cognitive-behavioural therapy on anxiety in children with autism spectrum disorders: a randomized control trial. Journal of Child Psychiatry Human Development, 42(6), 634–649.

    Article  Google Scholar 

  • Tse, J., Strulovitch, J., Tagalakis, V., Meng, L., & Fombonne, E. (2007). Social skills training for adolescents with asperger syndrome and high functioning autism. Journal of Autism and Developmental Disorders, 37(10), 1960–1968.

    Article  Google Scholar 

  • Ung, D., Selles, R., Small, B. J., & Storch, E. A. (2015). A systematic review and meta-analysis of cognitive-behavioral therapy for anxiety in youth with high-functioning autism spectrum disorders. Child Psychiatry and Human Development, 46(4), 533–547. https://doi.org/10.1007/s10578-014-0494.y.

    Article  PubMed  Google Scholar 

  • Weist, M. D. (1997). Expanded school mental health services: Anational movement in progress. In T. H. Ollendick & R. J. Prinz (Eds.), Advances in clinical child psychology (pp. 319–352). New York: Plenum Press.

    Chapter  Google Scholar 

  • Weist, M. D., & Evans, S. (2005). Expanded school mental health services: Challenges and Opportunities in an Emerging Field. Journal of Youth and Adolescence, 34, 1.

    Article  Google Scholar 

  • Weru, J. W. (2005). Cultural influences on the behavioural symptoms of autism in Kenya and the United States of America (Unpublished doctoral dissertation). Austin: The University of Texas.

    Google Scholar 

  • White, S. W., Albano, A., Johnson, C., Kasari, C., Ollendick, T., & Klin, A. (2010). Development of a cognitive-behavioural intervention program to treat anxiety and social deficits in teens with high-functioning autism. Clinical Child and Family Psychology Review, 13, 77–90.

    Article  Google Scholar 

  • White, S. W., Ollendick, T., Albano, A. M., Oswald, D., Johnson, C. R., & Southam-Gerow, M. A. (2013). Randomized controlled trial: Multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43, 382–394.

    Article  Google Scholar 

  • White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229.

    Article  Google Scholar 

  • Wood, J. J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D. A. (2009a). Cognitive behavioural therapy for anxiety in children with autism spectrum disorders: A randomized, controlled trial. Journal of Child Psychology and Psychiatry, 50, 224–234.

    Article  Google Scholar 

  • Wood, J. J., Drahota, A., Sze, K., Van Dyke, M., Decker, K., & Fujii, C. (2009b). Brief report: Effects of cognitive behavioural therapy on parent-reported autism symptoms in school-age children with high-functioning autism. Journal of Autism and Developmental Disorders, 39, 1608–1612.

    Article  Google Scholar 

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Acknowledgments

We are grateful to the students, parents, and teachers who participated in this study.

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NWI conceived of the study, participated in its design, coordination and data collection and drafted the manuscript and performed the statistical analysis; SWW participated in the design of the study, assisted with statistical analysis and interpretation, and writing of manuscript; AWM participated in the design and interpretation of the data. All authors read and approved the final manuscript.

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Correspondence to Niceta W. Ireri.

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The authors report no potential conflicts of interest.

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Ireri, N.W., White, S.W. & Mbwayo, A.W. Treating Anxiety and Social Deficits in Children with Autism Spectrum Disorder in Two Schools in Nairobi, Kenya. J Autism Dev Disord 49, 3309–3315 (2019). https://doi.org/10.1007/s10803-019-04045-6

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