TY - JOUR
T1 - Factors Influencing the Use of Cognitive–Behavioral Therapy with Autistic Adults
T2 - A Survey of Community Mental Health Clinicians
AU - Maddox, Brenna B.
AU - Crabbe, Samantha R.
AU - Fishman, Jessica M.
AU - Beidas, Rinad S.
AU - Brookman-Frazee, Lauren
AU - Miller, Judith S.
AU - Nicolaidis, Christina
AU - Mandell, David S.
N1 - Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Cognitive–behavioral therapy (CBT) can improve anxiety and depression in autistic adults, but few autistic adults receive this treatment. We examined factors that may influence clinicians’ use of CBT with autistic adults. One hundred clinicians completed an online survey. Clinicians reported stronger intentions (p =.001), more favorable attitudes (p <.001), greater normative pressure (p <.001), and higher self-efficacy (p <.001) to start CBT with non-autistic adults than with autistic adults. The only significant predictor of intentions to begin CBT with clients with anxiety or depression was clinicians’ attitudes (p <.001), with more favorable attitudes predicting stronger intentions. These findings are valuable for designing effective, tailored implementation strategies to increase clinicians’ adoption of CBT for autistic adults.
AB - Cognitive–behavioral therapy (CBT) can improve anxiety and depression in autistic adults, but few autistic adults receive this treatment. We examined factors that may influence clinicians’ use of CBT with autistic adults. One hundred clinicians completed an online survey. Clinicians reported stronger intentions (p =.001), more favorable attitudes (p <.001), greater normative pressure (p <.001), and higher self-efficacy (p <.001) to start CBT with non-autistic adults than with autistic adults. The only significant predictor of intentions to begin CBT with clients with anxiety or depression was clinicians’ attitudes (p <.001), with more favorable attitudes predicting stronger intentions. These findings are valuable for designing effective, tailored implementation strategies to increase clinicians’ adoption of CBT for autistic adults.
KW - Adults
KW - Autism spectrum disorder
KW - Cognitive–behavioral therapy
KW - Community mental health
KW - Implementation science
KW - Theory of planned behavior
UR - http://www.scopus.com/inward/record.url?scp=85070214535&partnerID=8YFLogxK
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U2 - 10.1007/s10803-019-04156-0
DO - 10.1007/s10803-019-04156-0
M3 - Article
AN - SCOPUS:85070214535
SN - 0162-3257
VL - 49
SP - 4421
EP - 4428
JO - Journal of autism and developmental disorders
JF - Journal of autism and developmental disorders
IS - 11
ER -