Interventions comportementales pour traiter l'anxiete chez des adultes autistes presentant des deficiences intellectuelles moderees a severes : etude de faisabilite BEAMS-ID

Titre original en anglais : Behavioural interventions to treat anxiety in adults with autism and moderate to severe intellectual disabilities: The BEAMS ‐ ID feasibility study

Langdon, P. E., Apanasionok, M. M., Scripps, E., Barrowcliff, A. L., Biswas, A. B., Bunning, K., Burbidge, C., Byron‐Daniel, K., Cookson, A., Croom, S., Filipczuk, M., Gillespie, D., Hastings, R. P., Jahoda, A., McNamara, R., Patterson, L., Rai, D., Steward, R., & Gray, K. M. (2024). Behavioural interventions to treat anxiety in adults with autism and moderate to severe intellectual disabilities: The BEAMS ‐ ID feasibility study. Journal of Applied Research in Intellectual Disabilities, 37(5), e13282-e13282. https://doi.org/10.1111/jar.13282

Date de publication: 29/07/2024 Ajout dans AutiHub: 06/07/2026 Type: Article Langue de l’article: Anglais

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1 / 19 (5,3 %)

Résumé

CONTEXTE : L'objectif de cette etude de faisabilite etait d'adapter et de modeliser une intervention comportementale pour l'anxiete chez des adultes autistes presentant des deficiences intellectuelles moderees a severes. METHODE : Vingt-huit adultes autistes presentant des deficiences intellectuelles moderees ou severes, 37 aidants et 40 therapeutes ont participe a cette etude de faisabilite non randomisee a groupe unique, concue pour tester la faisabilite et l'acceptabilite de l'intervention, les mesures des resultats et les processus de recherche. RESULTATS : L'intervention a ete jugee faisable et acceptable par les adultes autistes presentant des deficiences intellectuelles, les aidants et les therapeutes. Des revisions mineures de l'intervention ont ete suggerees. Les aidants ont rempli 100 % des mesures des resultats et le taux de donnees manquantes etait faible. Le respect de la legislation regissant l'inclusion des participants n'ayant pas la capacite de decider s'ils souhaitaient participer a cette etude a entraine un retard moyen de recrutement de 5 semaines. CONCLUSION : L'intervention et les processus d'etude associes ont ete juges faisables et acceptables et devraient maintenant etre testes dans le cadre d'un essai randomise de plus grande envergure.

BACKGROUND: The aim of this feasibility study was to adapt and model a behavioural intervention for anxiety with autistic adults with moderate to severe intellectual disabilities. METHOD: Twenty-eight autistic adults with moderate or severe intellectual disabilities, 37 carers, and 40 therapists took part in this single-group non-randomised feasibility study designed to test intervention feasibility and acceptability, outcome measures, and research processes. RESULTS: The intervention was judged as feasible and acceptable by autistic adults with intellectual disabilities, carers, and therapists. Minor intervention revisions were suggested. Carers completed 100% of outcome measures and the missing data rate was low. Complying with legislation governing the inclusion of participants who lack capacity to decide whether they wanted to take part in this study led to an average 5-week enrolment delay. CONCLUSION: The intervention and associated study processes were judged to be feasible and acceptable and should now be tested within a larger randomised trial.

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  1. John N. Constantino , Sandra A. Davis , Richard D. Todd , Matthew K. Schindler , Maggie M. Gross , Susan L. Brophy et al. (2003). Validation of a Brief Quantitative Measure of Autistic Traits: Comparison of the Social Responsiveness Scale with the Autism Diagnostic Interview-Revised . Journal of Autism and Developmental Disorders, 33(4), 427-433. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  2. Gemma Allison , Chris Harrop , Lyn Ellett (2013). Perception of peer group rank of individuals with early psychosis . British Journal of Clinical Psychology, 52(1), 1-11. Wiley.
    Crossref OpenAlex OpenCitations
  3. Katherine Tapp , Leen Vereenooghe , Olivia Hewitt , Emma Scripps , Kylie M. Gray , Peter E. Langdon (2023). Psychological therapies for people with intellectual disabilities: An updated systematic review and meta-analysis . Comprehensive Psychiatry, 122, 152372. Elsevier BV.
    Crossref OpenAlex OpenCitations
  4. J. Rojahn , E. W. Rowe , A. C. Sharber , Richard P. Hastings , J. L. Matson , R. Didden et al. (2012). The Behavior Problems Inventory‐Short Form for individuals with intellectual disabilities: Part I: development and provisional clinical reference data . Journal of Intellectual Disability Research, 56(5), 527-545. Wiley.
    Crossref OpenAlex OpenCitations
  5. Mubashir Arain , Michael J Campbell , Cindy L Cooper , Gillian A Lancaster (2010). What is a pilot or feasibility study? A review of current practice and editorial policy . BMC Medical Research Methodology, 10(1), 67-67. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  6. Gillian Baird , Emily Simonoff , Andrew Pickles , Susie Chandler , Tom Loucas , David Meldrum et al. (2006). Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP) . The Lancet, 368(9531), 210-215. Elsevier BV.
    Crossref OpenAlex OpenCitations
  7. Kerry N L Avery , Paula R Williamson , Carrol Gamble , Elaine O'Connell Francischetto , Chris Metcalfe , Peter Davidson et al. (2017). Informing efficient randomised controlled trials: exploration of challenges in developing progression criteria for internal pilot studies . BMJ Open, 7(2), e013537. BMJ.
    Crossref OpenAlex OpenCitations
  8. Emily Simonoff , Andrew Pickles , Tony Charman , Susie Chandler , Tom Loucas , Gillian Baird (2008). Psychiatric Disorders in Children With Autism Spectrum Disorders: Prevalence, Comorbidity, and Associated Factors in a Population-Derived Sample . Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 921-929. Elsevier BV.
    Crossref OpenAlex OpenCitations
  9. David Mills (2000). Introduction to Action Research: Social Research for Social Change . American Anthropologist, 102(3), 659-660. Wiley.
    OpenAlex
  10. Gagan Joshi , Janet Wozniak , Carter Petty , Mary Kate Martelon , Ronna Fried , Anela Bolfek et al. (2013). Psychiatric Comorbidity and Functioning in a Clinically Referred Population of Adults with Autism Spectrum Disorders: A Comparative Study . Journal of Autism and Developmental Disorders, 43(6), 1314-1325. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  11. Stewart L. Einfeld , Louise A. Ellis , Eric Emerson (2011). Comorbidity of intellectual disability and mental disorder in children and adolescents: A systematic review . Journal of Intellectual & Developmental Disability, 36(2), 137-143. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  12. Trine L. Bakken , Sissel B. Helverschou , Dag E. Eilertsen , Trond Heggelund , Even Myrbakk , Harald Martinsen (2010). Psychiatric disorders in adolescents and adults with autism and intellectual disability: A representative study in one county in Norway . Research in Developmental Disabilities, 31(6), 1669-1677. Elsevier BV.
    Crossref OpenAlex OpenCitations
  13. Laura Surley , Dave Dagnan (2019). A review of the frequency and nature of adaptations to cognitive behavioural therapy for adults with Intellectual Disabilities . Journal of Applied Research in Intellectual Disabilities, 32(2), 219-237. Wiley.
    Crossref OpenAlex OpenCitations
  14. Giampaolo La Malfa , Stefano Lassi , Roberto Salvini , Chiara Giganti , Marco Bertelli , Giorgio Albertini (2007). The relationship between autism and psychiatric disorders in Intellectually Disabled Adults . Research in Autism Spectrum Disorders, 1(3), 218-228. Elsevier BV.
    Crossref OpenAlex OpenCitations
  15. T. D. Borkovec , Ellen Costello (1993). Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 61(4), 611-619. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  16. Caryl N. Morgan , Meera Roy , Patrick Chance (2003). Psychiatric comorbidity and medication use in autism: a community survey . Psychiatric Bulletin, 27(10), 378-381. Royal College of Psychiatrists.
    Crossref OpenAlex OpenCitations
  17. Björn Hofvander , Richard Delorme , Pauline Chaste , Agneta Nydén , Elisabet Wentz , Ola Ståhlberg et al. (2009). Psychiatric and psychosocial problems in adults with normal-intelligence autism spectrum disorders . BMC Psychiatry, 9(1), 35. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  18. Jill Bradshaw , Nick Gore , Cathy Darvell (2018). Supporting the direct involvement of students with disabilities in functional assessment through use of Talking Mats® . Tizard Learning Disability Review, 23(2), 111-116. Emerald.
    Crossref OpenAlex OpenCitations
  19. Leen Vereenooghe , Samantha Flynn , Richard P. Hastings , Dawn Adams , Umesh Chauhan , Sally‐Ann Cooper et al. (2018). Interventions for mental health problems in children and adults with severe intellectual disabilities: a systematic review . BMJ Open, 8(6), e021911. BMJ.
    Crossref OpenAlex OpenCitations
  20. Robert L. Koegel , Daniel Openden , Lynn Kern Koegel (2004). A Systematic Desensitization Paradigm to Treat Hypersensitivity to Auditory Stimuli in Children with Autism in Family Contexts . Research and Practice for Persons with Severe Disabilities, 29(2), 122-134. SAGE Publications.
    Crossref OpenAlex OpenCitations
  21. Nicola K Gale , Gemma Heath , Elaine Cameron , Sabina Rashid , Sabi Redwood (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research . BMC Medical Research Methodology, 13(1), 117-117. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  22. Sally‐Ann Cooper , Elita Smiley , Jillian Morrison , Andrew Williamson , Linda Allan (2007). Mental ill-health in adults with intellectual disabilities: prevalence and associated factors . British Journal of Psychiatry, 190(1), 27-35. Royal College of Psychiatrists.
    Crossref OpenAlex OpenCitations
  23. J. Rojahn , E. W. Rowe , A. C. Sharber , Richard P. Hastings , J. L. Matson , R. Didden et al. (2012). The Behavior Problems Inventory‐Short Form for individuals with intellectual disabilities: Part II: reliability and validity . Journal of Intellectual Disability Research, 56(5), 546-565. Wiley.
    Crossref OpenAlex OpenCitations
  24. Steven R. Love , Johnny L. Matson , Deedee West (1990). MOTHERS AS EFFECTIVE THERAPISTS FOR AUTISTIC CHILDREN'S PHOBIAS . Journal of Applied Behavior Analysis, 23(3), 379-385. Wiley.
    Crossref OpenAlex OpenCitations
  25. Brett Doble , Peter E. Langdon , Lee Shepstone , Glynis Murphy , David Fowler , David Heavens et al. (2017). Economic Evaluation Alongside a Randomized Controlled Crossover Trial of Modified Group Cognitive–Behavioral Therapy for Anxiety Compared to Treatment-as-Usual in Adults With Asperger Syndrome . MDM Policy & Practice, 2(2), 2381468317729353-2381468317729353. SAGE Publications.
    Crossref OpenAlex OpenCitations
  26. Jason J. Wolff , Frank J. Symons (2013). An Evaluation of Multi‐Component Exposure Treatment of Needle Phobia in an Adult with Autism and Intellectual Disability . Journal of Applied Research in Intellectual Disabilities, 26(4), 344-348. Wiley.
    Crossref OpenAlex OpenCitations
  27. Kirsty Dunn , Ewelina Rydzewska , Michael Fleming , Sally‐Ann Cooper (2020). Prevalence of mental health conditions, sensory impairments and physical disability in people with co-occurring intellectual disabilities and autism compared with other people: a cross-sectional total population study in Scotland . BMJ Open, 10(4), e035280. BMJ.
    Crossref OpenAlex OpenCitations
  28. Sissel Berge Helverschou , Linn Beate Ludvigsen , Oddbjørn Hove , Arvid Nikolai Kildahl (2021). Psychometric properties of the Psychopathology in Autism Checklist (PAC) . International Journal of Developmental Disabilities, 67(5), 318-326. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  29. Jonathan D. Schmidt , James K. Luiselli , Hanna Rue , Katherine Whalley (2013). Graduated Exposure and Positive Reinforcement to Overcome Setting and Activity Avoidance in an Adolescent With Autism . Behavior Modification, 37(1), 128-142. SAGE Publications.
    Crossref OpenAlex OpenCitations
  30. S. L. Einfeld , Bruce J. Tonge (1996). Population prevalence of psychopathology in children and adolescents with intellectual disability: II epidemiological findings . Journal of Intellectual Disability Research, 40(2), 99-109. Wiley.
    Crossref OpenAlex OpenCitations
  31. Gillian A. Lancaster , Lehana Thabane (2019). Guidelines for reporting non-randomised pilot and feasibility studies . Pilot and Feasibility Studies, 5(1), 114-114. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  32. Paul M.G. Emmelkamp , Peter-Paul Mersch , Ellen Vissia , Mieke van der Helm (1985). Social phobia: a comparative evaluation of cognitive and behavioral interventions . Behaviour Research and Therapy, 23(3), 365-369. Elsevier BV.
    Crossref OpenAlex OpenCitations
  33. Martine Smith , Beatrice Manduchi , Éilish Burke , Rachael Carroll , Philip McCallion , Mary McCarron (2020). Communication difficulties in adults with Intellectual Disability: Results from a national cross-sectional study . Research in Developmental Disabilities, 97, 103557. Elsevier BV.
    Crossref OpenAlex OpenCitations
  34. Sissel Berge Helverschou , Trine Lise Bakken , Harald Martinsen (2009). The Psychopathology in Autism Checklist (PAC): A pilot study . Research in Autism Spectrum Disorders, 3(1), 179-195. Elsevier BV.
    Crossref OpenAlex OpenCitations
  35. C. Mohr , Bruce J. Tonge , S. L. Einfeld (2005). The development of a new measure for the assessment of psychopathology in adults with intellectual disability . Journal of Intellectual Disability Research, 49(7), 469-480. Wiley.
    Crossref OpenAlex OpenCitations
  36. Gray K. (2018). (DBC2) developmental behaviour checklist 2 . (DBC2) developmental behaviour checklist 2.
    Type: Autre
    Crossref
  37. Andrew A. Sweet , Andrew L. Loizeaux (1991). Behavioral and cognitive treatment methods: A critical comparative review . Journal of Behavior Therapy and Experimental Psychiatry, 22(3), 159-185. Elsevier BV.
    Crossref OpenAlex OpenCitations
  38. Greenwood D. J. (2006). Introduction to action research: Social research for social change . Introduction to action research: Social research for social change.
    Type: Autre
    Crossref
  39. Richard P. Mattick , Lorna Peters , J. Christopher Clarke (1989). Exposure and cognitive restructuring for social phobia: A controlled study . Behavior Therapy, 20(1), 3-23. Elsevier BV.
    Crossref OpenAlex OpenCitations
  40. Steven C. Hayes (2004). Acceptance and Commitment Therapy and the New Behavior Therapies: Mindfulness, Acceptance, and Relationship. Acceptance and commitment therapy and the new behavior therapies: Mindfulness, acceptance, and relationship.
    Type: Article OpenAlex: https://openalex.org/W2902664182
    Crossref OpenAlex
  41. Deanna M. Luscre , David B. Center (1996). Procedures for reducing dental fear in children with autism . Journal of Autism and Developmental Disorders, 26(5), 547-556. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  42. Joan Murphy , Lois Cameron (2008). The effectiveness of Talking Mats ® with people with intellectual disability . British Journal of Learning Disabilities, 36(4), 232-241. Wiley.
    Crossref OpenAlex OpenCitations
  43. Oddbjørn Hove , Odd E. Havik (2010). Developmental level and other factors associated with symptoms of mental disorders and problem behaviour in adults with intellectual disabilities living in the community . Social Psychiatry and Psychiatric Epidemiology, 45(1), 105-113. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  44. Patrick A. Vogel , Tore C. Stiles , K. Gunnar Götestam (2004). ADDING COGNITIVE THERAPY ELEMENTS TO EXPOSURE THERAPY FOR OBSESSIVE COMPULSIVE DISORDER: A CONTROLLED STUDY . Behavioural and Cognitive Psychotherapy, 32(3), 275-290. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  45. Leen Vereenooghe , Peter E. Langdon (2013). Psychological therapies for people with intellectual disabilities: A systematic review and meta-analysis . Research in Developmental Disabilities, 34(11), 4085-4102. Elsevier BV.
    Crossref OpenAlex OpenCitations
  46. Andrew Jahoda , Dave Dagnan , Richard P. Hastings , Amanda Gillooly , Jenny Miller , Susie Baines et al. (2024). Adapting psychological interventions for people with severe and profound intellectual disabilities: A behavioural activation exemplar . Journal of Applied Research in Intellectual Disabilities, 37(2), e13199-e13199. Wiley.
    Crossref OpenAlex OpenCitations
  47. Andrew Jahoda , Richard P. Hastings , Chris Hatton , Sally‐Ann Cooper , Dave Dagnan , Ruiqi Zhang et al. (2017). Comparison of behavioural activation with guided self-help for treatment of depression in adults with intellectual disabilities: a randomised controlled trial . The Lancet Psychiatry, 4(12), 909-919. Elsevier BV.
    Crossref OpenAlex OpenCitations
  48. Peter E. Langdon , Glynis Murphy , Lee Shepstone , Edward C.F. Wilson , David Fowler , David Heavens et al. (2016). The People with Asperger syndrome and anxiety disorders (PAsSA) trial: a pilot multicentre, single-blind randomised trial of group cognitive–behavioural therapy . BJPsych Open, 2(2), 179-186. Royal College of Psychiatrists.
    Crossref OpenAlex OpenCitations
  49. Andrew Jahoda , Richard P. Hastings , Chris Hatton , Sally‐Ann Cooper , Nicola McMeekin , Dave Dagnan et al. (2018). Behavioural activation versus guided self-help for depression in adults with learning disabilities: the BeatIt RCT . Health Technology Assessment, 22(53), 1-130. National Institute for Health and Care Research.
    Type: Article DOI: 10.3310/hta22530 OpenAlex: https://openalex.org/W2892422318
    Crossref OpenAlex OpenCitations
  50. Andrew Jahoda , Craig Melville , Sally‐Ann Cooper , Richard P. Hastings , Andrew Briggs , Dave Dagnan et al. (2015). BEAT-IT: Comparing a behavioural activation treatment for depression in adults with intellectual disabilities with an attention control: study protocol for a randomised controlled trial . Trials, 16(1), 595-595. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  51. Richard J. Longmore , Michael Worrell (2007). Do we need to challenge thoughts in cognitive behavior therapy? Clinical Psychology Review, 27(2), 173-187. Elsevier BV.
    Crossref OpenAlex OpenCitations
  52. Andréa N. Mascitelli , Johannes Rojahn , Vias C. Nicolaides , Linda Moore , Richard P. Hastings , Ceri Christian‐Jones (2015). The Behaviour Problems Inventory‐Short Form: Reliability and Factorial Validity in Adults with Intellectual Disabilities . Journal of Applied Research in Intellectual Disabilities, 28(6), 561-571. Wiley.
    Crossref OpenAlex OpenCitations
  53. Peter E. Langdon , Magdalena M. Apanasionok , Emma Scripps , Karen Bunning , Malwina Filipczuk , David Gillespie et al. (2024). Behavioural interventions to treat anxiety in adults with autism and moderate to severe intellectual disabilities: the BEAMS-ID feasibility study . Health Technology Assessment, 28(72), 1-147. National Institute for Health and Care Research.
    Type: Article DOI: 10.3310/mwtq5721 OpenAlex: https://openalex.org/W4403993102
    Crossref OpenAlex OpenCitations
  54. Peter E. Langdon , Glynis Murphy , Edward Wilson , Lee Shepstone , David Fowler , David Heavens et al. (2013). Asperger syndrome and anxiety disorders (PAsSA) treatment trial: a study protocol of a pilot, multicentre, single-blind, randomised crossover trial of group cognitive behavioural therapy . BMJ Open, 3(7), e003449. BMJ.
    Crossref OpenAlex OpenCitations
  55. C. Mohr , Bruce J. Tonge , J. Taffe , A. Rymill , D. Collins , C. Keating et al. (2011). Inter‐rater reliability of the Developmental Behaviour Checklist for Adults in community accommodation settings . Journal of Intellectual Disability Research, 55(7), 710-713. Wiley.
    Crossref OpenAlex OpenCitations
  56. Daniel B. Shabani , Wayne W. Fisher (2006). STIMULUS FADING AND DIFFERENTIAL REINFORCEMENT FOR THE TREATMENT OF NEEDLE PHOBIA IN A YOUTH WITH AUTISM . Journal of Applied Behavior Analysis, 39(4), 449-452. Wiley.
    Crossref OpenAlex OpenCitations
  57. Tamara E. Rosen , James E. Connell , Connor M. Kerns (2016). A Review of Behavioral Interventions for Anxiety‐Related Behaviors in Lower‐Functioning Individuals with Autism . Behavioral Interventions, 31(2), 120-143. Wiley.
    Type: Article DOI: 10.1002/bin.1442 OpenAlex: https://openalex.org/W2498045099
    Crossref OpenAlex OpenCitations
  58. Carlos Peña-Salazar , Francesc Arrufat , Josep-Manel Santos López , Abel Fontanet , Pere Roura-Poch , Montserrat Gil-Girbau et al. (2022). Intellectual Disability, Autism Spectrum Disorders, Psychiatric Comorbidities and Their Relationship with Challenging Behavior . Journal of Mental Health Research in Intellectual Disabilities, 15(2), 77-94. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  59. National Association for the Dually Diagnosed (2016). Diagnostic manual ‐ intellectual disability: A textbook of diagnosis of mental disorders in persons with intellectual disability . Diagnostic manual ‐ intellectual disability: A textbook of diagnosis of mental disorders in persons with intellectual disability.
    Type: Autre
    Crossref
  60. Raynes N. V. (1994). The cost and quality of community residential care: An evaluation of the services for adults with learning disabilities . The cost and quality of community residential care: An evaluation of the services for adults with learning disabilities.
    Type: Autre
    Crossref
  61. Robert J. Fletcher , E. L. Loschen , Chrissoula Stavrakaki (2017). Diagnostic Manual―Intellectual Disability 2: A Textbook of Diagnosis of Mental Disorders in Persons with Intellectual Disability .
    Type: Livre OpenAlex: https://openalex.org/W2988103300
    OpenAlex
  62. Sparrow S. S. (2016). Vineland-3: Vineland Adaptive Behavior Scales . Vineland‐3: Vineland adaptive behavior scales.
    Type: Autre
    Crossref
  63. Greenwood, Davydd James , Levin, Morten (1998). Introduction to action research social research for social change .
    Type: Article OpenAlex: https://openalex.org/W6991858959
    OpenAlex