Prévention et réduction de l'anxiété chez les enfants autistes d'âge préscolaire grâce à une intervention médiée par les parents spécifique à l'autisme : un essai contrôlé randomisé pilote évaluant les résultats à court et à plus long terme

Titre original en anglais : Prevention and Reduction of Anxiety in Autistic Preschoolers Through an Autism-Specific Parent-Mediated Intervention: A Pilot Randomised Controlled Trial Evaluating Short and Longer Term Outcomes

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». La publication indique que des personnes autistes en sont auteur·ices ou co-auteur·ices, sans préciser leur nombre ni divulguer leur identité.

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Adams, D., Malone, S., Dargue, N., Keen, D., Rodgers, J., Simpson, K., Wicks, R., Bullot, A., & Rapee, R. (2024). Prevention and Reduction of Anxiety in Autistic Preschoolers Through an Autism-Specific Parent-Mediated Intervention: A Pilot Randomised Controlled Trial Evaluating Short and Longer Term Outcomes. Journal of Autism and Developmental Disorders, 56(2), 447-463. https://doi.org/10.1007/s10803-024-06570-5

Date de publication: 26/09/2024 Ajout dans AutiHub: 24/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
9
Auteur·ices autistes mentionné·es dans la publication
Nombre non précisé
  1. Dawn Adams
  2. Stephanie Malone
  3. Nicole Dargue
  4. Deb Keen
  5. Jacqui Rodgers
  1. Kate Simpson
  2. Rachelle Wicks
  3. Ashleigh Bullot
  4. Ron Rapee

Résumé

Résumé L'anxiété est une affection concomitante fréquente chez les enfants autistes d'âge préscolaire. Bien que de nombreuses recherches aient évalué des interventions de prévention/réduction de l'anxiété chez les enfants d'âge préscolaire neurotypiques, ces recherches sont limitées chez les enfants autistes. Cinquante-sept parents d'enfants autistes âgés de 4 à 5 ans, présentant des niveaux d'anxiété variables, ont participé à un essai contrôlé randomisé d'une intervention médiée par les parents, spécifique à l'autisme (CLK-CUES), visant à prévenir ou réduire l'anxiété chez les enfants autistes d'âge préscolaire. Les évaluations initiales, à court terme (après l'intervention) et à plus long terme (suivi à 12 mois) comprenaient l'anxiété de l'enfant (ASC-ASD-P et PAS-R), l'intolérance à l'incertitude et le bien-être des parents. (Enregistrement de l'essai ACTRN12620001322921). Aucun effet nocif de l'intervention ou de l'essai n'a été signalé. Les modèles linéaires mixtes montrent une interaction groupe x temps significative pour le score total de l'ASC-ASD-P et la sous-échelle Incertitude, avec des tailles d'effet moyennes et importantes. Les analyses post-hoc montrent une diminution significative, uniquement dans le groupe d'intervention, de l'anxiété (plus précisément, l'anxiété liée à l'incertitude) entre avant et après l'intervention, maintenue au suivi à un an. Aucun changement n'a été observé pour la PAS-R ou les autres sous-échelles de l'ASC-ASD-P. CLK-CUES semble prometteur comme moyen de prévenir et de réduire l'anxiété chez les jeunes enfants autistes, en particulier l'anxiété liée à l'incertitude. Des essais avec des échantillons plus importants sont nécessaires. Les résultats soulignent également l'importance d'utiliser des mesures conçues pour les enfants autistes.

Abstract Anxiety is a common co-occurring condition for autistic preschoolers. Whilst there has been extensive research evaluating anxiety prevention/reduction interventions for neurotypical preschoolers, such research is limited for autistic children. Fifty-seven parents of autistic 4–5-year olds, with varying levels of anxiety, participated in a randomised controlled trial of an autism-specific, parent-mediated intervention (CLK-CUES) to prevent or reduce anxiety in autistic preschoolers. Baseline, short-term (post-intervention) and longer term (12 months follow-up) assessments included child anxiety (ASC-ASD-P and PAS-R), intolerance of uncertainty, and parent well-being. (Trial registration ACTRN12620001322921). There were no reports of harmful effects of the intervention or trial. Linear mixed models show a significant group x time interaction for ASC-ASD-P Total score and the Uncertainty subscale with medium and large effect sizes. Post-hoc analyses show a significant decline for only the intervention group in anxiety (specifically, anxiety around uncertainty) from pre-post intervention, maintained at one year follow-up. There was no change on the PAS-R or other ASC-ASD-P subscales. CLK-CUES shows promise as a way to prevent and reduce anxiety in young autistic children, specifically anxiety related to uncertainty. Trials with larger samples are warranted. Findings also highlight the importance of using measures designed for autistic children.

Bibliographie citée par cette référence

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Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 02/10/2026 01:35.

Références citées
67
Avec un DOI
65
Sans DOI, à partir du texte brut de la bibliographie
2
5 / 67 (7,5 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
2 / 67 (3,0 %)
Références avec noms d’auteurices détectés
65 / 67 (97,0 %)
Sans nom d’auteurice détecté
2
Sans titre structuré
2
Sans identifiant stable
2
Références avec noms bruts d’auteurices restant à vérifier
2
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
388
À partir du DOI ou de métadonnées externes
388
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
2
198 / 388 (51,0 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 190 / 388 (49,0 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
8 / 388 (2,1 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 8 / 198 (4,0 %). Personnes distinctes identifiées comme autistes : 7 / 271 (2,6 %).
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