Étude de faisabilité d'une nouvelle intervention contre l'anxiété fondée sur une application pour les personnes autistes

Titre original en anglais : Feasibility Study of a Novel App‐Based Anxiety Intervention for Autistic People

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

À propos de la mention auteur·ice autiste

Sources de métadonnées utilisées pour cette référence

OpenAlex Crossref OpenCitations
En savoir plus sur les sources utilisées

Oakley, B., Boatman, C., Baldoza, S., Hearn, A., Larkworthy, C., Kent, R., Ozsivadjian, A., Doswell, S., Dittner, A., Roestorf, A., Rawal, D., Carter, B., Simonoff, E., & Group, T. M. M. A. (2025). Feasibility Study of a Novel App‐Based Anxiety Intervention for Autistic People. Autism Research, 19(1), e70153-e70153. https://doi.org/10.1002/aur.70153

Date de publication: 14/12/2025 Ajout dans AutiHub: 25/09/2026 Type: Article Langue de l’article: Anglais
Source éditeur (DOI) Texte intégral Source OpenAlex

Cette publication est intégrée dans AutiHub via :

Auteurs

Auteur·ices des publications
14
Auteur·ices de la publication identifié·es comme autistes
1 / 14 (7,1 %)
  1. Bethany Oakley
  2. Charlotte Boatman
  3. Saffron Baldoza *
  4. Amy Hearn
  5. Colin Larkworthy
  1. Rachel Kent
  2. Ann Ozsivadjian
  3. Sophie Doswell
  4. Antonia Dittner
  5. Amanda Roestorf
  1. Dhara Rawal
  2. Ben Carter
  3. Emily Simonoff
  4. The Molehill Mountain Advisory Group

Résumé

RÉSUMÉ Au moins 50 % des personnes autistes présentent des symptômes d'anxiété cliniquement pertinents. Toutefois, les raisons des taux élevés d'anxiété dans l'autisme restent mal comprises et il existe un besoin important non satisfait de thérapies nouvelles et adaptées contre l'anxiété qui soient accessibles aux personnes autistes. Cette étude visait à établir la faisabilité d'un nouvel outil de gestion de l'anxiété fondé sur une application (« Molehill Mountain »), qui a été développé avec et adapté pour les personnes autistes. Un plan d'étude de faisabilité monocentrique à un seul bras a été employé, dans lequel des personnes autistes (âgées de 16 ans ou plus) présentant des symptômes d'anxiété légers à sévères ont été recrutées pour une période d'intervention de 13 semaines (King's College London, Royaume-Uni ; identifiant clinicaltrials.gov NCT05302167). Parmi les 123 participants potentiels examinés, 100 participants (81 %) âgés de 16 à 74 ans (n = 69 femmes) ont été inclus en environ 15 mois. n = 76 (76 %) ont réalisé une mesure de l'anxiété à environ 15 semaines (échelle du trouble anxieux généralisé à 7 items ; GAD-7). La plupart ont respecté la durée complète de l'intervention : 65 % (n = 47), la plupart utilisant l'application chaque semaine (1 à 6 jours par semaine ; 58 %). Soixante-treize pour cent des participants ont convenu qu'ils trouvaient l'application globalement facile à utiliser et qu'une application constitue un bon format pour proposer un soutien contre l'anxiété aux personnes autistes. Une réduction significative de la sévérité des symptômes d'anxiété autoévalués a été observée, avec une différence moyenne de 2,88 (IC à 95 % : 1,88, 3,89 ; p < 0,001 ; d de Cohen = 0,45). Nous avons constaté qu'un outil de gestion de l'anxiété fondé sur une application et adapté à l'autisme est acceptable pour la communauté et est associé, en moyenne, à une réduction de la sévérité des symptômes d'anxiété chez les adultes autistes. Après optimisation afin d'améliorer davantage la facilité d'utilisation, l'efficacité de l'application Molehill Mountain pour réduire l'anxiété doit désormais être testée dans des conditions contrôlées randomisées au cours d'un essai clinique à grande échelle.

ABSTRACT At least 50% of autistic people experience clinically relevant anxiety symptoms. However, reasons for elevated rates of anxiety in autism remain poorly understood and there is a high unmet need for novel and adapted therapies for anxiety that are accessible to autistic people. This study aimed to establish the feasibility of a novel app‐based anxiety management tool (“Molehill Mountain”) that has been developed with, and adapted for, autistic people. A single‐centre, single‐arm feasibility study design was employed, whereby autistic people (≥ 16 years) with mild‐to‐severe symptoms of anxiety were recruited to a 13‐week intervention period (King's College London, UK; clinicaltrials.gov identifier NCT05302167). Of 123 prospective participants screened, 100 (81%) participants aged 16–74 years (n = 69 female) were enrolled within approximately 15 months. n = 76 (76%) completed an anxiety measure at ~15 weeks (Generalized Anxiety Disorder—7 Item Scale; GAD‐7). Most adhered to the full intervention duration: 65% (n = 47), with most using the app weekly (1–6 days per week; 58%). 73% of participants agreed that they found the app easy to use overall and that an app is a good format for offering anxiety support to autistic people. There was a significant reduction in self‐reported anxiety symptom severity with mean difference 2.88 (95% CI 1.88, 3.89; p < 0.001; Cohen's d = 0.45). We found that an autism‐adapted app‐based anxiety management tool is acceptable to the community and associated with reduced anxiety symptom severity in autistic adults, on average. Following optimization to further enhance usability, the efficacy of the Molehill Mountain app for reducing anxiety must now be tested under randomized controlled conditions in a full‐scale clinical trial.

Bibliographie citée par cette référence

Les références citées sont importées depuis des sources externes de métadonnées lorsqu’elles sont disponibles. La liste peut être partielle.

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 01:01.

Références citées
72
Avec un DOI
70
Sans DOI, à partir du texte brut de la bibliographie
2
12 / 72 (16,7 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
2 / 72 (2,8 %)
Références avec noms d’auteurices détectés
70 / 72 (97,2 %)
Sans nom d’auteurice détecté
2
Sans titre structuré
2
Sans identifiant stable
2
Références avec noms bruts d’auteurices restant à vérifier
0
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
428
À partir du DOI ou de métadonnées externes
428
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
0
229 / 428 (53,5 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 199 / 428 (46,5 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
34 / 428 (7,9 %)
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 : 34 / 229 (14,8 %). Personnes distinctes identifiées comme autistes : 28 / 367 (7,6 %).
  1. Katherine Gotham , Somer Bishop , Steven M. Brunwasser , Catherine Lord (2014). Rumination and Perceived Impairment Associated With Depressive Symptoms in a Verbal Adolescent–Adult ASD Sample . Autism Research, 7(3), 381-391. Wiley.
    Type: Article DOI: 10.1002/aur.1377 OpenAlex: https://openalex.org/W1943369087
    Crossref OpenAlex OpenCitations
  2. Dawn Adams , Lisa‐Marie Emerson (2021). The Impact of Anxiety in Children on the Autism Spectrum . Journal of Autism and Developmental Disorders, 51(6), 1909. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-020-04673-3 OpenAlex: https://openalex.org/W3081896951
    Crossref
  3. Rhys Bevan Jones , Faris Hussain , Sharifah Shameem Agha , Bryony Weavers , Mathijs Lucassen , Sally Merry et al. (2023). Digital technologies to support adolescents with depression and anxiety: review . BJPsych Advances, 29(4), 239-253. Royal College of Psychiatrists.
    Type: Article DOI: 10.1192/bja.2022.3 OpenAlex: https://openalex.org/W4213447123
    Crossref OpenAlex OpenCitations
  4. Annelies A. Spek , Nadia C. van Ham , Ivan Nyklíček (2013). Mindfulness-based therapy in adults with an autism spectrum disorder: A randomized controlled trial . Research in Developmental Disabilities, 34(1), 246-253. Elsevier BV.
    Type: Article DOI: 10.1016/j.ridd.2012.08.009 OpenAlex: https://openalex.org/W1964450263
    Crossref OpenAlex OpenCitations
  5. Kathryn Ambrose , Dawn Adams , Kate Simpson , Deb Keen (2020). Exploring profiles of anxiety symptoms in male and female children on the autism spectrum . Research in Autism Spectrum Disorders, 76, 101601. Elsevier BV.
    Type: Article DOI: 10.1016/j.rasd.2020.101601 OpenAlex: https://openalex.org/W3036207910
    Crossref OpenAlex OpenCitations
  6. González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.
    Type: Livre DOI: 10.1176/appi.books.9780890425596 OpenAlex: https://openalex.org/W4247665917
    Crossref OpenAlex OpenCitations
  7. Lorenzo Lorenzo-Luaces , Ramaris E. German , Robert J. DeRubeis (2015). It's complicated: The relation between cognitive change procedures, cognitive change, and symptom change in cognitive therapy for depression . Clinical Psychology Review, 41, 3-15. Elsevier BV.
    Type: Article DOI: 10.1016/j.cpr.2014.12.003 OpenAlex: https://openalex.org/W1984747549
    Crossref OpenAlex OpenCitations
  8. Sylvia Deidre Kauer , Cheryl Mangan , Lena Sanci (2014). Do Online Mental Health Services Improve Help-Seeking for Young People? A Systematic Review . Journal of Medical Internet Research, 16(3), e66. JMIR Publications Inc..
    Type: Article DOI: 10.2196/jmir.3103 OpenAlex: https://openalex.org/W2121693378
    Crossref OpenAlex OpenCitations
  9. Debbie Spain , Jacqueline Sin , Trudie Chalder , Declan Murphy , Francesca Happé (2015). Cognitive behaviour therapy for adults with autism spectrum disorders and psychiatric co-morbidity: A review . Research in Autism Spectrum Disorders, 9, 151-162. Elsevier BV.
    Type: Article DOI: 10.1016/j.rasd.2014.10.019 OpenAlex: https://openalex.org/W1987537720
    Crossref OpenAlex OpenCitations
  10. Mikle South , Jacqui Rodgers (2017). Sensory, Emotional and Cognitive Contributions to Anxiety in Autism Spectrum Disorders . Frontiers in Human Neuroscience, 11(20), 20. Frontiers Media SA.
    Type: Article DOI: 10.3389/fnhum.2017.00020 OpenAlex: https://openalex.org/W2582531027
    Crossref OpenAlex OpenCitations
  11. James J. Gross (2015). Emotion Regulation: Current Status and Future Prospects . Psychological Inquiry, 26(1), 1-26. Informa UK Limited.
    Type: Article DOI: 10.1080/1047840x.2014.940781 OpenAlex: https://openalex.org/W2003220763
    Crossref OpenAlex OpenCitations
  12. Anna Backman , Lise Roll-Pettersson , Are Mellblom , Elisabet Norman-Claesson , Emma Sundqvist , Eric Zander et al. (2024). Internet-Delivered Psychoeducation (SCOPE) for Transition-Aged Autistic Youth: Pragmatic Randomized Controlled Trial . Journal of Medical Internet Research, 26, e49305. JMIR Publications Inc..
    Type: Article DOI: 10.2196/49305 OpenAlex: https://openalex.org/W4403404458
    Crossref OpenAlex OpenCitations
  13. Max E. Maisel , Kevin G. Stephenson , Mikle South , Jacqui Rodgers , Mark Freeston , Sebastian B. Gaigg (2016). Modeling the cognitive mechanisms linking autism symptoms and anxiety in adults. Journal of Abnormal Psychology, 125(5), 692-703. American Psychological Association (APA).
    Type: Article DOI: 10.1037/abn0000168 OpenAlex: https://openalex.org/W2398408223
    Crossref OpenAlex OpenCitations
  14. Tim Cadman , Hanna Eklund , Deirdre Howley , Hannah Hayward , Hanna Clarke , James Findon et al. (2012). Caregiver Burden as People With Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder Transition into Adolescence and Adulthood in the United Kingdom . Journal of the American Academy of Child & Adolescent Psychiatry, 51(9), 879-888. Elsevier BV.
    Type: Article DOI: 10.1016/j.jaac.2012.06.017 OpenAlex: https://openalex.org/W2010533293
    Crossref OpenAlex OpenCitations
  15. Amit Baumel , Keren Faber , Nandita Mathur , John M Kane , Fred Muench (2017). Enlight: A Comprehensive Quality and Therapeutic Potential Evaluation Tool for Mobile and Web-Based eHealth Interventions . Journal of Medical Internet Research, 19(3), e82. JMIR Publications Inc..
    Type: Article DOI: 10.2196/jmir.7270 OpenAlex: https://openalex.org/W2597656898
    Crossref OpenAlex OpenCitations
  16. Rebecca Sutherland , David Trembath , Jacqueline Roberts (2018). Telehealth and autism: A systematic search and review of the literature . International Journal of Speech-Language Pathology, 20(3), 324-336. Informa UK Limited.
    Type: Article DOI: 10.1080/17549507.2018.1465123 OpenAlex: https://openalex.org/W2802741593
    Crossref OpenAlex OpenCitations
  17. Robert L. Spitzer , Kurt Kroenke , Janet B. W. Williams , Bernd Löwe (2006). A Brief Measure for Assessing Generalized Anxiety Disorder . Archives of Internal Medicine, 166(10), 1092. American Medical Association (AMA).
    Type: Article DOI: 10.1001/archinte.166.10.1092 OpenAlex: https://openalex.org/W2043705607
    Crossref OpenAlex OpenCitations
  19. David W. Evans , Mirko Uljarevic , Laina G. Lusk , Eva Loth , Thomas W Frazier (2017). Development of Two Dimensional Measures of Restricted and Repetitive Behavior in Parents and Children . Journal of the American Academy of Child & Adolescent Psychiatry, 56(1), 51-58. Elsevier BV.
    Type: Article DOI: 10.1016/j.jaac.2016.10.014 OpenAlex: https://openalex.org/W2548617447
    Crossref OpenAlex OpenCitations
  20. Susan Dickerson Mayes , Susan L. Calhoun , Richa Aggarwal , Courtney Baker , Santosh Mathapati , Sarah Molitoris et al. (2013). Unusual fears in children with autism . Research in Autism Spectrum Disorders, 7(1), 151-158. Elsevier BV.
    Type: Article DOI: 10.1016/j.rasd.2012.08.002 OpenAlex: https://openalex.org/W2052046114
    Crossref OpenAlex OpenCitations
  22. Meng-Chuan Lai , Michael Lombardo , Bonnie Auyeung , Bhismadev Chakrabarti , Simon Baron-Cohen (2015). Sex/Gender Differences and Autism: Setting the Scene for Future Research . Journal of the American Academy of Child & Adolescent Psychiatry, 54(1), 11-24. Elsevier BV.
    Type: Article DOI: 10.1016/j.jaac.2014.10.003 OpenAlex: https://openalex.org/W2069328123
    Crossref OpenAlex OpenCitations
  23. G Bird , R Cook (2013). Mixed emotions: the contribution of alexithymia to the emotional symptoms of autism . Translational Psychiatry, 3(7), e285-e285. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1038/tp.2013.61 OpenAlex: https://openalex.org/W2098593065
    Crossref OpenAlex OpenCitations
  25. Janina Brede , Eilidh Cage , Joseph Trott , Lisa Palmer , Anika Smith , Lucy Serpell et al. (2022). “We Have to Try to Find a Way, a Clinical Bridge” - autistic adults' experience of accessing and receiving support for mental health difficulties: A systematic review and thematic meta-synthesis . Clinical Psychology Review, 93, 102131. Elsevier BV.
    Type: Article DOI: 10.1016/j.cpr.2022.102131 OpenAlex: https://openalex.org/W4210911395
    Crossref OpenAlex OpenCitations
  26. Julianna Catania , Steph Beaver , Rakshitha S Kamath , Emma Worthington , Minyi Lu , Hema Gandhi et al. (2024). Evaluation of Digital Mental Health Technologies in the United States: Systematic Literature Review and Framework Synthesis . JMIR Mental Health, 11, e57401. JMIR Publications Inc..
    Type: Article DOI: 10.2196/57401 OpenAlex: https://openalex.org/W4399908404
    Crossref OpenAlex OpenCitations
  27. Laura Crane , Lorna Goddard , Linda Pring (2009). Sensory processing in adults with autism spectrum disorders . Autism, 13(3), 215-228. SAGE Publications.
    Type: Article DOI: 10.1177/1362361309103794 OpenAlex: https://openalex.org/W2133335974
    Crossref OpenAlex OpenCitations
  28. Kate Cooper , M.E. Loades , Ailsa Russell (2018). Adapting psychological therapies for autism . Research in Autism Spectrum Disorders, 45, 43-50. Elsevier BV.
    Type: Article DOI: 10.1016/j.rasd.2017.11.002 OpenAlex: https://openalex.org/W2770749461
    Crossref OpenAlex OpenCitations
  30. Francisca J. A. van Steensel , Susan M. Bögels , Carmen D. Dirksen (2012). Anxiety and Quality of Life: Clinically Anxious Children With and Without Autism Spectrum Disorders Compared . Journal of Clinical Child & Adolescent Psychology, 41(6), 731-738. Informa UK Limited.
    Type: Article DOI: 10.1080/15374416.2012.698725 OpenAlex: https://openalex.org/W2160162048
    Crossref OpenAlex OpenCitations
  32. Bram B. Sizoo , Erik Kuiper (2017). Cognitive behavioural therapy and mindfulness based stress reduction may be equally effective in reducing anxiety and depression in adults with autism spectrum disorders . Research in Developmental Disabilities, 64, 47-55. Elsevier BV.
    Type: Article DOI: 10.1016/j.ridd.2017.03.004 OpenAlex: https://openalex.org/W2601014375
    Crossref OpenAlex OpenCitations
  34. Beth Patterson , Michael H. Boyle , Michelle Kivlenieks , Michael Van Ameringen (2016). The use of waitlists as control conditions in anxiety disorders research . Journal of Psychiatric Research, 83, 112-120. Elsevier BV.
    Type: Article DOI: 10.1016/j.jpsychires.2016.08.015 OpenAlex: https://openalex.org/W2512180041
    Crossref OpenAlex OpenCitations
  36. Mackenzie Robeson , Kyle M Brasil , Haley C Adams , Kimberly R Zlomke (2024). Measuring depression and anxiety in autistic college students: A psychometric evaluation of the PHQ-9 and GAD-7 . Autism, 28(11), 2793-2805. SAGE Publications.
    Type: Article DOI: 10.1177/13623613241240183 OpenAlex: https://openalex.org/W4393077040
    Crossref OpenAlex OpenCitations
  38. Matthew Hollocks , Jian Wei Lerh , Iliana Magiati , Richard Meiser-Stedman , Traolach Brugha (2019). Anxiety and depression in adults with autism spectrum disorder: a systematic review and meta-analysis . Psychological Medicine, 49(4), 559-572. Cambridge University Press (CUP).
    Type: Article DOI: 10.1017/s0033291718002283 OpenAlex: https://openalex.org/W2889987209
    Crossref OpenAlex OpenCitations
  39. Chris Hollis , Caroline J. Falconer , Jennifer L. Martin , Craig Whittington , Sarah Stockton , Cris Glazebrook et al. (2017). Annual Research Review: Digital health interventions for children and young people with mental health problems – a systematic and meta‐review . Journal of Child Psychology and Psychiatry, 58(4), 474-503. Wiley.
    Type: Article DOI: 10.1111/jcpp.12663 OpenAlex: https://openalex.org/W2560151242
    Crossref OpenAlex OpenCitations
  40. Michael C. W. English , Gilles E. Gignac , Troy A. W. Visser , Andrew Whitehouse , James T. Enns , Murray Maybery (2021). Correction to: The Comprehensive Autistic Trait Inventory (CATI): development and validation of a new measure of autistic traits in the general population . Molecular Autism, 12(1). Springer Science and Business Media LLC.
    Type: Article DOI: 10.1186/s13229-021-00475-1
    Crossref
  41. Sebastian B. Gaigg , Paul E Flaxman , Gracie McLaven , Ritika Shah , Dermot Bowler , Brenda Meyer et al. (2020). Self-guided mindfulness and cognitive behavioural practices reduce anxiety in autistic adults: A pilot 8-month waitlist-controlled trial of widely available online tools . Autism, 24(4), 867-883. SAGE Publications.
    Type: Article DOI: 10.1177/1362361320909184 OpenAlex: https://openalex.org/W3014587805
    Crossref OpenAlex OpenCitations
  42. Ashley Robertson , Andrew C. Stanfield , Jane Watt , Fiona Barry , Matthew Day , Magnus Cormack et al. (2018). The experience and impact of anxiety in autistic adults: A thematic analysis . Research in Autism Spectrum Disorders, 46, 8-18. Elsevier BV.
    Type: Article DOI: 10.1016/j.rasd.2017.11.006 OpenAlex: https://openalex.org/W2769940437
    Crossref OpenAlex OpenCitations
  43. Saskia Riedelbauch , Sebastian B. Gaigg , Tobias Thiel , Veit Roessner , Melanie Ring (2024). Examining a model of anxiety in autistic adults . Autism, 28(3), 565-579. SAGE Publications.
    Type: Article DOI: 10.1177/13623613231177777 OpenAlex: https://openalex.org/W4381046726
    Crossref OpenAlex OpenCitations
  44. Rebecca Grist , Abigail Croker , Megan Denne , Paul Stallard (2019). Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents: A Systematic Review and Meta-analysis . Clinical Child and Family Psychology Review, 22(2), 147-171. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10567-018-0271-8
    Crossref
  45. Jeffrey Wood , Philip C. Kendall , Karen S. Wood , Connor Kerns , Michael Seltzer , Brent J. Small et al. (2020). Cognitive Behavioral Treatments for Anxiety in Children With Autism Spectrum Disorder . JAMA Psychiatry, 77(5), 474. American Medical Association (AMA).
    Type: Article DOI: 10.1001/jamapsychiatry.2019.4160 OpenAlex: https://openalex.org/W2989651886
    Crossref OpenAlex OpenCitations
  46. Emily Josyfon , Debbie Spain , Charlotte Blackmore , Declan Murphy , Bethany Oakley (2023). Alexithymia in Adult Autism Clinic Service-Users: Relationships with Sensory Processing Differences and Mental Health . Healthcare, 11(24), 3114. MDPI AG.
    Type: Article DOI: 10.3390/healthcare11243114 OpenAlex: https://openalex.org/W4389440380
    Crossref OpenAlex OpenCitations
  47. Emma Kinnaird , Catherine Stewart , Kate Tchanturia (2019). Investigating alexithymia in autism: A systematic review and meta-analysis . European Psychiatry, 55, 80-89. Cambridge University Press (CUP).
    Type: Article DOI: 10.1016/j.eurpsy.2018.09.004 OpenAlex: https://openalex.org/W2899269258
    Crossref OpenAlex OpenCitations
  48. Connor Kerns , Philip C. Kendall , Leandra Berry , Margaret C. Souders , Martin E. Franklin , Robert T. Schultz et al. (2014). Traditional and Atypical Presentations of Anxiety in Youth with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 44(11), 2851. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-014-2141-7 OpenAlex: https://openalex.org/W2073231072
    Crossref
  49. Kirsten L Spaargaren , Yvette Roke , Sander Begeer , Annemieke van Straten , Heleen Riper , Kirstin Greaves-Lord et al. (2025). A randomized controlled trial into the effectiveness of a mobile health application (SAM) to reduce stress and improve well-being in autistic adults . Autism, 29(10), 2588-2603. SAGE Publications.
    Type: Article DOI: 10.1177/13623613251346885 OpenAlex: https://openalex.org/W4411683310
    Crossref OpenAlex OpenCitations
  50. Samuel Tromans , William Henley , Ian Summers , Danielle Bilkey , Jenna Datson , Nicola Doherty et al. (2023). The psychological and social impact of the digital self-support system ‘Brain in Hand’ on autistic people: prospective cohort study in England and Wales . BJPsych Open, 9(3), e96-e96. Royal College of Psychiatrists.
    Type: Article DOI: 10.1192/bjo.2023.57 OpenAlex: https://openalex.org/W4378348728
    Crossref OpenAlex OpenCitations
  52. Ance Kreslins , Ashley Robertson , Craig Melville (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(1), 22. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1186/s13034-015-0054-7 OpenAlex: https://openalex.org/W1861083419
    Crossref
  53. Meng-Chuan Lai , Caroline Kassee , Richard Besney , Sarah Bonato , Laura Hull , Will Mandy et al. (2019). Prevalence of co-occurring mental health diagnoses in the autism population: a systematic review and meta-analysis . Lancet Psychiatry, 6(10), 819. Elsevier BV.
    Type: Article DOI: 10.1016/s2215-0366(19)30289-5 OpenAlex: https://openalex.org/W2936336589
    Crossref
  54. Bethany Oakley , Emily Jones , Daisy Crawley , Tony Charman , Jan K. Buitelaar , Julian Tillmann et al. (2022). Alexithymia in autism: cross-sectional and longitudinal associations with social-communication difficulties, anxiety and depression symptoms . Psychological Medicine, 52(8), 1458-1470. Cambridge University Press (CUP).
    Type: Article DOI: 10.1017/s0033291720003244 OpenAlex: https://openalex.org/W3091896502
    Crossref OpenAlex OpenCitations
  55. Susanna Lehtimaki , Jana Martic , Brian Wahl , Katherine T Foster , Nina Schwalbe (2021). Evidence on Digital Mental Health Interventions for Adolescents and Young People: Systematic Overview . JMIR Mental Health, 8(4), e25847. JMIR Publications Inc..
    Type: Article DOI: 10.2196/25847 OpenAlex: https://openalex.org/W3134071992
    Crossref OpenAlex OpenCitations
  56. Cindy E. Li , Kimberly L. Wang , Isaac N. Treves , Lindsay Bungert , John D. E. Gabrieli , Liron Rozenkrantz (2025). Smartphone Mindfulness Intervention Reduces Anxiety Symptoms and Perceived Stress in Autistic Adults: A Randomized Controlled Trial . Mindfulness, 16(6), 1504-1521. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s12671-025-02558-z OpenAlex: https://openalex.org/W4409255718
    Crossref
  58. Farhad Montazeri , Annelies de Bildt , Vera Dekker , George M. Anderson (2019). Network Analysis of Anxiety in the Autism Realm . Journal of Autism and Developmental Disorders, 49(6), 2219-2230. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-018-3474-4
    Crossref
  59. (s. d.). National Autistic Society. 2019.“The Autism Act 10 Years On: A Report from the All Party Parliamentary Group on Autism on Understanding Services and Support for Autistic People and Their Families in England.”
    Type: Autre
    Crossref
  60. Kimberly Noel , Brooke Ellison (2020). Inclusive innovation in telehealth . npj Digital Medicine, 3(1), 89. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1038/s41746-020-0296-5 OpenAlex: https://openalex.org/W3037092559
    Crossref
  61. Janette Ribaut , Annette DeVito Dabbs , Fabienne Dobbels , Alexandra Teynor , Elisabeth Veronica Mess , Theresa Hoffmann et al. (2024). Developing a Comprehensive List of Criteria to Evaluate the Characteristics and Quality of eHealth Smartphone Apps: Systematic Review . JMIR mHealth and uHealth, 12, e48625. JMIR Publications Inc..
    Type: Article DOI: 10.2196/48625 OpenAlex: https://openalex.org/W4388541973
    Crossref OpenAlex OpenCitations
  64. Ailsa Russell , Kate Cooper , Stephen Barton , Ian Ensum , Daisy Gaunt , Jeremy Horwood et al. (2017). Protocol for a feasibility study and randomised pilot trial of a low-intensity psychological intervention for depression in adults with autism: the Autism Depression Trial (ADEPT) . BMJ Open, 7(12), e019545. BMJ.
    Type: Article DOI: 10.1136/bmjopen-2017-019545 OpenAlex: https://openalex.org/W2766918698
    Crossref
  65. Debbie Spain , Francesca Happé (2020). How to Optimise Cognitive Behaviour Therapy (CBT) for People with Autism Spectrum Disorders (ASD): A Delphi Study . Journal of Rational-Emotive & Cognitive-Behavior Therapy, 38(2), 184-208. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10942-019-00335-1 OpenAlex: https://openalex.org/W2996582381
    Crossref
  66. Denis G. Sukhodolsky , Michael H. Bloch , Kaitlyn E. Panza , Brian Reichow (2013). Cognitive-Behavioral Therapy for Anxiety in Children With High-Functioning Autism: A Meta-analysis . Pediatrics, 132(5), e1341-e1350. American Academy of Pediatrics (AAP).
    Type: Article DOI: 10.1542/peds.2013-1193 OpenAlex: https://openalex.org/W2110855627
    Crossref
  67. Danielle Ung , Robert Selles , Brent J. Small , Eric A. Storch (2015). A Systematic Review and Meta-Analysis of Cognitive-Behavioral Therapy for Anxiety in Youth with High-Functioning Autism Spectrum Disorders . Child Psychiatry & Human Development, 46(4), 533-547. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10578-014-0494-y OpenAlex: https://openalex.org/W2081456881
    Crossref
  68. Sasha Walters , Maria Loades , Ailsa Russell (2016). A Systematic Review of Effective Modifications to Cognitive Behavioural Therapy for Young People with Autism Spectrum Disorders . Review Journal of Autism and Developmental Disorders, 3(2), 137-153. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s40489-016-0072-2 OpenAlex: https://openalex.org/W2307776763
    Crossref
  69. Anna Woodall , Craig Morgan , Claire Sloan , Louise Howard (2010). Barriers to participation in mental health research: are there specific gender, ethnicity and age related barriers? BMC Psychiatry, 10(1). Springer Science and Business Media LLC.
    Type: Article DOI: 10.1186/1471-244x-10-103
    Crossref
  70. (s. d.). World Health Organisation. 2023.“Anxiety Disorders.”September 27. https://www.who.int/news‐room/fact‐sheets/detail/anxiety‐disorders .
    Type: Autre
    Crossref
  71. Yoon Jung Yang , Kyong-Mee Chung (2023). Pilot Randomized Control Trial of an App-Based CBT Program for Reducing Anxiety in Individuals with ASD without Intellectual Disability . Journal of Autism and Developmental Disorders, 53(4), 1331-1346. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-022-05617-9 OpenAlex: https://openalex.org/W4281949981
    Crossref
  72. A. S. Zigmond , R. P. Snaith (1983). The Hospital Anxiety and Depression Scale . Acta Psychiatrica Scandinavica, 67(6), 361-370. Wiley.
    Type: Article DOI: 10.1111/j.1600-0447.1983.tb09716.x OpenAlex: https://openalex.org/W2166281097
    Crossref