The Feasibility of Low-Intensity Psychological Therapy for Depression Co-Occurring with Autism in Adults: The Autism Depression Trial (ADEPT) -- A Pilot Randomised Controlled Trial

Autor/inn/en	Russell, Ailsa; Gaunt, Daisy M.; Cooper, Kate; Barton, Stephen; Horwood, Jeremy; Kessler, David; Metcalfe, Chris; Ensum, Ian; Ingham, Barry; Parr, Jeremy R.; Rai, Dheeraj; Wiles, Nicola
Titel	The Feasibility of Low-Intensity Psychological Therapy for Depression Co-Occurring with Autism in Adults: The Autism Depression Trial (ADEPT) -- A Pilot Randomised Controlled Trial
Quelle	In: Autism: The International Journal of Research and Practice, 24 (2020) 6, S.1360-1372 (13 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Russell, Ailsa) ORCID (Cooper, Kate) ORCID (Ingham, Barry)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361319889272
Schlagwörter	Depression (Psychology); Adults; Autism; Pervasive Developmental Disorders; Behavior Modification; Cognitive Restructuring; Randomized Controlled Trials; Self Help Programs; Feasibility Studies; Intervention; Foreign Countries; United Kingdom; Beck Depression Inventory; Hamilton Rating Scale for Depression + Suchen Sie Ihr Suchwort? Autismus; Behaviour modification; Verhaltensänderung; Self help programmes; Selbsthilfebewegung; Ausland; Großbritannien
Abstract	Low-intensity cognitive behaviour therapy including behavioural activation is an evidence-based treatment for depression, a condition frequently co-occurring with autism. The feasibility of adapting low-intensity cognitive behaviour therapy for depression to meet the needs of autistic adults via a randomised controlled trial was investigated. The adapted intervention (guided self-help) comprised materials for nine individual sessions with a low-intensity psychological therapist. Autistic adults (n = 70) with depression (Patient Health Questionnaire-9 score ?10) recruited from National Health Service adult autism services and research cohorts were randomly allocated to guided self-help or treatment as usual. Outcomes at 10-, 16- and 24-weeks post-randomisation were blind to treatment group. Rates of retention in the study differed by treatment group with more participants attending follow-up in the guided self-help group than treatment as usual. The adapted intervention was well-received, 86% (n = 30/35) of participants attended the pre-defined 'dose' of five sessions of treatment and 71% (25/35) attended all treatment sessions. The findings of this pilot randomised controlled trial indicate that low-intensity cognitive behaviour therapy informed by behavioural activation can be successfully adapted to meet the needs of autistic people. Evaluation of the effectiveness of this intervention in a full scale randomised controlled trial is now warranted. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01