Enhancing self-esteem in adults with autism spectrum disorders: a pilot cognitive behaviour therapy (CBT) group intervention

Advances in Autism,Volume 3, Issue 2, April 2017. Purpose Psycho-social risk factors and high rates of psychiatric co-morbidity render individuals with autism spectrum disorders (ASD) vulnerable to developing low self-esteem (LSE). CBT interventions are effective for enhancing self-esteem in typically-developing populations, but the degree to which they are clinically beneficial for individuals with ASD has been little explored. Design/methodology/approach A pilot group intervention was undertaken to investigate the effectiveness and acceptability of CBT for LSE in adults with ASD. Adaptations to standard protocols were made, in order to accommodate core ASD characteristics, including socio-communication deficits and neuro-cognitive impairments. Findings Four participants attended eight sessions: these comprised formulation of causal and maintaining mechanisms for LSE, cognitive interventions designed to reduce self-criticism and promote a more balanced self-view, and behavioural interventions intended to increase engagement in enjoyable activities, and enhance problem-solving and assertiveness skills. Self-report questionnaires were completed at four time-points: baseline, at the first and last sessions, and at one-month follow-up. Data analysis indicated no change on the primary self-esteem outcome measure. Some improvements were noted on secondary outcomes, specifically in social anxiety and depressive symptoms, and general functioning. Research limitations/implication...
Source: Advances in Autism - Category: Child Development Source Type: research