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Factors Influencing the Use of Cognitive-Behavioral Therapy with Autistic Adults: A Survey of Community Mental Health Clinicians.
Maddox, Brenna B; Crabbe, Samantha R; Fishman, Jessica M; Beidas, Rinad S; Brookman-Frazee, Lauren; Miller, Judith S; Nicolaidis, Christina; Mandell, David S.
Afiliación
  • Maddox BB; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. maddoxb@upenn.edu.
  • Crabbe SR; Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI), University of Pennsylvania, Philadelphia, PA, USA. maddoxb@upenn.edu.
  • Fishman JM; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Beidas RS; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Brookman-Frazee L; Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA.
  • Miller JS; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Nicolaidis C; Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI), University of Pennsylvania, Philadelphia, PA, USA.
  • Mandell DS; Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
J Autism Dev Disord ; 49(11): 4421-4428, 2019 Nov.
Article en En | MEDLINE | ID: mdl-31385175
Cognitive-behavioral therapy (CBT) can improve anxiety and depression in autistic adults, but few autistic adults receive this treatment. We examined factors that may influence clinicians' use of CBT with autistic adults. One hundred clinicians completed an online survey. Clinicians reported stronger intentions (p = .001), more favorable attitudes (p < .001), greater normative pressure (p < .001), and higher self-efficacy (p < .001) to start CBT with non-autistic adults than with autistic adults. The only significant predictor of intentions to begin CBT with clients with anxiety or depression was clinicians' attitudes (p < .001), with more favorable attitudes predicting stronger intentions. These findings are valuable for designing effective, tailored implementation strategies to increase clinicians' adoption of CBT for autistic adults.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno Autístico / Actitud del Personal de Salud / Terapia Cognitivo-Conductual / Agentes Comunitarios de Salud / Servicios Comunitarios de Salud Mental Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Autism Dev Disord Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastorno Autístico / Actitud del Personal de Salud / Terapia Cognitivo-Conductual / Agentes Comunitarios de Salud / Servicios Comunitarios de Salud Mental Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Autism Dev Disord Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos