Interventions aimed at reducing obsessive-compulsive symptoms in people with autism spectrum disorder: a review
DOI:
https://doi.org/10.24310/espsiescpsi.v13i2.12414Keywords:
Autism spectrum disorder, obsessive compulsive disorder, comorbidity, intervention, reviewAbstract
Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in communication and social interaction as well as restrictive and repetitive behavior. It has high comorbidity with other disorders, reaching 37% with obsessive-compulsive disorder (OCD) in young patients. OCD is characterized by recurrent thoughts and ideas that lead the person to perform compulsive actions to reduce the level of anxiety generated by these thoughts. This paper presents a review of the psychological intervention methods, as well as their effectiveness, used to reduce the symptoms of comorbid OCD in people with ASD. It includes 14 articles in which cognitive behavioral therapy (CBT) and exposure and prevention of responses (EPR) showed encouraging results in reducing these symptoms.
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Referencias
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.
Birmaher, B., Khetarpal, S., Cully, M., Brent, D., & McKenzie, S. (1995). Screen for Child Anxiety Related Disorders (SCARED). Pittsburgh, PA: Western Psychiatric Institute and Clinic, University of Pittsburgh.
Bodfish, J., Symons, F., & Lewis , M. (1999). The repetitive behavior scale: test manual. Morganton, NC.: Western Carolina Center Research Reports.
Cadman, T., Spain, D., Johnston, P., Russell, A., Mataix-Cols, D., Craig, M., … & Wilson, C. E. (2015). Obsessive-compulsive disorder in adults with high-functioning autism spectrum disorder: what does self-report with the OCI-R tell us? Autism Research, 8, 477-485. https://doi.org/10.1002/aur.1461
Calvocoressi, L., Lewis, B., Harris, B., Trufan, B. S., Goodman, W. K., McDougle, C. J., & Price, L. H. (1995). Family accommodation in obsessive-compulsive disorder. American Journal of Psychiatry, 152, 441–443. https://doi.org/10.1176/ajp.152.3.441
*Elliott, S., & Fitzsimons, L. (2014). Modified CBT for treatment of OCD in a 7-year-old boy with ASD—a case report. Journal of Child and Adolescent Psychiatric Nursing, 27, 156–159. https://doi.org/10.1111/jcap.12081
* Farrell, L. J., James, S. C., Maddox, B. B., Griffiths, D., & White, S. (2016). Treatment of comorbid obsessive-compulsive disorder in youth with ASD: the case of Max. En E. Storch, & A. Lewin (Eds.) Clinical Handbook of Obsessive-Compulsive and Related Disorders (pp. 337-355). Switzerland: Springer International Publishing. https://doi.org/10.1007/978-3-319-17139-5_23
Gómez, A., Cano, P., Lucas, M., Romero, P., Tolosa, M. & Martínez, A. (2018). El trastorno obsesivo compulsivo en la infancia y adolescencia. En P. Moreno (Presidencia), Congreso Virtual Internacional de Psiquiatría, Psicología y Salud Mental (Interpsiquis). Conferencia impartida en el XIX Congreso Virtual de Psiquiatría.
*Iniesta Sepúlveda, M., Nadeau, J., Ramos, A., Kay, B., Riemann, B., & Storch, E. (2018). An initial case series of intensive cognitive–behavioral therapy for obsessive–compulsive disorder in adolescents with autism spectrum disorder. Child Psychiatry & Human Development, 49, 9–19. https://doi.org/10.1007/s1057
*Krebs, G., Murray, K., & Jassi, A. (2016). Modified cognitive behavior therapy for severe, treatment-resistant obsessive-compulsive disorder in an adolescent with autism spectrum disorder. Journal of Clinical Psychology, 72, 1162-1173. https://doi.org/10.1002/jclp.22396
*Lehmkuhl, H. D., Storch, E. A., Bodfish, J. W., & Geffken, G. R. (2008). Brief report: exposure and response prevention for obsessive compulsive disorder in a 12-year-old with autism. Journal of Autism and Developmental Disorders, 38, 977–981. https://doi.org/10.1007/s10803-007-0457-2
Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., ... & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849-861. https://doi.org/10.1007/s10803-006-0123-0
*Merricks, K. L., Nadeau, J. M., Ramos, A., & Storch, E. A. (2017). A case report of intensive exposure-based cognitive behavioral therapy for a child with comorbid autism spectrum disorder and obsessive-compulsive disorder. Journal of Cognitive Psychotherapy, 31(2), 118-123.
*Murray, K., Jassi, A., Mataix-Cols, D., Barrow, F., & Krebs, G. (2015). Outcomes of cognitive behaviour therapy for obsessive–compulsive disorder in young people with and without autism spectrum disorders: a case controlled study. Psychiatry Research, 228, 8–13. https://doi.org/10.1016/j.psychres.2015.03.012
*Nadeau, J., Arnold, E., Storch, E., & Lewin, A. (2014). Family cognitive-behavioral treatment for a child with autism and comorbid obsessive compulsive disorder. Clinical Case Studies, 13, 22-36. https://doi.org/10.1177/1534650113504488
National Institute of Mental Health. (1985). Special feature: rating scales and assessment instruments for use in pediatric psychopharmacology research. Pharmacology Bulletin, 21, 839-843.
*Neil, N., Vause, T., Jaksic, H., & Feldman, M. (2017). Effects of group functional behavior-based cognitive-behavioral therapy for obsessive-compulsive behavior in a youth with autism spectrum disorder. Child & Family Behavior Therapy, 3, 179–190. https://doi.org/10.1080/07317107.2017.1338448
Organización Mundial de la Salud (2018). Trastornos del espectro autista. Recuperado de https://www.who.int/es/news-room/fact-sheets/detail/autism-spectrum-disorders
Paula-Pérez, I. (2012). Diagnóstico diferencial entre el trastorno obsesivo compulsivo y los patrones de comportamiento, actividades e intereses restringidos y repetitivos en los trastornos del espectro autista. Revista de Psiquiatría y Salud Mental, 6, 178-186. https://doi.org/10.1016/jrpsm.2012.07.005
Piacentini, J., Peris , T., Bergm, R., Chang , S., & Jaffer, M. (2007). Brief report: functional impairment in childhood OCD: development and psychometrics properties of the child obsessive-compulsive impact scale-revised (COIS-R). Journal of Clinical Child & Adolescent Psychology, 36, 645-653. https://doi.org/10.1080/15374410701662790
*Reaven, J., & Hepburn, S. (2003). Cognitive-behavioral treatment of obsessive compulsive disorder in a child with Asperger syndrome: a case report. Autism, 7, 145-164. https://doi.org/10.1177/1362361303007002003
Rodas, R. (2009). Seguimiento del análisis conductual. En Análisis conductual aplicado (pp. 13-27). Colombia: Universidad de Manizales.
*Rombough, E. (2011). Dyad function-based cognitive behavioural therapy as a treatment for obsessive compulsive disorder in two school aged children with high functioning autism. (Unpublished master's thesis) St.Catharines Ontario: Centre of Applied Disability Studies, Brock University. http://hdl.handle.net/10464/3947
*Russell, A. J., Jassi, A., Fullana, M. A., Mack, H., Johnston, K., Heyman, I., ... & Mataix?Cols, D. (2013). Cognitive behavior therapy for comorbid obsessive?compulsive disorder in high?functioning autism spectrum disorders: a randomized controlled trial. Depression and Anxiety, 30, 697-708. https://doi.org/10.1002/da.22053
Rydén, E., & Bejerot, S. (2008). Autism spectrum disorders in an adult psychiatric population: a naturalistic cross-sectional controlled study. Clinical Neuropsychiatry, 5, 13-21.
Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., ... & Leckman, J. F. (1997). Children's Yale-Brown obsessive compulsive scale: reliability and validity. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 844-852. https://doi.org/10.1097/00004583-199706000-00023
Shafran, R., Frampton, I., Heyman, I., Reynolds, M., Teachman, B., & Rachman, S. (2003). Preliminary development of a new self-report measure for OCD in young people. Journal of Adolescence, 26, 137–142. https://doi.org/10.1016/S0140-1971(02)00083-0
Valaer-Rubio, Á. (2015). Abordaje clínico y tratamiento del trastorno obsesivo-compulsivo. Sevilla: Publicia.
*Vause, T., Hoekstra, S., & Feldman, M. (2014). Evaluation of individual function-based cognitive-behavioural therapy for obsessive compulsive behaviour in children with autism spectrum disorder. Journal on Developmental Disabilities, 20, 30-41.
*Vause, T., Neil, N., Jaksic, H., Jackiewicz, G., & Feldman, M. (2017). Preliminary randomized trial of function-based cognitive-behavioral therapy to treat obsessive compulsive behavior in children with autism spectrum disorder. Focus on Autism and Other Developmental Disabilities, 32, 218–228. https://doi.org/1177/1088357615588517
Nota: Las referencias marcadas con un asterisco (*) contienen los estudios incluidos en la revisión.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.
Birmaher, B., Khetarpal, S., Cully, M., Brent, D., & McKenzie, S. (1995). Screen for Child Anxiety Related Disorders (SCARED). Pittsburgh, PA: Western Psychiatric Institute and Clinic, University of Pittsburgh.
Bodfish, J., Symons, F., & Lewis , M. (1999). The repetitive behavior scale: test manual. Morganton, NC.: Western Carolina Center Research Reports.
Cadman, T., Spain, D., Johnston, P., Russell, A., Mataix-Cols, D., Craig, M., … & Wilson, C. E. (2015). Obsessive-compulsive disorder in adults with high-functioning autism spectrum disorder: what does self-report with the OCI-R tell us? Autism Research, 8, 477-485. https://doi.org/10.1002/aur.1461
Calvocoressi, L., Lewis, B., Harris, B., Trufan, B. S., Goodman, W. K., McDougle, C. J., & Price, L. H. (1995). Family accommodation in obsessive-compulsive disorder. American Journal of Psychiatry, 152, 441–443. https://doi.org/10.1176/ajp.152.3.441
*Elliott, S., & Fitzsimons, L. (2014). Modified CBT for treatment of OCD in a 7-year-old boy with ASD—a case report. Journal of Child and Adolescent Psychiatric Nursing, 27, 156–159. https://doi.org/10.1111/jcap.12081
* Farrell, L. J., James, S. C., Maddox, B. B., Griffiths, D., & White, S. (2016). Treatment of comorbid obsessive-compulsive disorder in youth with ASD: the case of Max. En E. Storch, & A. Lewin (Eds.) Clinical Handbook of Obsessive-Compulsive and Related Disorders (pp. 337-355). Switzerland: Springer International Publishing. https://doi.org/10.1007/978-3-319-17139-5_23
Gómez, A., Cano, P., Lucas, M., Romero, P., Tolosa, M. & Martínez, A. (2018). El trastorno obsesivo compulsivo en la infancia y adolescencia. En P. Moreno (Presidencia), Congreso Virtual Internacional de Psiquiatría, Psicología y Salud Mental (Interpsiquis). Conferencia impartida en el XIX Congreso Virtual de Psiquiatría.
*Iniesta Sepúlveda, M., Nadeau, J., Ramos, A., Kay, B., Riemann, B., & Storch, E. (2018). An initial case series of intensive cognitive–behavioral therapy for obsessive–compulsive disorder in adolescents with autism spectrum disorder. Child Psychiatry & Human Development, 49, 9–19. https://doi.org/10.1007/s1057
*Krebs, G., Murray, K., & Jassi, A. (2016). Modified cognitive behavior therapy for severe, treatment-resistant obsessive-compulsive disorder in an adolescent with autism spectrum disorder. Journal of Clinical Psychology, 72, 1162-1173. https://doi.org/10.1002/jclp.22396
*Lehmkuhl, H. D., Storch, E. A., Bodfish, J. W., & Geffken, G. R. (2008). Brief report: exposure and response prevention for obsessive compulsive disorder in a 12-year-old with autism. Journal of Autism and Developmental Disorders, 38, 977–981. https://doi.org/10.1007/s10803-007-0457-2
Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., ... & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849-861. https://doi.org/10.1007/s10803-006-0123-0
*Merricks, K. L., Nadeau, J. M., Ramos, A., & Storch, E. A. (2017). A case report of intensive exposure-based cognitive behavioral therapy for a child with comorbid autism spectrum disorder and obsessive-compulsive disorder. Journal of Cognitive Psychotherapy, 31(2), 118-123.
*Murray, K., Jassi, A., Mataix-Cols, D., Barrow, F., & Krebs, G. (2015). Outcomes of cognitive behaviour therapy for obsessive–compulsive disorder in young people with and without autism spectrum disorders: a case controlled study. Psychiatry Research, 228, 8–13. https://doi.org/10.1016/j.psychres.2015.03.012
*Nadeau, J., Arnold, E., Storch, E., & Lewin, A. (2014). Family cognitive-behavioral treatment for a child with autism and comorbid obsessive compulsive disorder. Clinical Case Studies, 13, 22-36. https://doi.org/10.1177/1534650113504488
National Institute of Mental Health. (1985). Special feature: rating scales and assessment instruments for use in pediatric psychopharmacology research. Pharmacology Bulletin, 21, 839-843.
*Neil, N., Vause, T., Jaksic, H., & Feldman, M. (2017). Effects of group functional behavior-based cognitive-behavioral therapy for obsessive-compulsive behavior in a youth with autism spectrum disorder. Child & Family Behavior Therapy, 3, 179–190. https://doi.org/10.1080/07317107.2017.1338448
Organización Mundial de la Salud (2018). Trastornos del espectro autista. Recuperado de https://www.who.int/es/news-room/fact-sheets/detail/autism-spectrum-disorders
Paula-Pérez, I. (2012). Diagnóstico diferencial entre el trastorno obsesivo compulsivo y los patrones de comportamiento, actividades e intereses restringidos y repetitivos en los trastornos del espectro autista. Revista de Psiquiatría y Salud Mental, 6, 178-186. https://doi.org/10.1016/jrpsm.2012.07.005
Piacentini, J., Peris , T., Bergm, R., Chang , S., & Jaffer, M. (2007). Brief report: functional impairment in childhood OCD: development and psychometrics properties of the child obsessive-compulsive impact scale-revised (COIS-R). Journal of Clinical Child & Adolescent Psychology, 36, 645-653. https://doi.org/10.1080/15374410701662790
*Reaven, J., & Hepburn, S. (2003). Cognitive-behavioral treatment of obsessive compulsive disorder in a child with Asperger syndrome: a case report. Autism, 7, 145-164. https://doi.org/10.1177/1362361303007002003
Rodas, R. (2009). Seguimiento del análisis conductual. En Análisis conductual aplicado (pp. 13-27). Colombia: Universidad de Manizales.
*Rombough, E. (2011). Dyad function-based cognitive behavioural therapy as a treatment for obsessive compulsive disorder in two school aged children with high functioning autism. (Unpublished master's thesis) St.Catharines Ontario: Centre of Applied Disability Studies, Brock University. http://hdl.handle.net/10464/3947
*Russell, A. J., Jassi, A., Fullana, M. A., Mack, H., Johnston, K., Heyman, I., ... & Mataix?Cols, D. (2013). Cognitive behavior therapy for comorbid obsessive?compulsive disorder in high?functioning autism spectrum disorders: a randomized controlled trial. Depression and Anxiety, 30, 697-708. https://doi.org/10.1002/da.22053
Rydén, E., & Bejerot, S. (2008). Autism spectrum disorders in an adult psychiatric population: a naturalistic cross-sectional controlled study. Clinical Neuropsychiatry, 5, 13-21.
Scahill, L., Riddle, M. A., McSwiggin-Hardin, M., Ort, S. I., King, R. A., Goodman, W. K., ... & Leckman, J. F. (1997). Children's Yale-Brown obsessive compulsive scale: reliability and validity. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 844-852. https://doi.org/10.1097/00004583-199706000-00023
Shafran, R., Frampton, I., Heyman, I., Reynolds, M., Teachman, B., & Rachman, S. (2003). Preliminary development of a new self-report measure for OCD in young people. Journal of Adolescence, 26, 137–142. https://doi.org/10.1016/S0140-1971(02)00083-0
Valaer-Rubio, Á. (2015). Abordaje clínico y tratamiento del trastorno obsesivo-compulsivo. Sevilla: Publicia.
*Vause, T., Hoekstra, S., & Feldman, M. (2014). Evaluation of individual function-based cognitive-behavioural therapy for obsessive compulsive behaviour in children with autism spectrum disorder. Journal on Developmental Disabilities, 20, 30-41.
*Vause, T., Neil, N., Jaksic, H., Jackiewicz, G., & Feldman, M. (2017). Preliminary randomized trial of function-based cognitive-behavioral therapy to treat obsessive compulsive behavior in children with autism spectrum disorder. Focus on Autism and Other Developmental Disabilities, 32, 218–228. https://doi.org/1177/1088357615588517
Nota: Las referencias marcadas con un asterisco (*) contienen los estudios incluidos en la revisión.
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Published
2020-12-31
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Montagut-Asunción , M., Flores-Pérez, E. J., Tijeras-Iborra, A., & Pastor-Cerezuela, G. (2020). Interventions aimed at reducing obsessive-compulsive symptoms in people with autism spectrum disorder: a review. Escritos De Psicología - Psychological Writings, 13(2), 80–89. https://doi.org/10.24310/espsiescpsi.v13i2.12414
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