Evidence map›Paper›PMID 31782656›Full record

Trial reportAutism : the international journal of research and practice2020

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.

Ailsa Russell, Daisy M Gaunt, Kate Cooper, Stephen Barton, Jeremy Horwood, David Kessler, Chris Metcalfe, Ian Ensum, Barry Ingham, Jeremy R Parr and 2 more

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Autism : the international journal of research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Thinking flexibly: A cognitive remediation therapy-informed intervention for autistic youth.Autism : the international journal of research and practice · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Inner experiences, mental health, and well-being in autistic and non-autistic adults.Autism research : official journal of the International Society for Autism Research · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Adults with Autism: Changes in Understanding Since DSM-111.Journal of autism and developmental disorders · 2021
    Article
  18. Autism : the international journal of research and practice · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Ailsa RussellUniversity of Bath, UK.ORCID 0000-0002-8443-9381
Daisy M GauntUniversity of Bristol, UK.
Kate CooperUniversity of Bath, UK.ORCID 0000-0002-8216-5567
Stephen BartonNorthumberland, Tyne and Wear NHS Foundation Trust, UK.
Jeremy HorwoodUniversity of Bristol, UK.
David KesslerUniversity of Bristol, UK.
Chris MetcalfeUniversity of Bristol, UK.
Ian EnsumAvon and Wiltshire Mental Health Partnership NHS Trust, UK.
Barry InghamNorthumberland, Tyne and Wear NHS Foundation Trust, UK.ORCID 0000-0002-7268-2288
Jeremy R ParrNorthumberland, Tyne and Wear NHS Foundation Trust, UK.
Dheeraj RaiUniversity of Bristol, UK.
Nicola WilesUniversity of Bristol, UK.

Funding

Department of Health HTA/14/43/02Medical Research Council MR/K025643/1
6 · The paper itself

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.

Indexed as

Autism Spectrum DisorderAutistic DisorderAdultCost-Benefit AnalysisDepressionFeasibility StudiesHumansPilot ProjectsState MedicineTreatment Outcomeadultsautismcognitive behaviour therapydepression

Identifiers

PMID31782656
PMCPMC8645299

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.