Evidence map›Paper›PMID 33705167›Full record

Trial reportJournal of consulting and clinical psychology2021

Modular cognitive behavioral therapy for autism-related symptoms in children: A randomized controlled trial.

Jeffrey J Wood, Karen Sze Wood, An Chuen Cho, Kashia A Rosenau, Maria Cornejo Guevara, Chardée Galán, Alicia Bazzano, Ari S Zeldin, Gerhard Hellemann

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% of its field
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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Meta-analysis of Psychotherapy for Autistic Youth.Child psychiatry and human development · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Treatment Fidelity and Outcome in CBT for Youth with Autism: The MEYA Fidelity Scale.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  7. Research Review: Emotion regulation in individuals with intellectual disability - an integrative review.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Review
  8. Article
  9. Review
  10. Innovations to improve outcomes and uptake of psychotherapies for mental disorders: a state-of-the-art review.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  11. Review
  12. Article
  13. Article
  14. Article
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  17. Shared Decision-Making as a Tool for Navigating Multi-Stakeholder Discrepancies in Youth Psychotherapy.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Jeffrey J WoodDepartment of Education.
Karen Sze WoodDavid Geffen School of Medicine.
An Chuen ChoDepartment of Education.ORCID 0000-0001-9848-8689
Kashia A RosenauDepartment of Education.ORCID 0000-0001-9581-7264
Maria Cornejo GuevaraDavid Geffen School of Medicine.ORCID 0000-0001-5142-1161
Chardée GalánDepartment of Psychology.ORCID 0000-0002-3449-5203
Alicia BazzanoDavid Geffen School of Medicine.ORCID 0000-0001-5619-4033
Ari S ZeldinNaval Medical Center.ORCID 0000-0002-0519-8832
Gerhard HellemannDavid Geffen School of Medicine.
University of California, Los Angeles · USCalifornia Department of Education · USNaval Medical Center San Diego · USUniversity of Pittsburgh · US

Funding

Treatment of Autism Symptoms in Children (TASC): Initial RCT with Active ControlR01MH094391 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WOOD, JEFFREY JAMES · 2012 to 2016
$1.9M
Autism SpeaksNIMH NIH HHS R01 MH094391
6 · The paper itself

Abstract

objectiveTo date, no one-on-one psychotherapy protocol for elementary and middle school-aged children with autism spectrum disorder (ASD) has been found to be efficacious for treating autism-related symptoms such as failure to initiate social interactions. This study compared modular cognitive behavioral therapy (CBT) with enhanced standard community treatment (ESCT) in terms of impact on the severity of autism-related symptoms.

methodChildren with ASD (N = 107; aged 6-13 years) were randomly assigned to a treatment condition (CBT or ESCT). Both treatments provided 32 therapy sessions. The CBT condition utilized a modular design, matching specific evidence-based treatment elements to each child's clinical needs (e.g., social-communication symptoms). The ESCT condition provided social skills training and cognitive behavioral training in a structured and linear group therapy format. The primary outcome measure was independent evaluator ratings of peer engagement during school recess using a structured and validated observation system. Parents also made session-by-session ratings on personalized autism-related symptom profiles throughout treatment.

resultsCBT outperformed ESCT on the primary outcome measure (p < .001; d = .50; 95% CI [.06, .93]) and the secondary outcome measure (p = .003; d = .87; 95% CI [.45, 1.27]).

conclusionsThe modular one-on-one CBT program evaluated in this study may be beneficial for reducing the severity of autism-related symptoms in some children with ASD. Further research is needed to clarify the extent of the treatment effect and the feasibility of implementation for therapists in the community. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Indexed as

AdolescentAutism Spectrum DisorderChildCognitive Behavioral TherapyFemaleHumansMaleParentsSchoolsTreatment Outcome

Identifiers

PMID33705167
PMCPMC8284564
OpenAlexW3134237091

What OpenQuestion holds

Textmetadata
LicenceTDM
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.