{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T05:37:40Z","timestamp":1767850660016,"version":"3.49.0"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,4,11]],"date-time":"2015-04-11T00:00:00Z","timestamp":1428710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child Adoles Psych Nursing"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec><jats:title>Problem<\/jats:title><jats:p>Working with clients who present with multiple conditions and comorbidities, including mental health difficulties, neurodevelopmental disorders, and physical health conditions, requires the therapist to go beyond the existing evidence base to make decisions about which specific cognitive behavior therapy (<jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>) models and resultant treatment approaches to draw on in therapy. Routine outcome monitoring across a number of parameters, including goal progress, symptom improvement, and changes in functioning, are core to maintaining accountability through monitoring the ongoing impact of idiosyncratic interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The case of a young person (age 17 years) who presented with mixed anxiety and depression in the context of autism spectrum disorder (<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>) and chronic pain are presented. In addition to evidence\u2010based adaptations to <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content> for clients with <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>s, the therapist selected a cognitive model of low self\u2010esteem as a means of collaboratively conceptualizing the client's difficulties.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings and Conclusion<\/jats:title><jats:p>Routine outcome measurement demonstrated the effectiveness of the intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcap.12108","type":"journal-article","created":{"date-parts":[[2015,4,11]],"date-time":"2015-04-11T06:09:22Z","timestamp":1428732562000},"page":"73-83","source":"Crossref","is-referenced-by-count":15,"title":["Evidence\u2010Based Practice in the Face of Complexity and Comorbidity: A Case Study of an Adolescent With <scp>A<\/scp>sperger's Syndrome, Anxiety, Depression, and Chronic Pain"],"prefix":"10.1111","volume":"28","author":[{"given":"Maria E.","family":"Loades","sequence":"first","affiliation":[{"name":"Clinical Psychology Doctorate Programme University of Bath  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,11]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u2010IV\u2010TR","author":"APA","year":"2000"},{"key":"e_1_2_8_3_1","volume-title":"Diagnostic and statistical manual of mental disorders: DSM\u20105","author":"APA","year":"2013"},{"key":"e_1_2_8_4_1","volume-title":"The complete guide to Asperger's syndrome","author":"Attwood T.","year":"2006"},{"key":"e_1_2_8_5_1","first-page":"27","volume-title":"CBT for children and adolescents with high\u2010functioning autism spectrum disorders","author":"Attwood T.","year":"2013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0010-0277(85)90022-8"},{"key":"e_1_2_8_7_1","volume-title":"Cognitive therapy: Basics and beyond","author":"Beck J. S.","year":"1995"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2004.06.013"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010006\u20100318\u20104"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.02.004"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00130-8"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2010.497508"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359104509355019"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0037339"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465800015368"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.4.5.296"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta12140"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.12"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/17518420903236288"},{"key":"e_1_2_8_20_1","unstructured":"Law D.(2012).A practical guide to using service user feedback & outcome tools to inform clinical practice in child & adolescent mental health. Some initial guidance from the Children and Young Peoples\u2019 Improving Access to Psychological Therapies Outcomes\u2010Oriented Practice (CO\u2010OP) Group Retrieved fromhttp:\/\/iapt.nhs.uk\/silo\/files\/a\u2010practical\u2010guide\u2010to\u2010using\u2010service\u2010user\u2010feedback\u2010\u2010outcome\u2010tools\u2010.pdf"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010006\u20100123\u20100"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010011\u20101330\u2010x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2008.04.009"},{"key":"e_1_2_8_24_1","volume-title":"Autism diagnostic observation schedule","author":"Lord C.","year":"2001"},{"key":"e_1_2_8_25_1","volume-title":"Interventions for adolescents and young adults with autism spectrum disorders","author":"Lounds Taylor J.","year":"2012"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2008.12.007"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/10883576020170030501"},{"key":"e_1_2_8_28_1","unstructured":"NICE. (2005).Depression in children and young people: Identification and management in primary community and secondary care."},{"key":"e_1_2_8_29_1","unstructured":"NICE. (2013).Autism: The management and support of children and young people on the autism spectrum."},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2008.09.003"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1991.tb00351.x"},{"key":"e_1_2_8_32_1","doi-asserted-by":"crossref","first-page":"20","DOI":"10.53841\/bpscpf.2011.1.220.20","article-title":"Delivering cognitive behavioural intervention for emotional disorders in children and young people with autism spectrum disorders: A survey of current practice among South London & Maudsley psychologists","volume":"220","author":"Ozsivadjian A.","year":"2011","journal-title":"Clinical Psychology Forum"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744\u20106155.2009.00197.x"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/mh.26.1.18"},{"key":"e_1_2_8_35_1","first-page":"189","volume-title":"Cognitive therapy with children and adolescents: A casebook for clinical practice","author":"Shirk S.","year":"2003"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e318179964f"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2011.05.007"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20373"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013\u20101193"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567\u2010011\u20100097\u20100"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2012.04.006"},{"key":"e_1_2_8_42_1","volume-title":"Culture, communication, and cognition: Vygotskian perspectives","author":"Wertsch J. V.","year":"1986"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567\u2010009\u20100062\u20103"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.01.003"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0085268"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107610.2008.01948.x"}],"container-title":["Journal of Child and Adolescent Psychiatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjcap.12108","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjcap.12108","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcap.12108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T00:16:31Z","timestamp":1694996191000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jcap.12108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,11]]},"references-count":45,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,5]]}},"alternative-id":["10.1111\/jcap.12108"],"URL":"https:\/\/doi.org\/10.1111\/jcap.12108","archive":["Portico"],"relation":{},"ISSN":["1073-6077","1744-6171"],"issn-type":[{"value":"1073-6077","type":"print"},{"value":"1744-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,11]]}}}