Analysis on clinical efficacy of parent-oriented group and individual cognitive-behavioral therapy combined with family-based early intervention training in children with autism spectrum disorder

MENG Lulu; BAO Kexiu; QIU Aizhen; WANG Min; WANG Yan; LI Jie; WANG Ya

doi:10.3969/j.issn.1674-3806.2026.01.11

Abstract：Objective To analyze the clinical efficacy of parent-oriented group and individual cognitive-behavioral therapy(CBT)combined with family-based early intervention training in children with autism spectrum disorder(ASD).Methods A total of 100 pediatric patients with ASD who were admitted to Xuzhou Children's Hospital Affiliated to Xuzhou Medical University from January 2024 to February 2025 were recruited.The pediatric patients were divided into group-CBT group(receiving group CBT combined with family-based early intervention training,34 patients),individual-CBT group(receiving individual CBT combined with family-based early intervention training,33 patients)and control group(receiving family-based early intervention training,33 patients)by random number table method.Family-based early intervention training was conducted once weekly,with a training period of 3 months.CBT was conducted once weekly,for a total of 8 times.Gesell Developmental Schedules(GDS)scores,Autism Behavior Checklist(ABC)scores and Autism Treatment Evaluation Checklist(ATEC)scores were compared among the pediatric patients in the three groups before and after the intervention.Self-Rating Anxiety Scale(SAS)scores and Tool to Measure Parenting Self-Efficacy(TOPSE)scores were compared among the pediatric patients'parents in the three groups before and after the intervention.Results After intervention,the scores of adaptability,fine motor skills,language and personal social domains in the GDS of the pediatric patients in the three groups were significantly higher than those before intervention(P＜0.05),and the scores of adaptability,language and personal social domains in the group-CBT group were higher than those in the individual-CBT group and the control group,with statistically significant differences(P＜0.05).After intervention,the scores of each dimension of ATEC in the pediatric patients in the three groups were significantly lower than those before intervention(P＜0.05),and the scores of language,social interaction and behavior dimensions in the group-CBT group were lower than those in the individual-CBT group and the control group,with statistically significant differences(P＜0.05).After intervention,the scores of ABC in the pediatric patients in the three groups were significantly lower than those before intervention(P＜0.05),and the scores of ABC in the group-CBT group were lower than those in the individual-CBT group and the control group,with statistically significant differences(P＜0.05).After intervention,the scores of SAS in the pediatric patients'parents in the group-CBT group and the individual-CBT group were significantly lower than those before intervention(P＜0.05),while the scores of SAS in the control group showed no significant changes before and after intervention(P＞0.05).After intervention,the scores of SAS in the group-CBT group were lower than those in the individual-CBT group and the control group,with statistically significant differences(P＜0.05).After intervention,the scores of each dimension and the total scores of TOPSE in the pediatric patients'parents in the group-CBT group were higher than those in the individual-CBT group and the control group,with statistically significant differences(P＜0.05).Conclusion CBT intervention for parents of pediatric patients with ASD can improve their mental health status,enhance their self-efficacy in parenting,thereby promoting the behavioral development of the pediatric patients with ASD.Moreover,the intervention effect of group CBT is better than that of individual CBT.