Autism, Autism Spectrum Disorder (ASD), Autism Spectrum Condition (ASC), Neurodevelopmental Disorder, Neurodevelopmental Condition, Neurodivergence, Depression, Low mood, Depressive Symptoms
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a participant must meet all of the following criteria:A participant must have a formal clinical diagnosis of Autism Spectrum Disorder (ASD) as established by an authorized professional (e.g., psychiatrist/psychologist). This information is provided by the participant; Be at least 18 years of age;Have a minimal score of 5 on the Patient Health Questionnaire-9 (PHQ-9);Possession of a computer (or laptop or tablet) with internet connectivity.
Exclusion criteria
Exclusion criteria: A potential participant who meets any of the following criteria will be excluded from participation in this study:High suicidal risk, as assessed in the online screening procedure (see 6.3) using the Mini International Neuropsychiatric Interview (M.I.N.I.) questionnaire. High risk is defined as answering ‘Yes’ to either question 4 (suicide plans) or 5 (suicide attempt), or to both questions 3 (suicidal thoughts) and 6 (lifetime suicide attempt) of the instrument. Initiation of antidepressant medication less than three months before the screening for this study;PHQ-9 score = 20 at screening (indicative of severe depressive symptoms);A reported DSM-V diagnosis of depression in the annual Netherlands Autism Register (NAR) survey;Currently undergoing psychological treatment for depression.Other co-occurring psychological disorders or conditions and somatic diseases are allowed, since rates of co-occurring psychiatric conditions and disorders are very high in this population. There is large heterogeneity in the prevalence rates of co-occurring mental conditions across development reported in studies (55), but estimates range from 28 - 81% (4, 56). Anti-depressant and other care usage will be monitored at all timepoints in both conditions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depression symptom severity (primary outcome) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes: insomnia severity, anxiety, quality of life, daily functioning. Outcomes will be measured at baseline, post-intervention (6 weeks after baseline), and 6 months follow-up. We will also explore moderators (e.g. baseline symptom severity, age, sex, and therapeutic alliance) of the intervention effect and predictors of treatment outcome to determine who benefits most of the intervention. | — |
Countries
Netherlands
Contacts
Vrije Universiteit