Abstract：
Autistic youth experience elevated rates of co-occurring internalizing symptoms. Interventions to treat internalizing symptoms in autistic youth are almost uniformly costly and time-intensive, blunting dissemination of intervention and highlighting the need for scalable solutions. One promising option is a relatively new class of evidence-based treatments, single-session interventions (SSIs), however, no study has examined SSIs for depression symptoms in autistic youth. Participants included 40 autistic adolescents ranging in age from 11 to 16 (Mage = 14.22, Nmale = 32). Eligible youth who agreed to participate were randomized to either the active intervention (Project Personality), or an active control designed to mimic supportive therapy. Participants and their caregiver completed questionnaires immediately before, after, and three months post intervention. All participants completed the intervention independently and largely reported enjoying it. The intervention was delivered with 100% fidelity. Findings demonstrated improvements in perceived primary control, malleability of personality, and social competence relative to the active control group immediately post-intervention. Further, results revealed improvements in self-reported depression symptoms and parent reported emotional regulation at 3-month follow up. This study was the first to assess a GM-SSI designed to treat depression symptoms in autistic adolescents. Results indicated improvements in perceived control immediately post-intervention and downstream improvements in depression. Nonetheless, we did not find improvements in symptoms of anxiety, suggesting that autistic adolescents may require modifications to the intervention to maximize benefit. Findings demonstrate the utility of GM-SSI for internalizing symptoms for autistic youth and hold considerable promise as a low-intensity and scalable intervention.
摘要：
自闭症青年的内在化症状发生率升高。治疗自闭症青年内化症状的干预措施几乎是统一的成本和时间密集，削弱干预措施的传播，并强调需要可扩展的解决方案。一个有希望的选择是一类相对较新的循证治疗，单会干预(SSIs)，然而,尚无研究检查自闭症青年抑郁症状的SSIs。参与者包括40名年龄在11至16岁之间的自闭症青少年（Mage=14.22，Nmale=32）。同意参与的符合条件的青年被随机分配到积极干预(项目个性)，或旨在模拟支持疗法的主动控制。参与者及其护理人员在紧接之前填写了问卷，之后,干预后三个月。所有参与者都独立完成了干预，并在很大程度上报告享受了干预。干预以100%的保真度进行。研究结果表明，在感知的主要控制方面有所改善，个性的延展性，和社交能力相对于主动对照组在干预后立即。Further,结果显示,自我报告的抑郁症状和父母报告的3个月随访时的情绪调节得到改善.这项研究是第一个评估旨在治疗自闭症青少年抑郁症状的GM-SSI。结果表明，干预后立即感觉到控制的改善和抑郁症的下游改善。尽管如此，我们没有发现焦虑症状的改善，这表明自闭症青少年可能需要修改干预措施以最大限度地获益。研究结果表明，GM-SSI可用于自闭症青年的内化症状，并有望作为低强度和可扩展的干预措施。
