The ESCAPE curriculum model was developed to enhance emotional awareness and behavioral support for students with autism spectrum disorder (ASD) to help with stressful events and escape from emotional distress. The instructional phases represent an emotion regulatory process: starting with emotional and behavioral awareness, followed by deconstruction of the stressful and emotional experiences, and finally the acquisition and practice of adaptive cognitive and behavioral strategies. A total of 66 students with ASD (mean age = 13.93 years; SD = 0.93) participated in this study to evaluate ESCAPE with allocation to an experimental group (n = 28) of receiving the ESCAPE instruction and a wait-list control group (n = 38) of no implementation of the curriculum before the completion of the study. Data on students' and teachers' pretest and posttest scores on the Emotion Regulation Scale (positive outlook, emotional awareness, social support, problem-solving) were analyzed by hierarchical linear modeling (HLM) for total and subscale scores. Results showed that the experimental group made considerable progress in relation to the controls following ESCAPE instruction.
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References
1.
AldaoA.Nolen-HoeksemaS.The influence of context on the implementation of adaptive emotion regulation strategiesBehaviour Research and Therapy507-8493–5012012
2.
American Psychiatric Association (APA)10.1176/appi.books.9780890425596Diagnostic and statistical manual of mental disorders https://doi.org/10.1176/appi.books.9780890425596 2013th ed.
3.
BrandtstadterJ.10.1037/0012-1649.25.1.96Personal self-regulation of development: Cross-sequential analyses of development-related control beliefs and emotionsDevelopmental Psychology https://doi.org/10.1037/0012-1649.25.1.96 2596–1081989
4.
ClarkeC.HillV.CharmanT.School based cognitive behavioural therapy targeting anxiety in children with autistic spectrum disorder: A quasi-experimental randomised controlled trail incorporating a mixed methods approachJournal of Autism and Developmental Disorders47123883–38952017
5.
Safe and sound: An educational leader's guide to evidence-based social and emotional learning (SEL) programsCollaborative for Academic, Social and Emotional Learning2003Author
6.
CompasB. E.Connor-SmithJ. K.SaltzmanH.ThomsenA. H.WadsworthM.Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research10.1037/0033-2909.127.1.87Psychological Bulletin https://dx.doi.org/10.1037/0033-2909.127.1.87 127187–1272001
7.
CompasB. E.JaserS. S.BettisA. H.WatsonK. H.GruhnM. A.DunbarJ. P.WilliamsE.ThigpenJ. C.Coping, emotion regulation, and psychopathology in childhood and adolescence: A meta-analysis and narrative reviewPsychological Bulletin1439939–9912017
8.
ConnerC. M.WhiteS. W.BeckK. B.GoltJ.SmithI. C.MazefskyC. A.Improving emotion regulation ability in autism: The Emotional Awareness and Skills Enhancement (EASE) ProgramAutism2351273–12872019
9.
Connor-SmithJ. K.CompasB. E.WadsworthM. E.ThomsenA. H.SaltzmanH.Responses to stress in adolescence: Measurement of coping and involuntary stress responsesClinical Psychology686976–9922000
10.
DavidsonR. J.BegleyS.The new science of feelingsNewsweek159946–512012
11.
DelongisA.HoltzmanS.Coping in context: The role of stress, social support, and personality in copingJournal of Personality7361633–16592005
12.
DormanJ. P.Partitioning the variance in scores on classroom environment instrumentsAustralian Journal of Educational & Developmental Psychologyhttp://www.newcastle.edu.au/group/ajedp/918–312009
13.
EisenbergN.SpinradT. L.EggumN. D.Emotion related self-regulation and its relation to children's maladjustmentAnnual Review of Clinical Psychology61495–5252010
14.
FactorR. S.SwainD. M.AntezanaL.MuskettA.GattoA. J.RadtkeS. R.ScarpaA.Teaching emotion regulation to children with autism spectrum disorder: Outcomes of the Stress and Anger Management Program (STAMP)Bulletin of the Menninger Clinic833235–2582019
15.
García-VillamisarD. A.DattiloJ.Effects of a leisure programme on quality of life and stress of individuals with ASDJournal of Intellectual Disability Research547611–6192010
16.
GarnefskiN.KraaijV.SpinhovenP.CERQ: Manual for the use of the Cognitive Emotion Regulation Questionnaire. A questionnaire for measuring cognitive coping strategies2002
GulsrudA. C.JahromiL. B.KasariC.The co-regulation of emotions between mothers and their children with autismJournal of Autism and Developmental Disorders402227–2372010
19.
HedgesL. V.Correcting a significance test for clusteringJournal of Educational and Behavioral Statistics322151–1792007
20.
HumeK.SteinbrennerJ. R.OdomS. L.MorinK. L.NowellS. W.TomaszewskiB.SzendreyS.McintyreN. S.Yücesoy-ÖzkanS.SavageM. N.Evidence-based practices for children, youth, and young adults with autism: Third generation reviewJournal of Autism and Developmental Disorders51114013–40322021
21.
KernsC. M.NewschafferC. J.BerkowitzS. J.Traumatic childhood events and autism spectrum disorderJournal of Autism and Developmental Disabilities45113475–34862015
22.
KiepM.SpekA. A.HoebenL.Mindfulness-based therapy in adults with an autism spectrum disorder: Do treatment effects last?Mindfulness63637–6442015
23.
KraaijV.GarnefskiN.The Behavioral Emotion Regulation Questionnaire: Development, psychometric properties and relationships with emotional problems and the Cognitive Emotion Regulation Questionnaire10.2147/NDT.S258806Personality and Individual Differences https://doi.org/10.2147/NDT.S258806 13756–612019
24.
LazarusR. S.Toward better research on stress and copingAmerican Psychologist556665–6732000
25.
LazarusR.FolkmanS.Stress, appraisal and copingSpringer1984
26.
LernerM. D.CalhounC. D.MikamiA. Y.De LosReyesA.Understanding parent-child social informant discrepancy in youth with high functioning autism spectrum disordersJournal of Autism and Developmental Disorders42122680–26922012
27.
MazefskyC. A.Emotion regulation and emotional distress in autism spectrum disorder: Foundations and considerations for future researchJournal of Autism and Developmental Disabilities45113405–34082015
28.
MazefskyC. A.BorueX.DayT. N.MinshewN. J.Emotion regulation patterns in adolescents with high-functioning autism spectrum disorder: Comparison to typically developing adolescents and associations with psychopathologyAutism Research73344–3542014
29.
McgillivrayJ. A.EvertH. T.Group cognitive behavioral therapy program shows potential in reducing symptoms of depression and stress among young people with ASDJournal of Autism and Developmental Disorders4482041–20512014
30.
Mcnally KeehnR. H.LincolnA. J.BrownM. Z.ChaviraD. A.The Coping Cat program for children with anxiety and autism spectrum disorder: A pilot randomized controlled trialJournal of Autism and Developmental Disorders43157–672013
31.
MylesB. S.Behavioral forms of stress management for individuals with Asperger syndromeChild and Adolescent Psychiatric Clinics121123–1412003
32.
MylesB. S.TienK.LeeH. J.ChouY.SmithS. M.McpartlandJ.KlinA.VolkmarF. R.Behavioral treatments for Asperger syndromeAsperger Syndrome: Assessing and treating high-functioning autism spectrum disordersThe Guilford Press2014nd ed.
33.
Nader-GrosboisN.MazzoneS.Emotion regulation, personality and social adjustment in children with autism spectrum disordersPsychology5151750–17672014
34.
PakenhamK. I.BursnallS.Relations between social support, appraisal and coping and both positive and negative outcomes for children of a parent with multiple sclerosis and comparisons with children of healthy parentsClinical Rehabilitation208709–7232006
35.
PrizantB. M.WetherbyA. M.RubinE.LaurentA. C.The SCERTS Model: A transactional, family-centered approach to enhancing communication and socioemotional abilities of children with autism spectrum disorder10.1097/00001163-200310000-00004Infants and Young Children https://dx.doi.org/10.1097/00001163-200310000-00004 164296–3162003
36.
ReavenJ.Blakeley-SmithA.Culhane-ShelburneK.HepburnS.Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: A randomized trialJournal of Child Psychology and Psychiatry, and Allied Disciplines534410–4192012
37.
ReichowB.VolkmarF. R.Social skills interventions for individuals with autism: Evaluation for evidence-based practices within a best evidence synthesis frameworkJournal of Autism and Developmental Disorders402149–1662010
38.
RidderinkhofA.De BruinE. I.BlomR.BögelsS. M.Mindfulness-based program for children with autism spectrum disorder and their parents: Direct and long-term improvementsMindfulness93773–7912018
39.
SamsonA. C.WellsW. M.PhillipsJ. M.HardanA. Y.GrossJ. J.Emotion regulation in autism spectrum disorder: Evidence from parent interviews and children's daily diariesJournal of Child Psychology and Psychiatry568903–9132015
40.
ScarpaA.ReyesN. M.Improving emotion regulation with CBT in young children with high functioning autism spectrum disorders: A pilot studyBehavioural and Cognitive Psychotherapy394495–5002011
41.
ShenY. E.Relationships between self-efficacy, social support and stress coping strategies in Chinese primary and secondary school teachersStress and Health252129–1382009
42.
SofronoffK.AttwoodT.HintonS.LevinI.A randomized controlled rrial of a cognitive behavioural intervention for anger management in children diagnosed with Asperger syndromeJournal of Autism and Developmental Disorders3771203–12142007
43.
Special Education Act(SEA), R.O.C.2014
44.
SpekA. A.Van HamN. C.Nyklí CekI.Mindfulness-based therapy in adults with an autism spectrum disorder: A randomized controlled trialResearch in Developmental Disabilities341246–2532013
45.
SwainD.ScarpaA.WhiteS.LaugesonE.Emotion dysregulation in adults with ASD: Does social motivation play a role?10.1007/s10803-015-2567-6Journal of Autism and Developmental Disorders https://doi.org/10.1007/s10803-015-2567-6 45123971–39772015
46.
Van De SandeM. C EFekkesM.KockenP. L.DiekstraR. F WReisR.GravesteijnC.Do universal social and emotional learning programs for secondary school students enhance the competencies they address: A systematic reviewPsychology in the Schools56101545–15672019
47.
VolkmarF. R.CarterA.GrossmanJ.KlinA.CohenD. J.VolkmarF. R.Language and communication in autismHandbook of autism and developmental disordersWiley335–3641997
48.
WeissJ. A.ThomsonK.Burnham RiosaP.AlbaumC.ChanV.MaughanA.TablonP.BlackK.A randomized waitlist-controlled trial of cognitive behavior therapy to improve emotion regulation in children with autismJournal of Child Psychology and Psychiatry, and Allied Disciplines59111180–11912018
49.
WestonL.HodgekinsJ.LangdonP. E.Effectiveness of cognitive behavioural therapy with people who have autistic spectrum disorders: A systematic review and meta-analysisClinical Psychology Review4941–542016
50.
Zimmer-GembeckM. J.SkinnerE. A.The development of coping across childhood and adolescence: An integrative review and critique of researchInternational Journal of Behavioral Development3511–172011
