Autistic Adults' Experiences of Cognitive-Behavioural Group Therapy for Social Anxiety: Relational Experiences of Participation

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Bibliographic Details
Title: Autistic Adults' Experiences of Cognitive-Behavioural Group Therapy for Social Anxiety: Relational Experiences of Participation
Language: English
Authors: Bruna B. Roisenberg (ORCID 0000-0002-9453-9474), Kelsie A. Boulton (ORCID 0000-0002-9408-7367), Emma E. Thomas, Nina Perry (ORCID 0009-0004-7278-2563), Dorothy Yu, Adam J. Guastella (ORCID 0000-0001-8178-4625)
Source: Autism: The International Journal of Research and Practice. 2026 30(1):197-212.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 16
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Descriptors: Autism Spectrum Disorders, Adults, Cognitive Restructuring, Behavior Modification, Group Therapy, Anxiety, Program Effectiveness, Peer Relationship, Self Esteem, Group Dynamics, Mental Health, Interpersonal Competence, Barriers
Assessment and Survey Identifiers: Autism Diagnostic Observation Schedule
DOI: 10.1177/13623613251377930
ISSN: 1362-3613
1461-7005
Abstract: Autistic adults often report high levels of social anxiety and significant life impacts from this anxiety on well-being and functioning. Although cognitive-behavioural therapy in group settings has been adapted for autistic populations, there is a paucity of research exploring how autistic individuals experience CBT interventions. This qualitative study investigated autistic adults' experiences of a modified cognitive-behavioural therapy group programme for social anxiety. Twenty-seven autistic participants were recruited through clinical services and community outreach. Following the intervention, participants completed semi-structured individual interviews about their experience of the programme. Participants reported both therapeutic benefits and challenges following their participation. Themes included reflections on group dynamics, mental health impacts, social functioning and daily life applications of strategies. Peer connection emerged as a core facilitator of engagement, while structured strategies were credited with bolstering social confidence and self-awareness. However, challenges, such as sensory sensitivities, the role of previous therapeutic experiences and difficulties applying strategies beyond the therapy context, were also highlighted.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1494102
Database: ERIC
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Abstract:Autistic adults often report high levels of social anxiety and significant life impacts from this anxiety on well-being and functioning. Although cognitive-behavioural therapy in group settings has been adapted for autistic populations, there is a paucity of research exploring how autistic individuals experience CBT interventions. This qualitative study investigated autistic adults' experiences of a modified cognitive-behavioural therapy group programme for social anxiety. Twenty-seven autistic participants were recruited through clinical services and community outreach. Following the intervention, participants completed semi-structured individual interviews about their experience of the programme. Participants reported both therapeutic benefits and challenges following their participation. Themes included reflections on group dynamics, mental health impacts, social functioning and daily life applications of strategies. Peer connection emerged as a core facilitator of engagement, while structured strategies were credited with bolstering social confidence and self-awareness. However, challenges, such as sensory sensitivities, the role of previous therapeutic experiences and difficulties applying strategies beyond the therapy context, were also highlighted.
ISSN:1362-3613
1461-7005
DOI:10.1177/13623613251377930