Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06060860

Comparing Cognitive-Behavioral Therapy Versus Mindfulness-Based Therapy for Autistic Adults

Led by University of North Carolina, Chapel Hill · Updated on 2025-09-18

300

Participants Needed

2

Research Sites

160 weeks

Total Duration

On this page

Sponsors

U

University of North Carolina, Chapel Hill

Lead Sponsor

U

University of Virginia

Collaborating Sponsor

AI-Summary

What this Trial Is About

Autistic adults are at a greater risk for mental health problems compared to the general population, with 50% meeting criteria for a co-occurring psychiatric condition. Depression and anxiety are the most common of these conditions among autistic adults, contributing to long-term detrimental effects on health, day-to-day functioning, and quality of life. This study will conduct the first large-scale head-to-head comparison of the two most widely studied mental health interventions for autistic adults: cognitive-behavioral therapy (CBT) and mindfulness-based therapy (MBT). Both interventions are well-established, empirically supported treatments for depression and anxiety in the general population, and both interventions have demonstrated efficacy among autistic adults. However, their comparative effectiveness and heterogeneity of treatment effects have not been established in autistic adults. Both interventions will be delivered by telehealth.

CONDITIONS

Official Title

Comparing Cognitive-Behavioral Therapy Versus Mindfulness-Based Therapy for Autistic Adults

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • ≥18 years of age
  • Co-occurring depression and/or anxiety as determined by a total score ≥10 on the PHQ-ADS
  • Living in North Carolina or Virginia
  • Ability to participate in therapy sessions over telehealth
  • English-speaking
  • Provide proof of a professional diagnosis of autism OR meet or exceed clinical cut-off on the Social Responsiveness Scale (SRS-2) autism screening instrument
Not Eligible

You will not qualify if you...

  • Altered mental status that precludes the ability to provide informed assent or consent (acute psychosis, intoxication, or mania)
  • Imminent risk of suicide

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 27510

Actively Recruiting

2

University of Virginia

Charlottesville, Virginia, United States, 22903

Actively Recruiting

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Research Team

L

Laura Klinger, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Comparing Cognitive-Behavioral Therapy Versus Mindfulness-Based Therapy for Autistic Adults | DecenTrialz