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Secret Agent Society: Operation Regulation

What’s this project about?

Research indicates that it is common for autistic youth to struggle with emotional problems. These youth often experience co-occurring anxiety, depression, or anger because of difficulties in regulating their emotions. The Secret Agent Society program (developed by Dr. Renae Beaumont) is a cognitive behavioral social skills group that is effective in improving the emotional understanding and social skills of autistic children. To further build on the Secret Agent Society program, an adaptation coined as Operation Regulation aims to use a variety of activities and tools to help autistic youth cope with their emotions and handle the day-to-day stressors in their lives. We collaborated with the creator of the Secret Agent Society, Dr. Renae Beaumont of The Social Skills Training Institute on this project.

How did we go about doing this project?

The program involved 10 weekly 1-hour visits to York University, where the youth and a parent met with a therapist for one-on-one therapy. There was no cost for the therapy. During those sessions, the youth got to do an assortment of activities and play games – computer games, problem-solving tasks, role-playing, and working with the therapist and parent. They also got some brief at home tasks to help them generalize what they were learning. The focus of all of these activities was to help build their emotion regulation skills.

This was a research project to see if our intervention can be helpful. Youth and their parents came to York University for two assessment sessions before they started the intervention (one for a face to face screening and the other for an in-depth assessment of emotion regulation skills), and two assessment sessions after they enrolled in the intervention. The assessments included filling out questionnaires (some online), completing some computer tasks, and participating in some short interviews.

Who was involved?

We were looking for children between 8 and 12 years of age with a formal diagnosis of autism. Children needed to have at least average language skills and be interested in working on emotions with a therapist.

What will we do with our research findings?

The results of this study will provide us with an understanding of emotion regulation processes for autistic people, and help us to improve the intervention. Results of this study may also lead to a reduction of youth’s levels of negative emotions and improvement in youth's abilities to control their emotions. We will write an article summarizing our findings to submit to an academic journal, present the results at national and international conferences, and create a brief summary of our findings to post on this website.

What is the next step?

We completed our recruitment in December 2016 with a total of 69 autistic youth between 8-12 years of age over 3 years.

Data analysis and dissemination is currently underway.

Results

Tajik-Parvinchi, D.J., Farmus, L., Cribbie, R., Albaum, C., & Weiss, J. A. (Online First). Clinical and Parental Predictors of Emotion Regulation Following Cognitive Behaviour Therapy in Children with Autism. Autism. https://doi.org/10.1177/1362361320909178

Albaum, C., Tablon, P., Roudbarani, F., & Weiss, J. A. (2020). Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism. Autism, 24(1), 211-220. doi: 10.1177/1362361319849985

Weiss, J. A., Thomson, K., Burnham Riosa, P., Albaum, C., Chan, V., Maughan, A., Tablon, P., & Black, K. (2018). A randomized waitlist controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism. Journal of Child Psychology and Psychiatry, 59(11), 1180-1191. doi: 10.1111/jcpp.12915

Maughan, A. & Weiss., J. A. (2017). Parental outcomes following participation in cognitive behavioural therapy for children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(10), 3166-3179. doi: 10.1007/s10803-017-3224-z

Ting, V., & Weiss, J. A. (2017). Emotion regulation and parent co-regulation in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(3), 680-689. doi: 10.1007/s10803-016-3009-9

Thomson, K., Burnham-Riosa, P., & Weiss, J. A. (2015). Brief Report of preliminary outcomes of an emotion regulation intervention for children with autism spectrum disorder: the Secret Agent Society: Operation Regulation. Journal of Autism and Developmental Disorders, 45(11), 3487-3495.

Featured in The National Elf Service, May 9, 2018: CBT may help to improve emotion regulation in children with autism.

Featured in Kids Brain Health News & Events, April 25, 2018: Study Shows Cognitive Behavioural Therapy Can Improve Emotion Regulation in Children with Autism.

Featured in the Science Daily, April 24, 2018: Cognitive behavioral therapy can improve emotion regulation in children with autism.

Featured in United Press International, Health News, April 24, 2018: Cognitive behavioral therapy helps control autistic kids’ emotions, study says.

Featured in the York Media Relations, April 24, 2018: Study shows cognitive behavioural therapy can improve emotion regulation in children with autism.

Featured in DoctorsLounge, August 10, 2017: Therapy for Kids with Autism Pays Off for Moms, Dads.

Featured in PsychCentral, August 2, 2017: CBT Can Benefit Both Autistic Children and Parents.

Featured in Hindustan Times, August 2, 2017: Therapy for parents of autistic children helps them handle emotions better.

Featured in CTV News (Toronto, Winnipeg, Windsor and Northern Ontario), August 2, 2017: Cognitive behavioural therapy helps autistic kids.

Featured in ScienceDaily, August 2, 2017: Effects of cognitive behavior therapy on parents of children with autism.

Featured in Conduct Disorders, August 1, 2017: Effects of cognitive behavior therapy on parents of children with autism.

Featured in Medicalxpress, August 1, 2017: Research identifies effects of cognitive behavior therapy on parents of children with autism.

Featured in Y-File, York University’s News Source, and York University Faculty of Health Blog, August 1, 2017: York U research identifies effects of cognitive behaviour therapy on parents of children with autism.

Featured in Huffington Post - The Blog, November 01, 2016: Cognitive behaviour therapy and mindfulness can help kids with autism.

Weiss, J. A. (2017, October). The state of autism research in Canada. Invited presentation at the Senate of Canada roundtable on autism. Ottawa, ON.

Weiss, J. A. (2017, June). Mental health outcomes for children with autism spectrum disorder: Addressing problems and promoting thriving. Keynote Speaker at the 2017 Owerko Centre Conference, Calgary, AB.

Weiss, J. A. (2017, April). ASD Research Chair Stakeholder Update: Annual Report. Presented at the Canadian Autism Spectrum Disorders National Leadership Summit, Ottawa, ON.

Weiss, J. A. (2017, February). Cognitive behaviour therapy to address emotion regulation in children with autism. Presented at the Psychology Rounds at the Montreal Children’s Hospital, Montreal, QC.

Weiss, J. A. (2016, November). Emotion Regulation Interventions for Youth/Teens with ASD. Presented at the Geneva Centre for Autism International Symposium, Toronto, ON.

Weiss, J. A. (2016, October). Mindfulness and Cognitive Behavioral Approaches for Youth and Adults with Autism Spectrum Disorder. Invited Presentation at the JFK Partners 4th Annual Autism Spectrum Disorder Conference, Aurora, USA.

Weiss, J., (2016, July). Mental Health Problems in Youth with Developmental Disabilities. Presented at the Canadian Association of Paediatric Health Centres (CAPHC) Presents! Webinar Series.

Weiss, J. A. (2016, April). Chair in ASD Treatment and Care Research Update. Presented at the Canadian Autism Spectrum Disorders National Leadership Summit, Ottawa, ON.

Weiss, J. A. (2016, April). Cognitive behaviour therapy for emotion regulation in youth with ASD. Presented at the University of Warwick Autism CBT Workshop, Coventry, United Kingdom.

Weiss, J. A. (2014, April). The Chair in Autism Spectrum Disorders Treatment and Care Research. Presented at World Autism Awareness Day on the Hill, Ottawa, ON.

Albaum, C. A., & Weiss, J. A. (2019, May). Emotion regulation and therapeutic alliance in cognitive behaviour therapy for children with autism. Workshop presented at the International Society for Autism Research (INSAR) 2019 Pre-Conference Meeting, Montreal, QC.

Burnham Riosa, P., Khan, M., & Weiss, J. A. (2019, May). The role of parent therapeutic alliance in cognitive behaviour therapy for children with autism. Panel presented at the International Society for Autism Research (INSAR) 2019 Annual Meeting, Montreal, QC.

Roudbarani, F., Albaum, C., & Weiss, J. A. (2019, May). Comparison of therapeutic alliance across informants: Therapist versus independent-observer ratings. Poster presented at the International Society for Autism Research (INSAR) 2019 Annual Meeting, Montreal, QC.

Tablon, P., Lake, J. K., Chan, V., & Weiss, J. A. (2018, June). Parent factors related to observed emotion regulation in children with autism spectrum disorder. Poster presented at the International Congress of Applied Psychology (ICAP), Montreal, QC.

Maughan, A. & Weiss, J. A. (2018, May). A qualitative analysis of psychology strengths in parents of children with autism using the Five-Minute Speech Sample. Poster presented at the International Society for Autism Research (INSAR), Rotterdam, NL.

Lake, J. K., Tablon, P., Chan, V., & Weiss, J. A. (2018, May). Measuring emotion regulation in children with autism: A novel observational tool. Poster presented at the International Society for Autism Research (INSAR), Rotterdam, NL.

Weiss, J. A., Thomson, K., Burnham Riosa, P., Albaum, C., Chan, V., Maughan, A., Tablon, P., & Black, K. (2018, May). A randomized waitlist controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism. Poster presented at the International Society for Autism Research (INSAR), Rotterdam, NL.

Weiss, J. A. (2018, April). The Chair in Autism Spectrum Disorders Treatment and Care Research. Poster to be presented at the 2018 Canadian Autism Leadership Summit, Ottawa, ON.

Weiss, J. A., Thomson, K., Burnham Riosa, P., Albaum, C., Chan, V., Maughan, A., Tablon, P., & Black, K. (2018, April). Cognitive Behaviour Therapy to Improve Emotion Regulation and Reduce Psychopathology in Children with Autism: Secret Agent Society Operation Regulation. Symposium to be presented at the 51st Annual Gatlinburg Conference, San Diego, CA.

Albaum, C., Tablon, P., Roudbarani, F., & Weiss, J. A. (2018, April). Therapeutic Alliance in Cognitive Behaviour Therapy for Children with Autism: Predictors and Relation to Treatment Outcome. Poster presented at the 51st Annual Gatlinburg Conference, San Diego, CA.

Tablon, P., Lake, J. K., Chan, V., & Weiss, J. A. (2017, November). Validation of an observational measure to assess emotion regulation in children with an autism spectrum disorder. Poster presented at the 2017 Brain-Child-Partners Conference, Toronto, ON.

Black, K., & Weiss, J. A. (2017, August). Mindfulness in children with ASD. Paper presented at the 2017 American Psychological Association’s 125th Annual Convention, Washington, DC.

Albaum, C. S., Roudbarani, F., Tablon, P., & Weiss, J. A. (2017, June). Correlates of common therapeutic process factors in children with autism involved in cognitive behaviour therapy. Poster presented at the 2017 Canadian Psychological Association’s 78th Annual Convention, Toronto, ON.

Albaum, C. S., & Weiss, J. A. (2017, May). Parent and child factors related to homework completion in cognitive-behavior therapy for children with ASD. Poster presented at the 2017 International Meeting for Autism Research, San Francisco, CA.

Chan, V., & Weiss, J. A. (2017, May). Predictors of parent scaffolding in children with autism spectrum disorder. Poster presented at the 2017 International Meeting for Autism Research, San Francisco, CA.

Maughan, A. L., Chan, V., & Weiss, J. A. (2017, May). Therapy satisfaction as a predictor of parent improvement following cognitive behavioral therapy for children with autism spectrum disorder. Poster presented at the 2017 International Meeting for Autism Research, San Francisco, CA.

Weiss, J. A., & Albaum, C. (2017, April). Randomized controlled trial of cognitive behaviour therapy to address emotion regulation in children with autism. Poster presented at the Ontario Association on Developmental Disabilities (OADD) – Research Special Interest Group (RSIG) Conference, Niagara Falls, ON.

Black, K. R., Martini, J., Tablon, P., & Weiss, J. A. (2017, April). The Helpfulness of Mindfulness Practice in Children with Autism. Poster presented at the Ontario Association on Developmental Disabilities (OADD) – Research Special Interest Group (RSIG) Conference, Niagara Falls, ON.

Albaum, C., & Weiss, J. A. (2017, April). Common therapeutic process factors in cognitive behaviour therapy for children with autism spectrum disorder.  Presented at the Ontario Association on Developmental Disabilities (OADD) – Research Special Interest Group (RSIG) Conference, Niagara Falls, ON.

Hassan, M., Thomson, K., Khan, M., Burnham Riosa, P., & Weiss, J. (2016, May). An evaluation of behavioural skills training for teaching graduate student therapists to provide evidence-based treatment to children with Autism Spectrum Disorder. 42nd Annual Conference for the Association for Behavior Analysis International, Chicago, IL.

Weiss, J. A., Burnham Riosa, P., & Albaum, C. S. (2016, May). Preliminary Results of an Emotion Regulation RCT for Children with Autism Spectrum Disorder. Poster presented at the International Meeting for Autism Research (IMFAR) 2016, Baltimore, MD.

Burnham Riosa, P., & Weiss, J. A. (2016, May). Evaluation of the client-therapist relationship in an emotion regulation intervention for children with autism spectrum disorder. Poster presented at the International Meeting for Autism Research (IMFAR) 2016, Baltimore, MD.

Albaum, C. S., Burnham Riosa, P., & Weiss., J. A. (2016, May). Correlates of Autism Symptom Severity and Social-Emotional Cognition among Children with High Functioning Autism Spectrum Disorder. Poster presented at the International Meeting for Autism Research (IMFAR) 2016, Baltimore, MD.

Hassan, M., Thomson, K., Khan, M., Burnham Riosa, P., & Weiss, J. (2016, April). Follow-up assessment of an evaluation of behavioural skills training for teaching graduate student therapists to provide evidence-based treatment to children with Autism Spectrum Disorder. Poster presented at the Ontario Association on Developmental Disabilities (OADD) – Research Special Interest Group (RSIG) Conference, London, ON.

Ting, V., & Weiss, J. A. (2016, April). Emotion regulation in children with autism spectrum disorder: The role of parent co-regulation and scaffolding. Poster presented at the Ontario Association on Developmental Disabilities (OADD) – Research Special Interest Group (RSIG) Conference, London, ON.

Ting, V., Albaum, C., Burnham Riosa, P., Goodwin, A., Maughan, A., & Weiss, J. A. (2016, March). Emotion regulation in children with autism spectrum disorder: The role of parent co-regulation and scaffolding. Poster presented at the 49th Annual Gatlinburg Conference on Research and Theory in Intellectual and Developmental Disability, San Diego, CA.

Maughan, A., Albaum, C., & Weiss, J. A. (2016, March). Parent-child relational outcomes following participation in cognitive behavioural therapy for children with autism spectrum disorder. Poster presented at the 49th Annual Gatlinburg Conference on Research and Theory in Intellectual and Developmental Disability, San Diego, CA.

Maughan, A., Burnham Riosa, P., Albaum, C., Ting, V., & Weiss, J. A. (2016, March). Parent mental health following participation in cognitive behavioural therapy for children with autism spectrum disorder. Paper presented at the 49th Annual Gatlinburg Conference on Research and Theory in Intellectual and Developmental Disability, San Diego, CA.

Albaum, C., Ting, V., & Weiss, J. (2015, October). Exploring the implications of parental expressed emotion on emotion regulation in children with Autism Spectrum Disorder. Poster presented at Health and Wellbeing in Developmental Disabilities Conference, Toronto, ON.

Ignatova, E., Albaum, C., & Weiss, J. A. (2015, June). Parental expressed emotion, verbal self-regulation and problem behaviour in children with Autism Spectrum Disorder. Poster presented at the Canadian Psychological Association 76th Annual Convention, Ottawa, ON.

Burnham Riosa, P., Thomson, K., Khan, M., & Weiss, J. A. (2015, May). Operationalizing the Therapeutic Relationship? Behavioral Measurement of Therapeutic Alliance in an Intervention for Children with Autism Spectrum Disorder. Poster presented at the 41st Annual Conference for the Association for Behavior Analysis International, San Antonio, TX.

Burnham Riosa, P., Khan, M., Thomson, K., & Weiss, J. A. (2015, May). Examining Therapeutic Alliance in an Emotion Regulation Intervention for Children with Autism Spectrum Disorder. Poster presented at the International Meeting for Autism Research (IMFAR) 2015, Salt Lake City, UT.

Thomson, K., Burnham Riosa, P., & Weiss, J. A. (2015, May). Preliminary outcomes of an emotion regulation intervention for children with autism spectrum disorder: the Secret Agent Society: Operation Regulation.Poster presented at the International Meeting for Autism Research (IMFAR) 2015, Salt Lake City, UT.

Thomson, K., Burnham Riosa, P., & Weiss, J. A. (2015, April). Initial Outcomes of an Emotion Regulation Intervention for Children with Autism Spectrum Disorder. Poster presented at the Ontario Association on Developmental Disabilities (OADD) – Research Special Interest Group (RSIG) Conference, Thorold, ON.

Want to know more about this project?

For more information, please feel free to contact Dr. Jonathan Weiss, Principal Investigator on the study, at jonweiss@yorku.ca.


This project is supported by the Chair in Autism Treatment and Care Research.