Coherence of Parental Representations Following Therapy for Autistic Children.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Journal of Autism and Developmental Disorders Pub Date : 2025-03-01 Epub Date: 2024-01-28 DOI:10.1007/s10803-024-06252-2
Nisha Vashi, Alaa Ibrahim, Ava Pouyandeh, Jonathan A Weiss
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Abstract

Autistic children experience high rates of mental health challenges, and links have been found between child mental health and the parent-child relationship. As parents of autistic children are often actively involved in their child's treatment, it is important to consider aspects of the parent-child relationship within this context. The present study investigated changes in a component of the parent-child relationship, the coherence of parental representations, following participation in a 10-week cognitive behavioural therapy intervention designed to address autistic children's mental health challenges. Relationships were examined between coherence and child characteristics (i.e., autism symptoms, mental health), and associations with child treatment outcomes (i.e., mental health). Participants included 81 children (89% boys) aged 8 to 13 years and their parents (85% mothers) aged 35 to 54 years. Baseline levels of coherence were related to children's mental health symptoms but not autism symptoms. Although there were no significant changes in overall coherence across therapy, subscale-level improvements (i.e., concern, acceptance) emerged. Changes in coherence across therapy were linked with children's post-intervention behavioural symptoms and were approaching significance for internalizing problems, but were not associated with externalizing problems. It is critical to investigate factors that shape the coherence of parents' representations of their children, as this may provide insight into potential targets for intervention. Ascertaining whether participation in therapy improves parental coherence, and consequently child treatment outcomes, can advocate for parent-involved therapy, which will ultimately benefit the well-being of autistic children.

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自闭症儿童治疗后父母表述的一致性。
自闭症儿童在心理健康方面面临挑战的比例很高,研究发现儿童心理健康与亲子关系之间存在联系。由于自闭症儿童的父母通常会积极参与孩子的治疗,因此在此背景下考虑亲子关系的各个方面就显得尤为重要。本研究调查了自闭症儿童参加为期 10 周的认知行为疗法干预后,亲子关系的一个组成部分--父母表征的一致性--发生的变化,该干预旨在应对自闭症儿童的心理健康挑战。研究考察了一致性与儿童特征(即自闭症症状、心理健康)之间的关系,以及与儿童治疗结果(即心理健康)之间的关联。参与者包括 81 名 8 至 13 岁的儿童(89% 为男孩)和他们的父母(85% 为母亲),年龄在 35 至 54 岁之间。基线一致性水平与儿童的心理健康症状有关,但与自闭症症状无关。虽然在整个治疗过程中,整体连贯性没有明显变化,但出现了子量表级别的改善(即关注、接受)。治疗过程中一致性的变化与儿童干预后的行为症状有关,对内化问题的影响接近显著,但与外化问题无关。调查形成父母对子女表征一致性的因素至关重要,因为这可能为潜在的干预目标提供洞察力。确定参与治疗是否能改善父母的一致性,进而改善儿童的治疗结果,可以倡导父母参与治疗,这将最终有利于自闭症儿童的福祉。
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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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