Effectiveness of parent-focused interventions for improving the mental health of parents and their children with autism spectrum disorder: A systematic review and meta-analysis

IF 2.2 4区医学 Q1 EDUCATION, SPECIAL Research in Autism Spectrum Disorders Pub Date : 2024-04-03 DOI:10.1016/j.rasd.2024.102389

Si Ni Li , Wai Tong Chien , Stanley Kam Ki Lam , Zeng Yu Chen , Xing Ma

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Abstract

Background

Parenting a child with autism spectrum disorder (ASD) is a major life challenge that leads to negative emotional distress and heavy parent duties. Parent-focused interventions have recently been developed to improve parents’ psychosocial well-being in caring for their children with ASD. This study aimed to evaluate the effectiveness of parent-focused interventions on improving psychological health in parents of children with ASD, when compared with active/inactive controls, and investigate the optimal features of the effective interventions found.

Methods

Comprehensive and systematic searches of articles was conducted in PubMed, Embase, PsycINFO, CINAHL, Cochrane Central Register, ProQuest, and CNKI, from their inceptions to 31 December 2022.

Results

A total of 21 eligible randomized controlled trials (RCTs) were included. The results indicated that the parent-focused intervention group showed reduced stress (Hedge’s g=−1.26), depressive symptoms (g=−0.71), and distress (g=−0.44) in parents and problem behaviours in children (g=−0.21) and improved parentchild relationships (g=0.51) compared with the active/inactive control group post-intervention, with moderate to high certainty of evidence. Moreover, subgroup analyses revealed that mindfulness-based interventions/acceptance commitment therapy (ACT) were the optimal intervention approach for reducing parental stress and depressive symptoms. The optimal intervention duration (five to eight weeks) and target participants (involving only parents) were also identified.

Conclusion

As mindfulness-based interventions/ACT were identified as the potentially best approach, future well-designed RCTs are recommended to further examine their effects on both parents and their children with ASD and explore the factors and mechanisms of action influencing the effectiveness of these interventions.

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以家长为中心的干预措施对改善自闭症谱系障碍家长及其子女心理健康的效果：系统回顾和荟萃分析

背景养育自闭症谱系障碍（ASD）儿童是一项重大的生活挑战，会导致负面情绪困扰和沉重的家长责任。最近，人们开发了以家长为中心的干预措施，以改善家长在照顾自闭症谱系障碍儿童时的社会心理健康。本研究旨在评估与积极/不积极对照组相比，以家长为中心的干预措施对改善ASD患儿家长心理健康的有效性，并调查所发现的有效干预措施的最佳特征。结果共纳入21项符合条件的随机对照试验（RCT）。结果表明，与干预后的主动/不主动对照组相比，以家长为中心的干预组减少了家长的压力（Hedge's g=-1.26）、抑郁症状（g=-0.71）和痛苦（g=-0.44），减少了儿童的问题行为（g=-0.21），改善了亲子关系（g=0.51），证据的确定性为中到高。此外，分组分析显示，正念干预/接纳承诺疗法（ACT）是减轻父母压力和抑郁症状的最佳干预方法。结论由于正念干预/接纳承诺疗法被认为是潜在的最佳干预方法，建议今后开展设计良好的研究性试验，以进一步研究其对父母及其患有ASD的子女的影响，并探索影响这些干预有效性的因素和作用机制。

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来源期刊

Research in Autism Spectrum Disorders Multiple-

CiteScore

4.20

自引率

8.00%

发文量

108

期刊介绍： Research in Autism Spectrum Disorders (RASD) publishes high quality empirical articles and reviews that contribute to a better understanding of Autism Spectrum Disorders (ASD) at all levels of description; genetic, neurobiological, cognitive, and behavioral. The primary focus of the journal is to bridge the gap between basic research at these levels, and the practical questions and difficulties that are faced by individuals with ASD and their families, as well as carers, educators and clinicians. In addition, the journal encourages submissions on topics that remain under-researched in the field. We know shamefully little about the causes and consequences of the significant language and general intellectual impairments that characterize half of all individuals with ASD. We know even less about the challenges that women with ASD face and less still about the needs of individuals with ASD as they grow older. Medical and psychological co-morbidities and the complications they bring with them for the diagnosis and treatment of ASD represents another area of relatively little research. At RASD we are committed to promoting high-quality and rigorous research on all of these issues, and we look forward to receiving many excellent submissions.