自闭症谱系障碍儿童护理人员的跨诊断预防支持小组:一个案例

IF 0.8 4区 心理学 Q4 PSYCHIATRY Clinical Case Studies Pub Date : 2023-08-24 DOI:10.1177/15346501231198889
Aileen Kangavary, Elizabeth R Halliday, J. Durocher, Jill Ehrenreich-May
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引用次数: 0

摘要

自闭症谱系障碍(ASD)儿童的照顾者比正常儿童的照顾者经历更多的压力、焦虑和抑郁。照顾者所经历的高水平的压力和普遍的情绪障碍可能会对他们有效管理孩子复杂的情绪和行为需求的能力和信心产生负面影响。鉴于这些需求,自闭症儿童的照顾者需要额外的支持来改善他们的心理健康和育儿自我效能感。虽然针对患有自闭症的儿童和青少年的支持计划和治疗很多,但在COVID-19大流行期间专门针对照顾者情感健康的预防计划却很有限。在这篇案例论文中,我们描述了父母赋权的应对方案(COPE),这是一个针对父母的预防项目,改编自大流行期间制定的《成人、儿童和青少年情绪障碍跨诊断治疗统一方案》。为了减轻照顾者在大流行期间和之后面临的压力,包括照顾责任增加和经济困难,COPE项目通过四次简短的远程保健小组会议,针对父母的焦虑和抑郁,为患有自闭症谱系障碍的学龄儿童的照顾者提供免费服务。在这个案例中,完成这个项目后,焦虑和抑郁有所减少,父母自我效能感有所提高。描述了家长报告的干预可行性和内容的关键见解。研究结果表明,干预措施消除了在大流行期间和之后自闭症儿童护理人员中常见的一些治疗障碍,并且可以修改该计划以提高参与度和可接受性。
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A Transdiagnostic Prevention Support Group for Caregivers of Children With Autism Spectrum Disorder: A Case Example
Caregivers of children with autism spectrum disorder (ASD) experience increased levels of stress, anxiety, and depression compared to caregivers of neurotypical children. The high levels of stress and the prevalence of emotional disorders experienced by caregivers may negatively impact their capacity and confidence to effectively manage their child’s complex emotional and behavioral needs. Given these demands, caregivers of children with ASD require additional support to improve their psychological well-being and parenting self-efficacy. While support programs and treatments for children and adolescents with ASD are abundant, prevention programs that specifically targeted the emotional well-being of caregivers during the COVID-19 pandemic were limited. In this case paper, we describe Coping Options for Parent Empowerment (COPE), a prevention program for parents adapted from the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Adults, Children, and Adolescents developed during the pandemic. To alleviate the stressors faced by caregivers during the pandemic and beyond, including increased caregiving responsibilities and financial difficulties, Project COPE targeted parent anxiety and depression through four brief, telehealth group sessions provided free of cost for caregivers of school-age children with ASD. In the case example presented, decreases in anxiety and depression, and increases in parent self-efficacy were reported after completing this program. Key insights about the intervention’s feasibility and content reported by parents are described. Findings suggest that the intervention removes some treatment access barriers typically seen in caregivers of children with ASD during and following the pandemic and that the program can be modified to increase engagement and acceptability.
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来源期刊
CiteScore
1.80
自引率
20.00%
发文量
36
期刊介绍: Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.
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