Parent Education for Young Children With Autism and Disruptive Behavior: Response to Active Control Treatment.
Parent Education for Young Children With Autism and Disruptive Behavior: Response to Active Control Treatment.
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DOI：
10.1080/15374416.2017.1381913
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Scahill L
中科院分区：
文献类型：
--
作者：
Bradshaw J;Bearss K;McCracken C;Smith T;Johnson C;Lecavalier L;Swiezy N;Scahill L
本研究通过一项父母培训的随机临床试验，对180名自闭症谱系障碍（ASD）患儿进行为期6个月的父母培训（PT）和父母教育计划（PEP），调查了对父母教育计划有积极反应的ASD患儿的父母和子女特征。使用临床总体印象-改善量表，设盲的独立评估者对PT组68.5%的儿童和PEP组39.6%的儿童进行了阳性反应评分。我们比较了对PEP（PEP-R）和对PEP（PEP-NR）没有积极反应的参与者的基线特征和父母压力，应变，能力和心理健康的变化。我们还比较了PEP-R参与者与那些对PT（PT-R）呈阳性反应的参与者在基线时儿童和父母测量值的变化，PEP-R和PEP-NR参与者在任何人口统计学或临床特征上没有差异。PEP-R中的父母报告了父母压力指数、照顾者压力问卷和父母健康问卷的显著降低，以及父母能力感量表的增加。PEP-R参与者在儿童破坏性行为和父母压力、紧张、能力和心理健康方面的改善与PT-R参与者相似。PEP是一种积极的对照治疗，近40%的参与者显示出积极的反应。儿童破坏性行为的变化和父母的压力，应变，能力，和心理健康是非常相似的参与者独立评定与积极响应PEP和PT。
This study examines parent and child characteristics in young children with autism spectrum disorder (ASD) and disruptive behavior who showed a positive response to aparent education programin a randomized clinical trial of parent training Children with ASD (N=180) were randomized to parent training (PT) orparent education program (PEP) for six months. Using the Clinical Global Impression – Improvement scale, masked independent evaluators rated positive response in 68.5% of children in PT compared to 39.6% in PEP. We compared baseline characteristics and change in parental stress, strain, competence, and mental health for participants who showed a positive response to PEP (PEP-R) to those who did not (PEP-NR). We also compared change in child and parent measuresfor PEP-R participants to those who showed a positive response to PT (PT-R) Atbaseline,PEP-R and PEP-NR participants did not differ on any demographic or clinical characteristics. Parents in PEP-R reported significant reductions on the Parenting Stress Index, Caregiver Strain Questionnaire, and Parent Health Questionnaire, and increases on theParentingSense of Competencescale. Improvements in child disruptive behavior and parentalstress, strain, competence and mental health for PEP-R participants were similar to PT-R participants.Vineland Daily Living Skills improved only for children in PT-R. PEP was an active control treatment with nearly 40% of participantsshowing a positive response. Change in child disruptive behavior and parentalstress, strain, competence, and mental health were remarkably similar for participants independently rated with a positive response to PEP and PT.
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影响因子：
--
作者：
King, Bryan H.;Hollander, Eric;Sikich, Linmarie;McCracken, James T.;Scahill, Lawrence;Bregman, Joel D.;Donnelly, Craig L.;Anagnostou, Evdokia;Dukes, Kimberly;Sullivan, Lisa;Hirtz, Deborah;Wagner, Ann;Ritz, Louise
通讯作者：
Ritz, Louise
影响因子：
5.9
作者：
Beauchaine, TP;Webster-Stratton, C;Reid, MJ
通讯作者：
Reid, MJ
影响因子：
1.7
作者：
Estes, Annette;Olson, Erin;Munson, Jeffrey
通讯作者：
Munson, Jeffrey
DOI：
10.1207/s15374424jccp1802_8
发表时间：
1989-06-01
期刊：
JOURNAL OF CLINICAL CHILD PSYCHOLOGY
影响因子：
--
作者：
JOHNSTON, C;MASH, EJ
通讯作者：
MASH, EJ
DOI：
10.1111/j.1365-2788.2008.01065.x
发表时间：
2008-10-01
影响因子：
3.6
作者：
Hartley, S. L.;Sikora, D. M.;Mccoy, R.
通讯作者：
Mccoy, R.