Effects on parental mental health of an education and skills training program for parents of young children with autism: A randomized controlled trial
Effects on parental mental health of an education and skills training program for parents of young children with autism: A randomized controlled trial
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DOI：
10.1097/01.chi.0000205701.48324.26
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发表时间：
2006-05-01
影响因子：
13.3
通讯作者：
Rinehart, N
中科院分区：
文献类型：
--
作者：
Tonge, B;Brereton, A;Rinehart, N
目的：确定父母教育和行为管理干预（PEBM）对学龄前自闭症儿童父母心理健康和适应的影响。方法：一个随机的，组比较设计，包括家长教育和咨询干预，以控制非特异性治疗师的影响和控制样本。两个大城市和两个农村地区被随机分配到干预组（n = 70）或对照组（n = 35）。然后将干预地区自闭症评估服务中连续自闭症儿童（2（1）/（2）-5岁）的父母随机分配到20周基于手册的父母教育和行为管理干预（n = 35）或基于手册的父母教育和咨询干预（n = 35）。父母心理健康的主要结果测量是在干预前后和6个月随访时使用的一般健康问卷。结果如下：两种治疗均导致随访时整体心理健康状况的显著和渐进性改善（F = 2，97，p = .007），54%的精神健康问题水平最高的主要照顾者的心理健康状况随时间显著改善。在6个月的随访中，父母教育和行为管理干预在缓解焦虑、失眠、躯体症状和家庭功能障碍方面比父母教育和咨询有效。结论：一个为期20周的家长教育和技能培训计划，为新诊断患有自闭症的幼儿的父母提供显着改善父母的心理健康和调整，证明其除了早期干预计划，至少对有心理健康问题的父母。
Objective: To determine the impact of a parent education and behavior management intervention (PEBM) on the mental health and adjustment of parents with preschool children with autism. Method: A randomized, group-comparison design involving a parent education and counseling intervention to control for nonspecific therapist effects and a control sample was used. Two metropolitan and two rural regions were randomly allocated to intervention groups (n = 70) or control (n = 35). The parents of consecutive children with autism (2(1)/(2)-5 years old) from the autism assessment services for the intervention regions were then randomly allocated to either a 20-week manual-based parent education and behavior management intervention (n = 35) or a manual-based parent education and counseling intervention (n = 35). The main outcome measure of parental mental health was the General Health Questionnaire used pre- and postintervention and at 6-month follow-up. Results: Both treatments resulted in significant and progressive improvement in overall mental health at follow-up (F = 2, 97, p = .007) and mental health significantly improved over time in the 54% of principal caregivers who had the highest levels of mental health problems. The parent education and behavior management intervention was effective in alleviating a greater percentage of anxiety, insomnia, and somatic symptoms and family dysfunction than parent education and counseling at 6-month follow-up. Conclusions: A 20-week parent education and skills training program for parents of young children newly diagnosed with autism provides significant improvements in parental mental health and adjustment, justifying its addition to early intervention programs at least for parents with mental health problems.