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Effects of remote support courses on parental mental health and child development in autism:A randomized controlled trial

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World Journal of Psychiatry 2024年第12期14卷 1892-1904页

作者： Jia-Hui Lu Hua Wei Yu Zhang Fan Fei Hai-Yan Huang Qiu-Jun Dong Jing Chen Dong-Qin Ao Li Chen Ting-Yu Li Yan Li Ying Dai Growth Development and Mental Health Center of Children and AdolescentsChildren’s Hospital of Chongqing Medical UniversityChongqing Key Laboratory of Child Neurodevelopment and Cognitive DisordersNational Clinical Research Center for Child Health and DisordersMinistry of Education Key Laboratory of Child Development and DisordersChongqing 401146China

BACKGROUND Sustaining the mental health of autistic children’s parents can be *** To determine the effect of remote support courses on the mental health of parents and the development of autistic *** Parents of 140 autistic children were randomly assigned to two groups receiving a 2-week intervention:The control group received caregiver-mediated intervention(CMI);the experimental group received CMI with remote family psychological support courses(R-FPSC).The Parenting Stress Index-Short Form,Parenting Sense of Competence Scale,Generalized Anxiety Disorder-7,and Patient Health Questionnaire-9 were used to measure parents’mental *** Childhood Autism Rating Scale and Gesell Developmental Schedules were used to evaluate children’s *** Improved parenting stress,sense of competence,depression,and anxiety were found in both groups,but improvements in parenting stress(81.10±19.76 vs 92.10±19.26,P<0.01)and sense of competence(68.83±11.23 vs 63.91±10.86,P<0.01)were greater in the experimental group,although the experimental group showed no significant reduction in depression or ***’s development did not differ significantly between the groups at follow-up;however,experimental group parents exhibited a short-term increase in training enthusiasm(12.78±3.16 vs 11.57±3.15,P<0.05).CONCLUSION Integrating R-FPSC with CMI may be effective in reducing parenting stress,enhancing parents’sense of competence,and increasing parents'training enthusiasm.

关键词： Autism spectrum disorder Parenting stress Parenting sense of competence Caregiver-mediated intervention family psychological intervention

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