Department of Pediatrics, General Academic Pediatrics, Saint Louis University School of Medicine, St. Louis, MO.
Saint Louis University School of Nursing, St. Louis, MO.
Fam Process. 2018 Dec;57(4):901-914. doi: 10.1111/famp.12334. Epub 2017 Dec 14.
Disruptive behaviors can be of comparable or greater concern to parents than the core symptoms of Autism Spectrum Disorder (ASD). Provision of effective interventions to address these behaviors within the first year of initial diagnosis holds great potential for improving the child's, parents', and family's functioning. We piloted a four-session, manualized, positive parenting program on 21 parents of newly diagnosed children ages 2 through 12 years using a mixed methods design. Seventy-five percent of parents completed four sessions, with 100% reporting high levels of service satisfaction. Preliminary results indicated clinically and statistically significant reductions in child maladaptive behaviors, as well as improvements in parental and family functioning. Practitioners and parents identified several potential implementation adaptations, including additional sessions to focus on ASD education and real-time parent-child interactions. Taken as a whole, these data suggest that a brief positive parenting intervention may be a feasible way to improve child, parent, and family functioning during the first year of ASD diagnosis. Findings point to the need for additional research to determine treatment efficacy and to assist with the identification of moderators and mediators of effects.
破坏性行为可能与自闭症谱系障碍(ASD)的核心症状一样或更令家长担忧。在初次诊断后的第一年,为解决这些行为提供有效的干预措施,对改善孩子、家长和家庭的功能具有巨大潜力。我们使用混合方法设计,对 21 名新诊断为 2 至 12 岁儿童的家长进行了为期四节、手册化、积极养育计划的试点。75%的家长完成了四节课程,100%的家长报告了高水平的服务满意度。初步结果表明,儿童适应不良行为在临床上和统计学上都有显著减少,父母和家庭功能也有所改善。从业者和家长确定了一些潜在的实施调整,包括增加课程,重点关注 ASD 教育和实时的亲子互动。总的来说,这些数据表明,简短的积极养育干预可能是改善 ASD 诊断后第一年孩子、家长和家庭功能的一种可行方法。研究结果表明,需要进一步研究以确定治疗效果,并协助确定效果的调节因素和中介因素。