Ridderinkhof Anna, de Bruin Esther I, Blom René, Bögels Susan M
1Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands.
Karakter, Child and Adolescent Psychiatric Center, Dr. E. Schattenkerkweg 1, 8025 BW Zwolle, The Netherlands.
Mindfulness (N Y). 2018;9(3):773-791. doi: 10.1007/s12671-017-0815-x. Epub 2017 Oct 6.
A combined mindfulness-based program for children and their parents (MYmind) was beneficial for adolescents with autism spectrum disorder (ASD). In this study, we investigated whether this program is also beneficial for younger children with ASD, whether effects last on the long-term, and whether it reduces common comorbid problems. Forty-five children referred with ASD aged 8 until 19 years old, and their parents participated. Repeated measures of children's and parents' social communication problems, emotional and behavioral functioning, mindful awareness, and of parenting were conducted pre-intervention, post intervention, 2-month follow-up, and 1-year follow-up. While children did not report significant changes in mindful awareness, their social communication problems decreased, and their emotional and behavioral functioning improved. Results were not consistent at each occasion; improvements reported by children were most substantial at a 2-month follow-up and only partly remained at a 1-year follow-up, while all children's improvements as reported by parents were present on all occasions. Parents themselves reported improved emotional and behavioral functioning, improved parenting, and increased mindful awareness on all occasions. Parents' social communication problems reduced only directly after the intervention. Most improvements were supported by the qualitative investigation of children's and parents' experienced change as reported on open-ended questions. This study suggests that children, including adolescents, with ASD and their parents can benefit from a mindfulness-based program with parallel sessions for children and parents.
一项针对儿童及其父母的综合正念项目(MYmind)对患有自闭症谱系障碍(ASD)的青少年有益。在本研究中,我们调查了该项目对年龄较小的ASD儿童是否也有益,其效果是否能长期持续,以及它是否能减少常见的共病问题。45名年龄在8至19岁之间被转诊的ASD儿童及其父母参与了研究。在干预前、干预后、2个月随访和1年随访时,对儿童和父母的社交沟通问题、情绪和行为功能、正念意识以及养育方式进行了重复测量。虽然儿童在正念意识方面未报告显著变化,但他们的社交沟通问题有所减少,情绪和行为功能得到改善。每次的结果并不一致;儿童报告的改善在2个月随访时最为显著,在1年随访时仅部分保留,而父母报告的所有儿童的改善在所有时间点都存在。父母自身报告在所有时间点情绪和行为功能均有所改善、养育方式得到改善且正念意识增强。父母的社交沟通问题仅在干预后直接有所减少。对儿童和父母在开放式问题中报告的经历变化进行的定性调查支持了大多数改善情况。本研究表明,患有ASD的儿童(包括青少年)及其父母可以从一个为儿童和父母同时开展课程的正念项目中受益。