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FAUT-E 自闭症特质家长心理教育训练的前后效果

Pre-Post Effects of the Psychoeducational, Autism-Specific Parent Training FAUT-E.

机构信息

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Autism Research and Intervention Centre of Excellence, University Hospital Frankfurt, University of Frankfurt/Main.

Shared first authors.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2021 Mar;49(2):134-143. doi: 10.1024/1422-4917/a000781. Epub 2021 Jan 11.

Abstract

Psychoeducational parent training is an economic way to provide care for parents of children newly diagnosed with an autism spectrum disorder (ASD). This study explores pre-post effect sizes of the manualized autism-specific parent training FAUT-E (Frankfurter Autismus-Elterntraining). Two behaviorally trained therapists worked with 6-10 parents in eight group sessions. Twenty-four parents of 24 children with ASD participated in the study. Outcomes were child- and parent-related measures obtained at T0 (first measurement), T1 (second measurement), T2 (postintervention), and T3 (3 months after intervention). Children showed improved behavior in the parent-rated Aberrant Behavior Checklist (ABC) total score after therapy ( = .001; ES T1T2 = .73) and at T3 ( = .018; ES T1-T3 = -.51), and a lower intensity of parent-rated problem behavior at T3 ( = .031; ES T1-T3 = -.46). Parental measures did not change. This study found medium pre-post effects on the child's behavior by FAUT-E between T1 and T2/T3; these were not observed between the measurements T0-T1. FAUT-E was easy to implement and did not increase parental stress. This is in line with results of studies on other training programs to teach parents to use effective behavioral strategies with ASD.

摘要

心理教育家长培训是为新诊断出患有自闭症谱系障碍(ASD)的儿童的父母提供护理的一种经济方式。本研究探讨了针对 FAUT-E(法兰克福自闭症家长培训)的手册化自闭症特异性家长培训的前后效果大小。两名经过行为训练的治疗师与 8 组 6-10 名父母一起工作。24 名 ASD 儿童的家长参与了这项研究。结果是在 T0(第一次测量)、T1(第二次测量)、T2(干预后)和 T3(干预后 3 个月)获得的与儿童和父母相关的测量结果。在治疗后(=.001;ES T1T2 =.73)和 T3(=.018;ES T1-T3 = -.51),儿童在父母评定的异常行为检查表(ABC)总分中表现出行为改善,并且在 T3 时父母评定的问题行为强度较低(=.031;ES T1-T3 = -.46)。父母的措施没有改变。本研究发现,FAUT-E 在 T1 和 T2/T3 之间对儿童的行为产生了中等的前后影响;在 T0-T1 之间没有观察到这些影响。FAUT-E 易于实施,不会增加父母的压力。这与其他培训计划的研究结果一致,这些计划旨在教父母使用针对 ASD 的有效行为策略。

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