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自闭症儿童家长韧性干预:AMOR 方法随机对照试验的结果。

Resilience Intervention for Parents of Children with Autism: Findings from a Randomized Controlled Trial of the AMOR Method.

机构信息

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA, 94305-5719, USA.

Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, 1501 23rd Avenue South, Nashville, TN, 37209, USA.

出版信息

J Autism Dev Disord. 2022 Feb;52(2):738-757. doi: 10.1007/s10803-021-04977-y. Epub 2021 Mar 28.

Abstract

Parents of children with autism spectrum disorder (ASD) experience elevated stress, yet parent-specific interventions are sparse. Thirty-five parents of children with ASD were randomized to the novel 8-week AMOR (Acceptance, Mindfulness, Optimism, Resilience) Method parent group or waitlist control group. Significant gains in resilience were reported by AMOR parents only (d = 1.42, p < 0.001, 95% CI [2.152, 10.083]). AMOR parents exhibited significant gains in stress management and reductions in mental health symptoms, along with parent-reported improvements in martial, family, and child functioning. AMOR group follow-up data showed some maintenance of treatment gains. Findings demonstrate promise for resilience interventions in parents of children with ASD. The trial was registered (clinicaltrials.gov; NCT03513419; May 1, 2018) and approved by the Stanford University Institutional Review Board.

摘要

自闭症谱系障碍 (ASD) 儿童的父母承受着较高的压力,但针对父母的干预措施却很少。35 名 ASD 儿童的父母被随机分配到新颖的 8 周 AMOR(接受、正念、乐观、韧性)方法父母组或候补名单对照组。只有 AMOR 父母报告了显著的韧性增强(d=1.42,p<0.001,95%CI[2.152,10.083])。AMOR 父母在压力管理方面表现出显著的改善,心理健康症状减少,同时父母报告在婚姻、家庭和儿童功能方面有所改善。AMOR 组的随访数据显示治疗效果有一定的维持。这些发现为 ASD 儿童的父母提供了有希望的韧性干预措施。该试验已在 clinicaltrials.gov 注册(NCT03513419;2018 年 5 月 1 日),并获得斯坦福大学机构审查委员会的批准。

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