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针对患有自闭症谱系障碍的青年成年人的父母开展同伴教育与支持项目(PEERS)后的情绪和情感变化

Mood and Emotional Changes After PEERS Program in Parents of Young Adults With Autism Spectrum Disorder.

作者信息

Son Chansoo, Yoo Hee Jeong, Kim Joo-Hyun, Oh Miae

机构信息

Department of Psychiatry, Kyung Hee University Hospital, Seoul, Korea.

Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Korea.

出版信息

J Korean Acad Child Adolesc Psychiatry. 2023 Jan 1;34(1):30-36. doi: 10.5765/jkacap.220023.

DOI:10.5765/jkacap.220023
PMID:36636495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9815999/
Abstract

OBJECTIVES

This study examined the changes in anxiety and depressive symptoms in the parents of Korean adults with autism spectrum disorder (ASD) after participating in the Korean version of the Program for the Education and Enrichment of Relational Skills for Young Adults (PEERS-YA-K).

METHODS

Forty-six parents were enrolled (mean age 54.7 years; 22 fathers and 24 mothers), of whom 27 participated in the PEERS- YA-K as social coaches. Participants completed self-report scales, including the Test of Young Adult Social Skills Knowledge (TYASSK), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Symptom Check-List-90-R (SCL-90-R). The scales were administered three times: before and after the 16-week program and 4 months after the program ended. Differences between participant variables at pretreatment, post-treatment, and follow-up were analyzed using paired-sample t-tests.

RESULTS

Participants showed a significant improvement in their social skills knowledge (TYASSK) (p<0.01). There was a significant improvement in the BAI and BDI scores of parents with severe depressive and anxiety symptoms at the baseline (p<0.05). Paternal paranoia and maternal hostility results also significantly improved on the SCL-90-R.

CONCLUSION

This study suggests that PEERS-YA-K can reduce parental anxiety and depressive symptoms. To the best of our knowledge, this is the first to compare the degree of depression and anxiety after PEERS-YA-K in parents of adults with ASD.

摘要

目的

本研究调查了韩国自闭症谱系障碍(ASD)成年患者的父母在参加韩国版青年成人关系技能教育与充实项目(PEERS-YA-K)后焦虑和抑郁症状的变化。

方法

招募了46名父母(平均年龄54.7岁;22名父亲和24名母亲),其中27名作为社会指导者参加了PEERS-YA-K。参与者完成了自我报告量表,包括青年成人社交技能知识测试(TYASSK)、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和症状自评量表90修订版(SCL-90-R)。这些量表在三个时间点进行施测:16周项目开始前和结束后,以及项目结束后4个月。使用配对样本t检验分析预处理、治疗后和随访时参与者变量之间的差异。

结果

参与者的社交技能知识(TYASSK)有显著改善(p<0.01)。基线时患有严重抑郁和焦虑症状的父母的BAI和BDI得分有显著改善(p<0.05)。父亲的偏执和母亲的敌对结果在SCL-90-R上也有显著改善。

结论

本研究表明,PEERS-YA-K可以减轻父母的焦虑和抑郁症状。据我们所知,这是第一项比较ASD成年患者父母参加PEERS-YA-K后抑郁和焦虑程度的研究。

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本文引用的文献

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A Randomized Controlled Trial of the Korean Version of the Program for the Education and Enrichment of Relational Skills for Young Adults (PEERS®-YA-K) With Autism Spectrum Disorder: A Pilot Study.针对患有自闭症谱系障碍的青少年的韩国版关系技能教育与提升项目(PEERS®-YA-K)的随机对照试验:一项试点研究。
Front Psychiatry. 2021 Oct 6;12:730448. doi: 10.3389/fpsyt.2021.730448. eCollection 2021.
2
A Systematic Review and Meta-analysis of Social Skills Training for Adults with Autism Spectrum Disorder.自闭症谱系障碍成人社交技能训练的系统评价和荟萃分析。
J Autism Dev Disord. 2022 Apr;52(4):1598-1609. doi: 10.1007/s10803-021-05058-w. Epub 2021 May 8.
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Linking Child Autism to Parental Depression and Anxiety: The Mediating Roles of Enacted and Felt Stigma.将儿童自闭症与父母的抑郁和焦虑联系起来:实施和感受到的污名的中介作用。
J Autism Dev Disord. 2021 Feb;51(2):527-537. doi: 10.1007/s10803-020-04557-6.
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The Impact of Child Autistic Symptoms on Parental Marital Relationship: Parenting and Coparenting Processes as Mediating Mechanisms.儿童自闭症症状对父母婚姻关系的影响:教养和共同教养过程作为中介机制。
Autism Res. 2020 Sep;13(9):1516-1526. doi: 10.1002/aur.2297. Epub 2020 Apr 21.
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Parental Stress of Preschool Children With Generalized Anxiety or Oppositional Defiant Disorder.患有广泛性焦虑症或对立违抗障碍的学龄前儿童的父母压力
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Anxiety and Depression from Adolescence to Old Age in Autism Spectrum Disorder.自闭症谱系障碍患者从青春期到老年的焦虑和抑郁。
J Autism Dev Disord. 2020 Sep;50(9):3155-3165. doi: 10.1007/s10803-019-04084-z.
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Fathers of Youth with Autism Spectrum Disorder: A Systematic Review of the Impact of Fathers' Involvement on Youth, Families, and Intervention.自闭症谱系障碍青年的父亲:父亲参与对青年、家庭和干预影响的系统评价。
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