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基于问题管理加的心理咨询对自闭症谱系障碍儿童家长社交焦虑的影响。

Effect of Psychological Counseling Based on Problem Management Plus on Social Anxiety in Parents of Children with Autism Spectrum Disorder.

作者信息

Qi Aili, Wang Fatao, Cao Tiwang

机构信息

Guizhou University of Engineering Science, Bijie, Guizhou, China.

Phsical Education Department, Beijing Union University, Beijing, China.

出版信息

Iran J Public Health. 2023 Feb;52(2):325-333. doi: 10.18502/ijph.v52i2.11885.

Abstract

BACKGROUND

Autism spectrum disorder (ASD) is a widespread mental growth disorder. Children with ASD are unlikely to restore the ability of living independent, which definitely brings their parents greater psychological pressure and psychological problems such as social anxiety. Therefore, it is pressing to conduct intervention research on social anxiety and other problems in parents of children with ASD.

METHODS

In 2022, Seventy-three parents of children with ASD were enrolled from Beijing Tongkangyuan Children's Rehabilitation Institute. They were randomly divided into the experiment group (N=36) and the control group (N=37). The experiment group was intervened with psychological counseling based on problem management plus in combination with Tai Chi. The control group did not receive any psychological intervention. Social Anxiety Scale for Children, Parenting Stress Index-Short Form and Social Support Rate Scale were used for measurement before and after the intervention.

RESULTS

The experiment group had significantly higher decreases than the control group in the total score in social anxiety and the scores in its two dimensions after intervention (=0.001). The experiment group had significant decreases in the total score in parenting stress and the scores in parenting distress and dysfunctional parent-child interaction (=0.001), while there was no change in the control group. The experiment group had significant improvement in social support, which was also significantly higher than that of the control group (=0.001).

CONCLUSION

Psychological counseling based on problem management plus could effectively alleviate social anxiety and parental pressure in parents of children with ASD, improve their social support and play a significant role in enhancing their mental health.

摘要

背景

自闭症谱系障碍(ASD)是一种广泛存在的精神发育障碍。患有ASD的儿童不太可能恢复独立生活的能力,这无疑给他们的父母带来了更大的心理压力和社交焦虑等心理问题。因此,对ASD儿童家长的社交焦虑等问题进行干预研究迫在眉睫。

方法

2022年,从北京同康源儿童康复机构招募了73名ASD儿童的家长。他们被随机分为实验组(N = 36)和对照组(N = 37)。实验组采用基于问题管理的心理咨询加太极拳进行干预。对照组未接受任何心理干预。在干预前后使用儿童社交焦虑量表、父母压力指数简表和社会支持率量表进行测量。

结果

干预后,实验组在社交焦虑总分及其两个维度的得分上比对照组有显著更大程度的下降(P = 0.001)。实验组在养育压力总分、养育困扰和功能失调的亲子互动得分上有显著下降(P = 0.001),而对照组没有变化。实验组的社会支持有显著改善,也显著高于对照组(P = 0.001)。

结论

基于问题管理的心理咨询加太极拳可以有效缓解ASD儿童家长的社交焦虑和父母压力,提高他们的社会支持,并在增强他们的心理健康方面发挥重要作用。

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