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使用手指运动和Elite移动健康软件进行眼动脱敏再处理对自闭症儿童家长内疚感的影响:一项随机试验。

Eye movements desensitization and reprocessing with finger movements and Elite mobile health software on guilt feeling of parents of children with autism: A randomized trial.

作者信息

Rashidi Hadi, Sadeghian Efat, Shamsaei Farshid, Tapak Leili, Seyedi Mahdieh

机构信息

Student Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

J Psychiatr Ment Health Nurs. 2025 Feb;32(1):89-101. doi: 10.1111/jpm.13088. Epub 2024 Jul 26.

Abstract

UNLABELLED

WHAT IS KNOWN ON THE SUBJECT?: Taking care of an autistic child at home can be tough for parents. They struggle to balance caring for their child and other tasks. This can affect their emotional well-being and cause guilt and other psychological problems. WHAT DOES THE PAPER ADD TO EXISTING KNOWLEDGE?: Eye movement desensitization and reprocessing with finger movements can reduce guilt in parents of autistic children. Eye movement desensitization and reprocessing with Elite mobile health software movements can reduce guilt in parents of autistic children. The bilateral eye stimulation method using finger movements has a more sustained impact than the Elite app's bilateral stimulation method. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Healthcare providers are encouraged to learn Eye Movements Desensitization and Reprocessing. Healthcare providers are encouraged to use these methods to help with psychological issues in children with autism. Psychiatric nurses are encouraged to utilize this treatment approach for parents of children with autism, as well as to help alleviate feelings of guilt more broadly.

ABSTRACT

INTRODUCTION: Caring for an autistic child at home can be challenging for parents, as it can make it difficult to balance their responsibilities. This imbalance can negatively affect the emotional well-being of the caregiver and lead to feelings of guilt. While this is a known issue, there may be gaps in knowledge specific to Iran. In this study, a new method was introduced to address this issue.

AIM

This study aimed to examine the impact of desensitization with eye movements and reprocessing (EMDR) on reducing parental guilt among autistic children's families. We aim to examine the effectiveness of two different treatment methods.

METHODS

This study involved 90 parents (60 mothers, 30 fathers) of autistic children randomly assigned to either an experimental or control group. The two experimental groups received a 45-min intervention session once a week for 3 weeks, while the control group did not receive any intervention. Data on feelings of guilt was collected using a questionnaire. After 30 days, both groups took a follow-up test. The data were analysed using statistical software.

RESULTS

This study found that there were significant differences in guilt feelings among different groups of EMDR therapy and a control group. Specifically, no significant differences were observed in the mean guilt scores between the experimental and control groups at the pre-intervention stage (p > .05). However, the experimental groups exhibited significantly lower mean guilt scores immediately after the intervention and 1 month later than the control group (p < .05). Immediately after the intervention and 1 month later, no significant differences were observed between the two experimental groups (p > .05).

CONCLUSIONS

The findings of this study demonstrate the efficacy of desensitization treatment using eye movements and reprocessing in reducing feelings of guilt among autistic children's parents. In the follow-up phase, it seems that the two-way stimulation method with finger movements is more effective than Elite software in terms of the continuity of the effect. Healthcare providers are encouraged to learn and use these methods to help prevent and treat psychological issues in autistic children.

摘要

未标注

关于该主题已知的信息有哪些?在家照顾自闭症儿童对父母来说可能很艰难。他们难以平衡照顾孩子和其他任务。这会影响他们的情绪健康,并导致内疚感和其他心理问题。本文对现有知识有何补充?通过手指运动进行眼动脱敏再处理可以减轻自闭症儿童父母的内疚感。使用Elite移动健康软件运动进行眼动脱敏再处理可以减轻自闭症儿童父母的内疚感。使用手指运动的双侧眼刺激方法比Elite应用程序的双侧刺激方法具有更持久的影响。对实践有何启示?鼓励医疗保健提供者学习眼动脱敏再处理。鼓励医疗保健提供者使用这些方法来帮助解决自闭症儿童的心理问题。鼓励精神科护士将这种治疗方法用于自闭症儿童的父母,并更广泛地帮助减轻内疚感。

摘要

引言:在家照顾自闭症儿童对父母来说具有挑战性,因为这可能难以平衡他们的责任。这种失衡会对照顾者的情绪健康产生负面影响,并导致内疚感。虽然这是一个已知问题,但伊朗可能存在特定的知识空白。在本研究中,引入了一种新方法来解决这个问题。

目的

本研究旨在探讨眼动脱敏再处理(EMDR)对减轻自闭症儿童家庭中父母内疚感的影响。我们旨在研究两种不同治疗方法的有效性。

方法

本研究涉及90名自闭症儿童的父母(60名母亲,30名父亲),他们被随机分配到实验组或对照组。两个实验组每周接受一次45分钟的干预疗程,共3周,而对照组不接受任何干预。使用问卷收集内疚感数据。30天后,两组进行随访测试。使用统计软件对数据进行分析。

结果

本研究发现,EMDR治疗组和对照组在内疚感方面存在显著差异。具体而言,干预前实验组和对照组的平均内疚得分之间未观察到显著差异(p>.05)。然而,干预后立即和1个月后,实验组的平均内疚得分显著低于对照组(p<.05)。干预后立即和1个月后,两个实验组之间未观察到显著差异(p>.05)。

结论

本研究结果表明,使用眼动脱敏再处理进行脱敏治疗可有效减轻自闭症儿童父母的内疚感。在随访阶段,就效果的持续性而言,手指运动的双向刺激方法似乎比Elite软件更有效。鼓励医疗保健提供者学习和使用这些方法来帮助预防和治疗自闭症儿童的心理问题。

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