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支持智障青少年的父母:干预措施的系统评价

Supporting Parents of Adolescents With Intellectual Disabilities: A Systematic Review of Interventions.

作者信息

Scripps Emma, Sutherland Daniel, Langdon Peter E, Hastings Richard P, Gray Kylie M

机构信息

Centre for Research in Intellectual and Developmental Disabilities (CIDD), University of Warwick, Coventry, UK.

Intellectual Disabilities Research Institute (IDRIS), University of Birmingham, Birmingham, UK.

出版信息

J Appl Res Intellect Disabil. 2025 Jan;38(1):e70004. doi: 10.1111/jar.70004.

DOI:10.1111/jar.70004
PMID:39967490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11836638/
Abstract

BACKGROUND

This review aimed to synthesise the literature about interventions for parents of adolescents with intellectual disability, including parental experience of receiving interventions and intervention effectiveness.

METHODS

Eligible interventions aimed to improve parenting skills and/or parent-adolescent relationships, adolescent behavioural/emotional problems and/or parent well-being. ASSIA, EMBASE, Medline, PsycINFO and Web of Science were last searched on 11 July 2024. The TIDieR checklist and the MMAT were used for quality appraisal. A narrative synthesis was conducted. (Pre-registration: PROSPERO CRD42022384409).

RESULTS

Twelve studies with 1041 families were included. Intervention descriptions were detailed; however, study quality was mixed. Nearly all studies reported the intervention was associated with positive effects on parenting, parent-adolescent relationships, adolescent behaviour/emotional problems or parent well-being. Three randomised controlled trials (RCTs) offer the strongest evidence but are limited in quality. All studies investigating parent experiences reported positive responses.

CONCLUSIONS

High-quality studies (e.g., RCTs) are needed to enable conclusions about efficacy and effectiveness.

摘要

背景

本综述旨在综合有关针对智障青少年家长的干预措施的文献,包括家长接受干预的体验及干预效果。

方法

符合条件的干预措施旨在提高育儿技能和/或改善亲子关系、解决青少年行为/情绪问题和/或提升家长幸福感。ASSIA、EMBASE、Medline、PsycINFO和Web of Science数据库于2024年7月11日进行了最新检索。使用TIDieR清单和MMAT进行质量评估。进行了叙述性综合分析。(预注册:PROSPERO CRD42022384409)。

结果

纳入了12项研究,涉及1041个家庭。干预措施描述详细,但研究质量参差不齐。几乎所有研究都报告称,干预措施对育儿、亲子关系、青少年行为/情绪问题或家长幸福感有积极影响。三项随机对照试验提供了最有力的证据,但质量有限。所有调查家长体验的研究均报告了积极反馈。

结论

需要高质量的研究(如随机对照试验)才能得出关于疗效和效果的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f53b/11836638/578b6a4a2232/JAR-38-e70004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f53b/11836638/578b6a4a2232/JAR-38-e70004-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f53b/11836638/578b6a4a2232/JAR-38-e70004-g001.jpg

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本文引用的文献

1
Parents Plus parenting programme for parents of adolescents with intellectual disabilities: A cluster randomised controlled trial.家长 PLUS 育儿计划:一项针对智障青少年父母的群组随机对照试验。
J Appl Res Intellect Disabil. 2023 Jul;36(4):871-880. doi: 10.1111/jar.13105. Epub 2023 Apr 26.
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Psychological therapies for people with intellectual disabilities: An updated systematic review and meta-analysis.针对智力障碍者的心理疗法:一项更新的系统评价与荟萃分析。
Compr Psychiatry. 2023 Apr;122:152372. doi: 10.1016/j.comppsych.2023.152372. Epub 2023 Jan 26.
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Parent-based interventions to improve multiple lifestyle risk behaviors among adolescents: A systematic review and meta-analysis.
基于家长的干预措施对改善青少年多种生活方式风险行为的效果:系统评价和荟萃分析。
Prev Med. 2022 Nov;164:107247. doi: 10.1016/j.ypmed.2022.107247. Epub 2022 Sep 6.
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Parent-Mediated Interventions for Children and Adolescents With Autism Spectrum Disorders: A Systematic Review and Meta-Analysis.针对自闭症谱系障碍儿童和青少年的家长介导干预措施:一项系统评价与荟萃分析。
Front Psychiatry. 2021 Nov 12;12:773604. doi: 10.3389/fpsyt.2021.773604. eCollection 2021.
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The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
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Gaining super control: Psychoeducational group intervention for adolescents with mild intellectual disability and their parents.获得超级控制权:针对轻度智力残疾青少年及其父母的心理教育团体干预
J Intellect Disabil. 2021 Mar 15;26(2):1744629521995373. doi: 10.1177/1744629521995373.
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Group Virtual Mindfulness-Based Intervention for Parents of Autistic Adolescents and Adults.团体虚拟正念干预自闭症青少年和成人的父母。
J Autism Dev Disord. 2021 Nov;51(11):3959-3969. doi: 10.1007/s10803-020-04835-3. Epub 2021 Jan 9.
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Group Cognitive Behavioural Treatment for Anxiety in Autistic Adolescents with Intellectual Disability: A Pilot and Feasibility Study.群体认知行为治疗对智力残疾孤独症青少年焦虑的疗效:一项先导和可行性研究。
J Appl Res Intellect Disabil. 2021 May;34(3):777-788. doi: 10.1111/jar.12854. Epub 2021 Jan 6.
9
Comparative Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Support (MBPBS) and Positive Behavior Support (PBS) in a Randomized Controlled Trial.一项随机对照试验中基于正念的积极行为支持(MBPBS)与积极行为支持(PBS)的照护者培训的比较效果
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A Component Analysis of the Mindfulness-Based Positive Behavior Support (MBPBS) Program for Mindful Parenting by Mothers of Children with Autism Spectrum Disorder.针对自闭症谱系障碍儿童母亲的正念养育的基于正念的积极行为支持(MBPBS)项目的成分分析。
Mindfulness (N Y). 2021;12(2):463-475. doi: 10.1007/s12671-020-01376-9. Epub 2020 May 11.