基于正念的干预措施对自闭症儿童及其父母的有效性：系统评价与荟萃分析。
The effectiveness of mindfulness-based interventions for children with autism and their parents: a systematic review and meta-analysis.
作者信息
Peng Qiyan, Dong Yujie, Jin Jie, Ao Huan, Zhang Chi, Ma Yanfei
机构信息
Department of Nursing, Leshan Vocational and Technical College, Leshan, China.
Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
出版信息
Front Psychol. 2025 Jun 27;16:1526001. doi: 10.3389/fpsyg.2025.1526001. eCollection 2025.
OBJECTIVE
This study aims to systematically evaluate the efficacy of mindfulness-based interventions (MBIs) for children diagnosed with autism spectrum disorder (ASD) and their parents.
METHODS
A comprehensive search of PubMed, Embase, Cochrane Library, Web of Science, PsycINFO and ERIC was conducted to identify randomized controlled trials (RCTs) published up to December 31, 2024, that assessed the effects of MBIs on children with ASD and their parents. Two independent reviewers screened studies, extracted relevant data, and assessed the quality of the included literature. A meta-analysis was performed using standardized mean differences (SMDs) and 95% confidence intervals (CIs).
RESULTS
A total of 12 RCTs involving 643 participants were included. The meta-analysis showed that MBIs significantly reduced parental stress [SMD = -0.69, 95% CI (-1.36, -0.02), = 0.04], improved parental mindfulness awareness [SMD = 3.08, 95% CI (0.26, 5.90), = 0.03], and alleviated anxiety, depression, and stress in parents [SMD = -0.57, 95% CI (-1.09, -0.06), = 0.03]. Additionally, MBIs significantly improved social responsiveness in children with autism [SMD = -0.35, 95% CI (-0.66, -0.04), = 0.03]. However, no statistically significant differences were observed between the MBI and control groups in reducing problematic behaviors in children [SMD = -0.45, 95% CI (-0.90, 0.00), = 0.05], improving children's emotional and behavioral difficulties [SMD = -0.23, 95% CI (-0.66, 0.19), = 0.28], or enhancing parental psychological resilience [SMD = 0.85, 95% CI (-1.96, 3.66), = 0.55].
CONCLUSION
This meta-analysis demonstrates that MBIs significantly reduce parental stress, alleviate anxiety, depression, and stress, and enhance mindfulness awareness in parents of children with autism. Furthermore, MBIs were found to significantly improve social responsiveness in children with autism. However, their effects on children's emotional and behavioral challenges and parental psychological resilience remain inconclusive.
SYSTEMATIC REVIEW REGISTRATION
目的
本研究旨在系统评价基于正念的干预措施（MBIs）对诊断为自闭症谱系障碍（ASD）的儿童及其父母的疗效。
方法
全面检索了PubMed、Embase、Cochrane图书馆、科学网、PsycINFO和教育资源信息中心，以识别截至2024年12月31日发表的随机对照试验（RCTs），这些试验评估了MBIs对ASD儿童及其父母的影响。两名独立评审员筛选研究、提取相关数据并评估纳入文献的质量。使用标准化均值差（SMDs）和95%置信区间（CIs）进行荟萃分析。
结果
共纳入12项RCTs，涉及643名参与者。荟萃分析表明，MBIs显著降低了父母的压力[SMD = -0.69，95% CI（-1.36，-0.02），P = 0.04]，提高了父母的正念意识[SMD = 3.08，95% CI（0.26，5.90），P = 0.03]，并减轻了父母的焦虑、抑郁和压力[SMD = -0.57，95% CI（-1.09，-0.06），P = 0.03]。此外，MBIs显著提高了自闭症儿童的社会反应能力[SMD = -0.35，95% CI（-0.66，-0.04），P = 0.03]。然而，在减少儿童问题行为方面，MBI组与对照组之间未观察到统计学显著差异[SMD = -0.45，95% CI（-0.90，0.00），P = 0.05]；在改善儿童的情绪和行为困难方面[SMD = -0.23，95% CI（-0.66，0.19），P = 0.28]；或增强父母的心理复原力方面[SMD = 0.85，95% CI（-1.96，3.66），P = 0.55]。
结论
这项荟萃分析表明，MBIs显著降低了父母的压力，减轻了焦虑、抑郁和压力，并提高了自闭症儿童父母的正念意识。此外，发现MBIs显著提高了自闭症儿童的社会反应能力。然而，它们对儿童情绪和行为挑战以及父母心理复原力的影响仍无定论。
系统评价注册
Zotero 插件