Kreiser Noa, Segal Osnat
Tel-Aviv University, Tel Aviv-Yafo, Israel.
Autism Dev Lang Impair. 2025 Jul 31;10:23969415251355462. doi: 10.1177/23969415251355462. eCollection 2025 Jan-Dec.
This study aimed to investigate the impact of fathers' and mothers' involvement in treatments by speech-language pathologists (SLPs) on parent-child communication, play, and feelings of caregiver emotional load in families with children diagnosed with autism spectrum disorder (ASD).
Data from 51 families, including 51 fathers and 51 mothers, were analyzed, focusing on measures of involvement in treatments, parent-child play, parent-child communication experience, the child's communication skills, and feelings of caregiver emotional load. Pearson correlations were conducted to explore associations between parental involvement, child variables, and parental factors. Path analysis was employed to delineate the relationships between parental involvement and treatment outcomes.
Mothers exhibited significantly higher scores in involvement in treatments and feelings of caregiver emotional load compared to fathers, while no significant difference was found in parent-child communication experience. Both fathers and mothers demonstrated direct association between involvement in treatment, enhanced play and better communication experience with their children. Only fathers demonstrated direct associations between involvement in treatment and reduced caregiver emotional load, as well as improved communication skills in their children. The involvement of fathers in treatment mediated the association between paternal education level and the child's gender to treatment outcomes. Communication experience with the child was negatively associated with parental feelings of emotional load.
Active involvement by both parents is important for supporting parent-child play and communication. Fathers, in particular, experience benefits from involvement in treatments by SLPs, including decreased feelings of emotional load. These findings underscore the significance of considering demographic factors such as parental gender, education level, and the child's gender when designing SLP treatments for children with ASD and guiding their parents.
本研究旨在调查父亲和母亲参与言语治疗师（SLP）对自闭症谱系障碍（ASD）患儿家庭中亲子沟通、玩耍以及照顾者情感负担感受的影响。
分析了来自51个家庭的数据，包括51位父亲和51位母亲，重点关注治疗参与度、亲子玩耍、亲子沟通体验、孩子的沟通技巧以及照顾者情感负担感受等指标。进行Pearson相关性分析以探讨父母参与度、孩子变量和父母因素之间的关联。采用路径分析来描述父母参与度与治疗结果之间的关系。
与父亲相比，母亲在治疗参与度和照顾者情感负担感受方面的得分显著更高，而在亲子沟通体验方面未发现显著差异。父亲和母亲在治疗参与度、与孩子玩耍增加以及沟通体验改善之间均表现出直接关联。只有父亲在治疗参与度与照顾者情感负担减轻以及孩子沟通技巧提高之间表现出直接关联。父亲参与治疗介导了父亲教育水平和孩子性别与治疗结果之间的关联。与孩子的沟通体验与父母的情感负担感受呈负相关。
父母双方的积极参与对于支持亲子玩耍和沟通很重要。特别是父亲，从参与言语治疗师的治疗中受益，包括情感负担感受的减轻。这些发现强调了在为自闭症谱系障碍患儿设计言语治疗师治疗方案并指导其父母时，考虑父母性别、教育水平和孩子性别等人口统计学因素的重要性。
