Effects of remote support courses on parental mental health and child development in autism:A randomized controlled trial  

作　　者：Jia-Hui Lu Hua Wei Yu Zhang Fan Fei Hai-Yan Huang Qiu-Jun Dong Jing Chen Dong-Qin Ao Li Chen Ting-Yu Li Yan Li Ying Dai 

机构地区：[1]Growth,Development and Mental Health Center of Children and Adolescents,Children’s Hospital of Chongqing Medical University,Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing 401146,China

出　　处：《World Journal of Psychiatry》2024年第12期1892-1904,共13页世界精神病学杂志（英文）

基　　金：Supported by The National Key R and D Program of China,No.2023YFC3604805;The Key Scientific and Technological Projects of Guangdong Province,No.2018B030335001;Guangzhou Science and Technology Program,No.202007030002.

摘　　要：BACKGROUND Sustaining the mental health of autistic children’s parents can be demanding.AIM To determine the effect of remote support courses on the mental health of parents and the development of autistic children.METHODS Parents of 140 autistic children were randomly assigned to two groups receiving a 2-week intervention:The control group received caregiver-mediated intervention(CMI);the experimental group received CMI with remote family psychological support courses(R-FPSC).The Parenting Stress Index-Short Form,Parenting Sense of Competence Scale,Generalized Anxiety Disorder-7,and Patient Health Questionnaire-9 were used to measure parents’mental health.The Childhood Autism Rating Scale and Gesell Developmental Schedules were used to evaluate children’s development.RESULTS Improved parenting stress,sense of competence,depression,and anxiety were found in both groups,but improvements in parenting stress(81.10±19.76 vs 92.10±19.26,P<0.01)and sense of competence(68.83±11.23 vs 63.91±10.86,P<0.01)were greater in the experimental group,although the experimental group showed no significant reduction in depression or anxiety.Children’s development did not differ significantly between the groups at follow-up;however,experimental group parents exhibited a short-term increase in training enthusiasm(12.78±3.16 vs 11.57±3.15,P<0.05).CONCLUSION Integrating R-FPSC with CMI may be effective in reducing parenting stress,enhancing parents’sense of competence,and increasing parents'training enthusiasm.

关 键 词：Autism spectrum disorder Parenting stress Parenting sense of competence Caregiver-mediated intervention Family psychological intervention 

分 类 号：R395.6[哲学宗教—心理学]