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Comparison of effects of interventions to promote the mental health of parents of children with autism: A systematic review and network meta-analysis
Clinical Psychology Review ( IF 13.7 ) Pub Date : 2024-10-29 , DOI: 10.1016/j.cpr.2024.102508
Shuliang Mo, Fan Bu, Shujuan Bao, Zhou Yu

Individuals diagnosed with autism spectrum disorders often face persistent challenges in social interaction and engage in repetitive and stereotyped behaviors. Parenting a child with autism can profoundly affect parents both physically and psychologically, potentially leading to negative impacts on their mental health. This study employs a network meta-analysis methodology to evaluate the comparative effectiveness of mental health interventions specifically designed for parents of autistic children. A total of 69 empirical intervention studies involving 4213 parents of autistic children were included in the analysis. Employing the frequency framework model and utilizing Stata 16.0 software, we quantitatively analyzed the impact of various interventions on anxiety, depression, parenting stress, and parenting self-efficacy. Our findings indicate that mindfulness-based interventions demonstrate the highest efficacy in reducing parenting stress, while cognitive behavioral therapy is effective in alleviating anxiety and depression in parents of children with autism. Psychoeducational interventions have shown significant benefits in mitigating parental anxiety, depression, and parenting stress, and acceptance and commitment (ACT) displays promising outcomes in reducing depression. We also elaborate on the underlying mechanisms that contribute to the effectiveness of these interventions. This network meta-analysis presents valuable insights for the development of targeted interventions to provide support to parents of children with autism.

中文翻译:


促进自闭症儿童父母心理健康的干预措施效果比较: 系统评价和网络荟萃分析



被诊断患有自闭症谱系障碍的人经常在社交互动中面临持续的挑战,并从事重复和刻板的行为。养育自闭症儿童会在身体和心理上对父母产生深远影响,可能会对他们的心理健康产生负面影响。本研究采用网络荟萃分析方法来评估专为自闭症儿童父母设计的心理健康干预措施的比较有效性。分析共纳入 69 项实证干预研究,涉及 4213 名自闭症儿童的父母。采用频率框架模型并利用 Stata 16.0 软件,我们定量分析了各种干预措施对焦虑、抑郁、育儿压力和育儿自我效能感的影响。我们的研究结果表明,基于正念的干预在减轻育儿压力方面表现出最高效果,而认知行为疗法在缓解自闭症儿童父母的焦虑和抑郁方面有效。心理教育干预在减轻父母的焦虑、抑郁和育儿压力方面显示出显着的好处,接受和承诺 (ACT) 在减少抑郁方面显示出有希望的结果。我们还详细阐述了有助于这些干预措施有效性的潜在机制。这项网络荟萃分析为制定有针对性的干预措施以为自闭症儿童的父母提供支持提供了有价值的见解。
更新日期:2024-10-29
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