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An Acceptance and Commitment Therapy...
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King, Nicole B.
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An Acceptance and Commitment Therapy Based Intervention for Parents of Children on the Autism Spectrum.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
An Acceptance and Commitment Therapy Based Intervention for Parents of Children on the Autism Spectrum./
作者:
King, Nicole B.
出版者:
Ann Arbor : ProQuest Dissertations & Theses, : 2023,
面頁冊數:
149 p.
附註:
Source: Dissertations Abstracts International, Volume: 84-11, Section: B.
Contained By:
Dissertations Abstracts International84-11B.
標題:
Therapy. -
電子資源:
https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30494187
ISBN:
9798379534202
An Acceptance and Commitment Therapy Based Intervention for Parents of Children on the Autism Spectrum.
King, Nicole B.
An Acceptance and Commitment Therapy Based Intervention for Parents of Children on the Autism Spectrum.
- Ann Arbor : ProQuest Dissertations & Theses, 2023 - 149 p.
Source: Dissertations Abstracts International, Volume: 84-11, Section: B.
Thesis (Psy.D.)--Hofstra University, 2023.
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by pervasive socialization and communication deficits as well as restricted, repetitive patterns of behavior and interests (Hong & Matson, 2021). Symptoms cause clinically significant impairment in functioning across a wide range of social-emotional life domains (American Psychological Association, 2013). Parents of children with ASD are evidenced to have significantly higher levels of stress and significantly lower quality of life than those of typically developing children or of children with other developmental, psychological, or medical disorders (Juvin et al., 2021; Lichtle et al., 2020). Parents of non-typically developing children often feel aACT lack of self-esteem, sadness, grief, and guilt, which directly relates to increased stress, and can place them at a greater risk for negative psychological outcomes, such as depression (Rahayu & Mangunsong, 2020). Research highlights a significant need for psychological, social, and emotional support to increase the wellbeing and self-care of parents of children with ASD (Da Paz & Wallander, 2020; Kuhaneck et al.; Lichtle et al., 2020). The literature also reveals the importance of building resilience and coping skills in the face of adversity, especially for parents of children with ASD, as this is a chronic condition that requires substantial parental support throughout the lifetime (Gunty, 2021). Current interventions targeting the mental health and wellbeing of parents of children on the Autism Spectrum are lacking, and there is an obvious need in the literature for an increase in these interventions (Da Paz & Wallander, 2020; Juvin et al., 2021; Kuhaneck et al.; Lichtle et al., 2020). The few interventions that have been developed and studied have shown significant utility and effectiveness, especially those employing cognitive-behavioral and mindfulness techniques (Da Paz & Wallander, 2020; Juvin et al., 2021; Kuhaneck et al.; Lichtle et al., 2020). This study aims to use an empirically validated, evidenced-based form of cognitive behavioral therapy titled Acceptance and Commitment Therapy (ACT) to decrease parental stress and depression, and increase parental competence, self-care, and resilience for parents of children on the Autism Spectrum. It was hypothesized that participants in this study would experience a significant increase in parental competence, self-care, and resilience as measured by the Parenting Sense of Competence Scale (PSOC; Johnston & Mash, 1989), Mindful Self-Care Scale (MSCS; Cook-Cottone & Guyker, 2017), and Connor-Davidson Resilience Scale (CDRISC 10; Campbell-Sills & Stein, 2007), respectively, and that gains made during treatment on these measures would be maintained through follow-up. It was also hypothesized that participants would experience a significant decrease in parental stress and depression scores as measured by the Parental Stress Index-4 Short Form (PSI-4 SF; Abidin, 2012) and (CES-D; Carleton et al., 2013), respectively, and that reduction of symptoms on these measures would be maintained from post to follow-up. This study was a small n (8 participants; Catalano et al., 2018; Da Paz & Wallander; Hall, 2021; Juven et al., 2021; 2017; Kuhaneck et al., 2015), single-subject design that followed three phases of baseline (no treatment), intervention (treatment), and follow-up (no treatment). The baseline phase consisted of three weeks of data collection from each participant for each measure to calculate a mean score on each measure. The intervention phase contained eight weeks of treatment following an ACT manual (Gustafson, 2019), with each week focusing on one of the core processes of ACT (other than the first and last sessions, which consisted of an introduction and review, respectively). The follow-up phase was two weeks long and obtained a mean score on each measure as well. Data was analyzed using visual inspection to observe changes in data points over time, as well as Percentage Exceeding the Mean (Ma, 2006) and Percentage of Non-Overlapping Data (Scruggs & Mastropieri, 1998) analyses. Results demonstrated statistically significant improvement in the areas mentioned among 87.5% of total participants. All but one participant improved as a result of the treatment. The most significant results were found in reductions of depressive symptoms and parental stress. Clinical significance, implications for future research, strengths, and limitations of the study are discussed as well.
ISBN: 9798379534202Subjects--Topical Terms:
3343697
Therapy.
Subjects--Index Terms:
Autism Spectrum Disorder
An Acceptance and Commitment Therapy Based Intervention for Parents of Children on the Autism Spectrum.
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Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by pervasive socialization and communication deficits as well as restricted, repetitive patterns of behavior and interests (Hong & Matson, 2021). Symptoms cause clinically significant impairment in functioning across a wide range of social-emotional life domains (American Psychological Association, 2013). Parents of children with ASD are evidenced to have significantly higher levels of stress and significantly lower quality of life than those of typically developing children or of children with other developmental, psychological, or medical disorders (Juvin et al., 2021; Lichtle et al., 2020). Parents of non-typically developing children often feel aACT lack of self-esteem, sadness, grief, and guilt, which directly relates to increased stress, and can place them at a greater risk for negative psychological outcomes, such as depression (Rahayu & Mangunsong, 2020). Research highlights a significant need for psychological, social, and emotional support to increase the wellbeing and self-care of parents of children with ASD (Da Paz & Wallander, 2020; Kuhaneck et al.; Lichtle et al., 2020). The literature also reveals the importance of building resilience and coping skills in the face of adversity, especially for parents of children with ASD, as this is a chronic condition that requires substantial parental support throughout the lifetime (Gunty, 2021). Current interventions targeting the mental health and wellbeing of parents of children on the Autism Spectrum are lacking, and there is an obvious need in the literature for an increase in these interventions (Da Paz & Wallander, 2020; Juvin et al., 2021; Kuhaneck et al.; Lichtle et al., 2020). The few interventions that have been developed and studied have shown significant utility and effectiveness, especially those employing cognitive-behavioral and mindfulness techniques (Da Paz & Wallander, 2020; Juvin et al., 2021; Kuhaneck et al.; Lichtle et al., 2020). This study aims to use an empirically validated, evidenced-based form of cognitive behavioral therapy titled Acceptance and Commitment Therapy (ACT) to decrease parental stress and depression, and increase parental competence, self-care, and resilience for parents of children on the Autism Spectrum. It was hypothesized that participants in this study would experience a significant increase in parental competence, self-care, and resilience as measured by the Parenting Sense of Competence Scale (PSOC; Johnston & Mash, 1989), Mindful Self-Care Scale (MSCS; Cook-Cottone & Guyker, 2017), and Connor-Davidson Resilience Scale (CDRISC 10; Campbell-Sills & Stein, 2007), respectively, and that gains made during treatment on these measures would be maintained through follow-up. It was also hypothesized that participants would experience a significant decrease in parental stress and depression scores as measured by the Parental Stress Index-4 Short Form (PSI-4 SF; Abidin, 2012) and (CES-D; Carleton et al., 2013), respectively, and that reduction of symptoms on these measures would be maintained from post to follow-up. This study was a small n (8 participants; Catalano et al., 2018; Da Paz & Wallander; Hall, 2021; Juven et al., 2021; 2017; Kuhaneck et al., 2015), single-subject design that followed three phases of baseline (no treatment), intervention (treatment), and follow-up (no treatment). The baseline phase consisted of three weeks of data collection from each participant for each measure to calculate a mean score on each measure. The intervention phase contained eight weeks of treatment following an ACT manual (Gustafson, 2019), with each week focusing on one of the core processes of ACT (other than the first and last sessions, which consisted of an introduction and review, respectively). The follow-up phase was two weeks long and obtained a mean score on each measure as well. Data was analyzed using visual inspection to observe changes in data points over time, as well as Percentage Exceeding the Mean (Ma, 2006) and Percentage of Non-Overlapping Data (Scruggs & Mastropieri, 1998) analyses. Results demonstrated statistically significant improvement in the areas mentioned among 87.5% of total participants. All but one participant improved as a result of the treatment. The most significant results were found in reductions of depressive symptoms and parental stress. Clinical significance, implications for future research, strengths, and limitations of the study are discussed as well.
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