Positive Family Intervention for Children with ASD: Impact on Parents' Cognitions and Stress.

While parent training often focuses on teaching parents of children with Autism Sepctrum Disorders (ASD) specific skills to address their child's problem behavior, it has often overlooked factors related to parents' own mental health and well-being, such as how they think and feel about their child'...

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Publicado en:Journal of Child & Family Studies Vol. 29; no. 12; pp. 3536 - 3552
Autores principales: Mueller, Robert, Moskowitz, Lauren J.
Formato: Artículo
Publicado: Springer Nature Dec2020
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2020
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      pub: Springer Nature
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        10.1007/s10826-020-01830-1
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        atl: Positive Family Intervention for Children with ASD: Impact on Parents' Cognitions and Stress.
      aug:
        au:
          Mueller, Robert
          Moskowitz, Lauren J.
        affil:
          East Meadow Union-Free School District, Westbury, NY, USA
          Department of Psychology, St. John's University, 8000 Utopia Parkway, 11439, Queens, NY, USA
      su:
        Family psychotherapy
        Cognitive therapy
        Parenting education
        Psychology of parents
        Well-being
        Behavior disorders in children
        Treatment of autism
        Treatment of behavior disorders in children
        Prevention of psychological stress
        Mothers
        Parents
        Pessimism
        Self-efficacy
        Social support
        Parent attitudes
        Children with autism spectrum disorders
        Parents of autistic children
      sug:
        subj:
          Family psychotherapy
          Cognitive therapy
          Parenting education
          Psychology of parents
          Well-being
          Behavior disorders in children
          Treatment of autism
          Treatment of behavior disorders in children
          Prevention of psychological stress
          Mothers
          Parents
          Pessimism
          Self-efficacy
          Social support
          Parent attitudes
          Other Individual and Family Services
          Children with autism spectrum disorders
          Parents of autistic children
      keyword:
        Children with autism
        Cognitive behavioral therapy (CBT)
        Positive behavior support (PBS)
        Positive family intervention (PFI)
        Children with autism
        Cognitive behavioral therapy (CBT)
        Positive behavior support (PBS)
        Positive family intervention (PFI)
      ab: While parent training often focuses on teaching parents of children with Autism Sepctrum Disorders (ASD) specific skills to address their child's problem behavior, it has often overlooked factors related to parents' own mental health and well-being, such as how they think and feel about their child's behavior and their parenting. The purpose of this study was to examine the impact of positive family intervention (PFI), a parent training program which combines cognitive-behavioral therapy (CBT) with family based positive behavior support (PBS), on parents' cognitions and children's problem behavior for families of children with ASD. A nonconcurrent multiple baseline design across three mothers was used to examine the impact of PFI on parent-reported stress, self-efficacy, attributions, rational and irrational beliefs, pessimism, and ratings of child behavior problems. Each mother received eight weekly 90-minute PFI sessions without the child present. Findings demonstrated significant decreases in parent ratings of problem behavior as well as observed child problem behavior for all three families, though visual analysis showed only modest change in parent-reported problem behavior for one of those three mothers, and direct observation data was only collected pre- and post-intervention. Two of the three mothers reported significant decreases in dysfunctional child- and parent-causal attributions, irrational beliefs, and pessimistic thoughts. In addition, one of those two mothers reported improvements in parental stress and self-efficacy. This study suggests that there may be benefits to incorporating CBT with PBS in terms of affecting parents' perceptions of their children and themselves. Factors potentially contributing to or limiting the effectiveness of PFI for each participant are discussed. Highlights: Child behavioral problems significantly decreased as a result of Positive Family Intervention (PFI). PFI resulted in improved cognitions or attitudes for two of the three mothers of children with ASD. Future research should identify which parents may benefit from adding parent–child coaching at home to parent-only sessions. Integrating cognitive-behavioral therapy with positive behavior support may help parents to implement behavioral interventions and cope with difficult situations.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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