Acceptance and Commitment Therapy-Oriented Parent-Training for Parents of Children with Autism

Claudia Corti, Francesca Pergolizzi, Laura Vanzin, Giulia Cargasacchi, Laura Villa, Marco Pozzi, Massimo Molteni

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Few attempts have been made to evaluate the effectiveness of parent-training (PT) based on mindfulness approaches for parents of children with autism. We present findings of a study on an Acceptance and Commitment Therapy (ACT)-oriented PT with a specific focus on the improvement of parents’ psychological functioning. Stress and two psychological processes related to emotional suffering in accordance to the framework of ACT (namely, cognitive fusion and experiential avoidance) were assessed in parents before and after treatment. The effects of treatments contemporarily received by children were controlled by comparing an experimental group that received the ACT-PT along with an early intensive behavioral intervention (EIBI) for the child, with a control group which only received the EIBI. Multivariate analysis of variance showed a paradoxical reduction of mindfulness awareness after treatment (p < .01) and a trend towards statistical significance of the change in stress (p = .06) in the group receiving the ACT-PT. No effect of treatments (ACT-PT + EIBI vs. EIBI only) was found on cognitive fusion. We discussed the results while considering the possible changes in psychological awareness promoted by ACT. Parents of the experimental group could have become more aware of their inner states, which may explain the unexpected negative change in mindfulness awareness and the limited decrease of stress after treatment. Moreover, questionnaires assessing the ACT-based processes were likely to be too complicated for the parents to understand; therefore, comparisons between pre- and post-treatment measures may not be entirely reliable. Methodological challenges and indications for future research are highlighted.

Original languageEnglish
Pages (from-to)1-14
Number of pages14
JournalJournal of Child and Family Studies
DOIs
Publication statusPublished - 2018

Fingerprint

Acceptance and Commitment Therapy
parents training
Autistic Disorder
autism
parents
acceptance
Parents
commitment
Mindfulness
Psychological Stress
Therapeutics
Group
Psychology
statistical significance
analysis of variance
multivariate analysis
indication
Analysis of Variance
Multivariate Analysis
Control Groups

Keywords

  • Acceptance-Commitment-Therapy
  • Autism
  • Parent-training
  • rehabilitation
  • Stress

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Life-span and Life-course Studies

Cite this

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title = "Acceptance and Commitment Therapy-Oriented Parent-Training for Parents of Children with Autism",
abstract = "Few attempts have been made to evaluate the effectiveness of parent-training (PT) based on mindfulness approaches for parents of children with autism. We present findings of a study on an Acceptance and Commitment Therapy (ACT)-oriented PT with a specific focus on the improvement of parents’ psychological functioning. Stress and two psychological processes related to emotional suffering in accordance to the framework of ACT (namely, cognitive fusion and experiential avoidance) were assessed in parents before and after treatment. The effects of treatments contemporarily received by children were controlled by comparing an experimental group that received the ACT-PT along with an early intensive behavioral intervention (EIBI) for the child, with a control group which only received the EIBI. Multivariate analysis of variance showed a paradoxical reduction of mindfulness awareness after treatment (p < .01) and a trend towards statistical significance of the change in stress (p = .06) in the group receiving the ACT-PT. No effect of treatments (ACT-PT + EIBI vs. EIBI only) was found on cognitive fusion. We discussed the results while considering the possible changes in psychological awareness promoted by ACT. Parents of the experimental group could have become more aware of their inner states, which may explain the unexpected negative change in mindfulness awareness and the limited decrease of stress after treatment. Moreover, questionnaires assessing the ACT-based processes were likely to be too complicated for the parents to understand; therefore, comparisons between pre- and post-treatment measures may not be entirely reliable. Methodological challenges and indications for future research are highlighted.",
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AU - Corti, Claudia

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AU - Vanzin, Laura

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AU - Villa, Laura

AU - Pozzi, Marco

AU - Molteni, Massimo

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AB - Few attempts have been made to evaluate the effectiveness of parent-training (PT) based on mindfulness approaches for parents of children with autism. We present findings of a study on an Acceptance and Commitment Therapy (ACT)-oriented PT with a specific focus on the improvement of parents’ psychological functioning. Stress and two psychological processes related to emotional suffering in accordance to the framework of ACT (namely, cognitive fusion and experiential avoidance) were assessed in parents before and after treatment. The effects of treatments contemporarily received by children were controlled by comparing an experimental group that received the ACT-PT along with an early intensive behavioral intervention (EIBI) for the child, with a control group which only received the EIBI. Multivariate analysis of variance showed a paradoxical reduction of mindfulness awareness after treatment (p < .01) and a trend towards statistical significance of the change in stress (p = .06) in the group receiving the ACT-PT. No effect of treatments (ACT-PT + EIBI vs. EIBI only) was found on cognitive fusion. We discussed the results while considering the possible changes in psychological awareness promoted by ACT. Parents of the experimental group could have become more aware of their inner states, which may explain the unexpected negative change in mindfulness awareness and the limited decrease of stress after treatment. Moreover, questionnaires assessing the ACT-based processes were likely to be too complicated for the parents to understand; therefore, comparisons between pre- and post-treatment measures may not be entirely reliable. Methodological challenges and indications for future research are highlighted.

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