Volume 16, Issue 1 (March 2018)                   Iranian Rehabilitation Journal 2018, 16(1): 35-44 | Back to browse issues page

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Rezaee H, Younesi J, Farahbod M, Ranjbar M. Determining the Effectiveness of a Modulated Parenting Skills Program on Reducing Autistic Symptoms in Children and Improvement of Parental Adjustment. Iranian Rehabilitation Journal 2018; 16 (1) :35-44
URL: http://irj.uswr.ac.ir/article-1-530-en.html
Determining the Effectiveness of a Modulated Parenting Skills Program on Reducing Autistic Symptoms in Children and Improvement of Parental Adjustment
Homa Rezaee1 , Jalil Younesi2 , Mojgan Farahbod3 , Maryam Ranjbar * 4
1- Razi Psychiatric Hospital,University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Department of Measuring and Assessment, Faculty of Psychology and Education, Allameh Tabataba'i University, Tehran, Iran.
3- Health Care Management, Research Institute of Exceptional Children, Ministry of Education, Tehran, Iran.
4- Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Abstract:   (6314 Views)

Objectives: This study aimed to develop a modulated program of parenting skills and to evaluate its effectiveness in reducing autistic symptoms and increasing parental adjustment.
Methods: This quasi-experimental study utilized in two phases, a pretest- posttest design and a control group. First, a treatment program with both individual and group structure was constructed considering available treatments such as cognitive–behavior therapy, social stories, and play therapy catered to autistic children and the needs of their families. The program consisted of techniques such as acceptance, common cognitive errors challenge, control of thoughts, emotions and behavior, the principles of reward and punishment, and crisis management etc. The validity of the program was confirmed by four experts. Secondly, 26 volunteer qualified couples selected from the parents were referred to a rehabilitation center in Tehran, and were randomly assigned into experimental and control groups. The pretest was performed for all participants. Then, the control group was kept away from the program during the 10 sessions of group, four sessions of individual, and two sessions of family therapy for each couple in the experiment group. 
Results: Univariate analysis of Covariance showed that the program significantly improved marital adjustment in parents (F=22.018, P=0.001), and successfully reduced the symptoms of autistic disorder in social interaction (F=5.733, P=0.027) and relations (F=10.07, P=0.005). However, it did not significantly affect stereotyped behaviors (F=4.304, P=0.053) and development (F=0.448, P=0.511) of autistic children in the experimental group.
Discussion: The compiled parenting program is recommended to improve parental empowerment for the families of autistic children, because it is capable of reducing autistic symptoms in social interaction and relationships as well as improving marital adjustment in such families.

Keywords: Modulated program, Parenting skills, Children, Autism, Autistic symptoms
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Article type: Original Research Articles |
Received: 2017/07/9 | Accepted: 2017/10/29 | Published: 2018/03/1
References
1. McStay RL, Dissanayake C, Scheeren A, Koot HM, Begeer S. Parenting stress and autism: The role of age, autism severity, quality of life and problem behaviour of children and adolescents with autism. Autism. 2014; 18(5):502-10. doi: 10.1177/1362361313485163 [DOI:10.1177/1362361313485163]
2. Weiss MJ. Hardiness and social support as predictors of stress in mothers of typical children, children with autism, and children with mental retardation. Autism. 2002; 6(1):115-30. doi: 10.1177/1362361302006001009 [DOI:10.1177/1362361302006001009]
3. Bailey D, Powell T. Assessing the information needs of families in early intervention. In: Guralnick MJ, editor. A Developmental Systems Approach to Early Intervention Baltimore. Towson, Maryland: Brookes Publishing Co; 2005.
4. Shields J. The NAS Early bird programme: Partnership with parents in early intervention. Autism. 2001; 5(1):49-56. doi: 10.1177/1362361301051005 [DOI:10.1177/1362361301051005]
5. Phoenix SS. Children with autism in Taiwan and the United States: Parental stress, parent-child relationships, and the reliability of a child development inventory [PhD dissertation]. Denton, Texas: University of North Texas; 2012.
6. Samadi SA, McConkey R, Kelly G. Enhancing parental well-being and coping through a family-centred short course for Iranian parents of children with an autism spectrum disorder. Autism. 2013; 17(1):27-43. doi: 10.1177/1362361311435156 [DOI:10.1177/1362361311435156]
7. Naseef R, Freedman B. A diagnosis of Autism is not a prognosis of divorce. Autism Advocate. 2012; 9-14.
8. Montes G, Halterman JS. Psychological functioning and coping among mothers of children with autism: A population-based study. PEDIATRICS. 2007; 119(5):e1040-e6. doi: 10.1542/peds.2006-2819 [DOI:10.1542/peds.2006-2819]
9. Benson PR, Karlof KL. Anger, stress proliferation, and depressed mood among parents of children with ASD: A longitudinal replication. Journal of Autism and Developmental Disorders. 2009; 39(2):350-62. doi: 10.1007/s10803-008-0632-0 [DOI:10.1007/s10803-008-0632-0]
10. Hartley SL, Barker ET, Seltzer MM, Floyd F, Greenberg J, Orsmond G, et al. The relative risk and timing of divorce in families of children with an autism spectrum disorder. Journal of Family Psychology. 2010; 24(4):449-57. doi: 10.1037/a0019847 [DOI:10.1037/a0019847]
11. Khoshabi K, editor. [The adjustment mechanisms in parents with autistic child (Persian)]. Paper presented at: The 5th National Conference on Children Intellectual Disability. 22 November 2005. Tehran, Iran.
12. Abbott A. Love in the time of autism. Psychology Today. 2013; 46(4):60-7.
13. McConkey R, Truesdale‐Kennedy M, Crawford H, McGreevy E, Reavey M, Cassidy A. Preschoolers with autism spectrum disorders: evaluating the impact of a home‐based intervention to promote their communication. Early Child Development and Care. 2010; 180(3):299-315. doi: 10.1080/03004430801899187 [DOI:10.1080/03004430801899187]
14. Keen D, Couzens D, Muspratt S, Rodger S. The effects of a parent-focused intervention for children with a recent diagnosis of autism spectrum disorder on parenting stress and competence. Research in Autism Spectrum Disorders. 2010; 4(2):229-41. doi: 10.1016/j.rasd.2009.09.009 [DOI:10.1016/j.rasd.2009.09.009]
15. Higgins DJ, Bailey SR, Pearce JC. Factors associated with functioning style and coping strategies of families with a child with an autism spectrum disorder. Autism. 2005; 9(2):125-37. doi: 10.1177/1362361305051403 [DOI:10.1177/1362361305051403]
16. McCabe H. The beginnings of inclusion in the People's Republic of China. Research and Practice for Persons with Severe Disabilities. 2003; 28(1):16-22. doi: 10.2511/rpsd.28.1.16 [DOI:10.2511/rpsd.28.1.16]
17. McCabe H, Huiping T. Early Intervention for Children with Autism in the People's Republic of China: A Focus on Parent Training. Journal of International Special Needs Education. 2001; 4:39-43.
18. Kuhn JC, Carter AS. Maternal self‐efficacy and associated parenting cognitions among mothers of children with autism. American Journal of Orthopsychiatry. 2006; 76(4):564-75. doi: 10.1037/0002-9432.76.4.564 [DOI:10.1037/0002-9432.76.4.564]
19. Matson ML, Mahan S, Matson JL. Parent training: A review of methods for children with autism spectrum disorders. Research in Autism Spectrum Disorders. 2009; 3(4):868-75. doi: 10.1016/j.rasd.2009.02.003 [DOI:10.1016/j.rasd.2009.02.003]
20. Taylor B. Vaccines and the changing epidemiology of autism. Child: Care, Health and Development. 2006; 32(5):511-9. doi: 10.1111/j.1365-2214.2006.00655.x [DOI:10.1111/j.1365-2214.2006.00655.x]
21. Bregman JD. Definitions and characteristics of the spectrum. Autism spectrum disorders: Identification, Education, and Treatment. 2005; 3:3-46.
22. Golabi P, Alipour A, Zandi B. [The effect of intervention by ABA method on children with autism (Persian)]. Journal of Exceptional Children. 2005; 5(1):33-54.
23. JalaliMoghadam N, Pouretemad HR, Sedghpor BS, KhoShabi K, Chimeh N. [Parents of children with pervasive developmental disorders and their coping strategies (Persian)]. Journal of Family Research. 2007; 3(12):761-74.
24. Chimeh N, Pouretemad HR, Khorramabadi R. [Need assessment of mothers with Autistic children (Persian)]. Journal of Family Research. 2008; 3(11):697-707.
25. Khorramabadi R, Pouretemad H, Tahmasian K, Chimeh N. [A comparative study of parental stress in mothers of autistic and non autistic children (Persian)]. Journal of Family Research. 2009; 5(19):387-99.
26. Lecavalier L. An evaluation of the Gilliam autism rating scale. Journal of Autism and Developmental Disorders. 2005; 35(6):795–805. doi: 10.1007/s10803-005-0025-6 [DOI:10.1007/s10803-005-0025-6]
27. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy. 1995; 33(3):335-43. doi: 10.1016/0005-7967(94)00075-u [DOI:10.1016/0005-7967(94)00075-U]
28. Sanders MR, Markie-Dadds C, Tully LA, Bor W. The triple P-positive parenting program: a comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. Journal of consulting and clinical psychology. 2000; 68(4):624-40. doi: 10.1037//0022-006x.68.4.624 [DOI:10.1037//0022-006X.68.4.624]
29. Sanders MR. New directions in behavioral family intervention with children. In: Blechman E, Campbell SB, Rapoport JL, Routh DK, Rutter M, Werry JS, editors. Advances in Clinical Child Psychology. Berlin: Springer; 1996. [DOI:10.1007/978-1-4613-0323-7_8]
30. Webster-Stratton C, Reid MJ, Hammond M. Treating children with early-onset conduct problems: Intervention outcomes for parent, child, and teacher training. Journal of Clinical Child and Adolescent Psychology. 2004; 33(1):105-24. doi: 10.1207/s15374424jccp3301_11 [DOI:10.1207/S15374424JCCP3301_11]
31. Hoath FE, Sanders MR. A feasibility study of Enhanced Group Triple P—positive parenting program for parents of children with attention-deficit/hyperactivity disorder. Behaviour Change. 2002; 19(4):191-206. doi: 10.1375/bech.19.4.191 [DOI:10.1375/bech.19.4.191]
32. Diament C, Colletti G. Evaluation of behavioral group counseling for parents of learning-disabled children. Journal of Abnormal Child Psychology. 1978; 6(3):385-400. doi: 10.1007/bf00924741 [DOI:10.1007/BF00924741]
33. Connell S, Sanders MR, Markie-Dadds C. Self-directed behavioral family intervention for parents of oppositional children in rural and remote areas. Behavior Modification. 1997; 21(4):379-408. doi: 10.1177/01454455970214001 [DOI:10.1177/01454455970214001]
34. Talei A. [The effect of positive parenting program on behavior problems in girls and their mothers' parental efficacy (Persian)] [MSc. thesis]. Tehran: Shahid Beheshti University; 2009.
35. Kheirie M, Shaeiri MR, Azad Fallah P, Rasulzade Tabatabaei K. [Effect of the triple P-positive parenting program on children with oppositional defiant disorder (Persian)]. Journal of Behavioral Sciences. 2009; 3(1):53-58.
36. Sanders MR. Development, evaluation, and multinational dissemination of the Triple P-Positive Parenting Program. Annual Review of Clinical Psychology. 2012; 8(1):345-79. doi: 10.1146/annurev-clinpsy-032511-143104 [DOI:10.1146/annurev-clinpsy-032511-143104]
37. Mierau LJA. Emerging resilience in a family affected by autism [MSc. thesis]. Saskatchewan: University of Saskatchewan Saskatoon; 2008.
38. Reffert LA. Autism education and early intervention: What experts recommend and how parents and public schools provide [PhD dissertation]. Toledo: University of Toledo; 2008.
39. Zubrick SR, Silburn SR, Garton A, Burton PR, Dalby R, Carlton J et al. Western Australian child health survey: developing health and well-being in the nineties. Perth (WA): Australian Bureau of Statistics and the TVW Telethon Institute for Child Health Research, 1995. [PMCID]
40. Wnoroski AK. Uncovering the stigma in parents of children with Autism [MSc. thesis]. Miami: Miami University; 2008.
41. Krausz M, Meszaros J. The Retrospective Experiences of a Mother of a Child with Autism. International Journal of Special Education. 2005; 20(2):36-46.
42. Sivberg B. Coping strategies and parental attitudes, a comparison of parents with children with autistic spectrum disorders and parents with non-autistic children. International Journal of Circumpolar Health. 2002; 61(sup2):36-50. doi: 10.3402/ijch.v61i0.17501 [DOI:10.3402/ijch.v61i0.17501]
43. Dale E, Jahoda A, Knott F. Mothers' attributions following their child's diagnosis of autistic spectrum disorder: Exploring links with maternal levels of stress, depression and expectations about their child's future. Autism. 2006; 10(5):463-79. doi: 10.1177/1362361306066600 [DOI:10.1177/1362361306066600]
44. Fernańdez-Alcántara M, García-Caro MP, Pérez-Marfil MN, Hueso-Montoro C, Laynez-Rubio C, Cruz-Quintana F. Feelings of loss and grief in parents of children diagnosed with autism spectrum disorder (ASD). Research in Developmental Disabilities. 2016; 55:312–21. doi: 10.1016/j.ridd.2016.05.007 [DOI:10.1016/j.ridd.2016.05.007]
45. Solomon AH, Chung B. Understanding autism: How family therapists can support parents of children with autism spectrum disorders. Family Process. 2012; 51(2):250-64. doi: 10.1111/j.1545-5300.2012.01399.x [DOI:10.1111/j.1545-5300.2012.01399.x]
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