Effects of an attachment-based parent intervention on mothers of children with autism spectrum disorder: preliminary findings from a non-randomized controlled trial.

• Material Type: 博士論文
• Title: Effects of an attachment-based parent intervention on mothers of children with autism spectrum disorder: preliminary findings from a non-randomized controlled trial.
• Author/Editor: Kubo, Nobuyo; Kitagawa, Megumi; Iwamoto, Sayaka; Kishimoto, Toshifumi
• Author Heading: Kubo, Nobuyo; Kitagawa, Megumi; Iwamoto, Sayaka; Kishimoto, Toshifumi
• Publication, Distribution, etc.: BioMed Central
• Publication Date: 2021-07-18
• Publication Date (W3CDTF): 2021-07-18
• Alternative Title: 自閉スペクトラム症児の養育者に対するアタッチメント理論に基づいた親子関係支援 : 非ランダム化比較研究による予備的知見
• Periodical title: Child and adolescent psychiatry and mental health
• No. or year of volume/issue: 15 1
• Volume: 15
• Issue: 1
• Pages: Article No.37-
• ISSN (Periodical Title): ISSN : 1753-2000
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2022-03-15
• Dissertation Number: 甲第816号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Attachment; Autism; Circle of Security Parenting; Intervention; Non-randomized clinical trials
• Target Audience: 一般
• Note (General): type:Thesis; Background: Caregivers of children with autism spectrum disorders (ASD) often experience difficulties in responding appropriately to the needs of those children, who typically express attachment in distinct and nonconventional ways. This highlights the need for an attachment-based approach targeted at caregivers of children with ASD. Circle of Security Parenting (COSP), an attachment-based parenting program, is designed to increase caregivers' sensitivity to children's attachment needs. The aim of this study was to provide verification of the effectiveness of COSP in mothers of children with ASD. Methods: This study was a non-randomized controlled trial. Sixty mothers of children with ASD aged 4-12 were recruited. Twenty mothers received the COSP intervention, while 40 did not. The characteristics of children in the control group were matched with those of the intervention group. To evaluate the outcomes of the intervention, changes in parental self-efficacy and mental health were assessed using the Tool to Measure Parenting Self-Efficacy (TOPSE) and the General Health Questionnaire-30 (GHQ-30). The children's improvement in emotional and behavioral problems was assessed from the mothers' perspective using the Child Behavior Checklist (CBCL). Both groups completed the assessments in parallel. Evaluations were compared between baseline (T1) and 6-month follow-up (T2). Results: Scores for self-efficacy and mental health of mothers and behavior of children were significantly improved from T1 to T2 in the intervention group, but not in the control group. Participants' mental health was markedly worsened in the control group. Conclusion: This study demonstrated that the COSP program for mothers of children with ASD improved their parental self-efficacy and mental health, and reduced their subjective sense of difficulties related to their children's behaviors. Our findings support the effectiveness of the attachment-based program for mothers of children with ASD, providing the groundwork for further studies of the attachment-based intervention for children with ASD and their families. Future studies with larger samples and randomization are also needed for direct evaluation of the improvement of children's attachment security, and for exploration of the synergistic relationship between various family support strategies and COSP. Trial Registration This trial was registered with the University Hospital Medical Information Network Clinical Trial Registry (No. UMIN000039574).; 博士（医学）・甲第816号・令和4年3月15日; © The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativeco mmons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.; identifier:Child and adolescent psychiatry and mental health Vol.15 No.1 Article No.37 (2021 Jul); identifier:17532000; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3999; identifier:Child and adolescent psychiatry and mental health, 15(1): Article No.37
• Source: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3999/1/01%e7%94%b2816%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3999/2/02%e7%94%b2816%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3999/3/03%e7%94%b2816%e6%9c%ac%e6%96%87.pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.1186/s13034-021-00389-z
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU