Acceptance and Commitment Therapy for a Parent of a Child with Pediatric Feeding Disorder: A Case Study.

IF 0.9 Q3 PSYCHOLOGY, CLINICAL

Clinical Practice in Pediatric Psychology Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI:10.1037/cpp0000549

Dana M Bakula, Alexandra Zax, Meredith L Dreyer Gillette

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引用次数: 0

Abstract

Objective: Pediatric Feeding Disorder (PFD) is a common condition for young children and can cause stress among parents. However, there are no parent psychosocial interventions that have been tested for efficacy in this population. Acceptance and Commitment Therapy (ACT) holds great promise for addressing parent stress among parents of children with PFD. In the present case report, we describe the application of ACT with a parent of a child with PFD, with a focus on parent and child outcomes and parent-reported implementation barriers and facilitators.

Methods: The mother of a young child with PFD completed 6 sessions of Acceptance and Commitment Therapy, focused on the stress she was experiencing related to her child's feeding issues. Treatment was offered in the context of her child's PFD treatment setting, and sessions were held over telehealth.

Results: This mother's stress improved from high to average over the course of treatment, using the parental stress scale. The majority of her improvements in stress were following the first 2 sessions. She also reported qualitative benefits related to her parenting, her child's feeding, and her general wellbeing. She reported several facilitators of treatment, including the flexibility offered throughout treatment the use of telehealth, and acknowledgement of her experiences. She reported barriers including mental health stigma, time constraints, and childcare.

Conclusions: Brief treatment of parental stress, offered in a pediatric treatment setting is feasible to implement and may have clinical utility in supporting families of children with PFD or other medical conditions.

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儿童喂养障碍家长的接受与承诺治疗：个案研究。

目的：小儿喂养障碍（PFD）是幼儿的常见病，可引起家长压力。然而，在这一人群中，还没有测试过父母心理社会干预措施的有效性。接受和承诺疗法（ACT）在解决PFD患儿父母的压力方面有很大的希望。在本病例报告中，我们描述了ACT在患有PFD儿童的父母中的应用，重点是父母和儿童的结果以及父母报告的实施障碍和促进因素。方法：一名患有PFD的幼儿的母亲完成了6次接受和承诺治疗，重点关注她所经历的与孩子喂养问题相关的压力。治疗是在她孩子的PFD治疗环境下提供的，会议是通过远程保健举行的。结果：使用父母压力量表，该母亲的压力在治疗过程中从高改善到平均。她在压力方面的改善主要发生在前两个疗程之后。她还报告了与她的养育、孩子的喂养和她的整体健康有关的定性益处。她报告了若干促进治疗的因素，包括远程保健在整个治疗过程中提供的灵活性，以及对她的经验的认可。她报告了包括心理健康耻辱、时间限制和儿童保育在内的障碍。结论：在儿科治疗环境中提供父母压力的简短治疗是可行的，并且可能在支持患有PFD或其他医疗条件的儿童的家庭中具有临床效用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.