The Effectiveness of Acceptance-and-Commitment-Based Parenting Training on Mood and Anxiety in Children and Self-compassion in Parents

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Clinical Practice in Pediatric Psychology Pub Date : 2023-01-04 DOI:10.32598/jpcp.11.1.860.1

Elaheh Ghorbanikhah, M. Mohammadyfar, S. Moradi, MohammadAgha Delavarpour

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引用次数: 0

Abstract

Objective: Depression and anxiety are common in children and a major cause of many illnesses and disabilities in this age group; Moreover, parents have the greatest impact on shaping the mental health and well-being of their children and there is a vast literature describing the importance of parenting factors in the development of depression and anxiety in children. Methods: We used the experimental research design in this study. The sample consisted of 34 children with depression and anxiety who were randomly allocated into ACT on parenting (intervention) and control groups via the randomization method. The intervention group received eight 2-h sessions weekly. The revised child anxiety and depression scale, parent short versions and the self-compassion scale were administered in both groups. The analyses of covariance (ANCOVA) and the repeated measures of analysis of variance (ANOVA) were employed to determine the difference between the intervention and control groups on depression, anxiety, and self-compassion. Results: ANCOVA and repeated measures ANOVA results showed clinically significant changes in depression and anxiety in children and self-compassion in parents in the intervention group (P<0.001). The Mean±SD of depression in the intervention group was 16.50±0.89 at baseline, which significantly decreased to 2.94±3.27 at post-measure and 2.25±3.35 at follow-up (P<0.001). The Mean±SD of anxiety was 18.19±1.87, which significantly decreased to 7.63±4.34 at post-measure and 7.06±4.52 at follow-up (P<0.001). Additionally, the mean and SD score of self-compassion was 56.43±3.14 in pre-intervention, which significantly improved to 97.18±3.72 in post-intervention and 98.25±4.76 at follow-up (P<0.001). Conclusion: The results show that ACT-based parenting is an effective treatment for depression and anxiety in children. This method also improves self-compassion in parents.

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以接纳与承诺为基础的教养训练对儿童情绪、焦虑及父母自我同情的效果

目的:抑郁和焦虑在儿童中很常见，是该年龄组许多疾病和残疾的主要原因;此外，父母对塑造孩子的心理健康和幸福有着最大的影响，有大量的文献描述了养育因素在儿童抑郁和焦虑发展中的重要性。方法:本研究采用实验研究设计。采用随机分组法，将34名抑郁、焦虑患儿随机分为ACT组(干预组)和对照组。干预组每周接受8次2小时的治疗。两组均采用修订后的儿童焦虑抑郁量表、家长简短版量表和自我同情量表。采用协方差分析(ANCOVA)和重复方差分析(ANOVA)来确定干预组与对照组在抑郁、焦虑和自我同情方面的差异。结果:ANCOVA和重复测量方差分析结果显示，干预组儿童抑郁、焦虑和父母自我同情发生了显著变化(P<0.001)。干预组抑郁的Mean±SD基线时为16.50±0.89，测量后为2.94±3.27，随访时为2.25±3.35 (P<0.001)。焦虑的Mean±SD为18.19±1.87，测后值为7.63±4.34，随访值为7.06±4.52 (P<0.001)。干预前自我同情的均分和SD分别为56.43±3.14分、97.18±3.72分和98.25±4.76分，差异有统计学意义(P<0.001)。结论:act为基础的育儿方法是治疗儿童抑郁和焦虑的有效方法。这种方法也能提高父母的自我同情。

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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.