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A Pilot Study Examining the Effect of Acceptance and Commitment Therapy as Parent Counseling
Journal of Child and Family Studies ( IF 1.6 ) Pub Date : 2021-02-27 , DOI: 10.1007/s10826-021-01926-2
Denise H. M. Bodden , Denise Matthijssen

There is some scientific evidence to support the applicability and preliminary effects of ACT as a parent intervention but more research is needed. In this pilot research, Acceptance and Commitment Therapy (ACT) is provided as a parent counseling therapy in order to increase psychological flexibility which in turn helps parents to choose attuned parenting behavior, invest in a helpful parent-child relationship, deal with feelings of incompetence, and cope with their own psychopathology. ACT parent counseling is developed for parents of children (3–18 years old) with psychiatric problems. The mean age of the parents (n = 101) was 47.1 years (range = 30–66). A repeated measures design was used including pretreatment, posttreatment, and 6-month follow-up measurements. The main outcomes were ACT measures (psychological flexibility, parental psychological inflexibility, and cognitive fusion). Secondary outcomes included parenting behavior, the quality of the parent-child interaction, parental competence, parental psychopathology, and the satisfaction with the treatment program. This is the first study we know of that showed statistically significant improvements on parental psychological flexibility, parenting behavior (except behavioral control), parent-child relations, parental competence, and parental internalizing psychopathology directly after treatment. At 6-month follow-up, significantly less conflicts, more parental competence, and less parental psychopathology was found. However, the improvements were not clinically significant, as calculated with the RCI. No control group was used in this uncontrolled pilot study but preliminary findings indicate that ACT parent counseling can help parents to increase psychological flexibility in order to choose more flexible and effective parenting behavior.



中文翻译:

一项初步研究,研究接受和承诺疗法作为父母辅导的效果

有一些科学证据支持ACT作为父母干预措施的适用性和初步效果,但还需要更多的研究。在这项先导研究中,接受和承诺疗法(ACT)作为家长辅导疗法提供,以增加心理灵活性,进而帮助父母选择协调的育儿行为,投资于有益的亲子关系,处理无能的感觉,并应对自己的心理病理学。ACT家长咨询专为患有精神病的儿童(3至18岁)的父母而设计。父母的平均年龄(ñ = 101)为47.1年(范围= 30-66)。使用了重复测量设计,包括预处理,后处理和6个月的随访测量。主要结果是ACT措施(心理柔韧性,父母心理柔韧性和认知融合)。次要结果包括育儿行为,亲子互动的质量,父母的能力,父母的心理病理以及对治疗计划的满意度。这是我们所知的第一项研究,表明治疗后父母的心理灵活性,父母的养育行为(行为控制除外),亲子关系,父母的能力以及父母的内在化心理病理学在统计学上有显着改善。经过6个月的随访,冲突明显减少了,父母的能力有了明显提高,并且发现较少的父母心理病理学。但是,如用RCI计算的那样,这种改善在临床上并不显着。在这项不受控制的先导研究中未使用对照组,但初步发现表明,ACT父母辅导可以帮助父母增加心理灵活性,以便选择更灵活有效的育儿行为。

更新日期:2021-03-19
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