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Family adjustment and interventions in neurodevelopmental disorders.

Current opinion in psychiatry
March 1, 2015
Elisabeth M Dykens
Journal ArticleResearch Support, N.I.H., ExtramuralReviewHuman Study
Study Details

Study Goal

The researchers aimed to review family intervention studies, including mindfulness practices, to assess their potential for reducing parental stress in families of children with developmental disabilities.

Results Summary

Mindfulness practices and a peer-mentor model showed promise for effective stress reduction in parents of children with disabilities, though most family studies were descriptive with few intervention trials. Psychoeducational programs and respite care were also found to be beneficial but varied in effectiveness.

Population

Parents of children with developmental disabilities, particularly autism and intellectual disabilities.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness practices
decrease
parental stress
parents of children with disabilities
-
hold much promise for effective stress reduction
#1
peer-mentor model of treatment delivery
decrease
parental stress
parents of children with disabilities
-
hold much promise for effective stress reduction
#2
psychoeducational programs
decrease
parental stress
parents of children with disabilities
-
differentially beneficial
#3
respite care
decrease
parental stress
parents of children with disabilities
-
differentially beneficial
#4
Abstract

PURPOSE OF REVIEW: Developmental disabilities are increasingly recognized, and remarkable progress is being made on the genetic and neurobiological underpinnings of many disorders. Yet, only a tiny percentage of the disability literature addresses families of children with disabilities. A review of recently published family studies reveals salient trends and gaps. RECENT FINDINGS: Consistent with previous work, high levels of parent stress, illness, anxiety, and depression are apparent. Studies in the USA focused on parents of children with autism; in contrast, studies on parents of children with intellectual disabilities were almost always conduced abroad. Compared to other disabilities, families of children with psychiatric disorders and genetic syndromes are understudied. The majority of family studies are descriptive, with very few trials or interventions aimed at reducing parental stress. Of these, mindfulness practices and a peer-mentor model of treatment delivery hold much promise for effective stress reduction. Psychoeducational programs and respite care are differentially beneficial. SUMMARY: A new era of family intervention research is in order. This work can take advantage of many advances in telemedicine, peer-mentor models, smart technology, and biomarkers as indices of change. Benefit could also stem from group interventions with parents who share similar concerns, regardless of their child's diagnostic label.

Medical Subject Headings (MeSH)
ChildDevelopmental DisabilitiesChildren with DisabilitiesFamilyHumansNervous System DiseasesParentsSiblings
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality60/10
Citation Metrics
Total Citations24
Citations/Year2.4
Relative Citation Ratio0.97
NIH Percentile49%
Research Impact Scores
APT Score0.75
Weight Score1.49
Normalized Score0.62
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