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Comparison of effects of interventions to promote the mental health of parents of children with autism: A systematic review and network meta-analysis.

Clinical psychology review
December 1, 2024
Shuliang Mo et al. (4 authors)
Journal ArticleSystematic ReviewMeta-AnalysisComparative StudyReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the comparative effectiveness of mental health interventions, including mindfulness-based interventions, for reducing parenting stress, anxiety, and depression in parents of autistic children.

Results Summary

Mindfulness-based interventions demonstrated the highest efficacy in reducing parenting stress, while cognitive behavioral therapy was effective for alleviating anxiety and depression. Psychoeducational interventions also showed significant benefits in mitigating parental anxiety, depression, and stress.

Population

Parents of children with autism spectrum disorders (4213 participants across 69 studies).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based interventions
decrease
parenting stress
parents of autistic children
-
demonstrate the highest efficacy in reducing
#1
cognitive behavioral therapy
decrease
anxiety
parents of children with autism
-
is effective in alleviating
#2
cognitive behavioral therapy
decrease
depression
parents of children with autism
-
is effective in alleviating
#3
psychoeducational interventions
decrease
parental anxiety
parents of autistic children
-
have shown significant benefits in mitigating
#4
psychoeducational interventions
decrease
depression
parents of autistic children
-
have shown significant benefits in mitigating
#5
psychoeducational interventions
decrease
parenting stress
parents of autistic children
-
have shown significant benefits in mitigating
#6
acceptance and commitment (ACT)
decrease
depression
parents of children with autism
-
displays promising outcomes in reducing
#7
Abstract

Individuals diagnosed with autism spectrum disorders often face persistent challenges in social interaction and engage in repetitive and stereotyped behaviors. Parenting a child with autism can profoundly affect parents both physically and psychologically, potentially leading to negative impacts on their mental health. This study employs a network meta-analysis methodology to evaluate the comparative effectiveness of mental health interventions specifically designed for parents of autistic children. A total of 69 empirical intervention studies involving 4213 parents of autistic children were included in the analysis. Employing the frequency framework model and utilizing Stata 16.0 software, we quantitatively analyzed the impact of various interventions on anxiety, depression, parenting stress, and parenting self-efficacy. Our findings indicate that mindfulness-based interventions demonstrate the highest efficacy in reducing parenting stress, while cognitive behavioral therapy is effective in alleviating anxiety and depression in parents of children with autism. Psychoeducational interventions have shown significant benefits in mitigating parental anxiety, depression, and parenting stress, and acceptance and commitment (ACT) displays promising outcomes in reducing depression. We also elaborate on the underlying mechanisms that contribute to the effectiveness of these interventions. This network meta-analysis presents valuable insights for the development of targeted interventions to provide support to parents of children with autism.

Medical Subject Headings (MeSH)
AdultChildHumansAnxietyAutism Spectrum DisorderAutistic DisorderCognitive Behavioral TherapyDepressionNetwork Meta-AnalysisParentingParentsStress, Psychological
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Research Impact Scores
APT Score0.05
Weight Score2.62
Normalized Score0.72
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