Acceptance and Commitment Therapy for Children with Special Health Care Needs and Their Parents: A Systematic Review and Meta-Analysis
العنوان: | Acceptance and Commitment Therapy for Children with Special Health Care Needs and Their Parents: A Systematic Review and Meta-Analysis |
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المؤلفون: | Yuen Yu Chong, Eyal Cohen, Lesley Barreira, Paige Church, Nathalie Major, Kayla Esser, Arpita Parmar, Julia Orkin, Douglas Miller, Wanda L Smith, Leora Morinis |
المصدر: | International Journal of Environmental Research and Public Health, Vol 18, Iss 8205, p 8205 (2021) International Journal of Environmental Research and Public Health |
بيانات النشر: | MDPI AG, 2021. |
سنة النشر: | 2021 |
مصطلحات موضوعية: | 050103 clinical psychology, Adolescent, Health, Toxicology and Mutagenesis, Context (language use), PsycINFO, children with special health care needs, Acceptance and commitment therapy, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, 0501 psychology and cognitive sciences, Child, Descriptive statistics, business.industry, 05 social sciences, Infant, Newborn, Public Health, Environmental and Occupational Health, Infant, acceptance and commitment therapy, Study heterogeneity, Data extraction, Strictly standardized mean difference, Child, Preschool, Meta-analysis, Systematic Review, business, Delivery of Health Care, 030217 neurology & neurosurgery, Clinical psychology |
الوصف: | Context: Acceptance and Commitment Therapy (ACT) is an emerging treatment for improving psychological well-being. Objective: To summarize research evaluating the effects of ACT on psychological well-being in children with special health care needs (SHCN) and their parents. Data Sources: An electronic literature search was conducted in PubMed, Web of Science, Ovid/EMBASE and PsycINFO (January 2000–April 2021). Study Selection: Included were studies that assessed ACT in children with SHCN (ages 0–17y) and/or parents of children with SHCN and had a comparator group. Data Extraction: Descriptive data were synthesized and presented in a tabular format, and data on relevant outcomes (e.g., depressive symptoms, stress, avoidance and fusion) were used in the meta-analyses to explore the effectiveness of ACT (administered independently with no other psychological therapy) compared to no treatment. Results: Ten studies were identified (child (7) and parent (3)). In children with SHCN, ACT was more effective than no treatment at helping depressive symptoms (standardized mean difference [SMD] = −4.27, 95% CI: −5.20, −3.34; p < 0.001) and avoidance and fusion (SMD = −1.64, 95% CI: −3.24, −0.03; p = 0.05), but not stress. In parents of children with SHCN, ACT may help psychological inflexibility (SMD = −0.77, 95% CI: −1.07, −0.47; p < 0.01). Limitations: There was considerable statistical heterogeneity in three of the six meta-analyses. Conclusions: There is some evidence that ACT may help with depressive symptoms in children with SHCN and psychological inflexibility in their parents. Research on the efficacy of ACT for a variety of children with SHCN and their parents is especially limited, and future research is needed. |
اللغة: | English |
تدمد: | 1661-7827 1660-4601 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::147cfb3e5685e2b2e2597aa3bf9d4315Test https://www.mdpi.com/1660-4601/18/15/8205Test |
حقوق: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....147cfb3e5685e2b2e2597aa3bf9d4315 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 16617827 16604601 |
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