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Gepubliceerd in: Journal of Autism and Developmental Disorders 12/2022

18-01-2022 | Original Paper

A Longitudinal RCT of P-ESDM With and Without Parental Mindfulness Based Stress Reduction: Impact on Child Outcomes

Auteurs: Amy S. Weitlauf, Neill Broderick, J. Alacia Stainbrook, James C. Slaughter, Julie Lounds Taylor, Catherine G. Herrington, Amy G. Nicholson, Madeline Santulli, Kristin Dorris, LaTamara Jackson Garrett, Michelle Hopton, Amy Kinsman, Mary Morton, Ashley Vogel, Elisabeth M. Dykens, A. Pablo Juárez, Zachary E. Warren

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2022

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Abstract

This randomized controlled trial (NCT03889821) examined Mindfulness Based Stress Reduction (MBSR) in conjunction with the Parent-implemented Early Start Denver Model (P-ESDM). A previous report described improved metrics of parental distress (Weitlauf et al. in Pediatrics 145(Supplement 1):S81–S92, 2020). This manuscript examines child outcomes. 63 children with ASD (< 36 months) and their parents received 12 P-ESDM sessions. Half of parents also received MBSR. Longitudinal examination of whole sample means revealed modest improvements in autism severity, cognitive, and adaptive skills. There was not a significant time × group interaction for children whose parents received MBSR. Future work should examine more proximal markers of child or dyadic change to enhance understanding of the impact of providing direct treatment for parents as part of early intervention initiatives.
Literatuur
go back to reference Alsubaie, M., Abbott, R., Dunn, B., Dickens, C., Keil, T. F., Henley, W., & Kuyken, W. (2017). Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clinical Psychology Review, 55, 74–91. https://doi.org/10.1016/j.cpr.2017.04.008CrossRefPubMed Alsubaie, M., Abbott, R., Dunn, B., Dickens, C., Keil, T. F., Henley, W., & Kuyken, W. (2017). Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clinical Psychology Review, 55, 74–91. https://​doi.​org/​10.​1016/​j.​cpr.​2017.​04.​008CrossRefPubMed
go back to reference Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., … Scahill, L. (2015). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder. Journal of the American Medical Association, 313(15), 1524. https://doi.org/10.1001/jama.2015.3150 Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., … Scahill, L. (2015). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder. Journal of the American Medical Association, 313(15), 1524. https://​doi.​org/​10.​1001/​jama.​2015.​3150
go back to reference Bennett, M., Webster, A. A., Goodall, E., & Rowland, S. (2018). Establishing contexts for support: Undoing the legacy of the “Refrigerator Mother” Myth. Life on the autism spectrum: Translating myths and misconceptions into positive futures (pp. 61–80). Singapore: Springer.CrossRef Bennett, M., Webster, A. A., Goodall, E., & Rowland, S. (2018). Establishing contexts for support: Undoing the legacy of the “Refrigerator Mother” Myth. Life on the autism spectrum: Translating myths and misconceptions into positive futures (pp. 61–80). Singapore: Springer.CrossRef
go back to reference Cash, E., Salmon, P., Weissbecker, I., Rebholz, W. N., Bayley-Veloso, R., Zimmaro, L. A., … Sephton, S. E. (2015).Mindfulness meditation alleviates fibromyalgia symptoms in women: Results of a randomized clinical trial Annals of Behavioral Medicine, 49(3), 319–330.https://doi.org/10.1007/s12160-014-9665-0 Cash, E., Salmon, P., Weissbecker, I., Rebholz, W. N., Bayley-Veloso, R., Zimmaro, L. A., … Sephton, S. E. (2015).Mindfulness meditation alleviates fibromyalgia symptoms in women: Results of a randomized clinical trial Annals of Behavioral Medicine, 49(3), 319–330.https://​doi.​org/​10.​1007/​s12160-014-9665-0
go back to reference Estes, A., Vismara, L., Mercado, C., Fitzpatrick, A., Elder, L., Greenson, J., … Rogers, S. (2014). The impact of parent-delivered intervention on parents of very young children with autism. Journal of Autism and Developmental Disorders, 44(2), 353–365. https://doi.org/10.1007/s10803-013-1874-z Estes, A., Vismara, L., Mercado, C., Fitzpatrick, A., Elder, L., Greenson, J., … Rogers, S. (2014). The impact of parent-delivered intervention on parents of very young children with autism. Journal of Autism and Developmental Disorders, 44(2), 353–365. https://​doi.​org/​10.​1007/​s10803-013-1874-z
go back to reference Girault, J. B., Swanson, M. R., Meera, S. S., Grzadzinski, R. L., Shen, M. D., Burrows, C. A., … Piven, J. (2020). Quantitative trait variation in ASD probands and toddler sibling outcomes at 24 months. Journal of Neurodevelopmental Disorders, 12(1), 5. https://doi.org/10.1186/s11689-020-9308-7 Girault, J. B., Swanson, M. R., Meera, S. S., Grzadzinski, R. L., Shen, M. D., Burrows, C. A., … Piven, J. (2020). Quantitative trait variation in ASD probands and toddler sibling outcomes at 24 months. Journal of Neurodevelopmental Disorders, 12(1), 5. https://​doi.​org/​10.​1186/​s11689-020-9308-7
go back to reference Hine, J. F., Allin, J., Allman, A., Black, M., Browning, B., Ramsey, B., … Allen, W. (2020). Increasing access to autism spectrum disorder diagnostic consultation in rural and underserved communities: Streamlined evaluation within primary care. Journal of Developmental and Behavioral Pediatrics, 41(1), 16–22. https://doi.org/10.1097/dbp.0000000000000727 Hine, J. F., Allin, J., Allman, A., Black, M., Browning, B., Ramsey, B., … Allen, W. (2020). Increasing access to autism spectrum disorder diagnostic consultation in rural and underserved communities: Streamlined evaluation within primary care. Journal of Developmental and Behavioral Pediatrics, 41(1), 16–22. https://​doi.​org/​10.​1097/​dbp.​0000000000000727​
go back to reference Hoge, E. A., Bui, E., Marques, L., Metcalf, C. A., Morris, L. K., Robinaugh, D. J., … Simon, N. M. (2013). Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: Effects on anxiety and stress reactivity. Journal of Clinical Psychiatry, 74(8), 786–792. https://doi.org/10.4088/JCP.12m08083 Hoge, E. A., Bui, E., Marques, L., Metcalf, C. A., Morris, L. K., Robinaugh, D. J., … Simon, N. M. (2013). Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: Effects on anxiety and stress reactivity. Journal of Clinical Psychiatry, 74(8), 786–792. https://​doi.​org/​10.​4088/​JCP.​12m08083
go back to reference Kabat-Zinn, J., & Chapman-Waldrop, A. (1988). Compliance with an outpatient stress reduction program: Rates and predictors of program completion. Journal of Behavioral Medicine, 11(4), 333–352.CrossRefPubMed Kabat-Zinn, J., & Chapman-Waldrop, A. (1988). Compliance with an outpatient stress reduction program: Rates and predictors of program completion. Journal of Behavioral Medicine, 11(4), 333–352.CrossRefPubMed
go back to reference Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., … Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149(7), 936–943. https://doi.org/10.1176/ajp.149.7.936 Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., … Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149(7), 936–943. https://​doi.​org/​10.​1176/​ajp.​149.​7.​936
go back to reference Khoo, E. L., Small, R., Cheng, W., Hatchard, T., Glynn, B., Rice, D. B., … Poulin, P. A. (2019). Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis. Evidence-Based Mental Health, 22(1), 26–35. https://doi.org/10.1136/ebmental-2018-300062 Khoo, E. L., Small, R., Cheng, W., Hatchard, T., Glynn, B., Rice, D. B., … Poulin, P. A. (2019). Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis. Evidence-Based Mental Health, 22(1), 26–35. https://​doi.​org/​10.​1136/​ebmental-2018-300062
go back to reference Lebares, C. C., Hershberger, A. O., Guvva, E. V., Desai, A., Mitchell, J., Shen, W., … Harris, H. W. (2018). Feasibility of formal mindfulness-based stress-resilience training among surgery interns: A randomized clinical trial. JAMA Surgery, 153(10), e182734. https://doi.org/10.1001/jamasurg.2018.2734 Lebares, C. C., Hershberger, A. O., Guvva, E. V., Desai, A., Mitchell, J., Shen, W., … Harris, H. W. (2018). Feasibility of formal mindfulness-based stress-resilience training among surgery interns: A randomized clinical trial. JAMA Surgery, 153(10), e182734. https://​doi.​org/​10.​1001/​jamasurg.​2018.​2734
go back to reference Liptak, G. S., Benzoni, L. B., Mruzek, D. W., Nolan, K. W., Thingvoll, M. A., Wade, C. M., & Fryer, G. E. (2008). Disparities in diagnosis and access to health services for children with autism: Data from the National Survey of Children’s Health. Journal of Developmental and Behavioral Pediatrics, 29(3), 152–160. https://doi.org/10.1097/DBP.0b013e318165c7a0CrossRefPubMed Liptak, G. S., Benzoni, L. B., Mruzek, D. W., Nolan, K. W., Thingvoll, M. A., Wade, C. M., & Fryer, G. E. (2008). Disparities in diagnosis and access to health services for children with autism: Data from the National Survey of Children’s Health. Journal of Developmental and Behavioral Pediatrics, 29(3), 152–160. https://​doi.​org/​10.​1097/​DBP.​0b013e318165c7a0​CrossRefPubMed
go back to reference Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., … Rutter, M. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223. https://doi.org/10.1023/A:1005592401947 Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., … Rutter, M. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223. https://​doi.​org/​10.​1023/​A:​1005592401947
go back to reference Masi, A., Dissanayake, C., Alach, T., Cameron, K., Fordyce, K., Frost, G., … Eapen, V. (2021). Clinical outcomes and associated predictors of early intervention in autism spectrum disorder: A study protocol. British Medical Journal Open, 11(8), e047290. https://doi.org/10.1136/bmjopen-2020-047290 Masi, A., Dissanayake, C., Alach, T., Cameron, K., Fordyce, K., Frost, G., … Eapen, V. (2021). Clinical outcomes and associated predictors of early intervention in autism spectrum disorder: A study protocol. British Medical Journal Open, 11(8), e047290. https://​doi.​org/​10.​1136/​bmjopen-2020-047290
go back to reference Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17(3), 192–200.CrossRefPubMed Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17(3), 192–200.CrossRefPubMed
go back to reference Mullen, E. L. (1995). Mullen scales of early learning. American Guidance Service. Mullen, E. L. (1995). Mullen scales of early learning. American Guidance Service.
go back to reference Rogers, S., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., … Dawson, G. (2012). Effects of a brief Early Start Denver model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(10), 1052–1065. https://doi.org/10.1016/j.jaac.2012.08.003 Rogers, S., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., … Dawson, G. (2012). Effects of a brief Early Start Denver model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(10), 1052–1065. https://​doi.​org/​10.​1016/​j.​jaac.​2012.​08.​003
go back to reference Rogers, S., Estes, A., Vismara, L., Munson, J., Zierhut, C., Greenson, J., … Talbott, M. (2019). Enhancing low-intensity coaching in parent implemented early start denver model intervention for early autism: A randomized comparison treatment trial. Journal of Autism and Developmental Disorders, 49(2), 632–646. https://doi.org/10.1007/s10803-018-3740-5 Rogers, S., Estes, A., Vismara, L., Munson, J., Zierhut, C., Greenson, J., … Talbott, M. (2019). Enhancing low-intensity coaching in parent implemented early start denver model intervention for early autism: A randomized comparison treatment trial. Journal of Autism and Developmental Disorders, 49(2), 632–646. https://​doi.​org/​10.​1007/​s10803-018-3740-5
go back to reference Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., … Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428. https://doi.org/10.1007/s10803-015-2407-8 Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., … Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428. https://​doi.​org/​10.​1007/​s10803-015-2407-8
go back to reference Solomon, M., Iosif, A. M., Reinhardt, V. P., Libero, L. E., Nordahl, C. W., Ozonoff, S., … Amaral, D. G. (2018). What will my child’s future hold? Phenotypes of intellectual development in 2–8-year-olds with autism spectrum disorder. Autism Research, 11(1), 121–132. https://doi.org/10.1002/aur.1884 Solomon, M., Iosif, A. M., Reinhardt, V. P., Libero, L. E., Nordahl, C. W., Ozonoff, S., … Amaral, D. G. (2018). What will my child’s future hold? Phenotypes of intellectual development in 2–8-year-olds with autism spectrum disorder. Autism Research, 11(1), 121–132. https://​doi.​org/​10.​1002/​aur.​1884
go back to reference Sparrow, S. S., & Cicchetti, D. V. (1985). Diagnostic uses of the Vineland adaptive behavior scales. Journal of Pediatric Psychology, 10(2), 215–225.CrossRefPubMed Sparrow, S. S., & Cicchetti, D. V. (1985). Diagnostic uses of the Vineland adaptive behavior scales. Journal of Pediatric Psychology, 10(2), 215–225.CrossRefPubMed
go back to reference Trembath, D., Gurm, M., Scheerer, N. E., Trevisan, D. A., Paynter, J., Bohadana, G., … Iarocci, G. (2019). Systematic review of factors that may influence the outcomes and generalizability of parent-mediated interventions for young children with autism spectrum disorder. Autism Research, 12(9), 1304–1321. https://doi.org/10.1002/aur.2168 Trembath, D., Gurm, M., Scheerer, N. E., Trevisan, D. A., Paynter, J., Bohadana, G., … Iarocci, G. (2019). Systematic review of factors that may influence the outcomes and generalizability of parent-mediated interventions for young children with autism spectrum disorder. Autism Research, 12(9), 1304–1321. https://​doi.​org/​10.​1002/​aur.​2168
go back to reference Uddin, J., Alharbi, N., Uddin, H., Hossain, M. B., Hatipoğlu, S. S., Long, D. L., & Carson, A. P. (2020). Parenting stress and family resilience affect the association of adverse childhood experiences with children’s mental health and attention-deficit/hyperactivity disorder. Journal of Affective Disorders, 272, 104–109. https://doi.org/10.1016/j.jad.2020.03.132CrossRefPubMed Uddin, J., Alharbi, N., Uddin, H., Hossain, M. B., Hatipoğlu, S. S., Long, D. L., & Carson, A. P. (2020). Parenting stress and family resilience affect the association of adverse childhood experiences with children’s mental health and attention-deficit/hyperactivity disorder. Journal of Affective Disorders, 272, 104–109. https://​doi.​org/​10.​1016/​j.​jad.​2020.​03.​132CrossRefPubMed
go back to reference Watson, L. R., Crais, E. R., Baranek, G. T., Turner-Brown, L., Sideris, J., Wakeford, L., … Nowell, S. W. (2017). Parent-mediated intervention for one-year-olds screened as at-risk for autism spectrum disorder: A randomized controlled trial. Journal of Autism and Developmental Disorders, 47(11), 3520–3540. https://doi.org/10.1007/s10803-017-3268-0 Watson, L. R., Crais, E. R., Baranek, G. T., Turner-Brown, L., Sideris, J., Wakeford, L., … Nowell, S. W. (2017). Parent-mediated intervention for one-year-olds screened as at-risk for autism spectrum disorder: A randomized controlled trial. Journal of Autism and Developmental Disorders, 47(11), 3520–3540. https://​doi.​org/​10.​1007/​s10803-017-3268-0
go back to reference Weitlauf, A. S., McPheeters, M. L., Peters, B., Sathe, N., Travis, R., Aiello, R., … Warren, Z. (2014). In: Therapies for children with autism spectrum disorder: Behavioral interventions update. Weitlauf, A. S., McPheeters, M. L., Peters, B., Sathe, N., Travis, R., Aiello, R., … Warren, Z. (2014). In: Therapies for children with autism spectrum disorder: Behavioral interventions update.
go back to reference Wetherby, A. M., Woods, J., Guthrie, W., Delehanty, A., Brown, J. A., Morgan, L., … Lord, C. (2018). Changing developmental trajectories of toddlers with autism spectrum disorder: Strategies for bridging research to community practice. Journal of Speech Language and Hearing Research, 61(11), 2615–2628. https://doi.org/10.1044/2018_JSLHR-L-RSAUT-18-0028 Wetherby, A. M., Woods, J., Guthrie, W., Delehanty, A., Brown, J. A., Morgan, L., … Lord, C. (2018). Changing developmental trajectories of toddlers with autism spectrum disorder: Strategies for bridging research to community practice. Journal of Speech Language and Hearing Research, 61(11), 2615–2628. https://​doi.​org/​10.​1044/​2018_​JSLHR-L-RSAUT-18-0028
Metagegevens
Titel
A Longitudinal RCT of P-ESDM With and Without Parental Mindfulness Based Stress Reduction: Impact on Child Outcomes
Auteurs
Amy S. Weitlauf
Neill Broderick
J. Alacia Stainbrook
James C. Slaughter
Julie Lounds Taylor
Catherine G. Herrington
Amy G. Nicholson
Madeline Santulli
Kristin Dorris
LaTamara Jackson Garrett
Michelle Hopton
Amy Kinsman
Mary Morton
Ashley Vogel
Elisabeth M. Dykens
A. Pablo Juárez
Zachary E. Warren
Publicatiedatum
18-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 12/2022
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-021-05399-6

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