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Détail de l'auteur
Auteur Nikko S. DA PAZ |
Documents disponibles écrits par cet auteur (2)
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Acceptance or Despair? Maternal Adjustment to Having a Child Diagnosed with Autism / Nikko S. DA PAZ in Journal of Autism and Developmental Disorders, 48-6 (June 2018)
[article]
Titre : Acceptance or Despair? Maternal Adjustment to Having a Child Diagnosed with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Nikko S. DA PAZ, Auteur ; B. SIEGEL, Auteur ; M. A. COCCIA, Auteur ; E. S. EPEL, Auteur Article en page(s) : p.1971-1981 Langues : Anglais (eng) Mots-clés : Adaptive adjustment Autism spectrum disorders Caregivers Depression Stress Index. décimale : PER Périodiques Résumé : Psychological adjustment to having one's child diagnosed with an autism spectrum disorder has important implications for a parent's mental health. In a longitudinal study, we examined the association between maternal adjustment to the diagnosis and measures of distress and well-being in 90 mothers of children with autism (baseline and 18 months). We used a novel 30-item scale "Adjustment to the Diagnosis of Autism." Factor analysis identified three dimensions of adjustment: acceptance, self-blame, and despair. Acceptance appeared to be a protective response, as it was associated with lower depressive symptoms, cross-sectionally and over time. Conversely, caregivers with increasing levels of self-blame and despair about the diagnosis over 18 months had worsening of mental health and satisfaction with life during this period. En ligne : http://dx.doi.org/10.1007/s10803-017-3450-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=361
in Journal of Autism and Developmental Disorders > 48-6 (June 2018) . - p.1971-1981[article] Acceptance or Despair? Maternal Adjustment to Having a Child Diagnosed with Autism [Texte imprimé et/ou numérique] / Nikko S. DA PAZ, Auteur ; B. SIEGEL, Auteur ; M. A. COCCIA, Auteur ; E. S. EPEL, Auteur . - p.1971-1981.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-6 (June 2018) . - p.1971-1981
Mots-clés : Adaptive adjustment Autism spectrum disorders Caregivers Depression Stress Index. décimale : PER Périodiques Résumé : Psychological adjustment to having one's child diagnosed with an autism spectrum disorder has important implications for a parent's mental health. In a longitudinal study, we examined the association between maternal adjustment to the diagnosis and measures of distress and well-being in 90 mothers of children with autism (baseline and 18 months). We used a novel 30-item scale "Adjustment to the Diagnosis of Autism." Factor analysis identified three dimensions of adjustment: acceptance, self-blame, and despair. Acceptance appeared to be a protective response, as it was associated with lower depressive symptoms, cross-sectionally and over time. Conversely, caregivers with increasing levels of self-blame and despair about the diagnosis over 18 months had worsening of mental health and satisfaction with life during this period. En ligne : http://dx.doi.org/10.1007/s10803-017-3450-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=361 Effects of written disclosure on psychophysiological stress among parents of children with autism: A randomized controlled pilot study / Nikko S. DA PAZ in Research in Autism Spectrum Disorders, 53 (September 2018)
[article]
Titre : Effects of written disclosure on psychophysiological stress among parents of children with autism: A randomized controlled pilot study Type de document : Texte imprimé et/ou numérique Auteurs : Nikko S. DA PAZ, Auteur ; Jan L. WALLANDER, Auteur ; Jitske TIEMENSMA, Auteur Article en page(s) : p.7-17 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders Parent intervention Caregiver stress Written disclosure Index. décimale : PER Périodiques Résumé : Background In comparison to parents of typically functioning children or parents of children with other developmental disabilities (i.e. Down’s syndrome or cerebral palsy), parents or caregivers of children with an autism spectrum disorder (ASD) sustain a greater incidence of depression, anxiety, and emotional distress. It is imperative to identify effective methods that target improvement to caregiver mental health. Method A randomized controlled pilot study was conducted to investigate the effect of a written disclosure intervention (expressive writing about traumatic events versus neutral events) on the psychophysiological stress of 71 parents (age 23–62) caring for a child with ASD. Self-reported measures of stress (parenting stress, caregiver burden, and global stress) and a stress biomarker (cortisol awakening response) were evaluated at baseline and 6-month follow-up. Adjusting for baseline values, we performed a univariate analysis of covariance to test directional hypotheses that parents in the treatment group would show a reduction in subjective stress and improvement in physiological stress over time. Results As expected, treatment group parents displayed healthier cortisol activity and reported less global stress compared to controls. Whereas within group analyses indicated all parents experienced improvement in parenting stress and caregiver burden over time, there was no significant treatment effect for these caregiving-specific stress measures. Conclusions Within this pilot study, written disclosure appeared beneficial to caregiver psychophysiological stress. However, due to the provision of substantial participant adherence support, we refrain from suggesting feasibility. Nonetheless, improvement of mental health pathology in parents of children with ASD is both significant and timely. En ligne : https://doi.org/10.1016/j.rasd.2018.05.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368
in Research in Autism Spectrum Disorders > 53 (September 2018) . - p.7-17[article] Effects of written disclosure on psychophysiological stress among parents of children with autism: A randomized controlled pilot study [Texte imprimé et/ou numérique] / Nikko S. DA PAZ, Auteur ; Jan L. WALLANDER, Auteur ; Jitske TIEMENSMA, Auteur . - p.7-17.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 53 (September 2018) . - p.7-17
Mots-clés : Autism spectrum disorders Parent intervention Caregiver stress Written disclosure Index. décimale : PER Périodiques Résumé : Background In comparison to parents of typically functioning children or parents of children with other developmental disabilities (i.e. Down’s syndrome or cerebral palsy), parents or caregivers of children with an autism spectrum disorder (ASD) sustain a greater incidence of depression, anxiety, and emotional distress. It is imperative to identify effective methods that target improvement to caregiver mental health. Method A randomized controlled pilot study was conducted to investigate the effect of a written disclosure intervention (expressive writing about traumatic events versus neutral events) on the psychophysiological stress of 71 parents (age 23–62) caring for a child with ASD. Self-reported measures of stress (parenting stress, caregiver burden, and global stress) and a stress biomarker (cortisol awakening response) were evaluated at baseline and 6-month follow-up. Adjusting for baseline values, we performed a univariate analysis of covariance to test directional hypotheses that parents in the treatment group would show a reduction in subjective stress and improvement in physiological stress over time. Results As expected, treatment group parents displayed healthier cortisol activity and reported less global stress compared to controls. Whereas within group analyses indicated all parents experienced improvement in parenting stress and caregiver burden over time, there was no significant treatment effect for these caregiving-specific stress measures. Conclusions Within this pilot study, written disclosure appeared beneficial to caregiver psychophysiological stress. However, due to the provision of substantial participant adherence support, we refrain from suggesting feasibility. Nonetheless, improvement of mental health pathology in parents of children with ASD is both significant and timely. En ligne : https://doi.org/10.1016/j.rasd.2018.05.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368