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Auteur Johanna LAKE |
Documents disponibles écrits par cet auteur (2)
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Parent, child, and family outcomes following Acceptance And Commitment Therapy for parents of autistic children: A randomized controlled trial / Yona LUNSKY ; Johanna LAKE ; Jennifer S. MILLS ; Kenneth FUNG ; Lee STEEL ; Jonathan A. WEISS in Autism, 28-2 (February 2024)
[article]
Titre : Parent, child, and family outcomes following Acceptance And Commitment Therapy for parents of autistic children: A randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Yona LUNSKY, Auteur ; Johanna LAKE, Auteur ; Jennifer S. MILLS, Auteur ; Kenneth FUNG, Auteur ; Lee STEEL, Auteur ; Jonathan A. WEISS, Auteur Article en page(s) : p.367?380 Mots-clés : acceptance and commitment therapy autism caregivers interventions?psychosocial/behavioral mental health Index. décimale : PER Périodiques Résumé : Emerging research shows that Acceptance and Commitment Therapy (ACT) may improve mental health for caregivers. Parents of autistic children, adolescents, and adults (N?=?54) were randomly assigned to either complete a brief group-based ACT intervention or remain on the waitlist. Participants completed surveys immediately prior to randomization, and 3-, 7-, and 17-weeks post-randomization. The primary outcome was depression symptoms and secondary outcomes included stress, goal attainment, positive affect, ACT psychological processes, child mental health, and family functioning. Mixed effects linear models testing Group * Time interaction indicated the Treatment group (n?=?27) demonstrated greater post-intervention improvements than the Waitlist group (n?=?27) in parent depression (p?=?.03, d?= ?0.64) and family distress (p?=?.04, d?= ?0.57). Treatment group parents also reported greater short-term gains in positive affect (p?=.001, d?=?0.77) and personal goal attainment (p?=?.007, d?=?0.80), compared to the Waitlist group. Although there was no significant Group * Time interaction for other outcomes, stress (b?= ?2.58, p?=?.01), defusion (b?= ?3.78, p?=?.001), and experiential avoidance (b?= ?4.22, p?=?.01) showed improvement for the Treatment group, but not the Waitlist group, at post-intervention. All Treatment group improvements were maintained at follow-up. Results suggest that a brief ACT group intervention is efficacious for improving some aspects of mental health for parents of autistic children. Lay abstract Parents of autistic children commonly experience difficulties with their own mental health. This study looked at the effects of a brief group-based Acceptance and Commitment Therapy program, developed for parents of autistic children, youth, and adults. ACT focuses on increasing psychological flexibility, which is the ability to be mindful and accepting of difficult thoughts and experiences, shown to be important for mental wellness. Participants included 54 parents of autistic people, ages 3?34. Parents were randomly divided into two groups: a Treatment group that received the intervention right away, and a Waitlist group that completed the program after the Treatment group completed the trial. All parents filled out questionnaires right before the program began, and at 3, 7, and 17?weeks after randomization. Compared to the group that was waiting to participate in the program, parents in the Treatment group reported greater improvements in depression and family distress, and these improvements were still present 4?months later. Parents in the Treatment group also reported short-term improvements in their positive feelings and personal goals, compared to those waiting. Results showed that ACT may help improve some aspects of mental health for parents of autistic children, but further research is recommended. En ligne : https://dx.doi.org/10.1177/13623613231172241 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519
in Autism > 28-2 (February 2024) . - p.367?380[article] Parent, child, and family outcomes following Acceptance And Commitment Therapy for parents of autistic children: A randomized controlled trial [Texte imprimé et/ou numérique] / Yona LUNSKY, Auteur ; Johanna LAKE, Auteur ; Jennifer S. MILLS, Auteur ; Kenneth FUNG, Auteur ; Lee STEEL, Auteur ; Jonathan A. WEISS, Auteur . - p.367?380.
in Autism > 28-2 (February 2024) . - p.367?380
Mots-clés : acceptance and commitment therapy autism caregivers interventions?psychosocial/behavioral mental health Index. décimale : PER Périodiques Résumé : Emerging research shows that Acceptance and Commitment Therapy (ACT) may improve mental health for caregivers. Parents of autistic children, adolescents, and adults (N?=?54) were randomly assigned to either complete a brief group-based ACT intervention or remain on the waitlist. Participants completed surveys immediately prior to randomization, and 3-, 7-, and 17-weeks post-randomization. The primary outcome was depression symptoms and secondary outcomes included stress, goal attainment, positive affect, ACT psychological processes, child mental health, and family functioning. Mixed effects linear models testing Group * Time interaction indicated the Treatment group (n?=?27) demonstrated greater post-intervention improvements than the Waitlist group (n?=?27) in parent depression (p?=?.03, d?= ?0.64) and family distress (p?=?.04, d?= ?0.57). Treatment group parents also reported greater short-term gains in positive affect (p?=.001, d?=?0.77) and personal goal attainment (p?=?.007, d?=?0.80), compared to the Waitlist group. Although there was no significant Group * Time interaction for other outcomes, stress (b?= ?2.58, p?=?.01), defusion (b?= ?3.78, p?=?.001), and experiential avoidance (b?= ?4.22, p?=?.01) showed improvement for the Treatment group, but not the Waitlist group, at post-intervention. All Treatment group improvements were maintained at follow-up. Results suggest that a brief ACT group intervention is efficacious for improving some aspects of mental health for parents of autistic children. Lay abstract Parents of autistic children commonly experience difficulties with their own mental health. This study looked at the effects of a brief group-based Acceptance and Commitment Therapy program, developed for parents of autistic children, youth, and adults. ACT focuses on increasing psychological flexibility, which is the ability to be mindful and accepting of difficult thoughts and experiences, shown to be important for mental wellness. Participants included 54 parents of autistic people, ages 3?34. Parents were randomly divided into two groups: a Treatment group that received the intervention right away, and a Waitlist group that completed the program after the Treatment group completed the trial. All parents filled out questionnaires right before the program began, and at 3, 7, and 17?weeks after randomization. Compared to the group that was waiting to participate in the program, parents in the Treatment group reported greater improvements in depression and family distress, and these improvements were still present 4?months later. Parents in the Treatment group also reported short-term improvements in their positive feelings and personal goals, compared to those waiting. Results showed that ACT may help improve some aspects of mental health for parents of autistic children, but further research is recommended. En ligne : https://dx.doi.org/10.1177/13623613231172241 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519 Predictors of health service use among adolescents and adults with autism and aggression / Melissa PAQUETTE-SMITH in Research in Autism Spectrum Disorders, 68 (December 2019)
[article]
Titre : Predictors of health service use among adolescents and adults with autism and aggression Type de document : Texte imprimé et/ou numérique Auteurs : Melissa PAQUETTE-SMITH, Auteur ; Jonathan A. WEISS, Auteur ; Julie DERGAL, Auteur ; Johanna LAKE, Auteur ; Yona LUNSKY, Auteur Article en page(s) : p.101418 Langues : Anglais (eng) Mots-clés : Health services Autism Adolescents Adults Psychotropic medication Psychosocial intervention Behavioral intervention Aggression Index. décimale : PER Périodiques Résumé : Background Clinical guidelines recommend that psychosocial interventions be used before medication to manage aggressive behavior in individuals with autism. However, the extent to which a multidisciplinary approach is implemented and the factors that influence service use in this complex population are not well understood. Methods In this study, parents of 182 adolescents and adults with autism and a history of aggression were asked to report on their child’s health service use every two months for a year. Individuals that used services in this time period (N?=?158) were classified into three groups: users of psychotropic medication alone (n?=?28, 17.7%); psychosocial services alone (n?=?33, 20.9%); or users of both (n?=?97, 61.4%). Results Although the majority of the sample (82.3%) received guideline recommended treatment (i.e., psychosocial services or a combination of psychosocial services and psychotropic medication), 17.7% were using psychotropic medication alone. Several enabling variables, including visiting a family physician in the two-months prior to baseline, having higher parental education, and having parents who reported being able to effectively access services predicted using psychosocial services alone or in combination with medication. Predisposing and need variables (i.e., being younger and having no psychiatric disorders) also predicted using psychosocial services compared to medication alone. Conclusions Understanding predictors of service use can help to identify and address barriers that may prevent adults with autism and aggression from accessing guideline recommended care. En ligne : https://doi.org/10.1016/j.rasd.2019.101418 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=407
in Research in Autism Spectrum Disorders > 68 (December 2019) . - p.101418[article] Predictors of health service use among adolescents and adults with autism and aggression [Texte imprimé et/ou numérique] / Melissa PAQUETTE-SMITH, Auteur ; Jonathan A. WEISS, Auteur ; Julie DERGAL, Auteur ; Johanna LAKE, Auteur ; Yona LUNSKY, Auteur . - p.101418.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 68 (December 2019) . - p.101418
Mots-clés : Health services Autism Adolescents Adults Psychotropic medication Psychosocial intervention Behavioral intervention Aggression Index. décimale : PER Périodiques Résumé : Background Clinical guidelines recommend that psychosocial interventions be used before medication to manage aggressive behavior in individuals with autism. However, the extent to which a multidisciplinary approach is implemented and the factors that influence service use in this complex population are not well understood. Methods In this study, parents of 182 adolescents and adults with autism and a history of aggression were asked to report on their child’s health service use every two months for a year. Individuals that used services in this time period (N?=?158) were classified into three groups: users of psychotropic medication alone (n?=?28, 17.7%); psychosocial services alone (n?=?33, 20.9%); or users of both (n?=?97, 61.4%). Results Although the majority of the sample (82.3%) received guideline recommended treatment (i.e., psychosocial services or a combination of psychosocial services and psychotropic medication), 17.7% were using psychotropic medication alone. Several enabling variables, including visiting a family physician in the two-months prior to baseline, having higher parental education, and having parents who reported being able to effectively access services predicted using psychosocial services alone or in combination with medication. Predisposing and need variables (i.e., being younger and having no psychiatric disorders) also predicted using psychosocial services compared to medication alone. Conclusions Understanding predictors of service use can help to identify and address barriers that may prevent adults with autism and aggression from accessing guideline recommended care. En ligne : https://doi.org/10.1016/j.rasd.2019.101418 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=407