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Auteur Kimberly R. ZLOMKE |
Documents disponibles écrits par cet auteur (4)



Bouncing Back: Resilience as a Protective Factor for the Impact of Child Problem Behavior on Caregiver Depressive Cognitions Among Youth with Autism Spectrum Disorder / Katey HAYES in Journal of Autism and Developmental Disorders, 54-10 (October 2024)
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[article]
Titre : Bouncing Back: Resilience as a Protective Factor for the Impact of Child Problem Behavior on Caregiver Depressive Cognitions Among Youth with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Katey HAYES, Auteur ; Haley C. ADAMS, Auteur ; Mackenzie ROBESON, Auteur ; Kimberly R. ZLOMKE, Auteur Article en page(s) : p.3697-3705 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Caregivers of children with autism spectrum disorder (ASD) often report higher rates of depression and the related negative thought patterns that may precede a clinical diagnosis. These negative thought patterns are referred to as depressive cognitions. Depressive cognitions are exacerbated by child problem behaviors (CPB) but may be impacted by parental resilience. The current study examines relations between CPB and depressive cognitions and the role of resilience as a moderator among caregivers of children with ASD (n = 287) and a sample of caregivers of children who are typically developing (n = 207). Significant positive associations were found between CPB and depressive cognitions for caregivers of children with ASD and who are typically developing. A moderation analysis revealed that, among the ASD sample, the model accounted for 33% of the variance in caregiver depressive cognitions (R2 = 0.33, SE = 35.52, p < 0.001). The interaction of child problem behaviors and caregiver resilience on caregiver depressive cognitions was statistically significant (B = ? 0.016, SE = 0.007, p = 0.037), thus resilience was a significant moderator, for caregivers of children with ASD. Resilience serves as a protective factor in the relationship between child problem behavior and caregiver depressive cognitions for caregivers of children with ASD only. This finding highlights the importance of assessing and supporting resilience among caregivers of children with ASD. Interventions addressing child behavior would benefit from additional components to bolster caregiver resilience to enhance caregiver mental health and protect against depressive cognitions. En ligne : https://doi.org/10.1007/s10803-023-06094-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=536
in Journal of Autism and Developmental Disorders > 54-10 (October 2024) . - p.3697-3705[article] Bouncing Back: Resilience as a Protective Factor for the Impact of Child Problem Behavior on Caregiver Depressive Cognitions Among Youth with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Katey HAYES, Auteur ; Haley C. ADAMS, Auteur ; Mackenzie ROBESON, Auteur ; Kimberly R. ZLOMKE, Auteur . - p.3697-3705.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 54-10 (October 2024) . - p.3697-3705
Index. décimale : PER Périodiques Résumé : Caregivers of children with autism spectrum disorder (ASD) often report higher rates of depression and the related negative thought patterns that may precede a clinical diagnosis. These negative thought patterns are referred to as depressive cognitions. Depressive cognitions are exacerbated by child problem behaviors (CPB) but may be impacted by parental resilience. The current study examines relations between CPB and depressive cognitions and the role of resilience as a moderator among caregivers of children with ASD (n = 287) and a sample of caregivers of children who are typically developing (n = 207). Significant positive associations were found between CPB and depressive cognitions for caregivers of children with ASD and who are typically developing. A moderation analysis revealed that, among the ASD sample, the model accounted for 33% of the variance in caregiver depressive cognitions (R2 = 0.33, SE = 35.52, p < 0.001). The interaction of child problem behaviors and caregiver resilience on caregiver depressive cognitions was statistically significant (B = ? 0.016, SE = 0.007, p = 0.037), thus resilience was a significant moderator, for caregivers of children with ASD. Resilience serves as a protective factor in the relationship between child problem behavior and caregiver depressive cognitions for caregivers of children with ASD only. This finding highlights the importance of assessing and supporting resilience among caregivers of children with ASD. Interventions addressing child behavior would benefit from additional components to bolster caregiver resilience to enhance caregiver mental health and protect against depressive cognitions. En ligne : https://doi.org/10.1007/s10803-023-06094-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=536 Finding Benefit and Feeling Strain in Parenting a Child with Autism Spectrum Disorder / Haley C. ADAMS in Journal of Autism and Developmental Disorders, 53-9 (September 2023)
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Titre : Finding Benefit and Feeling Strain in Parenting a Child with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Haley C. ADAMS, Auteur ; Kimberly R. ZLOMKE, Auteur ; Kristina G. ROSSETTI, Auteur Article en page(s) : p.3558-3566 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Female caregivers of children with autism spectrum disorder (ASD) often report higher levels of psychological distress related to increased levels of caregiver strain, as well as frequency and severity of child problem behaviors (CPB). However, despite reported distress, caregivers have also reported benefits. A sample of n=259 female caregivers of children with ASD completed online surveys assessing CPB, caregiver strain, psychological distress, and benefit finding. Results suggest that objective caregiver strain is a significant mediator between CPB and caregiver distress. Benefit finding, however, was not found to be a significant moderator. These findings inform theoretical applications and provide implications for future research in the development of interventions to enhance functioning in female caregivers. En ligne : https://doi.org/10.1007/s10803-022-05663-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=511
in Journal of Autism and Developmental Disorders > 53-9 (September 2023) . - p.3558-3566[article] Finding Benefit and Feeling Strain in Parenting a Child with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Haley C. ADAMS, Auteur ; Kimberly R. ZLOMKE, Auteur ; Kristina G. ROSSETTI, Auteur . - p.3558-3566.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 53-9 (September 2023) . - p.3558-3566
Index. décimale : PER Périodiques Résumé : Female caregivers of children with autism spectrum disorder (ASD) often report higher levels of psychological distress related to increased levels of caregiver strain, as well as frequency and severity of child problem behaviors (CPB). However, despite reported distress, caregivers have also reported benefits. A sample of n=259 female caregivers of children with ASD completed online surveys assessing CPB, caregiver strain, psychological distress, and benefit finding. Results suggest that objective caregiver strain is a significant mediator between CPB and caregiver distress. Benefit finding, however, was not found to be a significant moderator. These findings inform theoretical applications and provide implications for future research in the development of interventions to enhance functioning in female caregivers. En ligne : https://doi.org/10.1007/s10803-022-05663-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=511 Measuring depression and anxiety in autistic college students: A psychometric evaluation of the PHQ-9 and GAD-7 / Mackenzie ROBESON in Autism, 28-11 (November 2024)
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Titre : Measuring depression and anxiety in autistic college students: A psychometric evaluation of the PHQ-9 and GAD-7 Type de document : Texte imprimé et/ou numérique Auteurs : Mackenzie ROBESON, Auteur ; Kyle M. BRASIL, Auteur ; Haley C. ADAMS, Auteur ; Kimberly R. ZLOMKE, Auteur Article en page(s) : p.2793 - 2805 Langues : Anglais (eng) Mots-clés : anxiety autism spectrum disorders college students depression psychometrics Index. décimale : PER Périodiques Résumé : Anxiety, depression, and suicidality are major concerns among college students, though less is known about these constructs in autistic college students. Given the rising number of autistic individuals entering post-secondary education, adequate measurement and diagnosis of anxiety, depression, and suicidality is necessary to provide clinical care to this population. While the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) are commonly used in university settings, these instruments have not been psychometrically evaluated in autistic college students. The current study examines the differential psychometric properties of the GAD-7 and PHQ-9 utilizing invariance testing via structural equation modeling in a sample of self-identified autistic (n = 477) and non-autistic (n = 429) university students. Results showed that although the GAD-7 is invariant, the PHQ-9 was mostly invariant, with one item displaying non-invariance. Specifically, the PHQ-9 item assessing suicidality was found to be non-invariant at the metric level, indicating that autistic and non-autistic college students interpret this question differently. Future investigators should continue to assess the appropriateness of using common screening measures, originally created for non-autistic people, in autistic populations. Lay abstract Anxiety, depression, and suicidality are major concerns among college students, though less is known about these constructs in autistic college students. Given the rising number of autistic individuals entering college, adequate screening and diagnosis of mental health difficulties is necessary to provide care to this population. For example, despite widespread usage of the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), it is unknown if the two instruments accurately measure depression and anxiety the same way between non-autistic and autistic individuals. Thus, the current study was the first to examine how these instruments measure depression and anxiety symptoms in autistic versus non-autistic college students. Utilizing tests of construct measurement in a sample of autistic (n = 477) and non-autistic (n = 429) university students aged 18 - 29, results showed that while the GAD-7 and PHQ-9 appear to be accurately capturing anxiety and depression in autistic college students, the PHQ-9 item assessing suicidality was found to be measuring different things. This indicates that autistic college students are not interpreting this question the way non-autistic students are, and thus, the measure is failing to capture suicidality in autistic people. Future investigators should continue to assess the appropriateness of using common screening measures, originally created by non-autistic people, in autistic populations. En ligne : https://dx.doi.org/10.1177/13623613241240183 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537
in Autism > 28-11 (November 2024) . - p.2793 - 2805[article] Measuring depression and anxiety in autistic college students: A psychometric evaluation of the PHQ-9 and GAD-7 [Texte imprimé et/ou numérique] / Mackenzie ROBESON, Auteur ; Kyle M. BRASIL, Auteur ; Haley C. ADAMS, Auteur ; Kimberly R. ZLOMKE, Auteur . - p.2793 - 2805.
Langues : Anglais (eng)
in Autism > 28-11 (November 2024) . - p.2793 - 2805
Mots-clés : anxiety autism spectrum disorders college students depression psychometrics Index. décimale : PER Périodiques Résumé : Anxiety, depression, and suicidality are major concerns among college students, though less is known about these constructs in autistic college students. Given the rising number of autistic individuals entering post-secondary education, adequate measurement and diagnosis of anxiety, depression, and suicidality is necessary to provide clinical care to this population. While the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) are commonly used in university settings, these instruments have not been psychometrically evaluated in autistic college students. The current study examines the differential psychometric properties of the GAD-7 and PHQ-9 utilizing invariance testing via structural equation modeling in a sample of self-identified autistic (n = 477) and non-autistic (n = 429) university students. Results showed that although the GAD-7 is invariant, the PHQ-9 was mostly invariant, with one item displaying non-invariance. Specifically, the PHQ-9 item assessing suicidality was found to be non-invariant at the metric level, indicating that autistic and non-autistic college students interpret this question differently. Future investigators should continue to assess the appropriateness of using common screening measures, originally created for non-autistic people, in autistic populations. Lay abstract Anxiety, depression, and suicidality are major concerns among college students, though less is known about these constructs in autistic college students. Given the rising number of autistic individuals entering college, adequate screening and diagnosis of mental health difficulties is necessary to provide care to this population. For example, despite widespread usage of the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), it is unknown if the two instruments accurately measure depression and anxiety the same way between non-autistic and autistic individuals. Thus, the current study was the first to examine how these instruments measure depression and anxiety symptoms in autistic versus non-autistic college students. Utilizing tests of construct measurement in a sample of autistic (n = 477) and non-autistic (n = 429) university students aged 18 - 29, results showed that while the GAD-7 and PHQ-9 appear to be accurately capturing anxiety and depression in autistic college students, the PHQ-9 item assessing suicidality was found to be measuring different things. This indicates that autistic college students are not interpreting this question the way non-autistic students are, and thus, the measure is failing to capture suicidality in autistic people. Future investigators should continue to assess the appropriateness of using common screening measures, originally created by non-autistic people, in autistic populations. En ligne : https://dx.doi.org/10.1177/13623613241240183 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537 RUBI parent training as a group intervention for children with autism: A community pilot study / Garet S. EDWARDS in Research in Autism Spectrum Disorders, 66 (October 2019)
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Titre : RUBI parent training as a group intervention for children with autism: A community pilot study Type de document : Texte imprimé et/ou numérique Auteurs : Garet S. EDWARDS, Auteur ; Kimberly R. ZLOMKE, Auteur ; Ashley Dawn GREATHOUSE, Auteur Article en page(s) : p.101409 Langues : Anglais (eng) Mots-clés : Group parent training Autism spectrum disorder Problem behavior Index. décimale : PER Périodiques Résumé : Background Children with autism spectrum disorder (ASD) frequently present with co-occurring problem behaviors that interfere with daily living skills and educational placement. The Research Units in Behavioral Intervention (RUBI) parent training manualized intervention was developed as a stand-alone intervention for problem behavior in children with ASD. Group-based parent training options are a low-cost alternative that allow providers to simultaneously serve multiple clients. Currently, no community feasibility studies exist examining the RUBI Parent Training program when delivered as a group intervention. Method This study sought to provide preliminary evidence supporting the use of the RUBI Parent Training program as a group intervention. The manualized RUBI Parent Training intervention was delivered to four small groups of caregivers (N = 11) of children (M age?=?4.82 years) with ASD. Feasibility data were collected on treatment acceptability, fidelity, and effectiveness. Exploratory treatment effectiveness was evaluated through structured observations of child compliance and parent-report of child problem behavior. Results Overall, the group-implemented RUBI Parent Training program was found to be feasible as demonstrated by high levels of parent acceptableness, attendance, and treatment fidelity. Additionally, the majority of the children demonstrated improvements in problem behavior. Conclusions The current findings provide initial support for the delivery of the RUBI Parent Training in a group of parents. This could provide a cost-effective alternative for the treatment of problem behavior in children with ASD. En ligne : https://doi.org/10.1016/j.rasd.2019.101409 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=404
in Research in Autism Spectrum Disorders > 66 (October 2019) . - p.101409[article] RUBI parent training as a group intervention for children with autism: A community pilot study [Texte imprimé et/ou numérique] / Garet S. EDWARDS, Auteur ; Kimberly R. ZLOMKE, Auteur ; Ashley Dawn GREATHOUSE, Auteur . - p.101409.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 66 (October 2019) . - p.101409
Mots-clés : Group parent training Autism spectrum disorder Problem behavior Index. décimale : PER Périodiques Résumé : Background Children with autism spectrum disorder (ASD) frequently present with co-occurring problem behaviors that interfere with daily living skills and educational placement. The Research Units in Behavioral Intervention (RUBI) parent training manualized intervention was developed as a stand-alone intervention for problem behavior in children with ASD. Group-based parent training options are a low-cost alternative that allow providers to simultaneously serve multiple clients. Currently, no community feasibility studies exist examining the RUBI Parent Training program when delivered as a group intervention. Method This study sought to provide preliminary evidence supporting the use of the RUBI Parent Training program as a group intervention. The manualized RUBI Parent Training intervention was delivered to four small groups of caregivers (N = 11) of children (M age?=?4.82 years) with ASD. Feasibility data were collected on treatment acceptability, fidelity, and effectiveness. Exploratory treatment effectiveness was evaluated through structured observations of child compliance and parent-report of child problem behavior. Results Overall, the group-implemented RUBI Parent Training program was found to be feasible as demonstrated by high levels of parent acceptableness, attendance, and treatment fidelity. Additionally, the majority of the children demonstrated improvements in problem behavior. Conclusions The current findings provide initial support for the delivery of the RUBI Parent Training in a group of parents. This could provide a cost-effective alternative for the treatment of problem behavior in children with ASD. En ligne : https://doi.org/10.1016/j.rasd.2019.101409 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=404