Family adaptation among parents of children on the autism spectrum without a comorbid intellectual disability: A test of the Double ABCX model / Jane MELEADY in Research in Autism Spectrum Disorders, 78 (October 2020)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 78 (October 2020) . - 101637 Titre : Family adaptation among parents of children on the autism spectrum without a comorbid intellectual disability: A test of the Double ABCX model Type de document : texte imprimé Auteurs : Jane MELEADY, Auteur ; Finiki NEARCHOU, Auteur ; Jessica BRAMHAM, Auteur ; Alan CARR, Auteur Article en page(s) : 101637 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders (ASD)  Parent  Positive contributions  Family quality of life  Double ABCX Index. décimale : PER Périodiques Résumé : Background This study examined family adaptation among parents of school age children with autism spectrum disorder (ASD) who do not have a comorbid diagnosis of intellectual disability (ID). Family adaptation was measured by parents’ perceived family quality of life and satisfaction with life. Associated factors were derived from the Double ABCX model of family adaptation (i.e. autism symptom severity, problem behaviours, pile-up life demands, social support, cognitive appraisals and coping strategies). In particular, we were interested in the potential association between positive contributions directly associated with this caregiving experience and outcomes. Method Participants (N = 104) were parents of school age children who had a diagnosis of ASD and no comorbid ID. Parents completed a battery of self-report questionnaires via online survey. Results All variables within the model were associated with one or both of the outcomes, with the exception of problem focused coping. Social support, positive contributions and passive-avoidance coping remained significant unique predictors of both outcomes within multiple regression analyses. Passive avoidance coping was found to moderate the relationship between symptom severity and parents’ satisfaction with life. Conclusions The Double ABCX Model provides a useful framework in identifying risk and protective factors for parents. Support was provided for inclusion of both positive predictor and outcome variables, at the individual and family level. Proximal variables, such as maladaptive coping strategies, may explain associations between stressors and wellbeing. Methodological considerations and implications for clinical practice are discussed. En ligne : https://doi.org/10.1016/j.rasd.2020.101637 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433 [article] Family adaptation among parents of children on the autism spectrum without a comorbid intellectual disability: A test of the Double ABCX model [texte imprimé] / Jane MELEADY, Auteur ; Finiki NEARCHOU, Auteur ; Jessica BRAMHAM, Auteur ; Alan CARR, Auteur . - 101637. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 78 (October 2020) . - 101637 Mots-clés : Autism spectrum disorders (ASD)  Parent  Positive contributions  Family quality of life  Double ABCX Index. décimale : PER Périodiques Résumé : Background This study examined family adaptation among parents of school age children with autism spectrum disorder (ASD) who do not have a comorbid diagnosis of intellectual disability (ID). Family adaptation was measured by parents’ perceived family quality of life and satisfaction with life. Associated factors were derived from the Double ABCX model of family adaptation (i.e. autism symptom severity, problem behaviours, pile-up life demands, social support, cognitive appraisals and coping strategies). In particular, we were interested in the potential association between positive contributions directly associated with this caregiving experience and outcomes. Method Participants (N = 104) were parents of school age children who had a diagnosis of ASD and no comorbid ID. Parents completed a battery of self-report questionnaires via online survey. Results All variables within the model were associated with one or both of the outcomes, with the exception of problem focused coping. Social support, positive contributions and passive-avoidance coping remained significant unique predictors of both outcomes within multiple regression analyses. Passive avoidance coping was found to moderate the relationship between symptom severity and parents’ satisfaction with life. Conclusions The Double ABCX Model provides a useful framework in identifying risk and protective factors for parents. Support was provided for inclusion of both positive predictor and outcome variables, at the individual and family level. Proximal variables, such as maladaptive coping strategies, may explain associations between stressors and wellbeing. Methodological considerations and implications for clinical practice are discussed. En ligne : https://doi.org/10.1016/j.rasd.2020.101637 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433

Positive contributions among parents of children on the autism spectrum: A Systematic review / Jane MELEADY in Research in Autism Spectrum Disorders, 78 (October 2020)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 78 (October 2020) . - 101635 Titre : Positive contributions among parents of children on the autism spectrum: A Systematic review Type de document : texte imprimé Auteurs : Jane MELEADY, Auteur ; Colette CLYNE, Auteur ; Jessica BRAHAM, Auteur ; Alan CARR, Auteur Article en page(s) : 101635 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders (ASD)  Parent  Positive contributions  Benefit finding  Posttraumatic growth  Systematic review Index. décimale : PER Périodiques Résumé : Background Previous research has suggested that parents can experience positive contributions as a result of raising a child on the autism spectrum. A better understanding of positive contributions among this population can inform clinicians and policymakers and lead to improved outcomes for families. This review aimed to systematically examine studies measuring positive contributions among parents of children with ASD (<18 years) and to subsequently summarise the conceptualisations and measurements of positive contributions within the literature and investigate associated child, parental, family and contextual factors. Method An electronic database search was conducted using Medline, Psycinfo, CINAHL, ERIC and Embase: 94 articles were identified for full text review and 26 studies were selected. The quality of studies were appraised and data were synthesised according to the review aims. Results Positive contributions were conceptualised in nine different ways across selected studies. Ten standardised self-report questionnaires, one unstandardised questionnaire and one closed question were used to measure these constructs. Variables associated with higher positive contributions within this group included older age of child, being of an ethnic minority group, being a mother, higher psychological wellbeing and personal resources, relationship satisfaction, social support and narrative writing. Conclusions This review verified previous reports of positive contributions among parents of children with ASD and highlighted potential areas of support. Strengths and limitations of the studies are highlighted and implications for future research and clinical practice are discussed. En ligne : https://doi.org/10.1016/j.rasd.2020.101635 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433 [article] Positive contributions among parents of children on the autism spectrum: A Systematic review [texte imprimé] / Jane MELEADY, Auteur ; Colette CLYNE, Auteur ; Jessica BRAHAM, Auteur ; Alan CARR, Auteur . - 101635. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 78 (October 2020) . - 101635 Mots-clés : Autism spectrum disorders (ASD)  Parent  Positive contributions  Benefit finding  Posttraumatic growth  Systematic review Index. décimale : PER Périodiques Résumé : Background Previous research has suggested that parents can experience positive contributions as a result of raising a child on the autism spectrum. A better understanding of positive contributions among this population can inform clinicians and policymakers and lead to improved outcomes for families. This review aimed to systematically examine studies measuring positive contributions among parents of children with ASD (<18 years) and to subsequently summarise the conceptualisations and measurements of positive contributions within the literature and investigate associated child, parental, family and contextual factors. Method An electronic database search was conducted using Medline, Psycinfo, CINAHL, ERIC and Embase: 94 articles were identified for full text review and 26 studies were selected. The quality of studies were appraised and data were synthesised according to the review aims. Results Positive contributions were conceptualised in nine different ways across selected studies. Ten standardised self-report questionnaires, one unstandardised questionnaire and one closed question were used to measure these constructs. Variables associated with higher positive contributions within this group included older age of child, being of an ethnic minority group, being a mother, higher psychological wellbeing and personal resources, relationship satisfaction, social support and narrative writing. Conclusions This review verified previous reports of positive contributions among parents of children with ASD and highlighted potential areas of support. Strengths and limitations of the studies are highlighted and implications for future research and clinical practice are discussed. En ligne : https://doi.org/10.1016/j.rasd.2020.101635 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433

‘Sawa Aqwa’ (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon / Tania BOSQUI in Journal of Child Psychology and Psychiatry, 67-10 (October 2026)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 67-10 (October 2026) . - p. 1752-1765 Titre : ‘Sawa Aqwa’ (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon Type de document : texte imprimé Auteurs : Tania BOSQUI, Auteur ; Felicity L. BROWN, Auteur ; Sally FARAH, Auteur ; Joseph ELIAS, Auteur ; Maliki E. GHOSSAINY, Auteur ; Anas MAYYA, Auteur ; Diana Abo NAKKOUL, Auteur ; Bryony WALSH, Auteur ; Sarah CHREIF, Auteur ; Ahmad EINEIN, Auteur ; Bassel MEKSASSI, Auteur ; Roula Abi SAAD, Auteur ; Hady NAAL, Auteur ; Michael DONNELLY, Auteur ; Theresa S. BETANCOURT, Auteur ; Alan CARR, Auteur ; Eve S. PUFFER, Auteur ; Estefania HANNA, Auteur ; Hasan MANSOUR, Auteur ; Farah SEMAAN, Auteur ; Rabih El CHAMMAY, Auteur ; Mark J. D. JORDANS, Auteur Article en page(s) : p. 1752-1765 Langues : Anglais (eng) Mots-clés : Humanitarian  mental health and psychosocial support  family  adolescents  randomized controlled trial  low- and middle-income (LMIC) countries  Lebanon  refugees  armed conflict Index. décimale : PER Périodiques Résumé : Background There are no evaluated family-based mental health and psychosocial support (MHPSS) interventions for adolescents in Southwest Asia (known as the Middle East), and few whole-family interventions in low- and middle-income countries, despite consistent evidence for the impact of family support on mental health and well-being. This study aims to evaluate the effectiveness of a brief family systemic mental health intervention, deliverable by non-specialists in mental health. Methods We conducted an assessor-blind type I hybrid effectiveness-implementation multi-site randomized controlled trial comparing the locally developed family intervention to a waitlist control group for randomly allocated families residing in North Lebanon and Beqa?a governorates. Eligible families presented with medium-to-high risk for child protection concerns (abuse, neglect, child labor, early marriage) and had at least one adolescent aged 12?17 who demonstrated psychological distress. Outcomes at the family, caregiver, and adolescent level were measured pre- and post-intervention, and at 3-month follow-up. Results Intent-to-treat analyses found a significant between-group effect of the intervention on adolescent-reported family functioning, caregiver mental health, and parenting. No change was found for adolescent psychological distress. Further analyses found effects on adolescent well-being for those who completed the intervention, and that father attendance was associated with better outcomes for adolescent well-being in the intervention group. No other significant moderators were found. At the 3-month follow-up for the intervention condition, family functioning and caregiver well-being significantly dropped from endline. Conclusions The study demonstrates mixed results for a non-specialist-delivered family-systemic intervention developed in the context of humanitarian crises in Lebanon. While the intervention did not result in benefits in adolescent-reported symptoms of psychological distress, the intervention group did show greater improvements than the control group on a number of other outcomes, showing the potential impact of working with the wider family system to support adolescents in humanitarian settings. En ligne : https://doi.org/10.1111/jcpp.70174 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=593 [article] â€˜Sawa Aqwa’ (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon [texte imprimé] / Tania BOSQUI, Auteur ; Felicity L. BROWN, Auteur ; Sally FARAH, Auteur ; Joseph ELIAS, Auteur ; Maliki E. GHOSSAINY, Auteur ; Anas MAYYA, Auteur ; Diana Abo NAKKOUL, Auteur ; Bryony WALSH, Auteur ; Sarah CHREIF, Auteur ; Ahmad EINEIN, Auteur ; Bassel MEKSASSI, Auteur ; Roula Abi SAAD, Auteur ; Hady NAAL, Auteur ; Michael DONNELLY, Auteur ; Theresa S. BETANCOURT, Auteur ; Alan CARR, Auteur ; Eve S. PUFFER, Auteur ; Estefania HANNA, Auteur ; Hasan MANSOUR, Auteur ; Farah SEMAAN, Auteur ; Rabih El CHAMMAY, Auteur ; Mark J. D. JORDANS, Auteur . - p. 1752-1765. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 67-10 (October 2026) . - p. 1752-1765 Mots-clés : Humanitarian  mental health and psychosocial support  family  adolescents  randomized controlled trial  low- and middle-income (LMIC) countries  Lebanon  refugees  armed conflict Index. décimale : PER Périodiques Résumé : Background There are no evaluated family-based mental health and psychosocial support (MHPSS) interventions for adolescents in Southwest Asia (known as the Middle East), and few whole-family interventions in low- and middle-income countries, despite consistent evidence for the impact of family support on mental health and well-being. This study aims to evaluate the effectiveness of a brief family systemic mental health intervention, deliverable by non-specialists in mental health. Methods We conducted an assessor-blind type I hybrid effectiveness-implementation multi-site randomized controlled trial comparing the locally developed family intervention to a waitlist control group for randomly allocated families residing in North Lebanon and Beqa?a governorates. Eligible families presented with medium-to-high risk for child protection concerns (abuse, neglect, child labor, early marriage) and had at least one adolescent aged 12?17 who demonstrated psychological distress. Outcomes at the family, caregiver, and adolescent level were measured pre- and post-intervention, and at 3-month follow-up. Results Intent-to-treat analyses found a significant between-group effect of the intervention on adolescent-reported family functioning, caregiver mental health, and parenting. No change was found for adolescent psychological distress. Further analyses found effects on adolescent well-being for those who completed the intervention, and that father attendance was associated with better outcomes for adolescent well-being in the intervention group. No other significant moderators were found. At the 3-month follow-up for the intervention condition, family functioning and caregiver well-being significantly dropped from endline. Conclusions The study demonstrates mixed results for a non-specialist-delivered family-systemic intervention developed in the context of humanitarian crises in Lebanon. While the intervention did not result in benefits in adolescent-reported symptoms of psychological distress, the intervention group did show greater improvements than the control group on a number of other outcomes, showing the potential impact of working with the wider family system to support adolescents in humanitarian settings. En ligne : https://doi.org/10.1111/jcpp.70174 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=593

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