A Study On Psychological Intervention Of Acceptance Commitment Therapy For Parents Of Children With Autism At First Diagnosis

Objective:To explore the effect of Acceptance and Commitment Therapy(ACT)on parents of autistic children,and to provide evidence for psychological intervention.Method:Through SCL-90 screening,70 parents of autistic children who met the criteria of admission were selected to introduce the objective,significance,expected benefits and possible risks of the study.After signing the consent form,The parents of 70first-time autistic children were randomly divided into Intervention Group(N = 35)and Control Group(N = 35).The control group was treated with General Health Education,and the intervention group was treated with Acceptance Commitment Therapy(ACT)on the basis of general health education.One-on-one commitment therapy,once a week,with a total of seven interventions.Before and after intervention,two groups were assessed with Symptom Checklist-90(SCL-90),Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),General Self-Efficacy Scale(GSES),Acceptance and Action repertoire-ii(AAQ-Ⅱ),Cognitive Fusion Scale(CFQ-F).Result:1.The scores of SCL-90,SDS,SAS,AAQ-Ⅱ and CFQ-F in the intervention group(105.20±23.71)、(33.46±11.69)、(27.20±6.67)、(12.17±7.73)、(13.29±8.38)分 were lower than those in the control group(127.09±57.93)、(40.74±9.32)、(35.54±8.35)、(19.66±12.31)、(26.03±16.93),while the scores of GSES in the intervention group(31.23±8.52)were higher than those in the control group(23.09±7.73);SCL-90、SDS、SAS、AAQ-Ⅱ、CFQ-F,GSESthese differences were statistically significant(p < 0.05);2.The scores of somatization、obsessive-compulsive symptoms、interpersonal relationship、depression、anxiety、hostility、diet and sleep、SCL-90、SDS、SAS、AAQ-Ⅱand CFQ-Fin the intervention group were lower than those before ACT(p < 0.05),While GSES scoreswere higher than those before ACT intervention(p < 0.05);3.self-efficacy was negatively correlated with SASand SDSin the experimental group;4.The scores of AAQ-Ⅱ、CFQ-F were positively correlated with the scores and total scores of SCL-90.Conclusion:1.Acceptance Commitment Therapy can improve parents’ mental flexibility and reduce the degree of experiential avoidance and cognitive fusion.2.Acceptance Commitment Therapy can enhance parents’ ability to cope with depression,anxiety and helplessness in their lives.