the Role of Problem Solving in Cognitive Behavioral Therapy for Mothers With Autistic Children

The Effect of Cognitive Behavioral Therapy on Psychological Distress Among Mothers of Children With Autism Spectrum Disorders: The Role of Problem-Solving Appraisal

Cognitive behavioral therapy sessions can effectively reduce distress in mothers of children with autism. here we emphasize on the role of problem solving appraisal in CBT sessions to improve problem solving skills ability and minimize psychological distress . pre- intervention assessment (T1) for all participants , then designed 8 sessions for study group will apply .

post intervention assessment (T2) will conduct immediately after CBT sessions

Study Overview

• Status: Completed
• Conditions: Cognitive Behavioral Therapy and Problem Solving; Autism Disorders and Maternal Stress
• Intervention / Treatment: Behavioral: CBT techniques

Detailed Description

mothers of children with autistic spectrum disorders have a lots of burdens due to child symptoms its, lack of availability of services and limited resources , thus in turn lead them to become unable to face problems/stressors and to be psychological distress. CBT is an effective therapy to minimize stress, anxiety and depression. Mothers who participated in the study recruited from three governmental hospitals that has an out patients clinics specialized in autism and other developmental disorders for children at ElBehairah governate , Egypt . Based on inclusion and exclusion criteria for mothers and their children, mothers informed about the nature of the study and their benefits for participations. assessment tools will use ; depression ,anxiety and stress scale (DAS) and problem solving inventory (PSI). First assessment will occur , then randomly the participants divide into either study ( intervention) group or control group .CBT sessions will provide for study group to enhance their problem solving ability and psychological state. Second assessment (T2) will occur after finishing program sessions for all participants

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Beera
    • Behera Governate, Beera, Egypt, 22516
      • Governmental Clinic
• Saudi Arabia
  • Jouf, Saudi Arabia, 00966
    • Enas Mahrous Abdelaziz

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 50 years (ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

Mothers caregivers who have:

• A child with autism spectrum disorders diagnosed science at least 6 months , and her/ his diagnosis done by a psychiatrist
• Just one child with autistic disorder
• Their ages between 20-50 years old
• Did not expose to previous interventional / rehabilitation programs for his/her child.

Exclusion Criteria for mothers:

• have a diagnosis of any of psychiatric disorders
• Being absent more than three sessions in study group

Exclusion criteria for children: if they have:

• Intelligence level below 70
• Have severe deterioration
• Receive psychiatric medication
• Have multiple disorders

Study Plan

How is the study designed?

Design Details

• Primary Purpose: OTHER
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: study ( interventional ) group; this group received 8 sessions of CBT	Behavioral: CBT techniques; through CBT sessions , the participants apply problem solving process in managing their stressors . examining the role of cognitions, emotions, and behaviors to form cause and effect relationship of participants psychological distress
NO_INTERVENTION: Control group; they will receive on intervention sessions or any education researchers makes meeting every month to answer any questions and to maintain continuity of relation with participants

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in mean scores of psychological distress scores among study group post intervention	Change in mean scores of psychological distress	two months
Change in mean scores of problem solving skills inventor among study group post intervention	Change in mean scores of problem solving skills inventory	2 months

Collaborators and Investigators

• Sponsor: Jouf University

Study record dates

Study Major Dates

• Study Start (ACTUAL): June 1, 2022
• Primary Completion (ACTUAL): October 31, 2022
• Study Completion (ACTUAL): January 1, 2023

Study Registration Dates

• First Submitted: October 1, 2022
• First Submitted That Met QC Criteria: October 1, 2022
• First Posted (ACTUAL): October 5, 2022

Study Record Updates

• Last Update Posted (ACTUAL): February 8, 2023
• Last Update Submitted That Met QC Criteria: February 4, 2023
• Last Verified: February 1, 2023

More Information

Terms related to this study

• Keywords: Autism disorders, maternal stress
• Additional Relevant MeSH Terms: Mental Disorders; Neurodevelopmental Disorders; Child Development Disorders, Pervasive; Autism Spectrum Disorder; Autistic Disorder
• Other Study ID Numbers: 62

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: based on request from principle investigator

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No