Parent, child, and family outcomes following Acceptance And Commitment Therapy for parents of autistic children: A randomized controlled trial

Autism. 2024 Feb;28(2):367-380. doi: 10.1177/13623613231172241. Epub 2023 May 11.

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.

Keywords: acceptance and commitment therapy; autism; caregivers; interventions—psychosocial/behavioral; mental health.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acceptance and Commitment Therapy*
  • Adolescent
  • Adult
  • Autism Spectrum Disorder*
  • Autistic Disorder*
  • Child
  • Child, Preschool
  • Humans
  • Parents / psychology
  • Surveys and Questionnaires
  • Young Adult