Effects of parental depression symptoms on parents and children with autism spectrum disorder in the play project home consultation program.

Year 2020, Volume: 12 Issue: 1, 28 - 40, 30.06.2020

Gerald J. Mahoney Richard M. Solomon

https://doi.org/10.20489/intjecse.722333

Abstract

Solomon, et. al. (2014) reported a randomized controlled trial of the PLAY Project Home Consultation Intervention Program (PLAY) with 112 parents and preschool children with ASD. PLAY, a parent implemented model of early intervention for ASD, had significant intervention effects on parents’ interactive style, children's social engagement and ADOS social affect, as well as on parents’ depression symptoms. This secondary analysis investigated whether parents’ depression symptoms moderated PLAY intervention outcomes. Regression analyses indicated that parents’ depression symptoms did not moderate PLAY effects on parents’ interactive style, children's social engagement and ADOS social affect behaviors. Parents at high risk for depression were as successful implementing PLAY as parents at low risk for depression. However clinical levels of parent depression symptoms at Time 1 did moderate PLAY effects on parents’ depression symptoms. PLAY parents with high depression symptoms displayed greater reductions in their depression symptoms than PLAY parents with low depression symptoms. Findings from this study are clinically significant insofar as they suggest that high levels of depression symptoms do not impede parents’ participation in RBIs. Rather, results suggest that RBIs, such as PLAY, may be effective both at enhancing children's social functioning while having a secondary effect on reducing parents’ depression symptoms.

Keywords

Autism, Autism Spectrum Disorders, preschool children, parental depression, Relationship Based Intervention

References

• Abbeduto, L., Seltzer, M.M., Shattuck, P., et al. (2004). Psychological well-being and coping in mothers of youths with autism, Down syndrome or Fragile X syndrome. American Journal on Mental Retardation, 109(3), 237-254. https://doi.org/10.1352/0895-8017
• Alquraini, T., & Mahoney, G. (2015). The role of parenting stress in relationship focused intervention: Comparison of parents of children with pervasive developmental disorders to parents of children with other disabilities. Journal of Applied Research in Intellectual Disabilities. 28(6), 536–547. https://doi.org/10.1111/jar.12148
• American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). Arlington, VA.: American Psychiatric Publishing.
• American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. Washington, DC.: American Psychological Association.
• Beck, A.T., & Steer, RA. (1987). Manual for the Beck Depression Inventory. San Antonio, TX: The Psychological Corporation.
• Beck, A.T., Steer, R.A., & Brown, G.K. (1996). Manual for the Beck Depression Inventory, 2nd ed. San Antonio, TX: The Psychological Corporation.
• Binns, A.V., & Cardy, J.O. (2019). Developmental social pragmatic interventions for preschoolers with autism spectrum disorder: A systematic review. Autism & Developmental Language Impairments, 4(1), 1-18. https://doi.org: 10.1177/2396941518824497
• Carter, A.S., Martinez-Pedraza, F. de L., & Gray, S.A.O. (2009). Stability and individual change in depression symptoms among mothers raising young children with ASD: Maternal and child correlates. Journal of Clinical Psychology, 65(12), 1270-1280. https://doi.org/10.1002/jclp.20634
• Cohrs, A.C., & Leslie, D.L. (2017). Depression in parents of children diagnosed with autism spectrum disorder: A claims-based analysis. Journal of Autism and Developmental Disabilities, 47, 1416–1422. https://doi.org/10.1007/s10803-017-3063-y
• Dunn, L. M., & Dunn, D. M. (2007). Peabody Picture Vocabulary Test. 4th ed. American Guidance Service, Circle Pines, MN.
• Falk, N.H., Norris, K., & Quinn, M.G. (2014). The factors predicting stress, anxiety and depression in parents of children with autism. Journal of Autism and Developmental Disorders, 44(12), 3185-3203. https://doi.org/10.1007/s10803-014-2189-4
• Field, T. (2002). Prenatal effects of maternal depression. In S. H. Goodman and I. H. Gotlieb (Eds.), Children of depressed parents: Mechanisms of risk and implications for treatment (pp. 59–88). Washington, DC: American Psychological Association. https://doi.org/10.1037/10449-003
• Goldberg, S. (1977). Social competence in infancy: A model of parent-child interaction. Merrill-Palmer Quarterly, 23(3), 163-177. https://www.jstor.org/stable/i23084546
• Greenspan, S.I., &Weider, S. (1998). The child with special needs; Encouraging intellectual and emotional growth. Cambridge: MA.: DeCapo Press,
• Hastings, R. P., & Brown, T. (2002). Behavior problems of children with autism, parental self-efficacy and mental health. American Journal on Mental Retardation, 107(3), 222-234. https://doi.org/10.1352/0895-8017
• Hodge, D., Hoffman, C.D., & Sweeney, D.D. (2011). Increased psychopathology in children with autism: genetic liability or burden of caregiving. Journal of Developmental and Physical Disabilities, 23, 227-239. https://doi.org/10.1007/s10882-010-9218-9
• Hus, V., Gotham, K., & Lord, C. (2014). Standardizing ADOS Domain Scores: Separating severity of social affect and restricted and repetitive behaviors. Journal of Autism and Developmental Disorders, 44(10), 2400-2412. https://doi.org/10.1007/s10803-012-1719-1
• Karaaslan, O., & Mahoney, G. (2015). Mediational analyses of the effects of Responsive Teaching on the developmental functioning of preschool children with disabilities. Journal of Early Intervention, 37(4), 286–299. https://doi.org/10.1177/1053815115617294
• Kurstjens, S., & Wolke, D. (2001). Effects of maternal depression on cognitive development of children over the first 7 years of life. Journal of Child Psychology and Psychiatry and Allied Disciplines, 42(5), 623-636. https://doi.org/10.1017/S0021963001007296
• Lewinsohn, P. M., Seeley, J. R., Roberts, R. E., & Allen, N. B. (2007). Center for Epidemiological Studies-Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging, 12(2), 277- 287. https://doi.org/10.1037/0882-7974.12.2.277
• Lord, C., Risi, S., Lambrecht, L., et al. (2000). The Autism Diagnostic Observation Schedule-Generic: a standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205-223. https://doi.org/10.1023/A:1005592401947
• Mahoney. G. (2008). The Maternal Behavior Rating Scale-Revised. Available from the author, Case Western Reserve University, Cleveland, Ohio. 44106.
• Mahoney, G., & Solomon, R. (2016). Mechanism of developmental change in the PLAY home consultation Project: Evidence from a Randomized Control Trial. Journal of Autism and Developmental Disorders, 45(5), 1860-1871. https://doi.org/10.1007/s10803-016-2720-x
• Mahoney, G., & Wheeden, C.A. (1999). The effect of teacher style on interactive engagement of preschool-aged children with special learning needs. Early Childhood Research Quarterly, 14(1), 51-68. https://doi.org/10.1016/S0885-2006(99)80004-0
• Mahoney, G., & Nam, S. (2011). The parenting model of developmental intervention. In R.M.Hodapp (Ed.), International Review of Research on Mental Retardation, 41. New York, NY: Academic Press, 73-125. https://doi.org/10.1016/B978-0-12-386495-6.00003-5
• NICHD Early Child Care Research Network. (1999). Chronicity of maternal depression symptoms, maternal sensitivity, and child functioning at 36 months. Developmental Psychology, 35(5), 1297–1310. https://doi.org/10.1037/0012-1649.35.5.1297
• Osborne, L.A., McHugh, L., Saunders, J., & Reed, P. (2007). Parenting stress reduces the effectiveness of early teaching interventions for autistic spectrum disorders. Journal of Autism and Developmental Disorders, 38(6), 1092-1103. https://doi.org/10.1007/s10803-007-0497-7
• Peterson, C., Maier, S. F., & Seligman, M. E. P. (1995). Learned Helplessness: A Theory for the Age of Personal Control. New York: Oxford University Press.
• Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
• Rutter, M., Bailey, A., Berument, S.K., Lecouteur, A., et al. (2003). A Social Communication Questionnaire (SCQ). Los Angeles, CA: Western Psychological Services.
• Singer, G.H. (2006). Meta-analysis of comparative studies of depression in mothers of children with and without developmental disabilities. American Journal on Mental Retardation 111(3), 155–69. https://doi.org/10.1352/0895-8017(2006)111[155:MOCSOD]2.0.CO;2
• Solomon, R., Van Egeren, L., Mahoney, G., et al. (2014). PLAY Project home consultation intervention program for young children with autism spectrum disorders: A randomized controlled trial. Journal of Developmental and Behavioral Pediatrics, 35(8), 475-485. https://doi.org/10.1097/DBP.0000000000000096
• Turnbull, A.P., Blue-Banning, M., Turbiville, V., et al. (1999). From parent education to partnership education: A call for a transformed focus – Response. Topics in Early Childhood Special Education,19(3), 164-172. https://doi.org/10.1177/027112149901900308
• Vilagut G., Forero, C.G., Barbaglia, G., et. al. (2016) Screening for Depression in the General Population with the Center for Epidemiologic Studies Depression (CES-D): A Systematic Review with Meta-Analysis. https://doi.org/10.1371
• Zablotsky, B., Anderson, C., & Law, P. (2013). The association between child autism symptomatology, maternal quality of life, and risk for depression. Journal of Autism and Developmental Disorders, 43(8), 1946-1955. https://doi.org/10.1007/s10803-012-1745-z
• Winton, P.J., Sloop, S., & Rodriguez, P. (1999). Parent education: A term whose time is past – Response. Topics in Early Childhood Special Education, 19(3), 157-16. https://doi.org/10.1177/027112149901900306