Parent Training and Therapy in Children with Autism

With the introduction of the Diagnostic and Statistical Manual of Mental Disorders-5th ed. (DSM-5) autism spectrum disorders (ASD) fall into the category of neurodevelopmental disorders. ASD is characterized by the inhibitory mechanisms responsible for social adaptation and emotional expression bein...

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Main Authors: Alessandro Frolli, Antonia Bosco, Francesca Di Carmine, Antonella Cavallaro, Agnese Lombardi, Luana Sergi, Giulio Corrivetti, Maria Carla Ricci
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Pediatric Reports
Subjects:
Online Access:https://www.mdpi.com/2036-7503/13/2/30
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author Alessandro Frolli
Antonia Bosco
Francesca Di Carmine
Antonella Cavallaro
Agnese Lombardi
Luana Sergi
Giulio Corrivetti
Maria Carla Ricci
author_facet Alessandro Frolli
Antonia Bosco
Francesca Di Carmine
Antonella Cavallaro
Agnese Lombardi
Luana Sergi
Giulio Corrivetti
Maria Carla Ricci
author_sort Alessandro Frolli
collection DOAJ
description With the introduction of the Diagnostic and Statistical Manual of Mental Disorders-5th ed. (DSM-5) autism spectrum disorders (ASD) fall into the category of neurodevelopmental disorders. ASD is characterized by the inhibitory mechanisms responsible for social adaptation and emotional expression being underdeveloped, causing a child’s recognition and understanding of emotions to be impaired. Our study hypothesizes that early intervention using behavioral interventions such as Applied Behavior Analysis (ABA) and reflexive functions (RF) training on parents can improve the development of joint attention (JA), a cognitive precursor to the theory of mind (ToM) and mentalization processes. We considered a sample of 84 children aged between 20 and 30 months who had received a diagnosis of risk of autism spectrum disorder (level 1). The sample was divided into two groups of 42 subjects, in the first group we carried out a weekly behavioral parent training (PT) based only on ABA principles, while in the second group we carried out a weekly PT aimed at improving reflective functions and parental awareness according to a model inspired by the model based on emotional mirroring and mentalization of Fonagy. Our study shows that parents who are able to make sense of both their own mental state and that of their child can serve as a protective factor for the child’s development even in atypical developmental situations such as in ASD.
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spelling doaj.art-8f7a9ccf360e48c380897be337b94f922023-11-21T18:10:40ZengMDPI AGPediatric Reports2036-75032021-05-0113221622610.3390/pediatric13020030Parent Training and Therapy in Children with AutismAlessandro Frolli0Antonia Bosco1Francesca Di Carmine2Antonella Cavallaro3Agnese Lombardi4Luana Sergi5Giulio Corrivetti6Maria Carla Ricci7Disability Research Centre, University of International Studies in Rome-Via Cristoforo Colombo, 00147 Rome, ItalyDisability Research Centre, University of International Studies in Rome-Via Cristoforo Colombo, 00147 Rome, ItalyDisability Research Centre, University of International Studies in Rome-Via Cristoforo Colombo, 00147 Rome, ItalyDisability Research Centre, University of International Studies in Rome-Via Cristoforo Colombo, 00147 Rome, ItalyDisability Research Centre, University of International Studies in Rome-Via Cristoforo Colombo, 00147 Rome, ItalyASL (Local Health Authority) of Caserta, 81100 Caserta, ItalyDepartment of Mental Health of ASL (Local Health Company) of Salerno, 84124 Salerno, ItalyDisability Research Centre, University of International Studies in Rome-Via Cristoforo Colombo, 00147 Rome, ItalyWith the introduction of the Diagnostic and Statistical Manual of Mental Disorders-5th ed. (DSM-5) autism spectrum disorders (ASD) fall into the category of neurodevelopmental disorders. ASD is characterized by the inhibitory mechanisms responsible for social adaptation and emotional expression being underdeveloped, causing a child’s recognition and understanding of emotions to be impaired. Our study hypothesizes that early intervention using behavioral interventions such as Applied Behavior Analysis (ABA) and reflexive functions (RF) training on parents can improve the development of joint attention (JA), a cognitive precursor to the theory of mind (ToM) and mentalization processes. We considered a sample of 84 children aged between 20 and 30 months who had received a diagnosis of risk of autism spectrum disorder (level 1). The sample was divided into two groups of 42 subjects, in the first group we carried out a weekly behavioral parent training (PT) based only on ABA principles, while in the second group we carried out a weekly PT aimed at improving reflective functions and parental awareness according to a model inspired by the model based on emotional mirroring and mentalization of Fonagy. Our study shows that parents who are able to make sense of both their own mental state and that of their child can serve as a protective factor for the child’s development even in atypical developmental situations such as in ASD.https://www.mdpi.com/2036-7503/13/2/30autismjoint attentionearly social communication scalesapplied behavior analysisparent trainingreflective function
spellingShingle Alessandro Frolli
Antonia Bosco
Francesca Di Carmine
Antonella Cavallaro
Agnese Lombardi
Luana Sergi
Giulio Corrivetti
Maria Carla Ricci
Parent Training and Therapy in Children with Autism
Pediatric Reports
autism
joint attention
early social communication scales
applied behavior analysis
parent training
reflective function
title Parent Training and Therapy in Children with Autism
title_full Parent Training and Therapy in Children with Autism
title_fullStr Parent Training and Therapy in Children with Autism
title_full_unstemmed Parent Training and Therapy in Children with Autism
title_short Parent Training and Therapy in Children with Autism
title_sort parent training and therapy in children with autism
topic autism
joint attention
early social communication scales
applied behavior analysis
parent training
reflective function
url https://www.mdpi.com/2036-7503/13/2/30
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AT francescadicarmine parenttrainingandtherapyinchildrenwithautism
AT antonellacavallaro parenttrainingandtherapyinchildrenwithautism
AT agneselombardi parenttrainingandtherapyinchildrenwithautism
AT luanasergi parenttrainingandtherapyinchildrenwithautism
AT giuliocorrivetti parenttrainingandtherapyinchildrenwithautism
AT mariacarlaricci parenttrainingandtherapyinchildrenwithautism