Effect of the Satir Model - Based Psychoeducational Program on Parents and Children with Autism Spectrum Disorder Satir Based Psychoeducational Program for Parents of ASD

Main Article Content

Soontaree Srikosai
Patarawadee Dornnork
Chulaporn Somchai
Peungpid Sriseub
Siriwan Taweewattanaprecha
Ratana Saipanish

Abstract

                  Parents who have a child with autism spectrum disorder (ASD) have constant negative emotions associated with their child's self-care, social skills deficit, and self-regulation difficulties. This study compares the clinical symptoms and medical compliance of children with ASD, and the life congruence and stress of parents who participated in a psychoeducational program based on the Satir Model (PPSM) and those in a standard educational program (SEP). A randomized controlled trial design was conducted. The experimental group of 26 parents of ASD children attended the PPSM, and the control group of 23 parents attended the SEP. Data was collected using the Vineland Adaptive Behavior Scale (VABS), Patient drug compliance questionnaires, Life Congruence Scale, and Parenting Stress Index-4-SF. The mean age of the 49 participants was 39 years old. Compared to the control group, the clinical symptoms of ASD children in the experimental group were better than the control group at week28 follow up (mean difference = 13.46, p<0.05); and the percentage of drug compliance in the experimental group was better at post-test (mean difference = 5.26, p<0.05). Parental stress scores between groups were not significantly different at each follow up interval. Experimental group stress scores were reduced at week16 (p < 0.05) and week28 follow up (p < 0.01). Control group stress scores were reduced at post-test (p<0.05). Furthermore, the experimental group reported better results on the Life Congruence Scale at week8 follow up (mean difference = 11.54, p<0.05). The Satir model-based psychoeducational program helped parents of children with ASD to be more congruent and less stressed, which consequently improved clinical symptoms and the medical compliance of their children.

Article Details

How to Cite
Srikosai, S., Dornnork, P., Somchai, C., Sriseub, P., Taweewattanaprecha, S., & Saipanish, R. (2019). Effect of the Satir Model - Based Psychoeducational Program on Parents and Children with Autism Spectrum Disorder: Satir Based Psychoeducational Program for Parents of ASD. International Journal of Child Development and Mental Health, 7(2), 41–54. Retrieved from https://he01.tci-thaijo.org/index.php/cdmh/article/view/209154
Section
Original Articles

References

Abidin, R. R. (2012). Parenting stress index, fourth edition short form (PSI-4SF). Retrieved from www.wpspublish.com
Adler, L. D., & Nierenberg, A. A. (2010). Review of Medication Adherence in Children
and Adults with ADHD. Postgraduate Medicine, 122(1), 184-191.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). Arlington,
VA: American Psychiatric Pub.
Antshel, K. M. (2015). Psychosocial interventions in attention-deficit/hyperactivity disorder: update. Child and
Adolescent Psychiatric Clinics, 24(1), 79-97.
Barkley, R. A. (2002). Psychosocial treatments for attention-deficit/hyperactivity disorder in children. Journal of
Clinical Psychiatry, 63(12), 36–43.
Burrell, T. L., & Borrego Jr, J. (2012). Parents' involvement in ASD treatment: what is their role? Cognitive and
Behavioral Practice, 19(3), 423-432.
Centers for Disease Control and Prevention (CDC). (2012). Prevalence of Autism Spectrum
Disorders — Autism and Developmental Disabilities Monitoring Network, 14 Sites,
United States, 2008. Surveillance Summaries, 61(3), Morbidity and Mortality Weekly
Report.
Charatcharungkiat, N., & Wacharasindhu, A. (2013). Quality of life among caregivers of
children with autistic spectrum disorders and associated factors. Journal of the
Psychiatric Association of Thailand, 58(3), 233-244.
Colom, F., Vieta, E., & Scott, J. (2006). Psychoeducation manual for bipolar disorder.
Cambridge Uni Press, Cambridge.
Department of Mental Health. (2015). Database of mental health and psychiatry research.
Retrieved 28 August 2015 from www.dmh.go.th
Gordon, K., Murin, M., Baykaner, O., Roughan, L., Livermore-Hardy, V., Skuse, D., et al. (2015).A randomized
controlled trial of PEGASUS, a psychoeducational programme for young people with high-functioning autism
spectrum disorder. Journal of Child Psychology and Psychiatry, 56(4), 468-476.
Gurian, A. (2003). Mother blues-child blues how maternal depression affects children.
Letter Child Study Center, 7(3), 1-5.
Hodgkins, P., Sasané, R., Christensen, L., Harley, C., & Liu, F. (2011). Treatment outcomes
with methylphenidate formulations among patients with ADHD: retrospective claims
analysis of a managed care population. Current Medical Research and Opinion, 27(2), 53-62.
Hugtenburg, J. G., Witte, I., Heerdink, E. R. (2006). Determinants of compliance with
methylphenidate therapy in children. Acta Paediatrica, 95(12), 1674-1676.
Lukens, E. P., & McFarlane, W. R. (2004). Psychoeducation as evidence-based practice:
Considerations for practice, research, and policy. Brief Treatment and Crisis
Intervention, 4(3), 205-225.
Montoya, A., Colom, F., & Ferrin, M. (2011). Is psychoeducation for parents and
teachers of children and adolescents with ADHD efficacious? A systematic literature
review. European Psychiatry, 26(3), 166-175.
Novick, K. K., & Novick, J. (2013). A new model of techniques for concurrent
psychodynamic work with parents of child and adolescent psychotherapy
patients. Child and adolescent psychiatric clinics of North America, 22(2), 331-349.
Polit, D. F., & Beck, C. T. (2004). Nursing research: principles and methods. (7ed.).
Philadelphia: Lippincott William & Wilkins.
Satir, V., & Baldwin, S. M. (1983). Satir step by step: A guide to creating change in
families. Palo Alto: Science and behavior books.
Satir, V., Banmen, J., Gerber, J., & Gomori, M. (1991). The Satir Model: Family therapy and
beyond. California: Science and behavior book.
Simsek, H. B., & Koroglu, A. Y. (2012). A study on the demographical characteristics of
parents with children diagnosed with autism, problem they face and their
knowledge on alternative treatment methods. Procedia - Social and Behavioral Sciences, 47, 577-585.
Siriratlakha, T. (2005). Caring Guideline of people with autism spectrum disorder. Bangkok:
Kuruspa-Ladpraow. (In Thai)
Spieth, P. M., Kubasch, A. S., Penzlin, A. I., Illigens, B. M-W., Barlinn, K., & Siepmann, T.
S. (2016). Randomized controlled trials - a matter of design. Neuropsychiatric Disease and
Treatment, 12, 1341-1349.
Srikosai, S., & Taweewattanaprecha, S. (2012). Psychometric properties of the life
congruence scale based on the Satir model: Thai version. Journal of the Psychiatric
Association of Thailand, 57(1), 75-88.
Srikosai, S., Thapinta, D., Kittirattanapaiboon, P., & Piyavhatkul, N. (2014). Effectiveness of
an alcohol relapse prevention program based on the Satir model in alcohol-dependent
women. Chiang Mai University Journal of Natural Sciences, 13(2), 227-239.
Srikosai, S., Dornnork, P., Taweewattanaprecha, S., & Saipanish, R. (2018). Clinical Outcomes and Parents’ Life
Congruence of Children with Attention Deficit-Hyperactive Disorder after Satir Model Based Psychoeducational
Program. Journal of the Psychiatric Association of Thailand, 63(3), 227-246.