Effect of parental training based on Early Start Denver Model combined with intensive training on children with autism spectrum disorder and its impact on parenting stress
GAO Di, YU Ting, LI Chun-Li, JIA Fei-Yong, LI Hong-Hua
Department of Developmental-Behavioral Pediatrics, First Hospital of Jilin University, Changchun 130021, China
Abstract：Objective To explore the effect of parental training based on the Early Start Denver Model (ESDM) combined with intensive training on the treatment outcome of children with autism spectrum disorder (ASD) and its impact on parenting stress. Methods Seventy children aged 2-5 years who were diagnosed with ASD were enrolled in the study. They were divided into an ESDM group and a parental training group by the random number table method (n=35 each). The ESDM group received intensive training based on ESDM. In addition to intensive ESDM-based training, parents of the children in the parental training group received ESDM skills training. Both groups were assessed by Autism Behavior Checklist (ABC), Childhood Autism Rating Scale (CARS), Autism Treatment Evaluation Checklist (ATEC) and Parenting Stress Index-Short Form (PSI-SF) before and after the intervention of 3 months. Results After 3 months of intervention, the total scores of ABC, CARS and ATEC were both significantly decreased in the two groups (P P > 0.05). The change between ABC, CARS and ATEC total scores in the two groups had no significant difference (P > 0.05). After 3 months of intervention, the total scores of PSI-SF were both significantly decreased in the two groups (P P P P Conclusions Both the combination of intensive training and parent training based on ESDM and ESDM intensive training alone can improve the core symptoms of children with ASD aged 2-5 years and relieve the parenting stress, however, the former is more effective in relieving parenting stress.
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