Effect of parent-child cooperative music therapy on children with autism spectrum disorder and their mothers: a prospective randomized controlled study

HE Ying-Shuang; LIU Gui-Hua; ZHANG Yu-Hong; XIE Na-Mei; LIN Jin-Ling; HU Rong-Fang

doi:10.7499/j.issn.1008-8830.2201105

PDF(863 KB)

Chinese Journal of Contemporary Pediatrics ›› 2022, Vol. 24 ›› Issue (5) : 472-481. DOI: 10.7499/j.issn.1008-8830.2201105

CLINICAL RESEARCH

Effect of parent-child cooperative music therapy on children with autism spectrum disorder and their mothers: a prospective randomized controlled study

HE Ying-Shuang, LIU Gui-Hua, ZHANG Yu-Hong, XIE Na-Mei, LIN Jin-Ling, HU Rong-Fang

Author information +

History +

Abstract

Objective To study the effect of parent-child cooperative music therapy on the core symptoms of children with autism spectrum disorder (ASD) and their mothers. Methods In this prospective study, 112 children with ASD and their mothers were divided into a music therapy group and an applied behavior analysis (ABA) group using a random number table (n=56 each). The children in the ABA group were treated with ABA, and those in the music therapy group were given parent-child cooperative music therapy in addition to the ABA treatment. The duration of intervention was 8 weeks for both groups. Childhood Autism Rating Scale (CARS), Autism Behavior Checklist (ABC), Parenting Stress Index-Short form (PSI-SF), Family APGAR Index, and Herth Hope Index (HHI) were used to evaluate the core symptoms of children with ASD and the parenting stress, family APGAR index, and hope level of mothers before and after intervention. Results A total of 100 child-mother dyads completed the whole study, with 50 child-mother dyads in each group. After intervention, the children in the music therapy group had significantly lower total score of ABC scale and scores of sensation, social interaction, and somatic movement, as well as a significantly lower total score of CARS than those in the ABA group (P<0.05). After intervention, compared with the mothers in the ABA group, the mothers in the music therapy group had significantly higher total score of PSI-SF and score of parent-child dysfunctional interaction, significantly higher total score of HHI and scores of each dimension, and significantly higher total score of APGAR and scores of cooperation and intimacy (P<0.05). Conclusions Parent-child cooperative music therapy combined with ABA can alleviate the core symptoms of children with ASD, reduce the parenting stress of their mothers, and improve family APGAR index and hope level.

Key words

Autism spectrum disorder / Music therapy / Parent-child / Parenting stress / Child

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

HE Ying-Shuang, LIU Gui-Hua, ZHANG Yu-Hong, XIE Na-Mei, LIN Jin-Ling, HU Rong-Fang. Effect of parent-child cooperative music therapy on children with autism spectrum disorder and their mothers: a prospective randomized controlled study[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(5): 472-481 https://doi.org/10.7499/j.issn.1008-8830.2201105

References

1 Cai RY, Richdale AL, Uljarevi? M, et al. Emotion regulation in autism spectrum disorder: where we are and where we need to go[J]. Autism Res, 2018, 11(7): 962-978. PMID: 29979494. DOI: 10.1002/aur.1968.
2 Lai MC, Kassee C, Besney R, et al. Prevalence of co-occurring mental health diagnoses in the autism population: a systematic review and meta-analysis[J]. Lancet Psychiatry, 2019, 6(10): 819-829. PMID: 31447415. DOI: 10.1016/S2215-0366(19)30289-5.
3 Posar A, Visconti P. Omega-3 supplementation in autism spectrum disorders: a still open question?[J]. J Pediatr Neurosci, 2016, 11(3): 225-227. PMID: 27857792. PMCID: PMC5108126. DOI: 10.4103/1817-1745.193363.
4 Wang F, Lu L, Wang SB, et al. The prevalence of autism spectrum disorders in China: a comprehensive meta-analysis[J]. Int J Biol Sci, 2018, 14(7): 717-725. PMID: 29910682. PMCID: PMC6001678. DOI: 10.7150/ijbs.24063.
5 Baxter AJ, Brugha TS, Erskine HE, et al. The epidemiology and global burden of autism spectrum disorders[J]. Psychol Med, 2015, 45(3): 601-613. PMID: 25108395. DOI: 10.1017/S003329171400172X.
6 吉宁, 黄悦勤, 李恒, 等. 我国儿童和青少年孤独症归因残疾率及其分布的现况调查[J]. 中国心理卫生杂志, 2014, 28(11): 813-816. DOI: 10.3969/j.issn.1000-6729.2014.11.003.
7 Yirmiya N, Seidman I, Koren-Karie N, et al. Stability and change in resolution of diagnosis among parents of children with autism spectrum disorder: Child and parental contributions[J]. Dev Psychopathol, 2015, 27(4 Pt 1): 1045-1057. PMID: 26439061. DOI: 10.1017/S095457941500067X.
8 ?z B, Yüksel T, Nasiro?lu S. Depression-anxiety symptoms and stigma perception in mothers of children with autism spectrum disorder[J]. Noro Psikiyatr Ars, 2020, 57(1): 50-55. PMID: 32110151. PMCID: PMC7024823. DOI: 10.29399/npa.23655.
9 高迪, 于婷, 李春丽, 等. 早期介入丹佛模式的密集训练结合家长培训对孤独症谱系障碍儿童疗效及其对父母育儿压力的影响[J]. 中国当代儿科杂志, 2020, 22(2): 158-163. PMID: 32051084. PMCID: PMC7390010. DOI: 10.7499/j.issn.1008-8830.2020.02.014.
10 刘超, 卢斌, 张瑜, 等. 机构结构化教育联合家庭康复训练治疗儿童孤独症的疗效观察[J]. 中国当代儿科杂志, 2015, 17(12): 1277-1281. PMID: 26695664. DOI: 10.7499/j.issn.1008-8830.2015.12.004.
11 Hajiabolhasani-Nargani Z, Najafi M, Mehrabi T. Effect of mobile parenting skills education on anxiety of the mothers with autistic children[J]. Iran J Nurs Midwifery Res, 2016, 21(6): 572-576. PMID: 28194195. PMCID: PMC5301062. DOI: 10.4103/1735-9066.197668.
12 Whipple CM, Gfeller K, Driscoll V, et al. Do communication disorders extend to musical messages? An answer from children with hearing loss or autism spectrum disorders[J]. J Music Ther, 2015, 52(1): 78-116. PMID: 25691513. PMCID: PMC4414659. DOI: 10.1093/jmt/thu039.
13 Annesley L, Curtis-Tyler K, McKeown E. Parents' perspectives on their child's music therapy: a qualitative study[J]. J Music Ther, 2020, 57(1): 91-119. PMID: 31985786. DOI: 10.1093/jmt/thz018.
14 Vaiouli P, Grimmet K, Ruich LJ. "Bill is now singing": joint engagement and the emergence of social communication of three young children with autism[J]. Autism, 2015, 19(1): 73-83. PMID: 24254638. DOI: 10.1177/1362361313511709.
15 LaGasse AB, Manning RCB, Crasta JE, et al. Assessing the impact of music therapy on sensory gating and attention in children with autism: a pilot and feasibility study[J]. J Music Ther, 2019, 56(3): 287-314. PMID: 31225588. DOI: 10.1093/jmt/thz008.
16 Pasiali V, LaGasse AB, Penn SL. The effect of musical attention control training (MACT) on attention skills of adolescents with neurodevelopmental delays: a pilot study[J]. J Music Ther, 2014, 51(4): 333-354. PMID: 25504177. DOI: 10.1093/jmt/thu030.
17 Kim J, Wigram T, Gold C. The effects of improvisational music therapy on joint attention behaviors in autistic children: a randomized controlled study[J]. J Autism Dev Disord, 2008, 38(9): 1758-1766. PMID: 18592368. DOI: 10.1007/s10803-008-0566-6.
18 姜孟昕. 奥尔夫音乐治疗对自闭症谱系儿童社会交往、情绪和注意力的疗效研究[D]. 武汉: 武汉音乐学院, 2020.
19 Dezfoolian L, Zarei M, Ashayeri H, et al. A pilot study on the effects of Orff-based therapeutic music in children with autism spectrum disorder[J]. Music Med, 2013, 5(3): 162-168. DOI: 10.47513/mmd.v5i3.325.
20 刘思雨, 黄秀美, 何月月, 等. “莫扎特效应”音乐干预癫癎患儿的应用进展[J]. 护理学报, 2019, 26(24): 18-21. DOI: 10.16460/j.issn1008-9969.2019.24.018.
21 Pauwels EK, Volterrani D, Mariani G, et al. Mozart, music and medicine[J]. Med Princ Pract, 2014, 23(5): 403-412. PMID: 25060169. PMCID: PMC5586918. DOI: 10.1159/000364873.
22 Rauscher FH, Shaw GL, Ky CN. Music and spatial task performance[J]. Nature, 1993, 365(6447): 611. PMID: 8413624. DOI: 10.1038/365611a0.
23 黄雪莲. 亲子团体音乐治疗对自闭症儿童社交障碍干预的实证研究[D]. 天津: 天津音乐学院, 2020.
24 Julious SA. Sample sizes for clinical trials[M]. Boca Raton: CRC Press, 2009: 21-22.
25 Chow SC, Shao J, Wang HS. Sample size calculations in clinical research[M]. 2nd ed. Boca Raton: Taylor & Francis Group, LLC, 2008: 33-36.
26 Machin D, Campbell MJ, Fayers P, et al. Sample size tables for clinical studies[M]. 2nd ed. Malden: Blackwell Science, 1997: 76-78.
27 美国精神医学学会. 精神障碍诊断与统计手册[M]. 5版. 张道龙, 刘春宇, 童慧琦, 等, 译. 北京: 北京大学出版社, 2015: 46-55.
28 Mesibov GB, Schopler E, Schaffer B, et al. Use of the childhood autism rating scale with autistic adolescents and adults[J]. J Am Acad Child Adolesc Psychiatry, 1989, 28(4): 538-541. PMID: 2768149. DOI: 10.1097/00004583-198907000-00012.
29 Schopler E, Reichler RJ, DeVellis RF, et al. Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS)[J]. J Autism Dev Disord, 1980, 10(1): 91-103. PMID: 6927682. DOI: 10.1007/BF02408436.
30 杨玉凤. 儿童发育行为心理评定量表[M]. 北京: 人民卫生出版社, 2016: 14-16.
31 Yeh CH, Chen ML, Li W, et al. The Chinese version of the Parenting Stress Index: a psychometric study[J]. Acta Paediatr, 2001, 90(12): 1470-1477. PMID: 11853348. DOI: 10.1080/08035250152708914.
32 Smilkstein G, Ashworth C, Montano D. Validity and reliability of the family APGAR as a test of family function[J]. J Fam Pract, 1982, 15(2): 303-311. PMID: 7097168.
33 Chan KS, Li HC, Chan SW, et al. Herth Hope Index: psychometric testing of the Chinese version[J]. J Adv Nurs, 2012, 68(9): 2079-2085. PMID: 22111952. DOI: 10.1111/j.1365-2648.2011.05887.x.
34 黄丹妮, 金永堂. 儿童自闭症的环境危险因素研究进展[J]. 中华预防医学杂志, 2017, 51(12): 1128-1131. DOI: 10.3760/cma.j.issn.0253-9624.2017.12.016.
35 代真真, 姜志梅, 朱俊丽. 孤独症谱系障碍应用行为分析干预的研究进展[J]. 中国儿童保健杂志, 2021, 29(6): 623-626. DOI: 10.11852/zgetbjzz2020-0350.
36 马晨欢, 王瑜. 孤独症谱系障碍儿童的早期干预方法研究进展[J]. 中国儿童保健杂志, 2020, 28(1): 57-60. DOI: 10.11852/zgetbjzz2019-0614.
37 Balasubramanian V, Bharathi G, Vellinigri B. Development of social interaction skills of autistic children's by musical therapy[J]. J Neurol Sci, 2019, 405, Supplement: 49. DOI: 10.1016/j.jns.2019.10.305.
38 周青蕊, 景玉珍, 甘晓燕, 等. 音乐治疗对儿童孤独症谱系障碍的康复效果[J]. 中国初级卫生保健, 2017, 31(5): 68-69. DOI: 10.3969/j.issn.1001-568X.2017.05.0030.
39 Mohakud K, Sahu RK, Dash SR, et al. Child behavioral problem and its relationship with parenting stress of mothers of cerebral palsy children and autistic children[J]. Indian J Physiother Occup Ther, 2019, 13(4): 78-81. DOI: 10.5958/0973-5674.2019.00136.9.
40 Epstein T, Saltzman-Benaiah J, O'Hare A, et al. Associated features of Asperger syndrome and their relationship to parenting stress[J]. Child Care Health Dev, 2008, 34(4): 503-511. PMID: 19154552. DOI: 10.1111/j.1365-2214.2008.00834.x.
41 贺成华. 自闭症儿童母亲压力体验的质性研究[D]. 上海: 华东理工大学, 2018.
42 刘艳. 自闭症幼儿的养育历程[D]. 上海: 华东师范大学, 2019.
43 Thompson GA, McFerran KS, Gold C. Family-centred music therapy to promote social engagement in young children with severe autism spectrum disorder: a randomized controlled study[J]. Child Care Health Dev, 2014, 40(6): 840-852. PMID: 24261547. DOI: 10.1111/cch.12121.