THE EFFECT OF BEHAVIOR THERAPY WITH FAMILY INVOLVEMENT ON AGGRESSIVE BEHAVIOR OF AUTISTIC CHILDREN
Main Article Content
Abstract
Objectives: To compare aggressive behavior of autistic children before and after using the behavior therapy with family involvement, and to compare aggressive behavior of autistic children using the behavior therapy with family involvement and those who received regular nursing care.
Methods: This study was quasi-experimental research using the pretest-posttest design. Forty autistic children aged 6-12 years old receiving inpatient services and their family who met the inclusion criteria were matched pair and then randomly assigned into experimental group and control group, 20 subjects in each group. The experimental group received the behavior therapy with family involvement program for 4 weeks. The control group received usual care. Research instruments were: personal data questionnaire, an aggressive behaviors scale, a behavior therapy performance of family scale, a nurse’s protocol on behavior therapy in children with Autistic, a family manual on behavior therapy at home. All instruments were content validated by a panel of 5 professional experts. Interrater reliability of aggressive behaviors scale was .81,.85,.90,.92 and .93 respectively, and internal consistency reliability of behavior therapy performance scale was .84. The Wilcoxon was used for data analysis.
Results: 1) Aggressive behaviors of autistic children after using the behavior therapy with family involvement were significantly lower than those before, at the .05 level. 2) Aggressive behaviors of autistic children who received behavior therapy with family involvement were significantly lower than those who received regular nursing care, at the .05 level.
Conclusion: This study supported that the use of behavioral therapy with family involvement program should be included in psychiatric mental health service for autistic children.
Article Details
บทความที่ได้รับการตีพิมพ์แล้ว เป็นลิขสิทธิ์ของสมาคมพยาบาลจิตเวชแห่งประเทศไทย
References
งานสถิติโรงพยาบาลยุวประสาทไวทโยปถัมป์. (2556). รายงานอุบัติการณ์ความเสี่ยงประจำปี. สมุทรปราการ: โรงพยาบาลยุวประสาท ไวทโยปถัมป์.
ทวีศักดิ์ สิริรัตน์เรขา. (2550). การบําบัดทางเลือก ในเด็กพิเศษ. กรุงเทพฯ: คุรสภาลาดพร้าว.
เพ็ญพิไล ฤทธาคณานนท์. (2550). พัฒนาการมนุษย์ (พิมพ์ครั้งที่ 2). กรุงเทพฯ: ธรรมดาเพรส จำกัด.
อัญชรส ทองเพ็ชร. (2554). ผลของพฤติกรรมบำบัด ต่อพฤติกรรมก้าวร้าวของเด็กออทิสติก แผนกผู้ป่วยนอก. วิทยานิพนธ์ปริญญา มหาบัณฑิต สาขาการพยาบาลสุขภาพ จิตและจิตเวช, คณะพยาบาลศาสตร์, จุฬาลงกรณ์มหาวิทยาลัย.
Centers for Disease Control and Prevention of America. (2012). Prevalence of autism spectrum disorders–autism and developmental disabilities monitoring network, 14 sites. United States, 61(3), 1-19
Chou, K ., Lu, R. B., & Mao, W. C. (2010). Factors relevant to patient assaultive behavior and assault in acute inpatient psychiatric untis in Taiwan. Archives of Psychiatric Nursing, 16(4), 187-195
Erbas, Y., Ceulemans, E., Boonen, J., Noens, I., & Kuppens, P. (2013). Emotion differentiation in autism spectrum disorder. Research in Autism Spectrum Disorders, 7(10), 1221- 1227.
Goodman , R., & Scott, S. (2012). Child and Adolescent Psychiatry. (Third Edition). Publishing Ltd. Chapter, 39, 328-335.
Hill, A. P., Zuckerman, E. Z., Hagen, A. D., Kriz, D. J., Duvall, S. W., Santen, J. V., Nigg, J., Fair, D., & Fombonne, E. (2014). Aggressive behavior problems in children with autism spectrum disorders: Prevalence and correlates in a large clinical sample. Research in Autism Spectrum Disorders, 8, 1121-1133.
Hillman, J. (2006). Supporting and treating families with children on the autistic spectrum: The unique of the generalist psychologist. Psychotherapy: Theory, Research, Practice, Training, 43(3), 349-358.
Jull, S., & Mirenda, P. (2011). Parent facilitators for preschoolers with autism. Journal of Positive Behavior intervention, 13,17-30.
Kanne, S. M., & Mazurek, M. O. (2011). Aggression in children and adolescents with ASD: Prevalence and risk factors. Journal of Autism and Developmental Disorders, 41(7), 926-937.
Kloosterman, P. H., Kelley, E. A., Parker, J. D., & Craig, W. M. (2014). Executive functioning as a predictor of peer victimization in adolescents with and without an autism spectrum disorder. Research in Autism Spectrum Disorders, 8, 244-254.
Maskoto, S. (2006). Parents’ satisfaction with the pediatric intensive care unit services of Siriraj Hospital. Master’s thesis in Population Education, Faculty of Graduate Studies, Mahidol University.
Mazurek, M. O., Kanne, S. M., & Wodka, E. L. (2013). Physical aggression in children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 7, 455–465.
Roberts, J., Williams, K., Carter, M., Evans, D., Parmenter, T., Silove, N., … Warren, A. (2011). A randomised controlled trial of two early intervention programs for young children with autism: Centre-based with parent program and home-based. Research in Autism Spectrum Disorders, 5(4), 1553–1566.
Schepp, K. (1995). Psychometric assessment of the preferred participation scale for parent of hospitalized children. Unpublished manuscript. University of Washington.
Skinner,B. F. (1953). Science and Human Behavior. New York: The Free Press.
Yodofsky, S., Silver, J. M., & Jackson, W. (1986). The Overt Aggressive scale for the objective rating of verbal and physical aggression. American Journal of psychiatry, 143(1), 35-39.