자폐스펙트럼장애 아동 부모를 위한 부모 중심 심리사회적 중재가 스트레스와 우울에 미치는 효과: 체계적 문헌고찰 및 메타분석

초록

Parents of children with autism spectrum disorder (ASD) frequently experience high levels of stress and depression. This study aimed to evaluate the effects of psychosocial interventions for these parents through a systematic review and meta-analysis. Randomized controlled trials (RCTs) published up to January 2026 were identified through searches of PubMed, CINAHL, Embase, Cochrane Library, RISS, KISS, and ScienceON. A total of 869 records were identified, of which 15 studies met the inclusion criteria. Psychosocial interventions significantly reduced stress (ES = −1.14, 95% CI: −1.67 to −0.62, I² = 90%, p < .001) and depression (ES = −0.88, 95% CI: −1.31 to −0.45, I² = 88%, p < .001). Cognitive behavioral therapy and hybrid-format interventions were associated with relatively larger effect sizes; however, these subgroup findings should be interpreted cautiously because of the limited number of studies and high heterogeneity. These findings support integrating psychosocial support into family-centered ASD care and underscore the need for further high-quality studies on comparative effectiveness and long-term outcomes.

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