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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

SO058

Resilience-related factors determining the effectiveness of interventions to enhance family resilience in families of children with autism spectrum disorder: a meta-analysis

RESILIENCE RELATED FACTORS INFLUENCING THE EFFECTIVENESS OF INTERVENTIONS FOR ENHANCING FAMILY RESILIENCE AMONG FAMILIES OF CHILDREN WITH ASD: A META-ANALYSIS

Interventions targeting family resilience produce moderate to large improvements, with the strongest effects observed in parent training and parent-led programs.

The aim was to synthesize evidence from intervention studies targeting family resilience in families of children with autism spectrum disorder (ASD) and to identify moderators of effectiveness. The study was a systematic review and meta-analysis conducted in accordance with PRISMA 2020 guidelines and registered with PROSPERO (CRD42024523203). MEDLINE, Web of Science, PubMed, PsycINFO, Embase, and ProQuest were searched through October 2025. Intervention studies involving autistic children under 18 years of age, their parents, or parent–child dyads and reporting family-level adaptation outcomes were included. Within-group (pre–post) and between-group (versus control) effects were calculated using Hedges’ g under a random-effects model. Risk of bias was assessed using RoB-2 and RoBANS (κ = 0.83), and Egger’s test, fail-safe N, and trim-and-fill methods were applied. A total of 34 studies were included (1998–2025, 11 countries, N = 1,562; 13 randomized controlled trials, 8 quasi-experimental studies, and 13 pre–post studies). Outcomes were family functioning (k = 16), family empowerment (k = 14), and family quality of life (k = 5). The within-group effect size was g = 0.675, 95% CI 0.505 to 0.846, p < 0.001 (k = 35); the between-group effect was g = 0.812, 95% CI 0.567 to 1.057, p < 0.001 (k = 22). Moderator analyses showed the largest effects for parent training (within-group g = 1.005; between-group g = 1.188). Parent-led programs outperformed professionally led programs (within-group g = 1.492 versus 0.564), effects were stronger in Asian settings (within-group g = 1.087 versus 0.487; between-group g = 1.186 versus 0.521), and effects were weaker in children with co-occurring diagnoses than in those diagnosed with ASD alone (within-group g = 0.312 versus 0.717). Treatment approach, ASD status, intervention provider, study region, study design, and child age were significant moderators. In conclusion, culturally adapted, parent-implemented programs that incorporate parent training emerge as key levers for enhancing family resilience.

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