Rodenburg Roos, Meijer Anne Marie, Deković Maja, Aldenkamp Albert P
Department of Educational Studies, University of Amsterdam, The Netherlands.
Epilepsy Behav. 2007 Sep;11(2):197-207. doi: 10.1016/j.yebeh.2007.05.001. Epub 2007 Jul 2.
The goals of the work described here were (1) to predict parenting stress and parenting from stressors, resources, and parental coping behaviors in parents of children with epilepsy, and (2) to determine whether parenting stress mediates the effects of these predictors on parenting.
Participants were 91 parents of children with epilepsy (mean age of children=8 years, 5 months). Parental perceptions of stressors, resources, parental coping behaviors, parenting stress, and parenting were assessed by means of questionnaires. Regression analyses were used to analyze the unique and combined power of the predictors to predict parenting stress and parenting. Sobel tests were used to identify the mediational role of parenting stress.
Evidence was found for direct effects of stressors, resources, and coping behaviors on parenting stress and parenting, with relatively large effects for stressors. The mediational role of parenting stress was largest in the domain of parental behavioral control.
In the context of pediatric epilepsy, parenting stress mediates both disruptive and resilient family factors for their effects on parenting. Parents of children with epilepsy may benefit from parent training programs that, to reduce parenting stress, address epilepsy education, the management of difficult child temperament, building social support networks, and the modification of inadequate parental coping behaviors.
本文所述工作的目标是：（1）从癫痫患儿父母的压力源、资源及父母应对行为来预测育儿压力和育儿情况；（2）确定育儿压力是否介导这些预测因素对育儿的影响。
研究对象为91名癫痫患儿的父母（患儿平均年龄为8岁5个月）。通过问卷调查评估父母对压力源、资源、父母应对行为、育儿压力及育儿情况的认知。采用回归分析来分析预测因素预测育儿压力和育儿情况的独特及综合效力。使用索贝尔检验来确定育儿压力的中介作用。
发现压力源、资源及应对行为对育儿压力和育儿情况存在直接影响，其中压力源的影响相对较大。育儿压力的中介作用在父母行为控制领域最为显著。
在小儿癫痫的背景下，育儿压力介导了破坏家庭及促进家庭复原力的因素对育儿的影响。癫痫患儿的父母可能会从家长培训项目中受益，这些项目为减轻育儿压力，会涉及癫痫教育、难养型儿童气质的管理、建立社会支持网络以及纠正不适当的父母应对行为。
