Van Der Veek Shelley M C, Kraaij Vivian, Garnefski Nadia
Department of Clinical, Health and Neuropsychology, Leiden University, The Netherlands.
J Intellect Dev Disabil. 2009 Sep;34(3):216-29. doi: 10.1080/13668250903093133.
Some studies find that parents of children with Down's syndrome may experience symptoms of depression, while other studies find that parents adapt well. This study aimed to clarify this variability in adaptive strength by investigating a stress-coping model to explain depressive symptoms and positive affect.
Questionnaires were completed by 553 parents of children (aged 0-18) with Down's syndrome, containing measures of goal disturbance, cognitive coping, social support, partner bonding, and coping self-efficacy.
Different models for positive affect and depressive symptoms were found. The coping strategies of self-blame and rumination were positively related to depressive symptoms, and positive reappraisal was positively related to positive affect. Partner bonding characteristics played relevant roles in both models, as did coping self-efficacy and goal disturbance. Social support seemed mainly relevant in explaining positive affect.
Different psychological factors were related to depressive symptoms and positive affect in parents of children with Down's syndrome. Implications are discussed.
一些研究发现，唐氏综合征患儿的父母可能会出现抑郁症状，而其他研究则发现父母适应良好。本研究旨在通过调查一个压力应对模型来解释抑郁症状和积极情绪，以阐明这种适应能力的差异。
553名唐氏综合征患儿（年龄在0至18岁之间）的父母完成了问卷调查，其中包括目标干扰、认知应对、社会支持、伴侣关系和应对自我效能感的测量。
发现了关于积极情绪和抑郁症状的不同模型。自责和沉思的应对策略与抑郁症状呈正相关，积极重新评价与积极情绪呈正相关。伴侣关系特征在两个模型中都发挥了相关作用，应对自我效能感和目标干扰也是如此。社会支持似乎主要与解释积极情绪有关。
不同的心理因素与唐氏综合征患儿父母的抑郁症状和积极情绪有关。文中讨论了其影响。
