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脑瘫患儿父母心理调适、所体验到的育儿负担及慢性悲伤症状的预测因素。

Predictors of psychological adjustment, experienced parenting burden and chronic sorrow symptoms in parents of children with cerebral palsy.

作者信息

Whittingham K, Wee D, Sanders M R, Boyd R

机构信息

Queensland Cerebral Palsy and Rehabilitation Research Centre, the School of Medicine, Faculty of Health Sciences, the University of Queensland, Brisbane, Qld, Australia.

出版信息

Child Care Health Dev. 2013 May;39(3):366-73. doi: 10.1111/j.1365-2214.2012.01396.x. Epub 2012 Jun 8.

Abstract

AIM

To investigate the role of child behaviour, parental coping and experiential avoidance in predicting the psychological outcomes of: (i) psychological symptoms; (ii) chronic sorrow symptoms; and (iii) experienced parenting burden in parents of children with cerebral palsy (CP).

METHOD

This study is a cross-sectional, correlational study. Ninety-four parents of children (aged 2-12 years) with CP (various levels of motor functioning GMFCS I-V) participated.

RESULTS

Together, the three predictors of child behaviour, parental coping and experiential avoidance explained 36.8% of the variance in psychological symptoms with child behavioural problems and experiential avoidance as significant unique predictors. In addition, 15.8% of the variance in chronic sorrow symptoms was explained by the three predictors with experiential avoidance alone as a significant unique predictor. Lastly, the predictors together explained 24.3% of the variance in experienced parenting burden with child behavioural problems and experiential avoidance as significant unique predictors.

CONCLUSIONS

This study demonstrates a relationship between child behavioural problems and parental psychological symptoms and experienced parenting burden as well as a relationship between experiential avoidance and parental psychological symptoms, experienced parenting burden and chronic sorrow symptoms.

摘要

目的

探讨儿童行为、父母应对方式及经验性回避在预测以下方面心理结果中的作用:(i)心理症状;(ii)慢性悲伤症状;(iii)脑瘫(CP)患儿父母的养育负担体验。

方法

本研究为横断面相关性研究。94名2至12岁脑瘫患儿(运动功能分级GMFCS I - V不同水平)的父母参与了研究。

结果

儿童行为、父母应对方式及经验性回避这三个预测因素共同解释了心理症状中36.8%的变异,其中儿童行为问题和经验性回避是显著的独特预测因素。此外,这三个预测因素共同解释了慢性悲伤症状中15.8%的变异,其中仅经验性回避是显著的独特预测因素。最后,这些预测因素共同解释了养育负担体验中24.3%的变异,儿童行为问题和经验性回避是显著的独特预测因素。

结论

本研究表明儿童行为问题与父母心理症状及养育负担体验之间存在关联,同时经验性回避与父母心理症状、养育负担体验及慢性悲伤症状之间也存在关联。

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