Department of Sociology, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA, 02125, USA,
J Autism Dev Disord. 2014 Aug;44(8):1793-807. doi: 10.1007/s10803-014-2079-9.
Utilizing a cohort sequential design and multilevel modeling on a sample of 113 mothers, the effects of four coping strategies (engagement, disengagement, distraction, and cognitive reframing) on multiple measures of maternal adjustment were assessed over a 7 years period when children with autism spectrum disorders in the study were approximately 7-14 years old. Findings indicated increased use of disengagement and distraction to be related to increased maternal maladjustment over time, while increased use of cognitive reframing was linked to improved maternal outcomes (findings regarding engagement's effects on adjustment measures were mixed). In addition, results indicated that use of different coping strategies at times moderated the effects of child behavior on maternal adjustment. Study findings are discussed in light of prior research and study limitations and clinical implications are highlighted.
利用队列序贯设计和多层次建模，对 113 名母亲的样本进行分析，研究了四种应对策略（参与、不参与、分心和认知重构）在 7 年时间内对自闭症谱系障碍儿童（研究中约为 7-14 岁）的母亲适应度的多项指标的影响。研究结果表明，随着时间的推移，不参与和分心的使用增加与母亲适应不良有关，而认知重构的使用增加与母亲的结果改善有关（关于参与对适应度衡量标准的影响的研究结果则较为混杂）。此外，研究结果表明，不同应对策略的使用有时会调节儿童行为对母亲适应度的影响。研究结果结合了先前的研究和研究局限性，并强调了临床意义。
