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育儿压力、唾液生物标志物与动态血压:自闭症谱系障碍儿童父母的比较

Parenting stress, salivary biomarkers, and ambulatory blood pressure: a comparison between mothers and fathers of children with autism spectrum disorders.

作者信息

Foody Ciara, James Jack E, Leader Geraldine

机构信息

School of Psychology, National University of Ireland, Galway, Ireland.

出版信息

J Autism Dev Disord. 2015 Apr;45(4):1084-95. doi: 10.1007/s10803-014-2263-y.

Abstract

Parents of children with autism spectrum disorders (ASD) may experience higher levels of stress and health problems than parents of children with typical development. However, most research has focused on mothers, with emphasis on parent-reported stress and wellbeing. This study compared parenting responsibility, distress, anxiety, depression, cortisol, alpha-amylase, and cardiovascular activity between 19 mother-father dyads of children with ASD. Mothers reported higher parenting responsibility, distress, anxiety, and depression than fathers, while fathers had higher blood pressure and heart rate variability. Mothers and fathers had lower than average morning cortisol levels, suggesting stress effects on the hypothalamic-pituitary-adrenal-axis. Parents of children with ASD may benefit from routine health screening (particularly adrenal and cardiovascular function) and referral for stress reduction interventions or supports.

摘要

与发育正常儿童的父母相比,自闭症谱系障碍(ASD)儿童的父母可能会经历更高水平的压力和健康问题。然而,大多数研究都集中在母亲身上,重点是父母报告的压力和幸福感。本研究比较了19对患有ASD儿童的父母(母亲 - 父亲二元组)在育儿责任、痛苦、焦虑、抑郁、皮质醇、α-淀粉酶和心血管活动方面的情况。母亲报告的育儿责任、痛苦、焦虑和抑郁程度高于父亲,而父亲的血压和心率变异性更高。母亲和父亲的早晨皮质醇水平低于平均水平,表明压力对下丘脑 - 垂体 - 肾上腺轴有影响。患有ASD儿童的父母可能会从常规健康筛查(特别是肾上腺和心血管功能)以及转介接受减压干预或支持中受益。

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