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自闭症谱系障碍儿童家庭中婚姻互动和育儿压力的溢出。

Spillover of Marital Interactions and Parenting Stress in Families of Children With Autism Spectrum Disorder.

机构信息

a Human Development and Family Studies and Waisman Center, University of Wisconsin-Madison.

b Human Development and Family Studies , University of Wisconsin-Madison.

出版信息

J Clin Child Adolesc Psychol. 2018;47(sup1):S88-S99. doi: 10.1080/15374416.2016.1152552. Epub 2016 May 24.

Abstract

Few disorders appear to be more challenging for parents than autism spectrum disorder (ASD). Little is known about the extent to which parenting stress experienced by parents of children with ASD affects or is affected by marital quality. We examined daily spillover between level of parenting stress and marital interactions in a sample of 176 married couples (89.4% Caucasian, non-Hispanic) who have a child with ASD (5-12 years of age, 85% male) via a 14-day daily diary approach. On each day of the daily diary, parents individually reported on 8 positive and 8 negative marital interactions and their level of parenting stress. Dyadic multilevel modeling analyses using hierarchical linear modeling were conducted to examine same-day and lagged-effect associations between number of positive and negative marital interactions and level of parenting stress. Having a day with a higher number of negative marital interactions was associated with a higher level of parenting stress for both mothers and fathers of children with ASD. Having a day with fewer positive marital interactions was associated with having a more stressful parenting day for mothers of children with ASD. Same-day spillover was moderated by parent gender and the functioning of the child with ASD. Spillover flowed bidirectionally for mothers of children with ASD. Helping parents of children with ASD find ways to engage in positive marital interactions on stressful parenting days and avoid having negative affect, tension, and behaviors stemming from negative marital interactions spill into parenting experiences are important intervention targets.

摘要

对于父母来说,似乎没有比自闭症谱系障碍(ASD)更具挑战性的疾病了。父母在养育 ASD 儿童时所经历的压力在多大程度上影响或受到婚姻质量的影响,这方面的了解甚少。我们通过为期 14 天的日常日记法,在一个由 176 对已婚夫妇(89.4%为白种人,非西班牙裔)组成的样本中(父母双方均有 ASD 儿童(5-12 岁,85%为男性)),研究了育儿压力水平和婚姻互动之间的日常溢出效应。在每日日记的每一天中,父母双方分别报告了 8 次积极的和 8 次消极的婚姻互动以及他们的育儿压力水平。使用分层线性建模对双向多水平模型分析进行了分析,以检验积极和消极婚姻互动的数量与育儿压力水平之间的同天和滞后效应关联。对于 ASD 儿童的父母来说,一天中发生更多的消极婚姻互动与育儿压力水平升高有关。对于 ASD 儿童的母亲来说,一天中积极的婚姻互动较少与育儿日压力较大有关。同天的溢出效应受到父母性别和 ASD 儿童的功能的调节。对于 ASD 儿童的母亲来说,溢出效应是双向的。帮助 ASD 儿童的父母在有压力的育儿日中找到积极参与婚姻互动的方法,并避免因消极婚姻互动而产生消极情绪、紧张和行为,这些都是重要的干预目标。

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