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自闭症谱系障碍患者家庭成员在整个生命周期中的压力类型。

Types of strain among family members of individuals with autism spectrum disorder across the lifespan.

机构信息

Virginia Tech, Department of Human Development, 366 Wallace Hall, Blacksburg, VA, 24060, United States.

Michigan State University, Department of Counseling, Educational Psychology, and Special Education, 447 Erickson Hall, 620 Farm Lane, East Lansing, MI, 48824, United States.

出版信息

Res Dev Disabil. 2017 Sep;68:42-51. doi: 10.1016/j.ridd.2017.07.003. Epub 2017 Jul 20.

Abstract

BACKGROUND

Although increased caregiver strain is often found among family caregivers of individuals with autism spectrum disorder, it is still unclear as to how different types of strain relate to amount and types of caregiving across the lifespan.

AIMS

The present study examined different types of strain (i.e. subjective internalized strain, subjective externalized strain, and objective strain) and how such strain relates to the amount of caregiving responsibilities.

METHODS

Data was collected via online survey from a sample of 193 family caregivers of individuals with ASD from the United States, Canada, and the Republic of Ireland. Participants completed measures of strain and caregiving responsibilities, as well as coping, demographics, and services needed and received by the individual with ASD.

RESULTS

Caregivers reported higher levels of objective strain than subjective, and caregiving responsibility was related to objective and subjective internalized strain. Coping style was strongly correlated with all types of strain, and unmet service needs were significantly related to objective and subjective internalized strain. Caregiving behaviors were only related to objective strain.

CONCLUSION

The present results indicate that, although caregiving responsibility is related to objective and subjective internalized strain, the relationship is perhaps not as strong as the relationship between coping mechanisms and strain. Future research is needed to understand different types of strain and develop strategies to help caregivers.

摘要

背景

尽管自闭症谱系障碍患者的照顾者经常会感到压力增加,但仍不清楚不同类型的压力与整个生命周期中照顾的数量和类型有何关系。

目的

本研究探讨了不同类型的压力(即主观内化压力、主观外化压力和客观压力),以及这种压力如何与照顾责任的数量相关。

方法

通过在线调查从美国、加拿大和爱尔兰共和国的自闭症患者的 193 名家庭照顾者中收集数据。参与者完成了压力和照顾责任,以及应对方式、人口统计学、自闭症个体所需和接受的服务等方面的测量。

结果

照顾者报告的客观压力高于主观压力,照顾责任与客观和主观内化压力有关。应对方式与所有类型的压力密切相关,未满足的服务需求与客观和主观内化压力显著相关。照顾行为仅与客观压力有关。

结论

本研究结果表明,尽管照顾责任与客观和主观内化压力有关,但这种关系可能不如应对机制与压力之间的关系强。未来的研究需要了解不同类型的压力,并制定策略来帮助照顾者。

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