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自闭症谱系障碍儿童母亲的广泛自闭症表型、社交关系与心理健康之间的关系。

Relationship between the broad autism phenotype, social relationships and mental health for mothers of children with autism spectrum disorder.

机构信息

1 Texas Christian University, Fort Worth, TX, USA.

2 Vanderbilt University, Nashville, TN, USA.

出版信息

Autism. 2018 Feb;22(2):171-180. doi: 10.1177/1362361316669621. Epub 2016 Nov 10.

Abstract

This study aimed to examine the mechanisms responsible for the association between the broad autism phenotype and depressive symptoms in mothers of a child with autism spectrum disorder. A total of 98 mothers who had a child with autism spectrum disorder between the ages of 2 and 16 years completed assessments of maternal broad autism phenotype, child behavior problems, romantic relationship satisfaction, friend support, family support, and maternal depressive symptoms. Results indicated that only romantic relationship satisfaction was a significant mediator of the relationship between maternal broad autism phenotype social abnormalities and maternal depressive symptoms, where greater broad autism phenotype social abnormalities were associated with lower relationship satisfaction, which in turn was associated with increased depressive symptoms. Child behavior problems were directly related to increased depressive symptoms. Implications regarding maternal mental health outcomes within this population as well as intervention implications are discussed.

摘要

本研究旨在探讨广泛自闭症表型与自闭症谱系障碍儿童母亲抑郁症状之间关联的机制。共有 98 位年龄在 2 至 16 岁之间的自闭症谱系障碍儿童的母亲完成了广泛自闭症表型、儿童行为问题、浪漫关系满意度、朋友支持、家庭支持和母亲抑郁症状的评估。结果表明,只有浪漫关系满意度是母亲广泛自闭症表型社交异常与母亲抑郁症状之间关系的重要中介,其中社交异常程度越高,关系满意度越低,进而与抑郁症状增加相关。儿童行为问题与抑郁症状的增加直接相关。讨论了这一人群中母亲心理健康结果的意义以及干预意义。

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