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自闭症儿童入学时的关系动荡和婚姻沟通:一项纵向双日记研究。

Relational Turbulence and Marital Communication When Children with Autism Start School: A Longitudinal Dyadic Diary Study.

机构信息

Department of Communication Arts and Sciences, The Pennsylvania State University.

出版信息

Health Commun. 2020 Apr;35(4):483-493. doi: 10.1080/10410236.2019.1567445. Epub 2019 Feb 1.

Abstract

Autism spectrum disorder (ASD) is a pervasive and often difficult health condition, the consequences of which ripple through family relationships. This paper engages relational turbulence theory, which addresses communication in romantic relationships, and the experiencing life transitions model, from the field of nursing, to examine how communication between parents affects the marital relationship during a major transition in the life of a child with ASD. Transition processing communication (TPC) includes four forms of communication that can help married partners navigate difficult life events: increasing interaction, promoting connection, promoting feeling situated, and increasing confidence in the relationship. This study examines the effects of partners' TPC on their own and their spouse's experiences of relational uncertainty, changes in interdependence, and relational turbulence. A total of 33 couples and 60 married, female individuals, parents of a child with ASD who was starting school for the first time, completed a pre-test, 14 dairies, and a post-test; diaries were completed every three days over a 42-day period, beginning on the child's first day of school. Findings suggest that partners' engagement in TPC significantly affects some relationship qualities. In addition, an individual's perceptions of his or her spouse's communication were a stronger predictor of relational turbulence than the spouse's self-reported communication. Results point to several implications for understanding the ways in which married partners can protect their marriage in the face of their child's health-related transitions.

摘要

自闭症谱系障碍 (ASD) 是一种普遍且常常难以应对的健康状况,其后果会波及家庭关系。本文运用关系动荡理论,从护理领域的角度,探讨了父母之间的沟通如何在孩子患有 ASD 的重大生活转变期间影响婚姻关系;该理论涉及浪漫关系中的沟通,以及生活转变模型。转变处理沟通(TPC)包括四种沟通形式,有助于已婚伴侣应对困难的生活事件:增加互动、促进联系、促进感受定位、以及增强对关系的信心。本研究考察了伴侣的 TPC 对他们自身和配偶在关系不确定性、相互依存关系变化和关系动荡方面的影响。共有 33 对夫妇和 60 名已婚女性个体完成了前测、14 篇日记和后测;日记每三天填写一次,共 42 天,从孩子上学的第一天开始。研究结果表明,伴侣之间的 TPC 显著影响了一些关系质量。此外,个体对配偶沟通的看法比配偶自我报告的沟通更能预测关系动荡。研究结果指出了一些理解已婚伴侣如何在面对孩子与健康相关的转变时保护婚姻的方法的意义。

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