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家庭情感氛围与自闭症谱系障碍儿童

Family Emotional Climate and Children with Autism Spectrum Disorder.

机构信息

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

General Academic Pediatrics, Boston University School of Medicine, Boston Medical Center, 301 Vose Building, Boston, MA, 02118, USA.

出版信息

J Autism Dev Disord. 2019 Aug;49(8):3244-3256. doi: 10.1007/s10803-019-04037-6.

Abstract

Little research has examined family emotional climate in the context of having a child with autism spectrum disorder (ASD). The goal of the current study was to determine how the emotional quality of family subsystems (parent-child and parent couple relationships, for both mothers and fathers) combine to create various classes of family emotional climate and to identify predictors of class membership in 148 families of children with ASD. The emotional quality of family subsystems was assessed using Five Minute Speech Samples from mothers and fathers. In total, 148 families of children with ASD (86% male) aged 6-13 years were included in analyses. About one-third of parents did not have a college degree and more than two-thirds were of non-Hispanic White origin. Latent class analysis revealed that 43% of the sample was characterized by high levels of warmth and low levels of criticism in both the parent-child and parent couple relationships; 12% of the sample was characterized by low warmth and high criticism in both sets of relationships; and the rest of the sample was divided among three additional classes of emotional climate characterized by different configurations of warmth and criticism across both sets of relationships. Parent level of broader autism phenotype and child emotional and behavioral problems were associated with emotional climate class membership. Implications for interventions are discussed.

摘要

关于自闭症谱系障碍(ASD)儿童家庭情感氛围的研究甚少。本研究旨在确定家庭子系统(父母与子女、父母双方)的情感质量如何结合,形成不同类型的家庭情感氛围,并确定 148 个 ASD 儿童家庭的分类成员预测因素。使用母亲和父亲的五分钟演讲样本评估家庭子系统的情感质量。共有 148 个 ASD 儿童家庭(男性占 86%),年龄在 6-13 岁,参与了分析。大约三分之一的父母没有大学学历,超过三分之二的父母是非西班牙裔白人。潜在类别分析显示,43%的样本在亲子和父母关系中都表现出高水平的温暖和低水平的批评;12%的样本在这两种关系中都表现出低温暖和高批评;其余样本分为另外三个情感氛围类别,其特征是两种关系中温暖和批评的不同配置。父母的广泛自闭症表型水平和孩子的情绪和行为问题与情感氛围类别有关。讨论了干预措施的意义。

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