Department of Psychology, University of Milan-Bicocca, Milan, Italy.
Department of Psychology, University of Turin, Turin, Italy.
J Autism Dev Disord. 2019 Nov;49(11):4365-4374. doi: 10.1007/s10803-019-04142-6.
We investigated the mechanism of impact of poor communication skills and emotional and behavioural problems in children with ASD (22-61 months) on parental psychological distress. Participants were dyads enrolled in two pilot intervention studies; the dataset includes cross-sectional data at baseline (N = 82). We postulated an indirect effect of child expressive and receptive communication on parent psychological distress, through child emotional and behavioural problems. The effect of receptive skills on parent psychological distress was fully mediated by child emotional problems: lower receptive skills were associated with higher levels of emotional symptoms, which in turn predicted higher parent psychological distress. Expressive skills did not show either direct or indirect effects. Findings are discussed in light of children's marked 'receptive disadvantage' communication profile.
我们研究了儿童自闭症谱系障碍（22-61 个月）中沟通技巧差和情绪与行为问题对父母心理困扰的影响机制。参与者为参加两项试点干预研究的双生子；该数据集包括基线时的横断面数据（N=82）。我们假设儿童表达和接受性沟通能力通过儿童情绪和行为问题对父母心理困扰产生间接影响。接受性技能对父母心理困扰的影响完全由儿童情绪问题中介：较低的接受性技能与更高水平的情绪症状相关，而情绪症状反过来又预示着父母心理困扰更高。表达性技能既没有直接影响也没有间接影响。研究结果根据儿童明显的“接受性劣势”沟通特征进行了讨论。
