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社会支持源和类型对照顾者抑郁的保护作用:一项荟萃分析。

The Protective Role of Social Support Sources and Types Against Depression in Caregivers: A Meta-Analysis.

机构信息

School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, 5005, Australia.

出版信息

J Autism Dev Disord. 2021 Apr;51(4):1304-1315. doi: 10.1007/s10803-020-04601-5.

DOI:10.1007/s10803-020-04601-5
PMID:32683544
Abstract

The protective effects of social support for caregiver mental health are well documented, however the differential impact of support providers (partner, child, family, siblings, friends, professionals) and types (perceived, received) remain unclear. Observational data from 21 independent studies, involving a pooled sample of 2273 parents, stepparents and grandparents of children (aged ≤ 19) with autism spectrum disorder (ASD) were examined. Pearson's r, publication bias and heterogeneity were calculated using random effects modelling. Significant associations were noted between lowered depressive symptoms and positive sources of support, regardless of support type. Parental mental health can be enhanced by strengthening close personal relationships alongside connections with formal support services. Longitudinal research is needed to explore support need and perceived helpfulness over time.

摘要

社会支持对照顾者心理健康的保护作用已有充分记录,但支持提供者(伴侣、子女、家人、兄弟姐妹、朋友、专业人士)和类型(感知到的、得到的)的差异影响仍不清楚。对 21 项独立研究的观察数据进行了检查,这些研究涉及一个由 2273 名患有自闭症谱系障碍(ASD)的儿童(年龄≤19 岁)的父母、继父和祖父母组成的综合样本。使用随机效应模型计算了 Pearson r、发表偏倚和异质性。无论支持类型如何,与降低抑郁症状和积极的支持来源之间都存在显著关联。通过加强亲密的人际关系以及与正式支持服务的联系,可以改善父母的心理健康。需要进行纵向研究,以探讨随时间推移的支持需求和感知的帮助。

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