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情绪和行为困难儿童母亲的韧性与污名

Resilience and stigma in mothers of children with emotional and behavioural difficulties.

机构信息

Sleep Education and Research Laboratory, Department of Psychology and Human Development, University College London, Institute of Education, United Kingdom.

Sleep Education and Research Laboratory, Department of Psychology and Human Development, University College London, Institute of Education, United Kingdom.

出版信息

Res Dev Disabil. 2021 Jan;108:103818. doi: 10.1016/j.ridd.2020.103818. Epub 2020 Dec 1.

Abstract

BACKGROUND

Mothers of children with intellectual and developmental disabilities (IDD) experience frequent and high levels of stigma from family, friends, and members of the public. This stigma can have a negative impact on mothers' psychological well-being, their social circle, and their relationship with their child.

AIMS

The present study aimed to establish if there was a relationship between emotional and behavioural difficulties and stigma, and if resilience, social support and parental adjustment acted as a protective factors in this relationship.

METHODS

108 mothers of children aged between four and 16 years old with IDD participated in a cross-sectional online survey. Mothers were asked about their child's behavioural difficulties, their experience of stigma, in addition to completing assessments of resilience, social support, and parental adjustment.

RESULTS

Overall child behavioural and emotional difficulties, and the sub domain emotional problems, hyperactivity, and low prosocial behaviour were found to be a significant independent predictors of stigma. Resilience was associated with stigma and moderated the relationship between low prosocial behaviour and stigma. There was no evidence that social support or parental attachment acted as protective factors in the relationship between child behavioural difficulties and stigma.

CONCLUSIONS

The results of the present study extend the findings of previous research by providing evidence that families of children with a range of developmental disabilities experience stigma, in particular when children show high levels of emotional problems and hyperactivity, and low levels of prosocial behaviour. The present study also provides evidence that resilience is associated with stigma and resilience-building interventions may be beneficial to reduce the negative impact of stigma.

摘要

背景

智障和发育障碍儿童的母亲经常受到来自家庭、朋友和公众成员的高度污名化。这种污名化会对母亲的心理健康、社交圈和与孩子的关系产生负面影响。

目的

本研究旨在确定情绪和行为困难与污名之间是否存在关系,以及韧性、社会支持和父母适应是否在这种关系中起到保护因素的作用。

方法

108 名 4 至 16 岁智障儿童的母亲参与了一项横断面在线调查。母亲们被问到孩子的行为困难、她们的污名体验,以及完成韧性、社会支持和父母适应的评估。

结果

总体而言,儿童的行为和情绪困难,以及情绪问题、多动和低亲社会行为等子领域,被发现是污名的显著独立预测因素。韧性与污名有关,并调节了低亲社会行为与污名之间的关系。没有证据表明社会支持或父母依恋在儿童行为困难与污名之间的关系中起到保护因素的作用。

结论

本研究的结果扩展了之前研究的发现,提供了证据表明,患有各种发育障碍的儿童的家庭会经历污名化,特别是当孩子表现出高水平的情绪问题和多动、低亲社会行为时。本研究还提供了证据表明,韧性与污名有关,并且建立韧性的干预措施可能有助于减轻污名的负面影响。

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