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幼儿自闭症父母的幸福感与心理健康的差异预测因素。

Differential predictors of well-being versus mental health among parents of pre-schoolers with autism.

机构信息

La Trobe University, Australia.

Griffith University, Australia.

出版信息

Autism. 2021 May;25(4):1125-1136. doi: 10.1177/1362361320984315. Epub 2021 Jan 20.

Abstract

Raising a child with autism has been linked to mental health difficulties. Poor parental mental health is likely influenced by various factors - including child-, parent-, and family/socioeconomic characteristics. However, little is known about what influences and promotes well-being (as opposed to mental health) among parents of young, newly diagnosed autistic children who may be particularly vulnerable. We examined child-, parent-, and family/socioeconomic factors associated with each of mental health and well-being in a sample of 136 parents of pre-school-aged children. Parental mental health was linked to both child- (i.e. autism symptom severity) and parent-related factors (i.e. personality traits reflecting a tendency to experience negative emotions). By contrast, in additional to mental health difficulties, which were linked to well-being, only other parent-related characteristics (and not child characteristics) were related to well-being. These included personality traits reflecting a tendency to be more extraverted/sociable, and also mindfulness. Other child-related and family/socioeconomic context factors (including household income, parental education level) were not linked to parental mental health or well-being in this sample. These results support the idea that poorer mental health and well-being are not simply the opposite of one another. That is, while these two factors were related, they were linked to different personal characteristics. Perhaps most importantly, the link between well-being and mindfulness - a personal characteristic that parents can improve - suggests mindfulness-based interventions may be helpful in directly supporting parental well-being in the context of raising a young child with autism.

摘要

养育自闭症儿童与心理健康问题有关。父母的心理健康状况不佳可能受到多种因素的影响,包括儿童、父母和家庭/社会经济特征。然而,对于新诊断为自闭症的幼儿的父母,他们的幸福感(与心理健康相对)受到哪些因素的影响和促进,目前还知之甚少,这些父母可能特别脆弱。我们在 136 名学龄前儿童的父母样本中研究了与心理健康和幸福感相关的儿童、父母和家庭/社会经济因素。父母的心理健康与儿童(即自闭症症状严重程度)和父母相关因素(即反映体验负面情绪倾向的人格特质)有关。相比之下,除了与幸福感相关的心理健康问题外,只有其他与父母相关的特征(而不是儿童特征)与幸福感有关。这些特征包括反映更外向/善于社交倾向的人格特质,以及正念。在这个样本中,其他与儿童相关和家庭/社会经济背景的因素(包括家庭收入、父母教育水平)与父母的心理健康或幸福感没有联系。这些结果支持了这样一种观点,即较差的心理健康和幸福感并不是彼此的对立面。也就是说,尽管这两个因素相关,但它们与不同的个人特征有关。也许最重要的是,幸福感和正念之间的联系——父母可以改善的个人特征——表明正念干预可能有助于在养育自闭症儿童的背景下直接支持父母的幸福感。

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