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孩子在告诉我什么?减少发育障碍儿童父母的压力,增强其能力,提高其心理健康水平。

What is my child telling me? Reducing stress, increasing competence and improving psychological well-being in parents of children with a developmental disability.

机构信息

Central Queensland University, Australia.

出版信息

Res Dev Disabil. 2021 Jul;114:103984. doi: 10.1016/j.ridd.2021.103984. Epub 2021 May 12.

Abstract

High levels of stress in parents of children with a developmental disability have been extensively documented. These heightened stress levels seem independent of diagnosis and are better explained by the level of challenging behavior of the children. Furthermore, the relationship between stress level and difficult behavior appears reciprocal. The negative impact of stress on parents' skill development, response to difficult behavior, sense of competence, well-being and the child's developmental outcomes have also been thoroughly detailed. The Parent Child Relationally Informed - Early Intervention (PCRI-EI) aims to expand the response repertoires of parents to help address the challenges of parenting a child with a developmental disability, including through reducing parental stress. The current study presents a quasi-experimental assessment of the efficacy of PCRI-EI in reducing stress levels and increasing sense of competency and psychological well-being in a sample of 22 parents of children with a variety of disabilities presenting to a community early childhood development service. Statistically and clinically significant changes in overall stress levels (Parenting Stress Index), psychological well-being (K6) and sense of competence (PSOC) were observed across time.

摘要

父母对发育障碍儿童的高度压力已被广泛记录。这些压力水平的升高似乎与诊断无关,而更多地与儿童的挑战性行为水平有关。此外,压力水平与困难行为之间的关系似乎是相互的。压力对父母技能发展、对困难行为的反应、能力感、幸福感以及孩子的发展结果的负面影响也已被详细阐述。亲子关系启发式-早期干预(PCRI-EI)旨在扩展父母的反应范围,以帮助应对养育发育障碍儿童的挑战,包括通过降低父母的压力。本研究采用准实验评估方法,评估了 PCRI-EI 在减少 22 名儿童父母压力水平、提高其能力感和心理健康水平方面的效果,这些儿童的残疾种类多样,他们均在社区幼儿发展服务机构接受服务。在整个时间范围内,父母压力指数(Parenting Stress Index)、K6 心理健康量表和 PSOC 量表(Parenting Sense of Competence)的总体压力水平、心理健康和能力感均发生了统计学和临床意义上的显著变化。

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