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COVID-19 大流行期间全国封锁期间,发育障碍儿童照顾者的心理不良影响及其适应力的相关因素。

Factors Contributing to Psychological Ill-Effects and Resilience of Caregivers of Children with Developmental Disabilities During a Nation-wide Lockdown During the COVID-19 Pandemic.

机构信息

Child Development Unit, Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore.

Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

出版信息

J Autism Dev Disord. 2022 Jul;52(7):3015-3025. doi: 10.1007/s10803-021-05180-9. Epub 2021 Jul 8.

Abstract

We evaluated factors affecting psychological ill-effects and resilience of caregivers of children with developmental disabilities during the coronavirus pandemic. Depression, Anxiety, and Stress Scales (DASS-21) and Connor-Davidson Resilience Scale 25-item were administered. Logistic regression was used to identify factors associated with psychological ill-effects and resilience. DASS-21 depression, anxiety and stress scores were high; these were associated with difficulties with infection control measures, autism diagnosis, and need for early intervention services. For caregivers of children with ASD, our DASS-21 scores were significantly higher than non-pandemic scores locally and in other Asian sites. Resilience scores correlated inversely with DASS-21 scores. Targeted support to selected at-risk caregivers and improving resilience can help their coping.

摘要

我们评估了在冠状病毒大流行期间影响发育障碍儿童照顾者心理影响和适应力的因素。评估采用了抑郁、焦虑和压力量表(DASS-21)和康纳-戴维森韧性量表 25 项。使用逻辑回归来确定与心理影响和适应力相关的因素。DASS-21 的抑郁、焦虑和压力评分较高;这些与感染控制措施、自闭症诊断和早期干预服务的需求困难有关。对于自闭症谱系障碍儿童的照顾者,我们的 DASS-21 评分明显高于本地和其他亚洲地区非大流行时期的评分。适应力评分与 DASS-21 评分呈负相关。对选定的高危照顾者进行有针对性的支持并提高适应力可以帮助他们应对。

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