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挑战性行为与父母抑郁:日常压力源对自闭症谱系障碍儿童父母的影响及益处发现。

Challenging Behavior and Parental Depression: The Effects of Everyday Stressors and Benefit Finding for Parents of Children with Autism Spectrum Disorder.

机构信息

Department of Psychology, College of Health Professions, Mercer University, Atlanta, GA, USA.

Center for Neuropsychology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

J Autism Dev Disord. 2023 Sep;53(9):3356-3368. doi: 10.1007/s10803-022-05627-7. Epub 2022 Jun 24.

DOI:10.1007/s10803-022-05627-7
PMID:35749002
Abstract

Children with autism spectrum disorder present with challenging behaviors that can impact caregivers by increasing parental perceived stress and risk for depression. However, positive coping strategies have also been identified as protective factors for parents of children with ASD. The present study examined parental perceived daily stressors and positive coping strategies (i.e., benefit finding) as mediators to depression for parents of children with ASD. A latent profile analysis identified three classes of behavior severity for children with ASD. Across all classes, higher levels of perceived daily stressors predicted increased parental depression, while benefit finding predicted lower parental depression. Results support interventions that increase positive coping strategies to decrease levels of depression in parents of children with ASD.

摘要

自闭症谱系障碍儿童表现出具有挑战性的行为,这些行为会通过增加父母的感知压力和抑郁风险来影响照顾者。然而,积极的应对策略也被确定为自闭症谱系障碍儿童父母的保护因素。本研究考察了父母对自闭症谱系障碍儿童日常压力源和积极应对策略(即发现益处)的感知,作为父母抑郁的中介。潜在剖面分析确定了自闭症谱系障碍儿童行为严重程度的三个类别。在所有类别中,感知到的日常压力源水平越高,父母的抑郁程度就越高,而发现益处则预示着父母的抑郁程度较低。研究结果支持采取干预措施,增加积极的应对策略,以降低自闭症谱系障碍儿童父母的抑郁水平。

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本文引用的文献

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Exploring the Moderating Role of Benefit Finding on the Relationship Between Child Problematic Behaviours and Psychological Distress in Caregivers of Children with ASD.探讨获益取向在 ASD 儿童照顾者的儿童问题行为与心理困扰之间关系的调节作用。
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What worries parents of a child with Autism? Evidence from a biomarker for chronic stress.自闭症患儿的家长会担心什么?来自慢性应激生物标志物的证据。
Res Dev Disabil. 2017 Mar;62:209-217. doi: 10.1016/j.ridd.2017.02.003. Epub 2017 Feb 12.
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Interventions that target improvements in mental health for parents of children with autism spectrum disorders: A narrative review.针对自闭症谱系障碍儿童父母心理健康改善的干预措施:叙事性综述。
Clin Psychol Rev. 2017 Feb;51:1-14. doi: 10.1016/j.cpr.2016.10.006. Epub 2016 Oct 27.
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Parenting stress as an indirect pathway to mental health concerns among mothers of children with autism spectrum disorder.自闭症谱系障碍儿童母亲的育儿压力是心理健康问题的间接途径。
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Parenting stress among parents of children with Neurodevelopmental Disorders.神经发育障碍儿童父母的育儿压力。
Psychiatry Res. 2016 Aug 30;242:121-129. doi: 10.1016/j.psychres.2016.05.016. Epub 2016 Jun 1.
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Behavioral and emotional profile and parental stress in preschool children with autism spectrum disorder.自闭症谱系障碍学龄前儿童的行为和情绪特征及父母压力
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