School of Nursing, Sun Yat-sen University, Guangzhou, 510080, China.
The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510630, China.
J Psychiatr Res. 2022 Oct;154:11-18. doi: 10.1016/j.jpsychires.2022.07.024. Epub 2022 Jul 14.
Although rumination and social support are regarded as essential predictors of posttraumatic growth (PTG), few studies have explored the associations among PTG, rumination, and social support in parents of children with autism spectrum disorder (ASD). This study examined whether social support mediates the relationship between rumination and PTG. Cross-sectional questionnaire data were collected from 385 parents of children with ASD from September 2019 to November 2020 by convenience sampling. Participants completed the Posttraumatic Growth Inventory, Event Related Rumination Inventory, and Social Support Rating Scale. Path analyses showed that subjective support partially mediates the relationship between deliberate rumination and PTG (β = 0.073, P < 0.001), and indirect effects account for 15.30% of the total effects. In addition, a negative direct path was found between intrusive and PTG because of the suppression effect of subjective support (β = -0.110, P < 0.01), and indirect effects accounted for 80% of the direct effects. For future studies, it underscores the essential role of subjective support and rumination in promoting PTG in parents of children with ASD.
虽然反刍和社会支持被认为是创伤后成长（PTG）的重要预测因素，但很少有研究探讨自闭症谱系障碍（ASD）儿童父母的 PTG、反刍和社会支持之间的关联。本研究检验了社会支持是否在反刍和 PTG 之间起中介作用。采用方便抽样的方法，于 2019 年 9 月至 2020 年 11 月，从 385 名 ASD 儿童的父母那里收集了横断面问卷调查数据。参与者完成了创伤后成长量表、事件相关反刍量表和社会支持评定量表。路径分析表明，主观支持部分中介了刻意反刍与 PTG 之间的关系（β=0.073，P<0.001），间接效应占总效应的 15.30%。此外，由于主观支持的抑制效应，侵入性反刍与 PTG 之间存在负向直接路径（β=-0.110，P<0.01），间接效应占直接效应的 80%。对于未来的研究，这突显了主观支持和反刍在促进 ASD 儿童父母 PTG 中的重要作用。
