Stephenson Kevin G, Fenning Rachel M, Macklin Eric A, Lu Frances, Norris Megan, Steinberg-Epstein Robin, Butter Eric M
Child Development Center, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH, 43205, USA.
Department of Pediatrics, The Ohio State University, Columbus, OH, USA.
J Autism Dev Disord. 2023 Oct;53(10):3787-3798. doi: 10.1007/s10803-022-05681-1. Epub 2022 Jul 25.
Behavior problems in children with autism spectrum disorder (ASD) may exacerbate parenting stress. Parenting self-efficacy and family resources may influence this association. We examined cross-sectional statistical mediation effects of parenting self-efficacy on the relationship between child behavior problems and parenting stress and hypothesized that family-level resources moderated this indirect effect. Participants included 132 underserved (Medicaid-eligible) children with ASD (ages 3-13) with racial/ethnic diversity; many (63%) had intellectual disability. Greater externalizing problems were linked with lower parenting self-efficacy, which in turn was associated with increased parenting stress. A larger mediation effect was observed for families with fewer resources. A plausible alternative model (parenting stress mediating parenting self-efficacy) exhibited poorer fit. Implications for family supports and benefits of longitudinal follow-up are discussed.
自闭症谱系障碍（ASD）儿童的行为问题可能会加剧育儿压力。育儿自我效能感和家庭资源可能会影响这种关联。我们研究了育儿自我效能感对儿童行为问题与育儿压力之间关系的横断面统计中介效应，并假设家庭层面的资源会调节这种间接效应。参与者包括132名来自弱势群体（符合医疗补助条件）、具有种族/民族多样性的ASD儿童（3至13岁）；许多儿童（63%）有智力障碍。更多的外化问题与较低的育儿自我效能感相关，而较低的育儿自我效能感又与育儿压力增加有关。资源较少的家庭观察到更大的中介效应。一个看似合理的替代模型（育儿压力中介育儿自我效能感）拟合度较差。文中讨论了对家庭支持的启示以及纵向随访的益处。
