自闭症谱系障碍儿童家庭中的婚姻满意度与感知到的家庭支持：二元分析
Marital Satisfaction and Perceived Family Support in Families of Children with Autistic Spectrum Disorder: Dyadic Analysis.
作者信息
He Bijing, Wongpakaran Tinakon, Wongpakaran Nahathai, Wedding Danny
机构信息
Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand.
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
出版信息
Healthcare (Basel). 2022 Jun 30;10(7):1227. doi: 10.3390/healthcare10071227.
BACKGROUND
Raising children with autism spectrum disorder (ASD) causes tremendous stress for parents that may lead to marital conflict and relationship dissatisfaction. Many factors are associated with parent relationships including severity of autistic behaviors and social support. This study aimed to investigate whether severity of autistic behaviors, perceived family support, and complementarity of interpersonal styles between husbands and wives predicted couple satisfaction among the parents of children with ASD.
METHOD
Seven hundred ninety-seven parent dyads of children aged 7-14 years old with ASD participated in the study. Measurements used included couple satisfaction index, perceived family support using the Multidimensional Scale of Perceived Social Support, inter-personal style using the inventory of interpersonal problems, the ABC autism checklists as well as sociodemographic and related factors. The Actor Partner Interdependence Model estimated by multilevel modeling was used for analysis.
RESULTS
Perceived family support was relevant in married couples regarding their marital relationship, but the effects on husbands and wives differed. Husbands' relationship satisfaction was predicted by how they perceived being supported by family. The severity of autistic behaviors predicted relationship satisfaction but only actor effect. Negative prediction of interpersonal complementarity on couple satisfaction was observed. In addition, time spent on raising children had a negative impact on the quality of the relationship. Partner effect of time spent was observed among women.
CONCLUSION
Dyadic analysis using an actor-partner independence model confirmed perception of family support predicts relationship satisfaction among parents of children with ASD in addition to the severity of autistic behaviors and time spent caring for children. Complementarity of individual interpersonal style had no effect on couple satisfaction. This research suggests implications for interventions regarding building skills that elicit support from family members.
背景
抚养患有自闭症谱系障碍（ASD）的孩子会给父母带来巨大压力，这可能导致婚姻冲突和关系满意度下降。许多因素与父母关系相关，包括自闭症行为的严重程度和社会支持。本研究旨在调查自闭症行为的严重程度、感知到的家庭支持以及夫妻之间人际风格的互补性是否能预测ASD患儿父母的夫妻满意度。
方法
797对有7至14岁ASD患儿的父母参与了该研究。使用的测量工具包括夫妻满意度指数、用多维感知社会支持量表测量的感知家庭支持、用人际问题清单测量的人际风格、ABC自闭症检查表以及社会人口学和相关因素。采用多层模型估计的行为者-伙伴相互依赖模型进行分析。
结果
感知到的家庭支持在已婚夫妇的婚姻关系中具有相关性，但对丈夫和妻子的影响不同。丈夫的关系满意度由他们对家庭支持的感知方式来预测。自闭症行为的严重程度预测关系满意度，但仅存在行为者效应。观察到人际互补性对夫妻满意度有负面预测作用。此外，抚养孩子所花费的时间对关系质量有负面影响。在女性中观察到了抚养孩子时间的伙伴效应。
结论
使用行为者-伙伴独立模型的二元分析证实，除了自闭症行为的严重程度和照顾孩子所花费的时间外，对家庭支持的感知能预测ASD患儿父母的关系满意度。个人人际风格的互补性对夫妻满意度没有影响。本研究为培养从家庭成员那里获得支持的技能的干预措施提供了启示。
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