University of Virginia, 417 Emmet St. South, 22903, Charlottesville, VA, USA.
J Autism Dev Disord. 2024 Apr;54(4):1507-1516. doi: 10.1007/s10803-022-05885-5. Epub 2023 Jan 13.
Parents of children with autism spectrum disorder (ASD) often experience elevated levels of caregiver strain (CGS). Few studies have examined the relationship between core ASD symptoms and each facet of CGS: objective, subjective internalized, and subjective externalized strain. The predictive effect of core and associated features of ASD on CGS facets were investigated, while also exploring the moderating effect of age. Atypical behaviors and behavior problems were the strongest predictors of all types of caregiver strain. For younger children, more repetitive behaviors predicted higher externalized strain, yet the opposite was true for parents of adolescents. Given that caregiver strain impacts parents' service utilization patterns, future research should focus on strategies to support parents in reducing caregiver strain.
自闭症谱系障碍（ASD）儿童的父母通常会经历更高水平的照顾者压力（CGS）。很少有研究探讨核心 ASD 症状与 CGS 各个方面之间的关系：客观、主观内化和主观外化的压力。研究了 ASD 的核心和相关特征对 CGS 方面的预测作用，同时还探讨了年龄的调节作用。异常行为和行为问题是所有类型照顾者压力的最强预测因素。对于年龄较小的儿童，更多的重复行为预示着更高的外化压力，但对于青少年的父母则恰恰相反。鉴于照顾者压力会影响父母的服务利用模式，未来的研究应侧重于支持父母减轻照顾者压力的策略。
