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父母洞察力与自闭症谱系障碍诊断的学龄前儿童家庭中的母婴互动有关。

Parental insightfulness is associated with mother-father-child interactions among families of preschoolers with an Autism Spectrum Disorder diagnosis.

机构信息

School of Psychological Sciences and Center for the Study of Child Development, University of Haifa, Haifa, Israel.

School of Social Work and Center for the Study of Child Development, University of Haifa, Haifa, Israel.

出版信息

J Child Psychol Psychiatry. 2023 Sep;64(9):1359-1368. doi: 10.1111/jcpp.13788. Epub 2023 Mar 16.

Abstract

BACKGROUND

Parental insightfulness underlies parental sensitive behavior and is associated with secure attachment among Typically Developing (TD) children and also among children with Autism Spectrum Disorder (ASD). Moving beyond the parent-child dyad, a study of TD children and their parents linked mothers' and fathers' combined insightfulness to triadic interactions. The goal of the current study was to examine this association in families with children with ASD. The hypothesis was that the interactions in families in which both parents are insightful will be more cooperative than in families in which only one or neither parent was insightful.

METHODS

Eighty preschooler boys with ASD and both of their parents participated in the study. Parental insightfulness was assessed employing the Insightfulness Assessment (IA) and mother-father-child interactions were observed and coded employing the Lausanne Triadic Play (LTP) procedure.

RESULTS

As expected, families in which both parents were insightful displayed higher parental coordinated support in the LTP than families in which one or neither parent was insightful, controlling for children's IQ and severity of symptoms. Children's engagement with their parents was associated with their IQ and severity of symptoms but not with parental insightfulness.

CONCLUSIONS

The importance of considering paternal, in addition to maternal insightfulness as a foundation for parental coordinated support in family interactions, is discussed, as well as the contribution of the LTP in assessing family interactions with children diagnosed with ASD.

摘要

背景

父母洞察力是父母敏感行为的基础,与典型发展(TD)儿童和自闭症谱系障碍(ASD)儿童的安全依恋有关。超越亲子二元关系,一项针对 TD 儿童及其父母的研究将母亲和父亲的综合洞察力与三元互动联系起来。本研究的目的是在 ASD 儿童的家庭中检验这种关联。假设是,在父母双方都有洞察力的家庭中,互动将比只有一方或双方都没有洞察力的家庭更具合作性。

方法

80 名学龄前 ASD 男孩及其父母参加了这项研究。采用洞察力评估(IA)评估父母洞察力,采用洛桑三元游戏(LTP)程序观察和编码母亲-父亲-儿童互动。

结果

正如预期的那样,与父母双方都没有洞察力的家庭相比,父母双方都有洞察力的家庭在 LTP 中表现出更高的父母协调支持,控制了儿童的智商和症状严重程度。儿童与父母的互动与他们的智商和症状严重程度有关,但与父母洞察力无关。

结论

讨论了将父亲的洞察力与母亲的洞察力一起作为家庭互动中父母协调支持的基础的重要性,以及 LTP 在评估自闭症谱系障碍儿童家庭互动方面的贡献。

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