Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS735, 38105, Memphis, TN, USA.
Department of Psychology and Neuroscience, Baylor University, Waco, USA.
J Autism Dev Disord. 2024 Jul;54(7):2682-2692. doi: 10.1007/s10803-023-05997-6. Epub 2023 May 4.
Mothers of autistic children often report poor mental health outcomes. One established risk factor for these outcomes is the child having a medical home. This study examined possible mediating variables (coping, social support) in this relationship in 988 mothers of autistic children from the 2017/2018 National Survey of Children's Health (NSCH). The results of the multiple mediation model suggest the relationship between having a medical home and maternal mental health is largely explained by indirect associations with coping and social support. These findings suggest that clinical interventions for coping and social support provided by the medical home for mothers of autistic children may improve maternal mental health outcomes over and above implementation of a medical home.
自闭症儿童的母亲经常报告心理健康状况不佳。这些结果的一个既定风险因素是孩子有一个医疗之家。本研究在 2017/2018 年全国儿童健康调查 (NSCH) 中调查了自闭症儿童的 988 位母亲，探讨了这一关系中的可能中介变量（应对方式、社会支持）。多中介模型的结果表明，医疗之家与母亲心理健康之间的关系主要通过与应对方式和社会支持的间接关联来解释。这些发现表明，为自闭症儿童的母亲提供的医疗之家提供的应对和社会支持方面的临床干预可能会改善母亲的心理健康结果，而不仅仅是实施医疗之家。
