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475 名新诊断为自闭症谱系障碍儿童的中国父母创伤后成长的预测因素。

Predictors of posttraumatic growth in 475 Chinese parents of children newly diagnosed with autism spectrum disorder.

机构信息

School of Nursing, Sun Yat-Sen University, Guangzhou 510080, China.

Child Development Behavior Center, The Third Affiliated Hospital of Sun Yat-Sen University Lingnan Hospital, Guangzhou 510630, China.

出版信息

J Pediatr Nurs. 2023 Nov-Dec;73:e469-e476. doi: 10.1016/j.pedn.2023.10.017. Epub 2023 Oct 21.

Abstract

PURPOSE

To examine the predictive effects of children's symptom severity, rumination, parental self-efficacy, and social support on posttraumatic growth (PTG) in parents of autistic children.

DESIGN AND METHODS

Parents (n = 475) completed the demographic questionnaire, Posttraumatic Growth Inventory, Autism Behavior Checklist, Event Related Rumination Inventory, Parenting Sense of Competence, and Social Support Rating Scale in a cross-sectional survey conducted in a tertiary hospital in Guangzhou, China, between September 2019 and January 2021. Multiple linear regression analyses were conducted using SPSS version 25.0.

RESULTS

The PTG score was positively associated with rumination (r = 0.325, P < 0.05), parental self-efficacy (r = 0.219, P < 0.05), and social support (r = 0.374, P < 0.05). Multiple linear regression analysis revealed that household income (β = 0.095, P < 0.05), intrusive rumination (β = -0.100, P < 0.05), deliberate rumination (β = 0.391, P < 0.001), subjective support (β = 0.239, P < 0.001), and children's daily living skills deficiencies as perceived by parents (β = 0.107, P < 0.05) significantly predicted PTG, accounting for 33.3% of the variance [F(P) = 13.444, P < 0.001].

CONCLUSIONS

Psychosocial factors (rumination and subjective support) are essential to facilitate PTG in parents whose children are newly diagnosed with autism.

PRACTICE AND IMPLICATIONS

With the consideration of different sociodemographic features, clinicians and researchers are encouraged to explore cognitive-based psychosocial interventions targeting parents' psychological growth and parenting training programs targeting autistic children's self-care ability.

摘要

目的

探讨儿童症状严重程度、反刍思维、父母自我效能感和社会支持对自闭症儿童父母创伤后成长(PTG)的预测作用。

设计与方法

采用横断面调查方法,于 2019 年 9 月至 2021 年 1 月在广州市一家三级医院,对 475 名家长进行人口统计学问卷、创伤后成长量表、自闭症行为检查表、事件相关反刍问卷、父母效能感量表和社会支持评定量表调查。采用 SPSS 25.0 版进行多元线性回归分析。

结果

PTG 评分与反刍思维(r=0.325,P<0.05)、父母自我效能感(r=0.219,P<0.05)和社会支持(r=0.374,P<0.05)呈正相关。多元线性回归分析显示,家庭收入(β=0.095,P<0.05)、闯入性反刍(β=-0.100,P<0.05)、故意反刍(β=0.391,P<0.001)、主观支持(β=0.239,P<0.001)和父母感知的儿童日常生活技能缺陷(β=0.107,P<0.05)显著预测 PTG,解释了 33.3%的变异[F(P)=13.444,P<0.001]。

结论

心理社会因素(反刍思维和主观支持)对新诊断为自闭症的儿童父母的 PTG 至关重要。

实践和意义

考虑到不同的社会人口学特征,鼓励临床医生和研究人员探索针对父母心理成长的基于认知的心理社会干预措施,以及针对自闭症儿童自理能力的养育培训计划。

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