School of Applied Psychology, Griffith University, Gold Coast, QLD, Australia.
Autism Centre of Excellence, School of Education and Professional Studies, Griffith University, Mt Gravatt, QLD, Australia.
Clin Child Fam Psychol Rev. 2024 Mar;27(1):235-256. doi: 10.1007/s10567-024-00467-6. Epub 2024 Feb 26.
There is limited recent research on the association between parenting practices and externalizing behaviors in autistic children. To address this gap, the current systematic review examined the associations between parenting practices and externalizing behaviors in autistic children, along with the mediating and moderating effects of parent and child variables (PROSPERO registration number CRD42022268667). Study inclusion criteria were (1) Peer-reviewed journals, (2) Participants included parents of autistic children and their children, (3) Quantitative measures of both parenting practices or behaviors/style and child externalizing behaviors, (4) Cross-sectional or longitudinal studies only, and (5) Studies published in English. Study exclusion criteria were: (1) Qualitative studies, (2) Published in a language other than English, (3) Participants included non-human participants, (4) Participants that did not include parents and their autistic children as participants or did not report this group separately, (5) Systematic review and meta-analyses, and (6) No quantitative measures of parenting practices and/or child externalizing behaviors. Quality appraisal and risk of bias were conducted using the McMaster Tool and results were synthesized in Covidence and Excel. Thirty studies were included in the review. Results demonstrated that mindful parenting was associated with fewer or lower levels of externalizing behaviors; positive parenting practices had non-significant associations with externalizing behaviors; specific parenting practices had differing associations with externalizing behaviors; and negative parenting practices were associated with higher levels of externalizing behaviors. We are unable to draw causal relationships due to focus on cross-sectional and longitudinal articles only. The potential for future research to target specific parent practices to support children's externalizing behaviors is discussed.
关于养育实践与自闭症儿童外化行为之间的关系，近期研究有限。为了弥补这一空白，本系统评价研究考察了养育实践与自闭症儿童外化行为之间的关联，以及父母和儿童变量（PROSPERO 注册号 CRD42022268667）的中介和调节作用。研究纳入标准为：（1）同行评议期刊，（2）参与者包括自闭症儿童的父母及其子女，（3）养育实践或行为/风格和儿童外化行为的定量测量，（4）仅包括横断面或纵向研究，以及（5）以英语发表的研究。研究排除标准为：（1）定性研究，（2）非英语发表的研究，（3）参与者包括非人类参与者，（4）参与者不包括父母及其自闭症儿童，或未分别报告这一组，（5）系统评价和荟萃分析，以及（6）无养育实践和/或儿童外化行为的定量测量。使用麦克马斯特工具进行质量评估和偏倚风险评估，结果在 Covidence 和 Excel 中进行综合。本综述纳入了 30 项研究。结果表明，正念养育与较少或较低水平的外化行为有关；积极的养育实践与外化行为无显著关联；具体的养育实践与外化行为具有不同的关联；消极的养育实践与较高水平的外化行为有关。由于仅关注横断面和纵向文章，我们无法得出因果关系。讨论了未来研究针对特定的父母实践来支持儿童外化行为的潜力。
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