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成为特殊孩子的母亲:自闭症谱系障碍患儿母亲的适应力与婚姻调适

Being the Mother of a Special Child: Resilience and Marital Adjustment in Mothers of Children with Autism Spectrum Disorder.

作者信息

Güçlü Oya, Enüstün Hürmeydan Ceren

机构信息

Department of Psychiatry, Başakşehir Çam And Sakura City Hospital, İstanbul, Turkey.

Department of Psychiatry, Bakırköy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, İstanbul, Turkey.

出版信息

Psychiatry Clin Psychopharmacol. 2024 Mar 1;34(1):64-73. doi: 10.5152/pcp.2023.22592. eCollection 2024 Mar.

Abstract

BACKGROUND

This study aims to examine the levels and the relationship between resilience and marital adjustment in mothers of a child diagnosed with autism spectrum disorder.

METHODS

Seventy mothers with a child diagnosed with autism spectrum disorder who have been followed up in the Child and Adolescent Psychiatry Outpatient Clinic of Bakırköy Training and Research Hospital for Psychiatry Neurology and Neurosurgery and 74 mothers with a typically developing child to form the control group were included in the study. The Childhood Autism Rating Scale was applied to assess the severity of autism symptoms in children. Sociodemographic form, Beck Depression Scale and Beck Anxiety Scale were applied. The Psychological Resilience Scale for Adults was used to assess resilience. The Marital Adjustment Scale was applied to evaluate the participants' marital adjustment.

RESULTS

The level of resilience ( < .001) and marital adjustment ( = .002) in mothers of children with autism spectrum disorder were found to be lower when compared to mothers with a typically developing child. There is a negative correlation between the level of resilience and the severity of autism ( = .002) ( = -0.361). A positive correlation was found between marital adjustment and resilience ( < .001) ( = 0.465). High levels of depressive symptoms ( = .003), low marital adjustment ( = .003), and low educational level were found to be predictive of low resilience ( = .044).

CONCLUSION

Taking advantage of the fact that resilience is a dynamic process, there is a need to develop strategies to increase resilience in mothers of children with autism spectrum disorder, which will also give rise to individual and marital well-being.

摘要

背景

本研究旨在探讨被诊断为自闭症谱系障碍儿童的母亲的心理弹性水平及其与婚姻调适之间的关系。

方法

本研究纳入了70名在巴基尔柯伊精神病学、神经病学和神经外科培训与研究医院儿童和青少年精神病门诊接受随访的、其孩子被诊断为自闭症谱系障碍的母亲,以及74名孩子发育正常的母亲作为对照组。应用儿童自闭症评定量表评估儿童自闭症症状的严重程度。应用社会人口学表格、贝克抑郁量表和贝克焦虑量表。使用成人心理弹性量表评估心理弹性。应用婚姻调适量表评估参与者的婚姻调适情况。

结果

与孩子发育正常的母亲相比,自闭症谱系障碍儿童的母亲的心理弹性水平(<.001)和婚姻调适水平(= .002)较低。心理弹性水平与自闭症严重程度之间存在负相关(= .002)(= -0.361)。婚姻调适与心理弹性之间存在正相关(<.001)(= 0.465)。高水平的抑郁症状(= .003)、低婚姻调适水平(= .003)和低教育水平被发现是低心理弹性的预测因素(= .044)。

结论

鉴于心理弹性是一个动态过程,有必要制定策略来提高自闭症谱系障碍儿童母亲的心理弹性水平,这也将促进个体和婚姻幸福。

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