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自闭症儿童家长自我效能感的系统评价

A Systematic Review of Parental Self-Efficacy in Parents of Autistic Children.

作者信息

Brennan Justine, Ward Olivia F, Tomeny Theodore S, Davis Thompson E

机构信息

Department of Psychology, The University of Alabama, 348 Gordon Palmer Hall, Box 870348, Tuscaloosa, AL, 35487, USA.

Department of Psychology, Louisiana State University, Baton Rouge, LA, USA.

出版信息

Clin Child Fam Psychol Rev. 2024 Sep;27(3):878-905. doi: 10.1007/s10567-024-00495-2. Epub 2024 Aug 19.

DOI:10.1007/s10567-024-00495-2
PMID:39160428
Abstract

Parental self-efficacy (PSE) assesses a parent's expectations and beliefs about their ability to effectively parent their child. PSE has implications for a parent's well-being, parenting practices, mental health, the parent-child relationship, and child adjustment. While PSE has been extensively examined within the broader parenting literature, the examination of PSE specifically for parents of autistic children has gained increasing attention in recent years. The following systematic review aimed to investigate the role of PSE for parents of autistic children by examining variables that predict PSE or are predicted by PSE in relation to how they align with the broader parenting literature and are unique to autism. Utilizing PRISMA guidelines, peer-reviewed articles were included if (a) participants included caregivers of autistic children, (b) at least one quantitative outcome measure of PSE was utilized, and (c) the role of PSE was examined as an outcome, predictor, or variable in an explanatory model. A total of 53 studies were included in the review and the role of PSE was examined regarding family (e.g., parental characteristics, parent stress, well-being, and support) and child factors (e.g., autism symptomology, problem behaviors, interventions). Several themes emerged including a positive relationship between PSE and support, and a negative relationship between PSE and parenting stress, parent mental health outcomes (e.g., anxiety, depression), and autism symptomology. Findings were compared to the broader parenting and PSE literature to examine how increased considerations and challenges (e.g., child problem behaviors, social impairment, and caregiver strain) associated with raising an autistic child might impact PSE.

摘要

父母自我效能感(PSE)评估父母对自己有效养育孩子能力的期望和信念。PSE对父母的幸福感、养育方式、心理健康、亲子关系以及孩子的适应情况都有影响。虽然PSE在更广泛的养育文献中已得到广泛研究,但近年来,专门针对自闭症儿童父母的PSE研究受到了越来越多的关注。以下系统综述旨在通过研究预测PSE或由PSE预测的变量,来探讨PSE对自闭症儿童父母的作用,这些变量与更广泛的养育文献的契合度以及自闭症的独特性相关。根据PRISMA指南,若符合以下条件则纳入同行评审文章:(a)参与者包括自闭症儿童的照料者;(b)至少使用了一项PSE的定量结果测量;(c)在解释模型中,PSE的作用被作为结果、预测因素或变量进行研究。该综述共纳入53项研究,并从家庭因素(如父母特征、父母压力、幸福感和支持)和孩子因素(如自闭症症状、问题行为、干预措施)方面探讨了PSE的作用。出现了几个主题,包括PSE与支持之间的正相关关系,以及PSE与养育压力、父母心理健康结果(如焦虑、抑郁)和自闭症症状之间的负相关关系。研究结果与更广泛的养育和PSE文献进行了比较,以考察抚养自闭症儿童带来的更多考量和挑战(如孩子的问题行为、社交障碍和照料者压力)如何可能影响PSE。

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