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自闭症儿童的养育压力、养育方式与外化行为之间的不同关系。

Differing relationships between parenting stress, parenting practices and externalising behaviours in autistic children.

作者信息

Suvarna Vedanta, Farrell Lara, Adams Dawn, Emerson Lisa-Marie, Paynter Jessica

机构信息

Griffith University, Australia.

University of Canterbury, New Zealand.

出版信息

Autism. 2025 Mar;29(3):711-725. doi: 10.1177/13623613241287569. Epub 2024 Oct 21.

Abstract

There is limited literature on the association between parenting practices, parenting stress and externalising behaviours in autistic children. We investigated whether parenting practices mediate the association between parenting stress and externalising behaviours. Parents of school-aged autistic children ( = 138) completed an online survey on parenting practices, parenting stress and child externalising behaviours. Higher levels of parenting stress were associated with higher levels of externalising behaviours. In contrast to prior literature, parenting practices were not associated with child externalising behaviours and did not have mediating effects on the association between parenting stress and child externalising behaviours. However, higher levels of parenting stress were associated with lower levels of mindful parenting and higher levels of permissive and authoritarian parenting practices. Together, findings suggest that targeting parenting stress can impact parenting practices. Limitations of the study are acknowledged including the cross-sectional design, which limits causality-based inferences, given parent-child associations could occur over time. Implications for research and clinical practice in designing parent-informed programmes focused on reducing parenting stress via parenting practices are discussed.Lay abstractThere is much research on parenting stress and child behaviours of autistic children. However, researchers have rarely explored whether how parents raise their children (called 'parenting practices') links to parenting stress and child behaviours. This is important, as if we know which parenting practices lead to better outcomes, parents can be supported to use parenting practices that are most helpful to them and/or their child. We asked parents of school-aged children to complete a survey on parenting stress, parenting practices and child behaviours. We found that parents who reported being more stressed (i.e. high levels of parenting stress) reported their children showed more observable behaviours that others find challenging such as aggression. Parents who were more stressed also reported lower mindful parenting (i.e. a style of parenting characterised by being present, non-judgementally in the moment) and were more permissive (e.g. giving in) in their parenting. However, these parenting practices did not impact the link between parenting stress and child behaviours. Results suggest we should focus on ways to reduce parents' stress, which could include changing parenting practices which is consistent with strengths-based, neurodiversity-affirming approaches.

摘要

关于自闭症儿童养育方式、养育压力与外化行为之间的关联,相关文献有限。我们调查了养育方式是否在养育压力与外化行为之间起中介作用。学龄期自闭症儿童的家长(n = 138)完成了一项关于养育方式、养育压力和儿童外化行为的在线调查。较高水平的养育压力与较高水平的外化行为相关。与先前的文献不同,养育方式与儿童外化行为无关,且对养育压力与儿童外化行为之间的关联没有中介作用。然而,较高水平的养育压力与较低水平的正念养育以及较高水平的放任和专制养育方式相关。总体而言,研究结果表明,针对养育压力可以影响养育方式。研究的局限性包括横断面设计,这限制了基于因果关系的推断,因为亲子关联可能随时间发生。讨论了在设计以家长为导向的项目方面对研究和临床实践的启示,这些项目旨在通过养育方式来减轻养育压力。

摘要

关于自闭症儿童的养育压力和儿童行为有很多研究。然而,研究人员很少探讨父母养育孩子的方式(称为“养育方式”)如何与养育压力和儿童行为相关联。这很重要,因为如果我们知道哪种养育方式能带来更好的结果,就可以支持父母采用对他们自己和/或孩子最有帮助的养育方式。我们要求学龄儿童的家长完成一项关于养育压力、养育方式和儿童行为的调查。我们发现,报告压力更大(即高水平的养育压力)的家长表示,他们的孩子表现出更多他人认为具有挑战性的可观察行为,如攻击行为。压力更大的家长还报告说,他们的正念养育水平较低(即以当下在场、不评判为特征的养育方式),并且在养育过程中更放任(例如让步)。然而,这些养育方式并没有影响养育压力与儿童行为之间 的联系。结果表明,我们应该专注于减轻父母压力的方法,这可能包括改变养育方式,这与基于优势、肯定神经多样性的方法是一致的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/271d/11894905/ef2288b82b73/10.1177_13623613241287569-fig1.jpg

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