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战时以色列自闭症谱系障碍儿童家长的职业倦怠:儿童行为、家长情绪调节、压力和社会支持的作用

Parental Burnout in Israeli Parents of Children with ASD During Wartime: The Role of Child Behavior, Parental Emotion Regulation, Stress, and Social Support.

作者信息

Aviad Shani, Shnitzer-Meirovich Shlomit, Gur Ayelet

机构信息

The Academic College Levinski-Wingate, Tel-Aviv, Israel.

Social Work Department, Faculty of Social Sciences & Humanities, Tel-Hai College, Qiryat Shemona, Israel.

出版信息

J Autism Dev Disord. 2024 Dec 23. doi: 10.1007/s10803-024-06653-3.

Abstract

During emergencies like wartime, parents of children with Autism Spectrum Disorder (ASD) face heightened challenges, potentially leading to Parental Burnout (PB). Wartime conditions can exacerbate children's behavioral difficulties, contributing to PB. Protective factors such as successful Emotional Regulation (ER) and perceived social support may mitigate PB. This study aims to compare child behavioral problems, parental ER difficulties, perceived social support, stress, and PB between parents of children with ASD and Typical Development (TD) during wartime. It also investigates how ER difficulties, perceived social support, and stress moderate the relationship between child behavioral problems and PB. The study included 213 Israeli parents: 101 parents of children diagnosed with ASD and 112 parents of TD children. Participants were recruited during the "Swords of Iron" War using purposive sampling via online platforms. Findings indicate that children with ASD exhibited higher levels of behavioral problems, and their parents experienced increased difficulties in ER, stress, and PB, alongside decreased perceived social support compared to parents of TD children. Moderation analysis revealed that ER difficulties, perceived social support, and stress moderated the direct association between child behavioral problems and PB specifically among parents of TD children. This study underscores the heightened vulnerability of parents with ASD-diagnosed children during wartime, emphasizing the importance of understanding how these circumstances impact parental well-being and available resources. Effective interventions should target enhancing ER, social support, and addressing parental stress, PB, and child behavioral issues, underscoring the need for prioritized services despite wartime challenges.

摘要

在战时等紧急情况下,自闭症谱系障碍(ASD)儿童的父母面临更大的挑战,这可能导致父母倦怠(PB)。战时状况会加剧儿童的行为问题,进而导致父母倦怠。诸如成功的情绪调节(ER)和感知到的社会支持等保护因素可能会减轻父母倦怠。本研究旨在比较战时ASD儿童父母与发育正常(TD)儿童父母在儿童行为问题、父母情绪调节困难、感知到的社会支持、压力和父母倦怠方面的差异。研究还探讨了情绪调节困难、感知到的社会支持和压力如何调节儿童行为问题与父母倦怠之间的关系。该研究纳入了213名以色列父母:101名被诊断患有ASD儿童的父母和112名TD儿童的父母。参与者是在“铁剑”战争期间通过在线平台采用目的抽样法招募的。研究结果表明,与TD儿童的父母相比,ASD儿童表现出更高水平的行为问题,其父母在情绪调节、压力和父母倦怠方面面临更多困难,同时感知到的社会支持也更少。调节分析显示,情绪调节困难、感知到的社会支持和压力调节了儿童行为问题与父母倦怠之间的直接关联,这一关联在TD儿童的父母中尤为明显。本研究强调了战时被诊断患有ASD儿童的父母的更高脆弱性,强调了了解这些情况如何影响父母幸福感和可用资源的重要性。有效的干预措施应旨在增强情绪调节、社会支持,并解决父母压力、父母倦怠和儿童行为问题,强调尽管面临战时挑战,但仍需优先提供服务。

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