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社交支持与心理韧性在自闭症谱系障碍儿童家长中如何相互作用?基于COR视角的交叉滞后中介与调节分析

How Do Social Support and Resilience Interact in Parents of Children with ASD? A Cross-Lagged Mediation and Moderation Analysis from the COR Perspective.

作者信息

Wang Lin, Xie Qinxing, Hua Meng, Lu Haoyu

机构信息

School of Preschool and Special Education, Xuzhou Kindergarten Teachers College, 6 Taoyuan Road, Xuzhou, 221004, Jiangsu, China.

Graduate School, Lyceum of the Philippines University, Governor's Drive, Trias, 4107, Cavite, Philippines.

出版信息

J Autism Dev Disord. 2025 Mar 18. doi: 10.1007/s10803-025-06776-1.

DOI:10.1007/s10803-025-06776-1
PMID:40102375
Abstract

This study investigates a longitudinal cross-lagged relationship between social support and resilience among parents of autistic children within the framework of conservation of resources theory. It also examines the mediating role of active coping and conducts a group comparison between preschool-aged and school-aged children within this relationship. In total, 436 parents of autistic children aged three to fifteen years from China participated in this study. They completed the Social Support Questionnaire, the Connor-Davidson Resilience Scale, and the Coping Strategies Inventory at baseline (Time 1 [T1]) and 6 months later (Time 2 [T2]). A longitudinal cross-lagged structural equation modeling approach was applied. The findings indicated a longitudinal bidirectional relationship between social support and resilience over time, with active coping mediating this interaction. While the overall model did not significantly differ between parents of preschool- and school-aged children, the relationship between resilience at T1 and social support at T2 was significant for the school-aged group. The study highlights that social support and resilience mutually reinforce each other and that active coping serves as a key mechanism underlying this relationship. Considering the variation across age groups, this study offers implications for age-specific family services aimed at enhancing resilience and social support for parents of autistic children.

摘要

本研究在资源守恒理论框架下,调查了自闭症儿童家长的社会支持与心理韧性之间的纵向交叉滞后关系。研究还考察了积极应对的中介作用,并在此关系中对学龄前儿童和学龄儿童进行了组间比较。共有436名来自中国的3至15岁自闭症儿童家长参与了本研究。他们在基线期(时间1 [T1])和6个月后(时间2 [T2])完成了社会支持问卷、康纳-戴维森心理韧性量表和应对策略量表。采用纵向交叉滞后结构方程建模方法。研究结果表明,随着时间的推移,社会支持与心理韧性之间存在纵向双向关系,积极应对在这种相互作用中起中介作用。虽然学龄前儿童家长和学龄儿童家长的整体模型没有显著差异,但对于学龄儿童组,T1时的心理韧性与T2时的社会支持之间的关系是显著的。该研究强调,社会支持和心理韧性相互促进,积极应对是这种关系的关键潜在机制。考虑到不同年龄组的差异,本研究为旨在增强自闭症儿童家长心理韧性和社会支持的特定年龄家庭服务提供了启示。

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本文引用的文献

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Longitudinal Analysis of the Relationship Between Internalized HIV Stigma, Perceived Social Support, Resilience, and Depressive Symptoms Among People Living with HIV in China: A Four-Wave Model.中国 HIV 感染者内化 HIV 污名、感知社会支持、韧性与抑郁症状的纵向分析:四波模型。
AIDS Behav. 2024 Feb;28(2):645-656. doi: 10.1007/s10461-023-04251-5. Epub 2023 Dec 13.
2
Mitigating the impact of family burden on psychological health in parents of children with special needs: Buffering effects of resilience and social support.减轻特殊需求儿童家长的家庭负担对其心理健康的影响:复原力和社会支持的缓冲作用。
J Appl Res Intellect Disabil. 2024 Jan;37(1):e13179. doi: 10.1111/jar.13179. Epub 2023 Nov 23.
3
Who cares? A scoping review about the experiences of parental caregivers of autistic adults.
谁在乎呢?一项关于自闭症成年患者父母照顾者经历的范围综述。
J Appl Res Intellect Disabil. 2023 Sep;36(5):929-939. doi: 10.1111/jar.13126. Epub 2023 Jun 2.
4
Parenting confidence and social support as predictors of coping strategies in parents of children newly diagnosed with autism spectrum disorder: A cross-sectional study.父母养育信心和社会支持对新诊断为自闭症谱系障碍儿童父母应对策略的预测作用:一项横断面研究。
J Adv Nurs. 2023 Oct;79(10):3946-3955. doi: 10.1111/jan.15708. Epub 2023 May 20.
5
Factors influencing resilience of parents with children with neurodevelopmental disorders: The role of structural language, social cognition, and social support.影响患有神经发育障碍儿童的父母心理复原力的因素:结构语言、社会认知和社会支持的作用。
Front Psychiatry. 2022 Sep 8;13:886590. doi: 10.3389/fpsyt.2022.886590. eCollection 2022.
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