Conrad Charlotte Engberg, Lauritsen Marlene Briciet, Færk Emil, Jakobsen Helle, Thomsen Per Hove, George Carol
Psychiatry Unit, Aalborg University Hospital, Aalborg, Denmark.
Department of Clinical Medicine, Aalborg University, Gistrup, Denmark.
Front Psychol. 2025 Mar 28;16:1519090. doi: 10.3389/fpsyg.2025.1519090. eCollection 2025.
Social communication disabilities in children on the autism spectrum challenge parenting. This is the first study to examine mental representations of adult attachment and shame in parents of children on the autism spectrum. Thirty-seven parents of children diagnosed with autism spectrum disorder (mean age 5.17 years) from middle to high-income households participated in the study. The Adult Attachment Projective Picture System was used to evaluate adult attachment patterns and representations as well as shame outcomes. All but three parents were classified as having adult attachments. Almost half of the participants (45.9%) were classified as having attachments. All parents showed representations of a shamed self. Deep shame associated with attachment trauma was more common than normative shame. The sample was divided into ( and combined) versus individuals. There were no significant group differences regarding shame or shame outcomes. The discussion addresses how the high frequency of attachment representations and shame may affect parenting. This prevalence suggests that clinicians support families with children on the autism spectrum and introduce the topic of shame.
自闭症谱系儿童的社交沟通障碍给养育子女带来了挑战。这是第一项研究自闭症谱系儿童家长的成人依恋心理表征和羞耻感的研究。来自中高收入家庭的37名被诊断患有自闭症谱系障碍（平均年龄5.17岁）儿童的家长参与了该研究。成人依恋投射图片系统被用于评估成人依恋模式、表征以及羞耻感结果。除了三名家长外，其他所有家长都被归类为有成人依恋。几乎一半的参与者（45.9%）被归类为有依恋。所有家长都表现出了羞耻自我的表征。与依恋创伤相关的深度羞耻比正常羞耻更为常见。样本被分为（和合并）与个体。在羞耻感或羞耻感结果方面，两组之间没有显著差异。讨论部分探讨了依恋表征和羞耻感的高频率出现可能如何影响养育子女。这种普遍性表明临床医生应支持患有自闭症谱系障碍儿童的家庭，并引入羞耻感这一话题。
