Buchwald Khan, Shepherd Daniel, Siegert Richard J, Vignes Matthieu, Landon Jason
Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
School of Mathematical and Computational Sciences, Massey University, Auckland, New Zealand.
PLoS One. 2025 Apr 21;20(4):e0319036. doi: 10.1371/journal.pone.0319036. eCollection 2025.
Elevated levels of parenting stress have been reported in parents raising an Autistic child. Previous studies have identified a multitude of predictors of parenting stress, including both child-related and parent-related factors, though findings across studies are not always in agreement. In the present study we investigate the determinants of parenting stress using a Network Analysis approach, which is then used to inform a subsequent structural equation model. New Zealand parents (n = 490) of a child diagnosed with Autism Spectrum Disorder (ASD) provided data on their Autistic child (e.g., ASD core symptoms, problem behaviours) and themselves (i.e., parenting stress). The analysis revealed that both child and parent demographic factors were poor predictors of parenting stress, while the child's current language and communication ability were correlated with diagnostic age and parenting stress. An earlier diagnostic age, in turn, suggested better behavioural and emotional outcomes for children. Overall, the Network Analysis showed itself to be an informative approach to understanding parenting stress in the ASD context. Findings further advocate for the implementation of ASD-related and language-related interventions as early as possible, and that language delays during early infancy justify prompt clinical assessment.
据报道,抚养自闭症儿童的父母养育压力水平较高。以往的研究已经确定了许多养育压力的预测因素,包括与孩子相关和与父母相关的因素,尽管各研究的结果并不总是一致。在本研究中,我们使用网络分析方法来调查养育压力的决定因素,然后将其用于后续的结构方程模型。新西兰490名被诊断患有自闭症谱系障碍(ASD)儿童的父母提供了有关其自闭症孩子(例如,ASD核心症状、问题行为)和他们自己(即养育压力)的数据。分析表明,孩子和父母的人口统计学因素都不是养育压力的良好预测指标,而孩子当前的语言和沟通能力与诊断年龄及养育压力相关。反过来,较早的诊断年龄表明孩子的行为和情绪结果更好。总体而言,网络分析显示出自身是一种在自闭症背景下理解养育压力的有益方法。研究结果进一步主张尽早实施与ASD相关和与语言相关的干预措施,并且婴儿早期的语言延迟证明需要及时进行临床评估。