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自闭症谱系障碍背景下预测育儿压力的因素:一种网络分析方法。

Factors predicting parenting stress in the autism spectrum disorder context: A network analysis approach.

作者信息

Buchwald Khan, Shepherd Daniel, Siegert Richard J, Vignes Matthieu, Landon Jason

机构信息

Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

School of Mathematical and Computational Sciences, Massey University, Auckland, New Zealand.

出版信息

PLoS One. 2025 Apr 21;20(4):e0319036. doi: 10.1371/journal.pone.0319036. eCollection 2025.

DOI:10.1371/journal.pone.0319036
PMID:40258034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12011239/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31a/12011239/0b843febac18/pone.0319036.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31a/12011239/bdcec732f67c/pone.0319036.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31a/12011239/0b843febac18/pone.0319036.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31a/12011239/bdcec732f67c/pone.0319036.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a31a/12011239/0b843febac18/pone.0319036.g002.jpg

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本文引用的文献

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Child Psychiatry Hum Dev. 2024 May 9. doi: 10.1007/s10578-024-01693-3.
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Psychometric Properties of the Greek Version of the Autism Parenting Stress Index (APSI) among Parents of Children with Autism Spectrum Disorder.自闭症谱系障碍儿童家长中希腊版自闭症育儿压力指数(APSI)的心理测量特性
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测量新诊断为自闭症谱系障碍儿童家庭中父母的压力、疾病认知、应对方式及生活质量。
BJPsych Open. 2023 May 18;9(3):e84. doi: 10.1192/bjo.2023.55.
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Network Structure of Autism Spectrum Disorder Behaviors and Its Evolution in Preschool Children: Insights from a New Longitudinal Network Analysis Method.自闭症谱系障碍行为的网络结构及其在学龄前儿童中的演变:来自一种新的纵向网络分析方法的见解
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Brief Report: Investigating Temporal Factors in the Context of Parenting an Autistic Child.简报:自闭症儿童养育背景下的时间因素研究。
J Autism Dev Disord. 2024 Jun;54(6):2411-2417. doi: 10.1007/s10803-022-05642-8. Epub 2022 Jul 28.
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ADHD and autism symptoms in youth: a network analysis.ADHD 和自闭症症状在青少年中的表现:网络分析。
J Child Psychol Psychiatry. 2022 Feb;63(2):143-151. doi: 10.1111/jcpp.13436. Epub 2021 May 13.
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J Autism Dev Disord. 2022 Jan;52(1):142-149. doi: 10.1007/s10803-021-04919-8. Epub 2021 Mar 1.
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