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脆性X综合征患儿家庭中亲子互动期间父母及夫妻特征对父母反应性的影响。

The influence of parent and couple characteristics on parental responsivity during parent-child interactions in families of children with fragile X syndrome.

作者信息

Potter Sarah Nelson, Harvey Danielle, Sterling Audra, Abbeduto Leonard

机构信息

MIND Institute, UC Davis Health, Department of Psychiatry and Behavioral Sciences, 2825 50th Street, Sacramento, CA 95817, United States.

UC Davis Health, Department of Public Health Sciences, Medical Sciences 1-C, One Shields Avenue, Davis, CA 95616, United States.

出版信息

Res Dev Disabil. 2025 Sep;164:105044. doi: 10.1016/j.ridd.2025.105044. Epub 2025 Jun 5.

Abstract

BACKGROUND

Parents of children with fragile X syndrome (FXS) experience elevated levels of parenting stress due to the challenges associated with raising a child with significant disabilities. Biological mothers of children with FXS are at an increased genetic risk for experiencing mental health challenges. Parental mental health challenges and stress are often associated with reduced marital cohesion and satisfaction, which may spill over and negatively affect the parent-child relationship for both mothers and fathers.

AIM

The current study examined relationships among characteristics of parents, characteristics of couples, and parent behavior (i.e., responsivity and behavior management) during mother-child and father-child dyadic interactions in 23 families of young boys with FXS.

RESULTS

We found that mothers and fathers used similar rates of responsive behaviors, but that fathers used higher rates of behavior management strategies compared to mothers. Parenting stress predicted lower rates of parental responsivity and higher rates of behavior management, but these effects were only marginally significant. Couples satisfaction was not found to contribute to either parental responsivity or behavior management, despite the significant relationship between parenting stress and couples satisfaction.

CONCLUSION

Overall, this study suggests that reducing parenting stress may lead to more responsive parent-child interactions, and equally so for both mothers and fathers.

摘要

背景

由于抚养患有严重残疾儿童所带来的挑战,脆性X综合征(FXS)患儿的父母承受着更高水平的育儿压力。FXS患儿的亲生母亲面临心理健康挑战的遗传风险更高。父母的心理健康挑战和压力往往与婚姻凝聚力和满意度的降低相关,这可能会产生连锁反应并对父母与子女的关系产生负面影响,无论是对母亲还是父亲而言。

目的

本研究考察了23个患有FXS的小男孩家庭中,亲子互动(即母婴和父子二元互动)过程中父母特征、夫妻特征与父母行为(即反应性和行为管理)之间的关系。

结果

我们发现,母亲和父亲使用反应性行为的频率相似,但与母亲相比,父亲使用行为管理策略的频率更高。育儿压力预示着父母反应性的降低和行为管理频率的提高,但这些影响仅在边缘显著。尽管育儿压力与夫妻满意度之间存在显著关系,但未发现夫妻满意度对父母反应性或行为管理有影响。

结论

总体而言,本研究表明减轻育儿压力可能会带来更具反应性的亲子互动,对母亲和父亲都是如此。

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