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深入探究孕产妇心理困扰及其相关因素:以自闭症和慢性病为例。

A closer look into maternal psychological distress and the associated factors: the case of autism and chronic conditions.

作者信息

Cobzeanu Alexandra, Merlici Ioan-Alex, Ionescu Daria Elena, Roca Iulia Cristina

机构信息

Department of Education Sciences, Faculty of Psychology and Education Sciences, Alexandru Ioan Cuza University, Iaşi, Romania.

Department of Surgery II, Faculty of Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iaşi, Romania.

出版信息

Front Psychiatry. 2025 May 23;16:1461040. doi: 10.3389/fpsyt.2025.1461040. eCollection 2025.

Abstract

INTRODUCTION

Mothers caring for children with autism or chronic illnesses may experience heightened psychological distress due to the ongoing demands associated with caregiving. This study aimed to examine levels of psychological distress among Romanian mothers of children with autism, chronic illness, or typical development, and to explore the role of health-related quality of life and emotion regulation strategies.

METHODS

A total of 211 Romanian mothers aged 20 to 67 years (M = 38, SD = 8.07) participated in this study. The sample included mothers of children with autism (30.8%), chronic illness (29.4%), and typical development (39.8%). Participants completed self-report questionnaires assessing psychological distress, emotion regulation strategies (cognitive reappraisal and expressive suppression), and health-related quality of life.

RESULTS

Health-related quality of life was found to be a significant predictor of psychological distress across all participant groups. Additionally, mothers of children with autism reported significantly higher levels of psychological distress compared to mothers of typically developing children.

DISCUSSION

The findings underscore the psychological burden experienced by mothers of children with autism and highlight the importance of targeted support interventions. Addressing psychological distress and its contributing factors may improve the well-being of these caregivers. The results carry important implications for mental health practitioners, researchers, and policymakers aiming to support families managing childhood disability or chronic illness.

摘要

引言

照顾自闭症或慢性病患儿的母亲可能会因持续的照料需求而经历更严重的心理困扰。本研究旨在调查罗马尼亚自闭症患儿母亲、慢性病患儿母亲以及发育正常儿童母亲的心理困扰水平,并探讨健康相关生活质量和情绪调节策略的作用。

方法

共有211名年龄在20至67岁之间(M = 38,SD = 8.07)的罗马尼亚母亲参与了本研究。样本包括自闭症患儿母亲(30.8%)、慢性病患儿母亲(29.4%)和发育正常儿童母亲(39.8%)。参与者完成了评估心理困扰、情绪调节策略(认知重评和表达抑制)以及健康相关生活质量的自我报告问卷。

结果

在所有参与者群体中,健康相关生活质量被发现是心理困扰的一个重要预测因素。此外,与发育正常儿童的母亲相比,自闭症患儿的母亲报告的心理困扰水平显著更高。

讨论

研究结果强调了自闭症患儿母亲所经历的心理负担,并突出了针对性支持干预措施的重要性。解决心理困扰及其促成因素可能会改善这些照料者的幸福感。这些结果对旨在支持管理儿童残疾或慢性病家庭的心理健康从业者、研究人员和政策制定者具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fe9/12141331/b04eddef9116/fpsyt-16-1461040-g001.jpg

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