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中国照顾者养育自闭症谱系障碍儿童的经历:一项描述性定性研究。

Chinese caregivers' experiences parenting children with autism spectrum disorder: a descriptive qualitative study.

作者信息

Fan Xing, Ko Kyung Soon

机构信息

College of Preschool Education, Capital Normal University, Beijing, China.

Dept. Creative Arts Psychotherapy, Jeonju University, Jeonju, Republic of Korea.

出版信息

Front Psychiatry. 2025 Jun 3;16:1514948. doi: 10.3389/fpsyt.2025.1514948. eCollection 2025.

DOI:10.3389/fpsyt.2025.1514948
PMID:40530056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12172624/
Abstract

BACKGROUND

This study explored the parenting experiences of caregivers that are raising children with autism spectrum disorder in China by focusing on their emotional experiences as well as perceived roles and responsibilities.

OBJECTS

The research questions were (1) What are Chinese caregivers' emotional experiences with their child with autism spectrum disorder? and (2) How do Chinese caregivers perceive their roles and responsibilities related to their children with autism spectrum disorder?

METHOD

Qualitative data were gathered through individual interviews with caregivers of children with autism spectrum disorder. The MAXQDA software program was used for data analysis.

RESULT

The data analysis resulted in four final themes: (a) Unable to abandon the hope that the child will become "ordinary," (b) The child's development goes against the expectations of their caregivers, (c) Emotional phases in the caregiver's responses to diagnosis, and (d) Enduring the life that was given.

CONCLUSION

This study sheds light on the experience of Chinese parents raising children with autism spectrum disorder in a culture that might perceive this disorder differently than the West. This study reflects the authentic parenting dilemmas and intense emotional fluctuations experienced by Chinese caregivers of children with autism spectrum disorder. Understanding these experiences will stimulate the readers' humanistic thinking, expand their care and compassion toward this group, and benefit society. By exploring the emotional struggles and parenting challenges faced by these parents, the goal is to offer them more tangible understanding and social support.

摘要

背景

本研究聚焦于中国自闭症谱系障碍患儿照料者的情感体验以及他们所感知到的角色和责任,探讨了他们养育自闭症谱系障碍患儿的经历。

目的

研究问题为:(1)中国照料者与自闭症谱系障碍患儿相处时的情感体验是怎样的?(2)中国照料者如何看待自己与自闭症谱系障碍患儿相关的角色和责任?

方法

通过对自闭症谱系障碍患儿照料者进行个体访谈收集定性数据。使用MAXQDA软件程序进行数据分析。

结果

数据分析得出四个最终主题:(a)无法放弃孩子会变得“正常”的希望,(b)孩子的发展与照料者的期望相悖,(c)照料者对诊断结果的情感阶段,(d)承受既定的生活。

结论

本研究揭示了中国父母在一种对自闭症谱系障碍的认知可能与西方不同的文化中养育自闭症谱系障碍患儿的经历。本研究反映了中国自闭症谱系障碍患儿照料者真实的育儿困境和强烈的情绪波动。理解这些经历将激发读者的人文思考,扩大他们对这一群体的关怀和同情,并造福社会。通过探究这些父母所面临的情感挣扎和育儿挑战,目标是给予他们更切实的理解和社会支持。

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本文引用的文献

1
What is a Good Mother of Children with Autism? A Cross-Cultural Comparison Between the U.S. and Japan.什么是自闭症儿童的好母亲?美国与日本的跨文化比较。
J Autism Dev Disord. 2025 Feb;55(2):739-751. doi: 10.1007/s10803-023-06232-y. Epub 2024 Jan 24.
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A qualitative study on the experience of stigma for Chinese parents of children with autism spectrum disorder.一项关于中国自闭症谱系障碍儿童父母经历污名化的定性研究。
Sci Rep. 2022 Nov 15;12(1):19550. doi: 10.1038/s41598-022-23978-0.
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Do Autistic People's Support Needs and Non-Autistic People's Support for the Neurodiversity Movement Contribute to Heightened Autism Stigma in South Korea vs. the US?自闭症患者的支持需求和非自闭症患者对神经多样性运动的支持是否会导致韩国与美国相比自闭症污名化程度更高?
J Autism Dev Disord. 2023 Nov;53(11):4199-4213. doi: 10.1007/s10803-022-05739-0. Epub 2022 Sep 7.
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The Lancet Commission on the future of care and clinical research in autism.《柳叶刀》自闭症护理与临床研究未来委员会
Lancet. 2022 Jan 15;399(10321):271-334. doi: 10.1016/S0140-6736(21)01541-5. Epub 2021 Dec 6.
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Internalization of stigma among parents of children with autism spectrum disorder in Nigeria: a mixed method study.尼日利亚自闭症谱系障碍儿童父母内化污名现象的混合方法研究。
BMC Psychol. 2021 Nov 21;9(1):182. doi: 10.1186/s40359-021-00687-3.
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Time to break mental illness-related stigma and discrimination in China.是时候打破中国国内与精神疾病相关的污名和歧视了。
Asian J Psychiatr. 2021 Dec;66:102881. doi: 10.1016/j.ajp.2021.102881. Epub 2021 Oct 2.
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Social Support and Family Functioning in Chinese Families of Children with Autism Spectrum Disorder.自闭症谱系障碍儿童的中国家庭中的社会支持和家庭功能。
Int J Environ Res Public Health. 2021 Mar 28;18(7):3504. doi: 10.3390/ijerph18073504.
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Affiliate stigma among parents of children with autism in eastern India.印度东部自闭症儿童父母的附属污名化现象。
Asian J Psychiatr. 2019 Aug;44:45-47. doi: 10.1016/j.ajp.2019.07.018. Epub 2019 Jul 8.
9
Enacted stigma and felt stigma experienced by adults who stutter.口吃成年人所经历的既定污名和感知到的污名。
J Commun Disord. 2018 May-Jun;73:50-61. doi: 10.1016/j.jcomdis.2018.03.004. Epub 2018 Mar 13.
10
Employing a Qualitative Description Approach in Health Care Research.在医疗保健研究中采用定性描述方法。
Glob Qual Nurs Res. 2017 Nov 24;4:2333393617742282. doi: 10.1177/2333393617742282. eCollection 2017 Jan-Dec.