Liao Xiaoli, Wang Tuanmei, Tian Jing, Xie Hao
School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
Changsha Maternal and Child Health Hospital, Changsha, Hunan, China.
J Autism Dev Disord. 2025 Jun 28. doi: 10.1007/s10803-025-06887-9.
This study aimed to explore the relationship between parental burnout and child problem behaviors, focusing on the mediating role of parent-child relationship and the moderating role of family resilience among parents of children with neurodevelopmental disorders (NDDs). A cross-sectional study was conducted with convenience sampling, recruiting parents of children diagnosed with NDDs from pediatric and rehabilitation departments in public tertiary hospitals in Changsha City, Hunan Province, China, from December 2023 to July 2024. Data were gathered through structured questionnaires assessing parental burnout, child problem behaviors, parent-child relationship, and family resilience. Statistical analyses included descriptive statistics, correlation analysis, multiple regression, mediation analysis, and moderation analysis. A total of 341 parents participated, primarily with children diagnosed with autism spectrum disorder (ASD) and developmental delays (DD). Parental burnout positively correlated with child behavior difficulties (r = 0.157, p < 0.01) and parent-child conflict (r = 0.391, p < 0.01), while negatively correlating with child behavior strengths (r=-0.471, p < 0.01), parent-child intimacy (r=-0.487, p < 0.01), and family resilience (r=-0.476, p < 0.01). Multiple regression identified child behavior strengths, parent-child intimacy, and family resilience as significant negative predictors of parental burnout. Mediation and moderation analyses confirmed that parent-child dynamics and family resilience influenced the relationship between child behavior strengths and parental burnout. These findings highlight the complexities of parental burnout among families with NDDs and emphasize the importance of addressing child behaviors, enhancing parent-child relationships, and fostering family resilience in support interventions.
本研究旨在探讨父母倦怠与儿童问题行为之间的关系，重点关注亲子关系的中介作用以及家庭复原力在神经发育障碍（NDDs）儿童父母中的调节作用。采用便利抽样进行横断面研究，于2023年12月至2024年7月从中国湖南省长沙市公立三级医院的儿科和康复科招募被诊断为NDDs的儿童的父母。通过结构化问卷收集数据，评估父母倦怠、儿童问题行为、亲子关系和家庭复原力。统计分析包括描述性统计、相关性分析、多元回归、中介分析和调节分析。共有341名父母参与，其孩子主要被诊断为自闭症谱系障碍（ASD）和发育迟缓（DD）。父母倦怠与儿童行为困难（r = 0.157，p < 0.01）和亲子冲突（r = 0.391，p < 0.01）呈正相关，而与儿童行为优势（r = -0.471，p < 0.01）、亲子亲密感（r = -0.487，p < 0.01）和家庭复原力（r = -0.476，p < 0.01）呈负相关。多元回归确定儿童行为优势、亲子亲密感和家庭复原力是父母倦怠的显著负向预测因素。中介和调节分析证实，亲子动态和家庭复原力影响儿童行为优势与父母倦怠之间的关系。这些发现凸显了NDDs家庭中父母倦怠的复杂性，并强调在支持性干预中解决儿童行为问题、加强亲子关系和培养家庭复原力的重要性。
