Spillover of Marital Interactions and Parenting Stress in Families of Children With Autism Spectrum Disorder.
Spillover of Marital Interactions and Parenting Stress in Families of Children With Autism Spectrum Disorder.
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DOI：
10.1080/15374416.2016.1152552
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Bolt D
中科院分区：
文献类型：
--
作者：
Hartley SL;Papp LM;Bolt D
很少有疾病比自闭症谱系障碍（ASD）对父母更具挑战性。很少有人知道自闭症儿童的父母所经历的育儿压力影响婚姻质量或受其影响的程度。我们研究了176对已婚夫妇（89.4%为白人，非西班牙裔）的父母压力水平和婚姻互动之间的日常溢出，他们有一个患有ASD的孩子（年龄5-12岁，85%为男性），通过14天的每日日记方法。在每天的日记中，父母分别报告了八次积极和八次消极的婚姻互动以及他们的育儿压力水平。采用分层线性模型进行二元多层次模型分析，以研究当天和滞后效应之间的积极和消极的婚姻互动和育儿压力水平的关联。对于患有ASD的孩子的母亲和父亲来说，有一天有更多的负面婚姻互动与更高水平的育儿压力有关。对于ASD儿童的母亲来说，积极的婚姻互动较少的一天与更有压力的育儿日有关。父母性别和ASD儿童的功能调节了当天溢出。对于ASD儿童的母亲来说，溢出效应是双向的。帮助自闭症儿童的父母在压力巨大的育儿日找到积极的婚姻互动方式，避免负面的影响，紧张和行为源于负面的婚姻互动溢出到育儿经验是重要的干预目标。
Few disorders appear to be more challenging on parents than autism spectrum disorder (ASD). Little is known about the extent to which parenting stress experienced by parents of children with ASD affects or is affected by marital quality. We examined daily spillover between level of parenting stress and marital interactions in a sample of 176 married couples (89.4% Caucasian, non-Hispanic) who have a child with ASD (aged 5–12 years and 85% male) via a 14-day daily diary approach. On each day of the daily diary, parents individually reported on eight positive and eight negative marital interactions and their level of parenting stress. Dyadic multilevel modeling analyses using hierarchical linear modeling were conducted to examine same-day and lagged-effect associations between number of positive and negative marital interactions and level of parenting stress. Having a day with a higher number of negative marital interactions was associated with a higher level of parenting stress for both mothers and fathers of children with ASD. Having a day with fewer positive marital interactions was associated with having a more stressful parenting day for mothers of children with ASD. Same-day spillover was moderated by parent gender and the functioning of the child with ASD. Spillover flowed bi-directionally for mothers of children with ASD. Helping parents of children with ASD find ways to engage in positive marital interactions on stressful parenting days, and avoid having negative affect, tension and behaviors stemming from negative marital interactions spill into parenting experiences are important intervention targets.