Psychological well-being of fathers with and without a child with intellectual disability: a population-based study.

Psychological well-being of fathers with and without a child with intellectual disability: a population-based study.
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DOI:
10.1111/jir.12692
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发表时间:
2019-11-20
影响因子:
3.6
通讯作者:
Hastings, R. P.
Hastings, R. P.
中科院分区:
医学3区
文献类型:
--
作者:
Langley, E.;Totsika, V;Hastings, R. P.

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尽管智力残疾儿童的父亲在孩子的生活中扮演着重要的角色,但很少有研究探讨智力残疾儿童的父亲的幸福感。目前的研究比较了有和没有ID孩子的父亲的心理健康(生活满意度,工作家庭平衡和一般健康)和养育子女的维度(养育自我效能感和亲子亲密度),然后检验了在控制父亲(年龄,教育,就业和居住),孩子(ID状态,性别,性别)的情况下,家庭中有ID孩子的存在是否是父亲幸福的重要预测因子。行为和情绪问题)和家庭(收入贫困和家庭子女数量)变量。方法数据来自千年队列研究的第三波,这是一项具有英国人口代表性的队列研究,队列儿童为5岁;256名父亲被确定有一个有身份证的孩子,10187名没有身份证的父亲的数据可用。对父亲的四种幸福感和养育子女的结果进行了比较,然后使用多元回归模型来探索这些结果与确定为幸福感潜在相关变量之间的关联。结果最初的组比较显示,父亲的幸福感存在差异,患有ID的孩子的父亲报告的生活满意度和总体健康状况较差。然而,这些差异很小。回归分析显示,儿童行为和情绪问题、收入贫困和父亲就业比残疾状况对父亲幸福感的影响更大。这些工作增加了使用人口代表性数据对父亲进行的有限研究。目前的研究结果与一种普遍的简单化和消极的说法是一致的,即抚养一个患有本征性人格的孩子会使父亲面临更差的风险。然而,一些父亲,比如那些孩子有行为问题和生活贫困的父亲,可能需要更多的支持。未来的纵向研究将探索父亲的幸福感对有或没有ID的孩子的长期结果的影响。
Background Few studies have explored the well-being of fathers of children with intellectual disability (ID), despite the significant role that they play in their children's lives. The current study compared fathers of children with and without a child with ID on measures of psychological well-being (life satisfaction, work-family balance and general health) and dimensions of parenting (parenting self-efficacy and parent-child closeness) and then examined whether the presence of a child with ID in the family was a significant predictor of paternal well-being when controlling for a number of father (age, education, employment and residency), child (ID status, gender, behavioural and emotional problems) and family (income poverty and number of children in the household) variables. Methods Data were drawn from the third wave of the Millennium Cohort Study, a UK population-representative and cohort study, where the cohort child was 5 years of age; 256 fathers were identified as having a child with ID, with data available for 10 187 fathers without a child with ID. Fathers were compared on the four well-being and parenting outcomes and then multiple regression models were conducted to explore associations between these outcomes and variables identified as potential correlates of well-being. Results Initial group comparisons showed that there were differences in the well-being of fathers, with fathers of children with ID reporting poorer life satisfaction and general health. However, these differences were small. Regression analyses showed that child behavioural and emotional problems, living in income poverty and paternal employment were more important than disability status in predicting fathers' well-being. Conclusions These works add to the limited amount of research on fathers using population-representative data. The current findings are consistent with rejecting a general simplistic and negative narrative that raising a child with ID puts fathers at risk of poorer outcomes. However, some fathers, such as those with children with behavioural problems and living in poverty, may require greater support. Future longitudinal research that explores the impact of paternal well-being on the long-term outcomes of children with and without ID is warranted.