Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders
Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders
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DOI：
10.1016/j.braindev.2012.10.004
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发表时间：
2013-02-01
影响因子：
1.7
通讯作者：
Munson, Jeffrey
中科院分区：
文献类型：
--
作者：
Estes, Annette;Olson, Erin;Munson, Jeffrey
背景：自闭症谱系障碍（ASD）儿童的父母比其他发育障碍和典型发育儿童的父母面临更高的压力水平。早期诊断的最新进展导致年龄较小的儿童被诊断为ASD，但与该年龄组父母压力相关的因素尚未得到很好的理解。目的：本研究探讨了与父母有关的压力和心理困扰的母亲的幼儿ASD，发育迟缓无ASD（DD），和典型的发展。进一步探讨了儿童问题行为和日常生活技能对父母压力和心理困扰的影响。方法：参与者是早期ASD干预的大型研究的一部分。结果：采用父母压力和心理困扰自陈量表。自闭症幼儿的父母表现出增加父母相关的压力与DD和典型发展的幼儿的父母相比。然而，心理困扰在两组之间没有显著差异。儿童行为问题，而不是日常生活技能成为父母相关压力和心理困扰的重要预测因素。这对ASD和DD儿童的母亲都是如此。结论：这些发现表明，父母管理和减少行为问题的能力是ASD和DD幼儿干预的关键目标，以改善儿童功能和减少与父母相关的压力。（C）. 2012年日本儿童神经病学学会。Elsevier B.V.出版，保留所有权利。
Background:Parents of children with autism spectrum disorders (ASDs) are at risk for higher stress levels than parents of children with other developmental disabilities and typical development. Recent advances in early diagnosis have resulted in younger children being diagnosed with ASDs but factors associated with parent stress in this age group are not well understood. Aims: The present study examined parenting-related stress and psychological distress in mothers of toddlers with ASD, developmental delay without ASD (DD), and typical development. The impact of child problem behavior and daily living skills on parenting-stress and psychological distress were further investigated. Methods: Participants were part of a larger research study on early ASD intervention. Results: Parent self-report of parenting-related stress and psychological distress was utilized. Parents of toddlers with ASD demonstrated increased parenting-related stress compared with parents of toddlers with DD and typical development. However, psychological distress did not differ significantly between the groups. Child behavior problems, but not daily living skills emerged as a significant predictor of parenting-related stress and psychological distress. This was true for both mothers of children with ASD and DD. Conclusions: These finding suggest that parents' abilities to manage and reduce behavior problems is a critical target for interventions for young children with ASD and DD in order to improve child functioning and decrease parenting-related stress. (C). 2012 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.