Family functioning and behaviour problems in children with Autism Spectrum Disorders: The mediating role of parent mental health
Family functioning and behaviour problems in children with Autism Spectrum Disorders: The mediating role of parent mental health
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DOI：
10.1111/cp.12047
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发表时间：
2015-03-01
影响因子：
1.5
通讯作者：
Seymour, Monique
中科院分区：
文献类型：
--
作者：
Jellett, Rachel;Wood, Catherine E.;Seymour, Monique
背景自闭症谱系障碍（ASD）幼儿的父母经常被依赖于帮助他们的孩子实施治疗，这发生在家庭环境中。因此，理解和支持有ASD儿童的家庭非常重要。虽然个别父母的因素已经得到了大量的研究关注，很少有研究调查家庭功能。本研究探讨了自闭症儿童行为问题和家庭功能之间的关系，在家庭中，有一个学龄前儿童与ASD。父母心理健康的困难，包括压力，疲劳和抑郁症状，进行了调查，作为中介在这种关系。MethodParticipants包括97名父母与学龄前儿童诊断为ASD。父母完成了一个在线问卷调查报告儿童行为问题，他们自己的症状的压力，抑郁和疲劳，和家庭functioning.ResultsPath分析表明，儿童行为问题和家庭功能之间的关系是介导的抑郁症状，但不是压力和fatigue.ConclusionsThese结果强调了一种方式，自闭症可以影响家庭系统，这表明，当父母因行为问题而负担过重时，对家庭有影响。提供临床干预和支持，以加强父母的心理健康和家庭功能的重要性进行了讨论。
BackgroundParents of young children with Autism Spectrum Disorders (ASDs) are often relied on to help implement therapy with their child, which occurs within a family context. Therefore, it is important to understand and support families where there is a child with an ASD. Although individual parent factors have received substantial research attention, fewer studies have investigated family functioning. This study explored the relationship between child behaviour problems and family functioning in families where there was a preschooler with an ASD. Parent mental health difficulties, including stress, fatigue, and depressive symptoms, were investigated as mediators in this relationship.MethodParticipants included 97 parents with a preschooler diagnosed with an ASD. Parents completed an online questionnaire reporting on child behaviour problems, their own symptoms of stress, depression and fatigue, and family functioning.ResultsPath analysis showed that the relationship between child behaviour problems and family functioning was mediated by depressive symptoms, but not stress and fatigue.ConclusionsThese results highlighted one way that ASDs can impact on the family system, suggesting that when parents are overburdened by behaviour problems, there are implications for the family. The importance of providing clinical interventions and support to strengthen parent mental health and family functioning is discussed.