Stability and Individual Change in Depressive Symptoms Among Mothers Raising Young Children With ASD: Maternal and Child Correlates
Stability and Individual Change in Depressive Symptoms Among Mothers Raising Young Children With ASD: Maternal and Child Correlates
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DOI：
10.1002/jclp.20634
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发表时间：
2009-12-01
影响因子：
3
通讯作者：
Gray, Sarah A. O.
中科院分区：
文献类型：
--
作者：
Carter, Alice S.;Martinez-Pedraza, Frances de L.;Gray, Sarah A. O.
养育患有自闭症谱系障碍(ASD)孩子的母亲有证据表明，抑郁症状会增加，但症状的稳定性尚未得到检验。对患有自闭症的幼儿(77%为男孩)的母亲(N=143)在他们的孩子18至33个月大时进行登记和评估，并每年跟踪调查2年。多水平建模显示，组内抑郁症状水平没有显著变化，处于中等升高的范围(Intercept=13.67；SE=0.96)。相反，随着时间的推移，个体的变化有显著的差异。儿童问题行为和能力迟缓、母亲焦虑症状和愤怒/敌对情绪、低父母教养效能和社会支持、应对方式与抑郁严重程度相关。只有母亲的焦虑和育儿效能能预测个体的变化。许多母亲似乎没有适应，这支持了对母亲健康进行早期干预的必要性。(C)2009年威利期刊公司《临床心理杂志》65：1270-1280,2009。
Mothers raising children with Autism Spectrum Disorders (ASD) evidence elevated depressive symptoms, but symptom stability has not been examined. Mothers (N= 143) of toddlers with ASD (77% boys) were enrolled and assessed when their children were 18 to 33 months old and followed annually for 2 years. Multilevel modeling revealed no significant change in group depressive symptom level, which was in the moderately elevated range (Intercept = 13.67; SE=.96). In contrast, there was significant individual variation in change over time. Child problem behaviors and delayed competence, maternal anxiety symptoms and angry/hostile mood, low parenting efficacy and social supports, and coping styles were associated with depression severity. Only maternal anxiety and parenting efficacy predicted individual change. Many mothers do not appear to adapt, supporting the need for early intervention for maternal well-being. (C) 2009 Wiley Periodicals, Inc. J Clin Psychol 65:1270-1280, 2009.