Highly resilient coping entails better perceived health, high social support and low morning cortisol levels in parents of children with autism spectrum disorder
Highly resilient coping entails better perceived health, high social support and low morning cortisol levels in parents of children with autism spectrum disorder
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DOI：
10.1016/j.ridd.2013.12.007
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发表时间：
2014-03-01
影响因子：
3.1
通讯作者：
Moya-Albiol, L.
中科院分区：
文献类型：
--
作者：
Ruiz-Robledillo, N.;De Andres-Garcia, S.;Moya-Albiol, L.
照顾发育障碍者的负面后果已被广泛描述。然而，从护理情况产生的压力中恢复的能力研究较少。那些表现出这种能力的照顾者被认为是有弹性的。本研究旨在评估自闭症谱系障碍（ASD）患者的照顾者的弹性和自我报告的健康和皮质醇觉醒反应（CAR）之间的关系。它还旨在评估社会支持作为弹性和健康之间的关联的调解人的作用。具有较高弹性的照顾者表现出更好的感知健康，较低的早晨皮质醇水平，以及相对于地面的曲线下面积（AUCg）。社会支持与心理弹性呈正相关，并在心理弹性与健康感知之间起中介作用。在弹性和CAR之间的关联中没有发现这种中介作用。复原力可能是一个保护因素，调节护理环境中慢性压力的负面影响。社会支持可能是一个重要的变量，调解的影响，恢复力的健康结果的照顾者。在实施有效的心理方案帮助照顾者时，必须考虑所有这些结果。(C)2013爱思唯尔有限公司保留所有权利。
The negative consequences of caring for people with developmental disabilities have been widely described. However, the ability to bounce back from the stress derived from care situations has been less studied. Those caregivers who have shown this ability are considered as resilient. This study aims to evaluate the relationship between resilience and self-reported health and cortisol awakening response (CAR) in a sample of caregivers of people with autism spectrum disorders (ASD). It also aims to evaluate the role of social support as a mediator in the association between resilience and health. Caregivers with higher resilience show better perceived health, lower morning cortisol levels, and less area under the curve with respect to ground (AUCg). Social support was positively related to resilience and mediated the relationship between resilience and perceived health. This mediating effect was not found in the association between resilience and CAR. Resilience could be a protective factor that modulates the negative consequences of chronic stress in the care context. Social support could be an important variable mediating the effects of resilience on health outcomes in caregivers. All these results must be considered when implementing effective psychological programs for helping caregivers. (C) 2013 Elsevier Ltd. All rights reserved.