Aroosa Nighat, Zaeema Ahmer, Mohammad Ovais, Fatima Bismah Athar, Lubna Ansari Baig
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引用次数: 0
摘要
目的:本研究估计了自闭症儿童父母照顾者压力(CGS)的频率和预测因素:本研究估计了自闭症儿童家长中照顾者压力(CGS)的频率和预测因素:方法:通过一种经过验证的工具收集了巴基斯坦卡拉奇 403 名自闭症儿童家长的详细人口信息和 CGS。采用回归模型报告社会、行为和沟通问题与 CGS 的社会经济预测因素之间的关联。结果采用调整后的贝塔系数和 95% 的置信区间进行报告:共有 88.3% 的家长报告了中度至重度 CGS。家庭收入高(β = -4.31,95% CI -7.55,-0.11)、照顾者受教育程度高(β = -4.73,95% CI -8.84,-0.61)以及照顾者年龄组(β = -9.35,95% CI -15.17,-3.52)显著预示较低的 CGS。诊断超过 5 年 (β = 7.57, 95% CI 2.36, 12.79)、有自伤倾向 (β = 10.75, 95% CI 6.62, 14.88)以及被照顾者的社交退缩 (β = 4.56, 95% CI 1.68, 7.44) 与较高的 CGS 有明显关联:结论:自闭症谱系儿童的父母患有较高的 CGS。结论:自闭症谱系儿童的父母患有高CGS,有必要在个人和社区层面采取有针对性的育儿干预措施,帮助父母降低CGS,最终使他们的孩子受益。
Caregiver strain and its predictors among parents of autistic children: a cross-sectional study.
Objective: This study estimates the frequency and predictors of caregiver strain (CGS) among parents of autistic children.Methods: Demographic details and CGS were collected through a validated tool from 403 parents of autistic children in Karachi, Pakistan. Regression modelling was performed to report associations between social, behavioural, and communication problems and socioeconomic predictors of CGS. Results were reported using adjusted beta-coefficients with 95% confidence intervals.Results: In total, 88.3% of the parents reported moderate to severe CGS. A high family income (β = -4.31, 95% CI -7.55, -0.11), and caregiver's higher level of education (β = -4.73, 95% CI -8.84, -0.61), along with care-recipient age group (β = -9.35, 95% CI -15.17, -3.52) significantly predicted lower CGS. Diagnosis of more than 5 years (β = 7.57, 95% CI 2.36, 12.79), tendency to self-harm (β = 10.75, 95% CI 6.62, 14.88), and social withdrawal in the care-recipient (β = 4.56, 95% CI 1.68, 7.44) were significantly associated with higher CGS.Conclusion: Parents of children on the autistic spectrum suffer from high CGS. There is a need to introduce tailored parenting interventions at the individual and community levels to help parents reduce the CGS, ultimately benefiting their child.
期刊介绍:
The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).