预测自闭症儿童家庭中夫妻适应过程的纵向轨迹:应用脆弱性压力适应模型

IF 2.2 4区 医学 Q1 EDUCATION, SPECIAL
Hillary K. Schiltz , Amy Vaughan Van Hecke , Jennifer M. Putney , Sigan L. Hartley
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引用次数: 0

摘要

背景许多抚养自闭症儿童的夫妇都表示,即使在养育压力增大的情况下,他们的夫妻关系也能长期保持融洽。然而,人们对促进或阻碍夫妻适应过程的因素以及这些过程如何随着时间的推移而变化知之甚少。本研究以脆弱性压力适应(VSA)模型为基础,考察了抚养自闭症儿童的夫妇在三年内解决问题的适应过程,以及这些过程在多大程度上受父母更广泛的自闭症表型(BAP)和养育压力水平的影响。方法共有189对抚养自闭症儿童(5-12岁)的夫妇(378名父母)填写了调查问卷,评估父母的BAP和养育压力水平。结果夫妻双方解决问题的适应性行为(注重互惠的解决方案和积极的团队合作)的使用率随着时间的推移呈线性下降。父亲的BAP预示着这些适应过程(集中解决互惠和积极团队合作)的下降幅度更大,尤其是在母亲报告的养育压力较低时。结论研究结果凸显了 VSA 模型在了解抚养自闭症学龄儿童的夫妇解决问题行为的短期纵向过程中的实用性。这项研究可为促进该人群中健康、持久的夫妻关系提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predicting longitudinal trajectories of adaptive couple processes in families of autistic children: Applying the Vulnerability Stress Adaptation model

Background

Many couples raising an autistic child report long-standing and thriving couple relationships, even within the context of elevated parenting stress. Little is known however, about the factors that promote or hinder adaptive couple processes or how these processes may shift over time. Drawing on the Vulnerability Stress Adaptation (VSA) model, the present study examined adaptive couple problem-solving processes across three years and the extent to which these processes were predicted by parent broader autism phenotype (BAP) and level of parenting stress in couples raising an autistic child.

Method

In total, 189 couples (378 parents) raising an autistic child (aged 5–12 years) completed questionnaires assessing parent BAP and level of parenting stress. Couples also engaged in observed problem-solving interactions at four time points spanning three years.

Results

The use of adaptive couple problem-solving behaviors (Solution Focused Reciprocity and Positive Teamwork) declined linearly across time. Father BAP predicted greater decline in these adaptive processes (Solution Focused Reciprocity and Positive Teamwork), particularly when mother-reported parenting stress was low. No main effects of parenting stress on change in adaptive couple problem-solving behaviors emerged.

Conclusions

Findings highlight the utility of the VSA Model for understanding the short-term longitudinal course of problem-solving behaviors in couples raising an autistic school-aged child. This study can inform efforts to promote healthy and long-lasting couple relationships in this population.

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来源期刊
CiteScore
4.20
自引率
8.00%
发文量
108
期刊介绍: Research in Autism Spectrum Disorders (RASD) publishes high quality empirical articles and reviews that contribute to a better understanding of Autism Spectrum Disorders (ASD) at all levels of description; genetic, neurobiological, cognitive, and behavioral. The primary focus of the journal is to bridge the gap between basic research at these levels, and the practical questions and difficulties that are faced by individuals with ASD and their families, as well as carers, educators and clinicians. In addition, the journal encourages submissions on topics that remain under-researched in the field. We know shamefully little about the causes and consequences of the significant language and general intellectual impairments that characterize half of all individuals with ASD. We know even less about the challenges that women with ASD face and less still about the needs of individuals with ASD as they grow older. Medical and psychological co-morbidities and the complications they bring with them for the diagnosis and treatment of ASD represents another area of relatively little research. At RASD we are committed to promoting high-quality and rigorous research on all of these issues, and we look forward to receiving many excellent submissions.
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