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| Title: | 學齡前自閉症兒童家長之親職壓力與生活品質：兒童特質、家長親職效能和因應策略之角色
Parental Stress and Quality of Life in Parents of Young Children with Autism Spectrum Disorder: Roles of Child`s Characteristics, Parental Efficacy and Coping Strategies |
| Authors: | 蔡必婕
Tsai, Bi-Jie |
| Contributors: | 姜忠信
Chiang, Chung-Hsin
蔡必婕
Tsai, Bi-Jie |
| Keywords: | 親職壓力
生活品質
自閉症類群障礙症
親職效能
家長因應策略
Parental stress
Quality of life
Autism Spectrum Disorder
Parental efficacy
Coping strategies |
| Date: | 2020 |
| Issue Date: | 2020-08-03 17:55:33 (UTC+8) |
| Abstract: | 研究背景與目的：自閉症類群障礙症（Autism Spectrum Disorder, ASD）兒童的家長在養育子女的過程中，往往面臨更大的親職壓力及較差的生活品質。雙重ABCX模型是一個被認為可有效解釋ASD兒童家長親職壓力的模型，然而，在過往針對親職壓力影響因子的討論中，鮮少提及家長的內在心理資源，也較少討論兒童行為特徵與家長適應間的第三變項，且單純針對學齡前ASD兒童家長的研究亦不足。是故，研究一之目的為針對學齡前ASD兒童的家長，討論其親職壓力之影響因子。此外，生活品質逐漸受到重視的今日，了解生活品質的影響因子可讓臨床工作者找出高風險群並給予適切協助，有利於家長和兒童的適應，然而，針對學齡前ASD兒童家長的研究仍較有限，因此，研究二之目的為針對學齡前ASD兒童的家長，討論其生活品質之影響因子。
研究方法：參與者為70名2至4歲經過臨床診斷為ASD的兒童及其家長（67名母親及3名父親），藉由標準化測驗測量兒童發展商數、ASD症狀嚴重度；並透過問卷填答測量兒童適應行為、問題行為，以及家長的因應策略、親職效能、親職壓力及生活品質。
研究結果：在研究一探討的親職壓力影響因子中，家長親職效能是最強有力的預測因子，其次是兒童問題行為及家長主動迴避的因應策略，當家長的親職效能越高、較少以主動迴避策略因應、兒童問題行為越少時，家長親職壓力越低；家庭收入及社經地位等人口學變項、兒童症狀嚴重度、正向法的因應策略皆不具預測力；此外，家長親職效能及主動迴避的因應策略在兒童問題行為及親職壓力間的部分中介效果。在研究二探討的生活品質影響因子中，家長親職壓力是最強有力的預測因子，其次是家庭收入及使用正向法的因應策略，當家長親職壓力越低、較常以正向解釋事件的方式因應壓力、家庭收入越高時，家長生活品質越佳。
結論：研究結果反映出兒童問題行為、家長親職效能及主動迴避、正向法因應策略在ASD學齡前兒童家長親職壓力及生活品質程度上的重要角色。
Objectives: Parents of children with autism spectrum disorder (ASD) report higher level of parental stress and lower level of quality of life than parents of children with other developmental disabilities. Past literature have demonstrated the utility of the Double ABCX model of understanding parental stress for the parents raising a child with ASD. However, little is known about the role of parental internal resources, and the third variables between child characteristics and parental adaptation. Also, there is still little discussion the issue about the parents who have children with ASD in preschooler age. As a results, the purpose of study 1 is to explore the potential factors of parental stress in parents of preschool-age children with ASD. In addition, recently has raised concerns about the quality of life of parents of children with ASD. A better understanding of parental quality of life can inform clinicians to identify high-risk group and provide appropriate assistance, leading to better outcomes for both parents and children. Accordingly, the purpose of study 2 is to explore the potential predictors of parental quality of life in parents of preschool-age children with ASD.
Methods: Seventy preschool-age children diagnosed with ASD and their parents (67 mothers and 3 fathers) participated in both study 1 and study 2. Using standardized assessment tools to measure children’s developmental quotient and ASD severity, and assess children’s adaptive behavior, behavior problems, parental coping strategies, parental efficacy, parental stress and quality of life through questionnaires.
Results: The results of study 1 revealed that among the potential predictors of parental stress, parental efficacy is the strongest predictor, followed by child behavior problems and parental active avoidance coping toward stressors. Higher levels of parental efficacy, lower levels of child behavior problem, and the less use of active avoidance coping were associated with lower levels of parental stress. Family income, socioeconomic status, ASD severity and positive coping are not related to parental stress. Furthermore, parental efficacy and active avoidance coping are partial mediators between child problem behavior and parental stress. The results of study 2 revealed that among the potential predictors of parental quality of life, parental stress is the strongest predictor, followed by family income and positive coping. Lower levels of parental stress, the greater use of positive coping and high-income were associated with higher levels of parental quality of life.
Conclusions: The findings of this study suggest that child behavior problems, parental efficacy, active avoidance and positive coping play important roles for parental stress and quality of life. |
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| Description: | 碩士
國立政治大學
心理學系
105752019 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0105752019 |
| Data Type: | thesis |
| DOI: | 10.6814/NCCU202000753 |
| Appears in Collections: | [心理學系] 學位論文
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