孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性

doi:10.3969/j.issn.1006-9771.2017.04.022

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (4): 465-469.doi: 10.3969/j.issn.1006-9771.2017.04.022

孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性

周雅婷，尹华英，王敏建，王娟，程茜

重庆医科大学附属儿童医院儿保心理科，儿童发育疾病研究教育部重点实验室，儿科学重庆市重点实验室，儿童发育重大疾病国家国际科技合作基地，重庆市400014。

收稿日期:2017-03-23 出版日期:2017-04-05 发布日期:2017-05-17
通讯作者: 尹华英，女，本科，主任护师。Email: sarah6524@126.com。
作者简介:周雅婷(1992-)，女，汉族，重庆市人，硕士研究生，护师，主要研究方向：儿童孤独症谱系障碍心理行为治疗和训练工作。
基金资助:
中央高校基本科研业务费专项资金资助北京体育大学校自主课题(No.2016BS027)。

Correlation between Family Function and Parenting Self-Efficacy in Caregivers of Children with Autism Spectrum Disorder　

ZHOU Ya-ting, YIN Hua-ying, WANG Min-jian, WANG Juan, CHENG Qian

Department of Child Health Care, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing 400014, China

Received:2017-03-23 Published:2017-04-05 Online:2017-05-17
Contact: YIN Hua-ying. E-mail: sarah6524@126.com

摘要/Abstract

摘要： 目的　分析孤独症谱系障碍(ASD)儿童家庭功能与养育者育儿自我效能感(PSE)的相关性。方法　采用队列研究方法，2015年8月至2016年2月本院ASD儿童(n=142)的养育者入研究组(n=173)，同期正常健康儿童(n=131)养育者入对照组(n=131)，使用家庭功能评定量表(FAD)、育儿自我效能感测评工具(TOPSE)对两组进行问卷调查。结果　两组FAD及TOPSE得分有显著性差异(P<0.05)。高收入、城镇ASD儿童家庭功能优于低收入、农村ASD儿童家庭(P<0.05)。研究组FAD得分与TOPSE得分呈负相关(r=-0.152~-0.257, P<0.05)。结论　 ASD儿童家庭功能健康状况和养育者PSE水平明显低于正常儿童家庭，且家庭功能越差，养育者PSE水平越低。应针对ASD养育者的特点制定个体化的、以家庭为中心的干预策略，为患儿的康复提供良好的家庭环境。

关键词: 孤独症谱系障碍, 家庭功能, 育儿自我效能感

Abstract: Objective To analyze the correlation of family function with parenting self-efficacy (PSE) in autism spectrum disorder (ASD) family. Methods Cohort study was carried out. From August, 2015 to February, 2016, caregivers of ASD children (n=142) and healthy children (n=131) were enrolled into investigation group (n=173) and control group (n=131). They were assessed with Family Assessment Device (FAD) and Tool to Measure Parenting Self-efficacy (TOPSE). Results There were significant differences in the scores of FAD and TOPSE between two groups (P<0.05). The scores of FAD were lower in the high income, urban ASD families than in the low income, rural ASD families (P<0.05). The scores of FAD negatively correlated with the scores of TOPSE in the ASD families (r=-0.152 to -0.257, P<0.05). Conclusion The family function and level of PSE of the ASD families was obviously inferior to the healthy families, and the worse the family function is, the lower the level of PSE will be. Individualized and family-centered intervention strategies should be developed to provide a good family environment for the rehabilitation of children with ASD.

Key words: autism spectrum disorder, family function, parenting self-efficacy

中图分类号:

R749.94

周雅婷，尹华英，王敏建，王娟，程茜. 孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性[J]. 《中国康复理论与实践》, 2017, 23(4): 465-469.

ZHOU Ya-ting, YIN Hua-ying, WANG Min-jian, WANG Juan, CHENG Qian. Correlation between Family Function and Parenting Self-Efficacy in Caregivers of Children with Autism Spectrum Disorder　[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(4): 465-469.

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孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性

Correlation between Family Function and Parenting Self-Efficacy in Caregivers of Children with Autism Spectrum Disorder

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