孤独症谱系障碍行为问题和家庭功能在核心症状和养育压力间的中介作用

doi:10.11852/zgetbjzz2024-1156

中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (11): 1275-1280.DOI: 10.11852/zgetbjzz2024-1156

• 临床研究 • 上一篇

孤独症谱系障碍行为问题和家庭功能在核心症状和养育压力间的中介作用

翟天妤¹, 闫文洁¹, 杜亚松¹, 刘文文², 张林娜³, 吕桃⁴, 李改智⁵, 杨曹骅⁶

1.上海交通大学医学院附属精神卫生中心,上海 200030;
2.河南省人民医院;
3.新乡医学院第二附属医院;
4.德阳市人民医院;
5.山西医科大学第一医院;
6.江苏天瑞精准医疗科技有限公司

收稿日期:2024-09-21 修回日期:2025-02-18 发布日期:2025-11-11 出版日期:2025-11-10
通讯作者: 杜亚松,E-mail:yasongdu@163.com
作者简介:翟天妤(1999—),女,硕士研究生,主要研究方向为儿童精神病学。
基金资助:
国家重点研发计划“重大慢性非传染性疾病防控研究”重点专项子课题(2017YFC1309903);上海市公共卫生体系建设三年行动计划(2020—2022年)重点学科建设计划(GWV-10.01-XK19)

Mediating role of behavioral problems and family function in the relationship between core symptoms of autism spectrum disorder and parenting stress

ZHAI Tianyu¹, YAN Wenjie¹, DU Yasong¹, LIU Wenwen², ZHANG Linna³, LYU Tao⁴, LI Gaizhi⁵, YANG Caohua⁶

1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;
2. Henan Provincial People′s Hospital;
3. The Second Affiliated Hospital of Xinxiang Medical University;
4. People′s Hospital of Deyang City;
5. The First Hospital of Shanxi Medical University;
6. Jiangsu Tianrui Precision Medical Technology Co.

Received:2024-09-21 Revised:2025-02-18 Online:2025-11-10 Published:2025-11-11
Contact: DU Yasong, E-mail:yasongdu@163.com

摘要/Abstract

摘要： 目的探究孤独症谱系障碍(ASD)核心症状和养育压力间行为问题和家庭功能的中介作用,从患儿和家庭角度为缓解养育压力提供参考依据。方法 2012年2月—2018年8月采取横断面连续入组方法,采用孤独症行为量表(ABC)、长处和困难问卷(SDQ)对300例ASD患儿进行评估,采用家庭功能评定量表(FAD)、父母压力指数量表简版(PSI-SF)对家长进行评定。结果 SDQ中的情绪(95%CI:-0.057 6～-0.017 9)和多动(95%CI:-0.052 9～-0.019 0)问题在ABC总分对PSI-SF总分的影响中有并行中介效应,FAD角色功能(95%CI:-0.030 6～-0.000 1)在ABC总分对PSI-SF总分的影响中有简单中介效应。结论 ASD患儿情绪和多动问题在患儿症状对父母养育压力的影响中存在并行中介作用,家庭角色功能在患儿症状对父母养育压力的影响中存在简单中介作用。

关键词: 孤独症谱系障碍, 行为问题, 养育压力, 家庭功能, 中介效应

Abstract: Objective To investigate the mediating roles of behavioral problems and family function in the relationship between core symptoms of autism spectrum disorder (ASD) and parenting stress, in order to provide insights from both the child and family perspectives to inform strategies for alleviating parenting stress. Methods From February 2012 to August 2018, a cross-sectional continuous study was conducted.A total of 300 children with ASD were assessed using the Autism Behavior Checklist (ABC) and the Strengths and Difficulties Questionnaire (SDQ).Parents were evaluated using the Family Assessment Device (FAD) and the Parenting Stress Index-Short Form (PSI-SF). Results Emotional problems (95%CI: -0.057 6 to -0.017 9) and hyperactivity problems (95%CI: -0.052 9 to -0.019 0) from the SDQ exhibited parallel mediating effects on the relationship between ABC total scores and PSI-SF total scores.Role functioning from the FAD (95%CI: -0.030 6 to -0.000 1) demonstrated a simple mediating effect on the relationship between ABC total scores and PSI-SF total scores. Conclusions Emotional and hyperactivity problems in children with ASD play parallel mediating roles in the impact of ASD symptoms on parenting stress, while family role functioning serves as a simple mediator in this relationship.

Key words: autism spectrum disorder, behavioral problems, parenting stress, family function, mediating effect

中图分类号:

R749.94

翟天妤, 闫文洁, 杜亚松, 刘文文, 张林娜, 吕桃, 李改智, 杨曹骅. 孤独症谱系障碍行为问题和家庭功能在核心症状和养育压力间的中介作用[J]. 中国儿童保健杂志, 2025, 33(11): 1275-1280.

ZHAI Tianyu, YAN Wenjie, DU Yasong, LIU Wenwen, ZHANG Linna, LYU Tao, LI Gaizhi, YANG Caohua. Mediating role of behavioral problems and family function in the relationship between core symptoms of autism spectrum disorder and parenting stress[J]. Chinese Journal of Child Health Care, 2025, 33(11): 1275-1280.

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孤独症谱系障碍行为问题和家庭功能在核心症状和养育压力间的中介作用

Mediating role of behavioral problems and family function in the relationship between core symptoms of autism spectrum disorder and parenting stress

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