父母情绪管理及其干预对孤独症谱系障碍儿童发展的影响

陈慧盈; 李晶

doi:10.11852/zgetbjzz2022-1564

PDF(606 KB)

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (12) : 1325-1330. DOI: 10.11852/zgetbjzz2022-1564

综述

父母情绪管理及其干预对孤独症谱系障碍儿童发展的影响

陈慧盈^1,2, 李晶^1,2

作者信息 +

Effect of parental emotional management and intervention on the development of children with autism spectrum disorder

CHEN Huiying^1,2, LI Jing^1,2

Author information +

文章历史 +

摘要

本文通过系统文献综述的方法分析国内外学者关于父母情绪状态及情绪干预措施对孤独症谱系障碍(ASD)儿童发展的研究,探索父母情绪管理与ASD儿童的情绪和行为问题的关系,并对父母情绪管理干预对ASD儿童情绪和行为症状的影响进行回顾和分析发现:1)父母的情绪状态与ASD儿童的情绪和行为问题呈负相关;2)父母对儿童情绪表达的反应方式及情绪调节策略正向预测ASD儿童的情绪和行为问题;3)对父母实施情绪管理干预具有重要意义,在调整父母情绪状态和改善ASD儿童情绪和行为症状上均显示出积极的效果。

Abstract

Through systematic literature review, this paper analyzes the domestic and overseas researches on theinfluence of the emotional state of parents and emotional intervention measures development of children with autism spectrum disorder (ASD), explores the correlation of parents' emotional management with emotional and behavioral problems of ASD children, and reviews the influence of parents' emotional management intervention on the emotional and behavioral symptoms of ASD children. It is found that:1) The emotional state of parents is negatively correlated with the emotional and behavioral problems of children with ASD; 2) The way parents respond to their children's emotional expressions and their use of emotion regulation strategies positively predict the emotional and behavioral problems of children with ASD; 3) Implementing emotional management interventions for parents is of great significance and has shown positive effects in adjusting parents' emotional state and improving the emotional and behavioral symptoms of children with ASD.

导出引用

陈慧盈, 李晶. 父母情绪管理及其干预对孤独症谱系障碍儿童发展的影响[J]. 中国儿童保健杂志. 2023, 31(12): 1325-1330 https://doi.org/10.11852/zgetbjzz2022-1564

CHEN Huiying, LI Jing. Effect of parental emotional management and intervention on the development of children with autism spectrum disorder[J]. Chinese Journal of Child Health Care. 2023, 31(12): 1325-1330 https://doi.org/10.11852/zgetbjzz2022-1564

中图分类号： R749.94

参考文献

[1] American Psychiatric Association. Diagnostic and statistical manual of mental disorders:DSM-5 [M]. Washington, DC:American Psychiatric Association, 2013.
[2] Conner CM, Elias R, Smith IC, et al. Emotion regulation and executive function:Associations with depression and anxiety in autism[J]. Res Autism Spectr Disord, 2023, 101:102103.
[3] Brown CE, Quetsch LB, Aloia LS, et al. Predictors of aggression, disruptive behavior, and anger dysregulation in youths with autism spectrum disorder[J]. J Autism Dev Disord, 2023.doi:10.1007/s10803-022-05876-6.
[4] Beattie SK. Contributing factors to parental stress and health-related quality of life in parents of children with autism spectrum disorder [D]. Auckland University of Technology, 2023.
[5] Davis NO, Carter AS. Parenting stress in mothers and fathers of toddlers with autism spectrum disorders:associations with child characteristics[J]. J Autism Dev Disord, 2008, 38(7):1278-1291.
[6] Bader SH, Barry TD, Hann JAH. The relation between parental expressed emotion and externalizing behaviors in children and adolescents with an autism spectrum disorder[J]. Focus Autism Dev Disabil, 2015, 30(1):23-34.
[7] Benavidez H. Impact of parenting stress on parents' use of ASD intervention strategies[D]. Seattle:University of Washington, 2022.
[8] Benson PR. Longitudinal effects of educational involvement on parent and family functioning among mothers of children with ASD[J]. Res Autism Spect Dis, 2015, 11:42-55.
[9] 谢宇非, 张嵘. 肠道菌群与孤独症发病关系的研究进展[J]. 生理科学进展, 2020, 51(1):15-20.
Xie YF,Zhang R. Research progress on the relationship between intestinal flora and autism[J].Progress in Physiological Sciences,2020, 51(1):15-20.(in Chinese)
[10] Dai Y,Zhang L,Yu JH, et al. Improved symptoms following bumetanide treatment in children aged 3-6 years with autism spectrum disorder:A randomized, double-blind, placebo-controlled trial[J]. Sci Bull, 2021, 66(15):1591-1598.
[11] Benson PR, Daley D, Karlof KL, et al. Assessing expressed emotion in mothers of children with autism:The autism-specific five minute speech sample[J]. Autism, 2011, 15(1):65-82.
[12] Zhou T, Yi C. Parenting styles and parents' perspectives on how their own emotions affect the functioning of children with autism spectrum disorders[J]. Fam Process, 2014, 53(1):67-79.
[13] Haven EL, Manangan CN, Sparrow JK, et al. The relation of parent-child interaction qualities to social skills in children with and without autism spectrum disorders[J]. Autism, 2014, 18(3):292-300.
[14] Saxbe DE, Golan O, Ostfeld-Etzion S, et al. HPA axis linkage in parent-child dyads:Effects of parent sex, autism spectrum diagnosis, and dyadic relationship behavior[J]. Dev Psychobiol, 2017, 59(6):776-786.
[15] 陈昕慧. 3~6岁自闭谱系障碍儿童社会情绪能力及其影响因素研究[D].上海:华东师范大学, 2019.
Chen XH. Social emotional competence and influencing factors of children with autism spectrum disorder in 3-6 years old [D].Shanghai:East China Normal University,2019. (in Chinese)
[16] Bauminger N, Solomon M, Rogers SJ. Externalizing and internalizing behaviors in ASD[J]. Autism Res, 2010, 3(3):101-112.
[17] Amirlou F, Saberi H, Hakim Shoushtari M. Modeling structural prediction of parenting stress based on mindfulness and Meta-parenting with the mediating role of parental self-efficacy of mothers of children with autism[J]. Iranian Journal of Psychiatry and Clinical Psychology, 2022, 28(2):236-253.
[18] Stephenson KG, Fenning RM, Macklin EA, et al. Child behavior problems and parenting stress in underserved families of children with ASD:Investigation of family resources and parenting self-efficacy[J]. J Autism Dev Disord, 2023,53(10):3787-3797.
[19] Siller M, Hutman T, Sigman M. A parent-mediated intervention to increase responsive parental behaviors and child communication in children with ASD:A randomized clinical trial[J]. J Autism Dev Disord, 2012, 43(3):540-555.
[20] Eisenberg N, Cumberland A, Spinrad TL. Parental socialization of emotion[J]. Psychol Inq, 1998, 9(4):241-273.
[21] Bougher-Muckian HR, Root AE, Coogle CG, et al. The importance of emotions:The socialisation of emotion in parents of children with autism spectrum disorder[J]. Early Child Dev Care, 2016, 186(10):1584-1593.
[22] Brian J, Bryson SE, Garon N, et al. Clinical assessment of autism in high-risk 18-month-olds[J]. Autism, 2008, 12(5):433-456.
[23] Bader SH, Barry TD. A longitudinal examination of the relation between parental expressed emotion and externalizing behaviors in children and adolescents with autism spectrum disorder[J]. J Autism Dev Disord, 2014, 44(11):2820-2831.
[24] Jordan R, Kalvin CB, Ibrahim K, et al. Parent emotion socialization in children with autism spectrum disorder and co-occurring anxiety[J]. Res Child Adolesc Psychopathol, 2021, 49(1):125-137.
[25] Kagan ER, Frank HE, Kendall PC. Accommodation in youth with OCD and anxiety[J]. Clin Psychol (New York), 2017, 24(1):78-98.
[26] 孙燕, 郭菲, 陈祉妍. 家庭阅读和母子亲密对情绪调节策略代际传递的链式中介作用[J]. 中国儿童保健杂志,2023,31(6):606-611.
Sun Y,Guo F,Chen ZY.Chain mediating role of family home reading and mother-child intimacy in intergenerational transmission of emotion regulation strategy[J]. Chin J Child Health Care,2023,31(6):606-611.(in Chinese)
[27] Laurent AC, Gorman K. Development of emotion self-regulation among young children with autism spectrum disorders:The role of parents[J]. J Autism Dev Disord, 2018, 48(4):1249-1260.
[28] Gulsrud AC, Jahromi LB, Kasari C. The co-regulation of emotions between mothers and their children with autism[J]. J Autism Dev Disord, 2010, 40(2):227-237.
[29] Nuske HJ, Hedley D, Woollacott A, et al. Developmental delays in emotion regulation strategies in preschoolers with autism[J]. Autism Res, 2017, 10(11):1808-1822.
[30] Hoffman C, Crnic KA, Baker JK. Maternal depression and parenting:Implications for children's emergent emotion regulation and behavioral functioning[J]. Parenting, 2009, 6(4):271-295.
[31] Wilson BJ, Berg JL, Zurawski ME, et al. Autism and externalizing behaviors:Buffering effects of parental emotion coaching[J]. Res Autism Spectr Disord, 2013, 7(6):767-776.
[32] Ting V, Weiss JA. Emotion regulation and parent co-regulation in children with autism spectrum disorder[J]. J Autism Dev Disord, 2017, 47(3):680-689.
[33] Nader-Grosbois N, Jacobs E, Mazzone S, et al. Mothers' socialization of emotions and theory of mind and emotion regulation in children with autism spectrum disorders[J]. Psychology, 2022, 13(1):177-219.
[34] Solomon AH, Chung B. Understanding autism:How family therapists can support parents of children with autism spectrum disorders[J]. Family Process, 2012, 51(2):250-264.
[35] Sim A, Cordier R, Vaz S, et al. Factors associated with negative co-parenting experiences in families of a child with autism spectrum disorder[J]. Dev Neurorehabil, 2017, 20(2):83-91.
[36] 何春霞, 张弛, 段艳娜,等. 以家庭为中心的心理治疗对孤独症儿童父母情绪及儿童康复训练的影响[J]. 国际精神病学杂志, 2021, 48(1):59-61.
He CX,Zhang C,Duan YN, et al., The effect of family-centered psychotherapy on the mood of parents of autistic children and rehabilitation training of children[J]. Journal of International Psychiatry, 2021, 48(1):59-61. (in Chinese)
[37] Costa AP, Steffgen G, Ferring D. Contributors to well-being and stress in parents of children with autism spectrum disorder[J]. Res Autism Spectr Disord, 2017, 37:61-72.
[38] 胡瑞, 梁宗保, 张光珍,等. 情绪教养视角:父母元情绪理念与儿童心理社会适应[J]. 心理科学进展, 2017, 25(4):599-608.
Hu R,Liang ZB,Zhang GZ, et al. The perspective of emotional education:Parental Meta- emotion and children's psychosocial adaptation[J]. Advances in Psychological Science, 2017,25(4):599-608. (in Chinese)
[39] Gottman JM, Katz LF, Hooven C. Parental meta-emotion philosophy and the emotional life of families:Theoretical models and preliminary data[J]. J Fam Psychol, 1996, 10(3):243.
[40] 阳中华, 林可秀, 谭荣昌,等. 情绪行为管理训练改善孤独症儿童父母元情绪理念[J]. 中国健康心理学杂志, 2019, 27(10):1441-1445.
Yang ZH, Lin KX,Tan RC, et al. Emotional behavior management training improves parental meta-emotional philosophy of autistic chidren[J].Chinese Journal of Health Psychology, 2019,27(10):1441-1445. (in Chinese)
[41] Curley K, Colman R, Rushforth A, et al. Stress reduction interventions for parents of children with autism spectrum disorder:A focused literature review[J]. Youth, 2023, 3(1):246-260.
[42] 银航. 正念减压法对孤独症儿童父母教养压力的影响 [D].武汉:华中师范大学, 2020.
Yin H. Effects of mindfulness based stress reduction on parenting stress of parents of autistic children [D]. Wuhan:Central China Normal University, 2020. (in Chinese)
[43] Bearss K, Burrell TL, Stewart L, et al. Parent training in autism spectrum disorder:What's in a name?[J]. Clin Child Fam Psychol Rev, 2015, 18(2):170-182.
[44] Tarver J, Palmer M, Webb S, et al. Child and parent outcomes following parent interventions for child emotional and behavioral problems in autism spectrum disorders:A systematic review and meta-analysis[J]. Autism, 2019, 23(7):1630-1644.
[45] Rickards AL, Walstab JE, Wright-Rossi RA, et al. A randomized, controlled trial of a home-based intervention program for children with autism and developmental delay[J]. J Dev Behav Pediatr, 2007, 28(4):308-316.
[46] Kasperzack D, Schrott B, Mingebach T, et al. Effectiveness of the Stepping Stones Triple P group parenting program in reducing comorbid behavioral problems in children with autism[J]. Autism, 2020, 24(2):423-436.
[47] Attwood T. Cognitive behaviour therapy for children and adults with Asperger's syndrome[J]. Behaviour Change, 2004, 21(3):147-161.
[48] Mazefsky CA, Herrington J, Siegel M, et al. The role of emotion regulation in autism spectrum disorder[J]. J Am Acad Child Adolesc Psychiatry, 2013, 52(7):679-688.
[49] Factor RS, Swain DM, Antezana L, et al. Teaching emotion regulation to children with autism spectrum disorder:Outcomes of the Stress and Anger Management Program (STAMP)[J]. Bulletin of the Menninger Clinic, 2019, 83(3):235-258.
[50] Rogers SJ, Estes A, Vismara L, et al. Enhancing low-intensity coaching in parent implemented early start denver model intervention for early autism:A randomized comparison treatment trial[J]. J Autism Dev Disord, 2019, 49(2):632-646.
[51] Hallett V, Mueller J, Breese L, et al. Introducing 'predictive parenting':A feasibility study of a new group parenting intervention targeting emotional and behavioral difficulties in children with autism spectrum disorder[J]. J Autism Dev Disord, 2021, 51(1):323-333.
[52] Kalalo RT, Yuniar S, Ariyanto FC. Effect of parental skills-based psychoeducation intervention on parental stress index and severity of children with autism spectrum disorders:A pilot study[J]. Ann Med Surg (Lond), 2021, 70:102873.
[53] Zhou Y, Yin H, Wang M, et al. The effect of family-focused psychoeducational therapy for autism spectrum disorder children's parents on parenting self-efficacy and emotion[J]. Arch Psychiatr Nurs, 2019, 33(1):17-22.
[54] Lilly J, Tungol JR. Effectiveness of mindfulness based psycho-educational program on parental stress of selected mothers of children with autism[J]. Indian Journal of Positive Psychology, 2015, 6(1):52.
[55] Cappe E, Downes N, Albert-Benaroya S, et al. Preliminary results of the effects of a psychoeducational program on stress and quality of life among french parents of an child with autism[J]. Focus Autism Dev Disabil, 2021, 36(3):176-186.
[56] Connolly S, Grasser KC, Chung W, et al. Multi-family psychoeducational psychotherapy (MF-PEP) for children with high functioning autism spectrum disorder[J]. J Contemp Psychother, 2018, 48(3):115-121.
[57] Palmer M, San Jose Caceres A, Tarver J, et al. Feasibility study of the National Autistic Society Early Bird parent support programme[J]. Autism, 2020, 24(1):147-159.
[58] Weber L, Kamp-Becker I, Christiansen H, et al. Treatment of child externalizing behavior problems:A comprehensive review and meta-analysis on effects of parent-based interventions on parental characteristics[J]. Eur Child Adolesc Psychiatry, 2019, 28(8):1025-1036.