學齡前自閉症類群障礙症幼童認知功能與母親心理健康對親子關係之預測研究

潘韻如

doi:10.6342/NTU201700438

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学龄前自闭症类群障碍症幼童认知功能与母亲心理健康对亲子关系之预测研究

Predictability of Children Cognition and Maternal MentalHealth in Parent-child Relationships in Preschoolers with Autism spectrum disorder

潘韵如 , 硕士　　导师：王湉妮　　

繁体中文 DOI： 10.6342/NTU201700438

自闭症类群障碍症；亲子关系；预测力；认知功能；母亲忧郁； Autism spectrum disorder ； Parent-child relationships ； Predictability ； Maternal depression

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摘要 │ 参考文献 (53) │ 国际计量

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The quality of parent-child relationships is important for the development of preschoolers in children with autism spectrum disorder (ASD). According to the bi-directional model of parent-child relationships, the characteristics of children and their mothers affect the quality of their relationships, including the cognitive functions of the child and the severity of their symptoms, as well as maternal mental health. Out of these three, the cognitive functions of the child and maternal mental health are the most related with parent-child relationships. However, very studies have investigated and considered both of children’s and their mother’s characteristics at the same time. In this study, we explored the predictors for the quality of parent-child relationships and five domains in terms of satisfaction with parenting scale, involvement, communication, limit Setting and autonomy, as well as how the severity of the child’s symptoms may affect these facets, by considering the cognitive functions of children and maternal mental health, which includes issues such as depression and parenting stress.
A total of 29 mothers of children with ASD aged 27 to 84 months were recruited in this study, and they were asked to fill out three questionnaires (Parent-Child Relationship Inventory, Beck Depression Inventory, and Parenting Stress Index). The scores of children’s cognitive tests were obtained through medical records, while the scores of the severity of symptoms were obtained from Childhood Autism Rating Scale filled by therapists. Our findings showed that mothers of children with ASD indeed do encounter difficulties in parent-child communication and involvement. The results showed that maternal depression was a significant negative predictor in domains of satisfaction, communication, limit setting and autonomy in parent-child relationships, while a child’s non-verbal ability can be used to predict the domain of satisfaction and autonomy. 
The results of this study provide a reference for clinicians especially in considering the treatment goals of the children with ASD. The characteristics of preschoolers in children with ASD and their mothers indeed affect the parent-child relationships, especially maternal depression and children's non-verbal ability. Thus, it is suggested that assessments of the mothers’ depression and clinical intervention are needed in addition to assessments of the children’s non-verbal ability. If maternal depression can be cured, it would lead to more adequate, stable and loving parent-child relationships.

参考文献 ( 53 ) 〈TOP〉

丘彦南、赖孟泉、徐如维、刘弘仁（2011）。儿童青少年精神疾病工作小组报告之一: 自闭症类群障碍、沟通障碍症、智能发展障碍症、学习障碍症、注意力不足过动症之 DSM-5 草案内容相较於 DSM-4 之变革。DSM-5 通讯，4，17-21。
连结：
吴沛璇、张正芬（2012）。亚斯柏格症学生在魏氏儿童智力量表-第四版 (WISC-IV) 的表现。特殊教育研究学刊，37(2)， 85-110。
连结：
林初穗、张淑慧、潘惠铭、邱俊皓 (2013)。家长回应能力的改变与自闭症幼儿发展的关聯性研究。特殊教育研究学刊，38(2)，53-76。
连结：
颜孝羽、曾嫦嫦、宋维村 (2008)。高功能自闭症学前患童的关系取向发展模式(DIR)治疗之初探。中华心理卫生学刊，21(3)，221-244。
连结：
Baumrind, D. (1971). Current patterns of parental authority. Developmental psychology, 4(1p2), 1.
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。