父母心理弹性与自闭症谱系障碍儿童情绪行为问题的关系：一个有调节的中介模型

本研究采用问卷法对306名自闭症谱系障碍(autism spectrum disorder, ASD)儿童的父母进行调查,考察了教养能力感在父母心理弹性和儿童情绪行为问题间的中介作用,同时检验了父母自尊对该路径的调节作用。结果表明：(1)父母心理弹性可直接预测ASD儿童情绪行为问题;(2)教养能力感在父母心理弹性和ASD儿童情绪行为问题之间起部分中介作用;(3)心理弹性与教养能力感的关系受自尊的调节,即心理弹性对教养能力感的预测作用在自尊水平较高的父母中更大。     

自闭症儿童父母歧视知觉对群际关系的影响:一个有调节的中介作用模型

采用问卷法对474名自闭症儿童父母进行调查研究,考察歧视知觉对自闭症儿童父母群际关系的影响,同时考察群际焦虑的中介作用以及自尊对该中介过程的调节。结果表明：（1）歧视知觉对自闭症儿童父母的群际关系具有显著负向预测作用;（2）群际焦虑在自闭症儿童父母的歧视知觉和群际关系中起部分中介作用;（3）自尊调节了群际焦虑在歧视知觉和群际关系间中介作用的直接路径和后半路径。具体而言,在高自尊情况下,自闭症儿童父母的歧视知觉对群际关系的影响作用加强;在低自尊情况下,自闭症儿童父母的群际焦虑对自闭症儿童父母群际关系影响作用加强。     

父母感知的家庭压力对儿童问题行为的影响：父母心理攻击和儿童应激下皮质醇反应的中介作用

儿童问题行为受到环境与个体因素的协同影响。研究以北京150名五、六年级儿童及其家长为被试,探究心理攻击和应激下皮质醇反应在父母感知的家庭压力与儿童问题行为间的中介作用。采用儿童版特里尔社会应激测试测量儿童应激下皮质醇反应,并由家长报告感知的家庭压力、对儿童的心理攻击及儿童的问题行为。结果发现：(1)父母感知的家庭压力可正向预测儿童问题行为;(2)心理攻击在父母感知的家庭压力与儿童问题行为间起中介作用;(3)心理攻击和儿童应激下皮质醇反应在父母感知的家庭压力与儿童问题行为之间起链式中介作用。研究揭示了父母感知压力对儿童问题行为影响的心理和生理机制,从父母和儿童角度为减少儿童问题行为提供了参考。     

祖辈参与教养与幼儿社会能力的关系:母亲育儿压力和母亲教养效能感的链式中介作用

为探究祖辈参与教养对幼儿社会能力的影响及作用机制,采用祖父母参与幼儿生活状况调查问卷、亲职压力简表、父母教养能力感量表和儿童社会能力与行为评价量表,对691名幼儿及其母亲和祖辈进行调查。结果发现:(1)祖辈参与教养与幼儿社会能力呈显著正相关;(2)母亲育儿压力和母亲教养效能感在祖辈参与教养和幼儿社会能力间起部分中介作用;(3)母亲育儿压力、母亲教养效能感在祖辈参与教养和幼儿社会能力间起链式中介作用。     

父母低头行为与青少年网络欺负的关系：压力的中介作用与年龄的调节作用

本研究基于一般压力理论和冷-热双系统理论,探究父母低头行为与青少年网络欺负之间的关系,以及压力的中介作用与年龄的调节作用。采用父母低头行为问卷、抑郁-焦虑-压力量表(DASS-21)中的压力分量表、网络欺负量表对912名青少年进行测查。结果发现：(1)父母低头行为、压力和网络欺负两两之间呈正相关;(2)父母低头行为正向预测网络欺负,压力在父母低头行为与青少年网络欺负之间起中介作用;(3)年龄调节了该中介路径的后半段,相较于高年龄组,压力对网络欺负的影响在低年龄组更大。本研究的结果表明,父母低头行为与青少年网络欺负的关系是一个有调节的中介模型,这对制定青少年网络欺负的预防和干预措施具有重要意义。     

自闭症的性别差异及其与认知神经功能障碍的关系

儿童自闭症的发病率男性高于女性,已在世界各国的研究者中形成共识。自闭症患者在行为障碍,言语障碍和智力特征上的性别差异较为显著。这种性别差异的原因,显示自闭症的发症有其基因变异,以及神经生物学遗传因素所存在。神经生物学的障碍与自闭症儿童的认知神经功能障碍具有密切的对应关系。理解自闭症发生机制中的性别差异问题,对于探究自闭症的病因学,以及在今后诊断工具的开发和自闭症儿童的治疗、教育过程中,具有较高的临床应用价值。     

父母婚姻质量与儿童行为问题的追踪研究：儿童努力控制的调节作用

本研究采用母亲报告法,对474名学前儿童进行了为期一年的追踪研究,考察完整家庭中父母婚姻质量对儿童行为问题的影响,以及儿童努力控制的调节作用。结果表明:(1) 父母婚姻质量对学前儿童的外显和内隐行为问题均有即时的负向预测作用;(2) 儿童的努力控制对其当前、后期的外显和内隐行为问题均有负向预测作用;(3) 第一年儿童的努力控制对父母婚姻质量与儿童行为问题之间关系的调节作用成立。     

父母心理控制与儿童学业焦虑的关系：未来取向和父母学业参与的作用

本研究以山东省7所小学4～6年级的5164名儿童为被试,采用问卷法探讨了父母心理控制、未来取向、父母学业参与与儿童学业焦虑的关系。结果显示：(1)父母心理控制显著负向预测儿童的未来取向,显著正向预测儿童学业焦虑;(2)儿童未来取向在父母心理控制与儿童学业焦虑间起部分中介作用;(3)父母学业参与在父母心理控制与儿童学业焦虑间起调节作用。结果表明,父母心理控制会增加儿童的学业焦虑,而增加儿童的未来取向和提升父母学业参与能够有效降低儿童的学业焦虑。     

父母述情困难与儿童行为问题:父母心境的中介作用

采用整群抽样法选取438名学前儿童及其家长为被试, 通过量表考察父母述情困难、心境与儿童问题行为之间的关系。结果发现:(1)父亲述情困难与儿童焦虑害羞行为显著正相关, 父亲情绪愉悦在其述情困难与儿童焦虑害羞行为之间具有完全中介作用;(2)母亲述情困难与儿童愤怒攻击、焦虑害羞行为显著正相关, 同时母亲的情绪波动在其述情困难与儿童愤怒攻击行为之间起着部分中介作用。研究结果说明述情困难风险较高的父亲, 其情绪愉悦水平也相对较低, 进而导致儿童表现出更多焦虑害羞行为;述情困难风险较高的母亲, 一方面会直接导致儿童表现出较多愤怒攻击与焦虑害羞行为, 另一方面又会通过其情绪波动增加儿童出现愤怒攻击行为的风险。     

自闭症儿童依恋及其与功能领域关系的研究

以中国大陆16个特殊儿童康复机构的278名自闭症儿童作为研究对象,通过问卷法探讨自闭症儿童的依恋及其与功能领域的关系。结果发现:(1)自闭症儿童依恋总体水平偏低;(2)自闭症儿童依恋与各个功能领域的发展有着极为紧密的联系;(3)影响自闭症儿童总体依恋发展水平的因素是儿童自身的障碍程度,具体取决于交往、认知、感觉、生活自理等功能领域的发展情况。     

父母消极抚养方式与父母冲突和青少年社会适应的关系

以720名小学、初中和高中生为被试,采用问卷法,探讨父母消极抚养方式与父母冲突和青少年社会适应的关系,并检验父母消极抚养方式在父母冲突与青少年适应间的中介作用。结果发现：（1）与孩子有关的父母冲突显著多于与父母自身有关的冲突,初中生报告的两种冲突显著多于小学生;母亲消极抚养显著多于父亲,父母对男生的消极抚养显著多于女生,父母对初中生的消极抚养显著多于小学生;青少年的抑郁、学习问题较多,在抑郁、不良行为上存在显著的性别主效应,女生抑郁多于男生,男生的不良行为多于女生。在抑郁、学习问题和不良行为上存在显著年级主效应,初、高中生的抑郁、学习问题和不良行为显著多于小学生;（2）与孩子或父母有关的冲突越多,父母消极抚养越多;（3）父母消极抚养越多,青少年抑郁、不良行为、学习问题越多;（4）父母消极抚养在父母冲突与青少年社会适应中起部分中介作用。     

残疾儿童家长亲职压力的特点及其与生活质量的关系:社会支持的中介作用

本研究旨在考查残疾儿童家长亲职压力的特点, 并探讨亲职压力、社会支持对生活质量的影响。使用《亲职压力指标简表》、《社会支持评定量表》和《世界卫生组织生活质量测定简表》(中文版)对孤独症、智力残疾、听力残疾、视力残疾以及脑瘫5种残疾类型儿童的369名家长进行问卷调查。结果发现:(1)残疾儿童家长亲职压力及其各维度在不同残疾儿童类型中差异显著, 孤独症儿童家长在总分及各维度中均最高, 听力残疾儿童家长均最低;(2)亲职压力各维度与社会支持各维度以及生活质量各维度均呈显著负相关, 社会支持各维度与生活质量各维度之间均呈显著正相关;(3)亲职压力与生活质量的典型相关分析表明两者的整体相关显著;(4)社会支持在亲职压力和生活质量间起部分中介作用。     

Collateral benefits of the Family Check-Up on early childhood school readiness: indirect effects of parents' positive behavior support

The authors examined the longitudinal effects of the Family Check-Up (FCU) on parents' positive behavior support and children's school readiness competencies in early childhood. It was hypothesized that the FCU would promote language skills and inhibitory control in children at risk for behavior problems as an indirect outcome associated with targeted improvements in parents' positive behavior support. High-risk families in the Women, Infants, and Children Nutrition Program participated in a multisite preventive intervention study (N = 731) with 3 yearly assessments beginning at child age 2 years. Positive behavior support was measured using 4 indicators derived from at-home observations of parent-child interaction during semistructured tasks. Longitudinal structural equation models revealed that parents in families randomly assigned to the FCU showed improvements in positive behavior support from child age 2 to 3, which in turn promoted children's inhibitory control and language development from age 3 to 4, accounting for child gender, ethnicity, and parental education. Findings suggest that a brief, ecological preventive intervention supporting positive parenting practices can indirectly foster key facets of school readiness in children at risk.     

Family Cohesion and Health-Related Quality of Life of Children with Type 1 Diabetes: The Mediating Role of Parental Adjustment

Despite the increasing number of studies on the health-related quality of life (HRQOL) of children with type 1 diabetes (T1D), little is known about the influence of family and parental factors on this outcome. This study aimed to explore whether family cohesion and children’s HRQOL were connected through three indicators of parental psychological adjustment (parenting stress, depressive symptoms, and anxious symptoms) as well as whether these links varied according to the child’s age. Levels of family cohesion, parenting stress, and depression/anxiety symptoms of parents of children with T1D and parents of healthy children were compared. The sample included 88 child–parent dyads composed of children/adolescents (8–18 years old) with T1D and one of their parents and 121 dyads composed of healthy children/adolescents and one of their parents. The parents completed self-report measures of family cohesion, parenting stress, and emotional adjustment, and the children completed measures of HRQOL. Testing of the hypothesized moderated mediational model showed that higher HRQOL ratings in children were associated with higher levels of cohesion through lower levels of parental stress, regardless of the child’s age. Parents of children with T1D perceived less cohesion and felt more anxiety and stress about parenting tasks compared to parents of healthy children. Our findings suggest that parents of children with T1D are at an increased risk of psychological maladjustment. Moreover, this study highlights the interrelation between family/parental functioning and child adjustment and makes an innovative contribution by identifying a mechanism that may account for the link between family and child variables.     

The Impact of Parent Empowerment in Children’s Mental Health Services on Parenting Stress

Emotional and behavioral (EB) problems in children are associated with increased perceptions of strain in parenting. Among children receiving services, parenting stress has been linked to initiating services for their children, and may strain the relationship between parent and child. In contrast, parental engagement and empowerment in services is an important quality indicator for positive treatment outcomes. However, no known studies have examined the association between parent empowerment in their child’s services and their perceptions of stress related to parenting a child with significant mental health needs. Further, no studies have explored whether empowerment moderates the relationship between the child’s symptoms and parental perceptions of stress. The current study examined the impact of child EB problems and parent empowerment on parenting stress. Among a sample of 525 parents of children receiving school-based services for disruptive behavior disorders, child EB problems significantly predicted parenting stress. Parent empowerment also correlated with lower parenting stress, as hypothesized. Although parent empowerment was not found to moderate the relationship between child symptomatology and parenting stress, the relationship between parent empowerment and parenting stress differed based on child gender and age. Parent empowerment was associated with lower parenting stress more for parents of females and younger children than for parents of males and older children.     

Behavioral and social development of children born extremely premature: 5-year follow-up

A cohort of extremely prematurely born children and matched term controls was assessed at 5 years of age. The parents completed a questionnaire on their behavioral and social development. The purpose was to illuminate whether the children's general intellectual ability and parental sensitivity were associated with behavioral and social development. The index children exhibited more hyperactive behavior and had poorer social skills than the controls. Lower Full Scale IQ (FSIQ) was associated with outward reacting and hyperactive behavior and poorer social skills. Sensitive parenting was associated with less outward reacting and less hyperactive behavior. When controlling for differences in FSIQ and parental sensitivity, the index children persisted to have an increased risk of exhibiting hyperactive behavior but not poorer social skills. The index children with normal intellectual development, however, did not exhibit more behavioral problems or poorer social skills than the control children did.     

Evaluation of a short-term group therapy program for children with behavior problems and their parents.

The current study investigated the effectiveness of a short-term, cognitive behavioral program for 106 primary school-aged children referred with externalizing behavior problems and their parents, compared with 39 children and their parents on a waiting-list to be treated. Exploring Together' comprised a children's group (anger management, problem-solving and social skills training), a parents' group (parenting skills training and dealing with parents' own issues), and a combined children's and parents' group (to target parent-child interactions). The program reduced children's behavior problems and improved their social skills at home. Changes in children's behaviors and social skills at home were generally maintained at 6- and 12-month follow-up. Implications of the findings for improving interventions for childhood externalizing behavior problems are discussed.     

残疾儿童心理健康对家长亲职压力的影响:有调节的中介效应

为探讨残疾儿童心理健康与家长亲职压力的关系,揭示亲社会行为在残疾儿童情绪行为问题与家长亲职压力之间的中介作用,以及问题影响程度的调节效应,本研究采用短式亲职压力量表、长处和困难问卷分别对199名残疾儿童及其家长进行问卷调查,结果发现：（1）残疾儿童情绪行为问题对家长的亲职压力有显著的正向预测作用;（2）亲社会行为在残疾儿童情绪行为问题与亲职压力之间起着部分中介的作用;（3）问题影响程度能够调节该中介效应,当问题影响程度越小时,中介效应越显著。可见,亲社会行为能够缓冲残疾儿童情绪行为问题对家长亲职压力的负向影响,并且问题影响程度越小,这种缓冲作用越明显。     

Parental Separation and Children's Behavioral/Emotional Problems: The Impact of Parental Representations and Family Conflict

In this longitudinal study, we examine whether the effect of parental separation on kindergarten children's behavioral/emotional problems varies according to the level of family conflict, and children's parental representations. One hundred and eighty seven children were assessed at ages 5 and 6. Family conflict was assessed using parents' ratings. Children's parental representations were assessed using a story-stem task. A multiinformant approach (parent, teacher, child) was employed to assess children's behavioral/emotional problems. Bivariate results showed that separation, family conflict, and negative parental representations were associated with children's behavioral/emotional problems. However, in multivariate analyses, when controlling for gender and symptoms at age 5, we found that children of separated parents who showed negative parental representations had a significantly greater increase in conduct problems between 5 and 6 than all other children. In terms of emotional symptoms and hyperactivity, symptoms at 5 and (for hyperactivity only) gender were the only predictors for symptoms 1 year later. Our results suggest that kindergarten children's representations of parent-child relationships moderate the impact of parental separation on the development of conduct problems, and underline play and narration as a possible route to access the thoughts and feelings of young children faced with parental separation.     

Exploring Correlates and Predictors of Stress in Parents of Children Who are Deaf: Implications of Perceived Social Support and Mode of Communication

Parenting stress has been linked to negative outcomes for both parents and children, including poor attachment, behavior problems, less positive parent–child interactions, and marital dissatisfaction. Given that parents of special needs children often experience excess stress, they may be susceptible to negative outcomes, thus investigations of protective factors are needed. We explored relationships among parenting stress, social support, mode of communication, and child cochlear implant status in parents rearing a deaf child or child with hearing loss. Findings of our exploratory study indicated that parents of children who use sign language only reported more support, while parents of children who use total communication exhibited less self-reported stress. Also, parents with children who use implants did not differ on any of the measures compared to parents of children without implants. Additional findings suggested that higher levels of perceived social support corresponded with lower stress among parents, however, receipt of supportive behaviors did not correlate significantly with parenting stress. In an overall model, perceived social support and mode of communication were significant predictors of parenting stress. Finally, enacted support predicted significantly life satisfaction in parents. Implications and limitations, as well as suggestions for future research, will also be offered.