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系統識別號 U0026-0607201600164200
論文名稱(中文) 學齡前自閉症兒童家長之親職壓力及應對策略之探究
論文名稱(英文) Parenting Stress and Coping Strategies in Caregivers of Preschool Children with Autism Spectrum Disorder
校院名稱 成功大學
系所名稱(中) 職能治療學系
系所名稱(英) Department of Occupational Therapy
學年度 104
學期 2
出版年 105
研究生(中文) 呂婉甄
研究生(英文) Wan-Chen Lu
學號 T76021013
學位類別 碩士
語文別 中文
論文頁數 66頁
口試委員 指導教授-林玲伊
口試委員-徐畢卿
口試委員-成戎珠
口試委員-程琡敏
中文關鍵字 親職壓力  應對策略  學齡前兒童  泛自閉症 
英文關鍵字 parenting stress  coping strategy  preschool children  autism spectrum disorder 
學科別分類
中文摘要 泛自閉症兒童在早期發展時即會出現社交互動、溝通困難,並且出現行為的問題,例如:重複、固著的行為及興趣、自殘自傷的行為。過去歐美國家的研究顯示泛自閉症兒童之家長與其他發展障礙兒童之家長比較時經常會經歷較大的親職壓力。而家長的親職壓力和照顧兒童的品質相關;其親職壓力越大,照顧的品質越差。因此,當家長感受到很大的親職壓力時,是否能用有效的應對策略來紓解壓力,是泛自閉症家庭調適很重要的議題。然而,過去國外的研究對於學齡前泛自閉症兒童家長使用的應對策略,呈現不一致的研究結果,而國內相關的研究相對稀少,考量東方和西方文化的差距,國外家長應對策略使用的研究結果無法直接應用在台灣泛自閉症家庭。因此,本研究比較學齡前泛自閉症兒童家長、認知發展遲緩兒童家長以及一般發展兒童家長之親職壓力以及應對策略使用的差異,探討兒童整體發展的能力、家長親職壓力與應對策略使用之間的關係。研究發現泛自閉症兒童的家長比起認知發展遲緩兒童家長及正常發展兒童家長有較大的親職壓力,並且親職壓力與泛自閉症兒童的適應行為及行為問題相關。而問題焦點的應對策略與泛自閉症兒童家長的親職壓力相關,當使用較多問題焦點應對策略時,可以降低家長的親職壓力。
英文摘要 In this study, we aimed to compare the differences in parenting stress and coping strategies among parents of children with ASD, parents of children with cognitive delay, and parents of typically developing children. The other purposes were to examine the relationships between overall development, parenting stress, and coping strategies. Thirty children with ASD, 30 children with cognitive delay, and 45 typically developing children and their parents participated in this study. Parents were asked to complete the Autism Spectrum Rating Scales, Parenting Stress Index: Short Form, COPE Inventory, and the caregiver report form of Psychoeducation Profile- third edition. All children were assessed by the Psychoeducation Profile- third edition. The parents of children with ASD presented the highest levels of stress than the other parents of children with cognitive delay and typically developing children. The adaptive behaviors and problem behaviors of children with ASD were correlated to the stress of parents. Furthermore, problem-focused coping strategies were correlated to parenting stress among parents of children with ASD. When mothers of children with ASD used greater problem-focused coping strategies, they would have lower levels of parenting stress.
論文目次 中文摘要……………………………………………………………………………...……..i
英文延伸摘要………………………………………………………………………………ii
誌謝………………………………………………………………………………………....v
目錄………………………………………………………………………………………..vii
表目錄………………………………………………………………………………………x
圖目錄……………………………………………………………………………………..xi
第一章 緒論………………………………………………………………………………01
第一節、研究動機與重要性………………………………………………………….01
第二節、研究目的…………………………………………………………………….03
第三節、研究假設…………………………………………………………………….04
第貳章、文獻回顧………………………………………………………………………..05
第一節、泛自閉症兒童……………………………………………………………….05
第二節、親職壓力模式與泛自閉症相關研究……………………………………….08
一、父母因素……………………………………………………………………..09
二、兒童特質……………………………………………………………………..09
第三節、壓力調適策略……………………………………………………………….12
一、親職壓力因應策略…………………………………………………………..12
二、比較泛自閉症兒童家長和其他發展障礙孩童家長壓力調適的相關研究..13
三、華裔家庭的親職壓力和應對策略相關研究………………………………..14
第参章、研究方法………………………………………………………………………..16
第一節、研究對象…………………………………………………………………….16
第二節、研究工具…………………………………………………………………….18
一、基本資料……………………………………………………………………..18
二、中文版泛自閉症篩檢量表幼兒短版 (Autism Spectrum Rating Scale Short Form)………………………………………………………………………...18
三、親職壓力量表簡式版 (Parenting Stress Index-Short Form)……………..…19
四、因應量表 (COPE inventory)………………………………………………...20
五、自閉症兒童心理教育評核 (Psychoeducational Profile -3rd edition)………20
第三節、研究流程…………………………………………………………………….22
第四節、資料統計分析……………………………………………………………….23
第肆章、研究結果....………….………………………………………………………….24
第一節、人口學資料…....…………………………………………………………….24
一、受試者基本資料……………………………………………………….…….24
二、照顧者基本資料……………………………………………………….…….25
第二節、受試者及照顧者評估表現…………………………………...……….…….27
一. 受試者的泛自閉症傾向評估結果………………………………….…….….27
二. 受試者的整體發展評估表現………………………………….……….…….27
三. 照顧者親職壓力……………………………………………….……….…….29
四. 照顧者自評因應策略………………………………………….……….…….30
第三節、各組親職壓力及應對策略與其相關聯因子………………….…..….…….32
第四節、各組親職壓力與因應策略間的相關………………………….…..….…….34
第伍章、討論…………………………………………….………………….…..….…….35
第一節、親職壓力及應對策略使用………………….………...……….…..….…….35
一、親職壓力…………………………….……….………...……….…..….…….35
二、應對策略…………………………….……….………...……….…..….…….37
第二節、影響泛自閉症兒童家長親職壓力的相關因子.……...……….…..….…….38
一、父母因素及家庭背景……………….……….………...……….…..….…….38
二、兒童特質…………………………….……….………...……….…..….…….38
第三節、泛自閉症兒童家長親職壓力與應對策略使用.………...……….…..….….41
第四節、研究限制及未來方向.………...……….………………………….…..…….43
一、收案來源.………...……….………………………….…………….…..…….43
二、樣本數過低.………...……….……………………….…………….…..…….43
三、皆為母親填答.………...……….……………….………………….…..…….43
四、研究工具.………...……….……………………………….……….…..…….44
第陸章、結論……………………………………………………………………………..45
第柒章、參考資料………………………………………………………………………..47 
表目錄
表一、泛自閉症兒童家長親職壓力和應對策略之研究………………………………..55
表二、華裔家庭親職壓力及應對策略之研究…………………………………………..57
表三、基本人口學資料…………………………………………………………………..59
表四、兒童的整體發展評估表現………………………………………………………..60
表五、照顧者自評問卷結果……………………………………………………………..61
表六、親職壓力與家庭基本資料相關性………………………………………………..62
表七、親職壓力與兒童整體發展評估表現相關性……………………………………..63
表八、母親應對策略與兒童整體發展評估表現相關性………………………………..64
表九、親職壓力與應對策略相關性……………………………………………………..65

圖目錄
圖一、Abidin親職壓力模式……………………………………………………………..66
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