泛自閉症障礙兒童青少年與其母子關係

(1)

Mothering in Child and Adolescents with Autism Spectrum Disorder

泛自閉症障礙兒童青少年與其母子關係

Jane Pei-Chen Chang1,2,4*, Susan Shur-Fen Gau3,4, Yen-Nan Chiu3,4, Wen-Che Tsai3,4, Yu-Yu Wu5,6, Chi-Yung Shang3,4

張倍禎1,2,4 *、高淑芬3,4 、丘彥南3,4 、蔡文哲3,4 、吳佑佑5,6 、商志雍3,4 1

Department of Psychiatry, College of Medicine, China Medical University, Taichung, Taiwan

2

Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan

3

Department of Psychiatry, College of Medicine, National Taiwan University, Taipei, Taiwan

4

Division of Child and Adolescent Psychiatry, Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan

5

YuNing Psychiatry Clinic, Taipei, Taiwan

6

Department of Child Psychiatry, Chang Gung Memorial Hospital-Linkou Medical Center, Taipei, Taiwan

1_{中國醫藥大學醫學院精神科、}2_{中國醫藥大學附設醫院精神醫學部}

3_{台灣大學醫學院精神科、}4_{台大醫院精神醫學部兒童青少年精神科}

5_{宇寧身心診所、}6_{林口長庚醫院兒童心智科}

Objective: Parents of children with Autism Spectrum Disorder (ASD) had reported increased stress and decreased quality of life, while severity of ASD symptoms had been associated with maternal depression. Previous report showed autistic children had less affection and more overprotection and authoritarian control from their parents than their unaffected siblings and controls; while longitudinal study showed

improvement in mother-child relationship in adolescents with ASD when they exit high school. This study examined mothering and mother-child relationship in children and adolescents with ASD as compared with non-ASD controls.

Methods: The study enrolled 198 probands, aged 6-18, with DSM-IV ASD (53 typical autism (autism), 68 high-functioning autism (HFA), 77 Asperger’s Disorder (AS)) and 198 non-ADHD. Parents received Autism Diagnostic Interview-Revised and K-SADS-E interviews and mothers reported on mothering, mother-child relationship and family function.

Results: The ASD group had less overprotection, more impaired relation with mothers, more problems at home and less maternal perceived family support than non-ASD controls. Moreover, the autism group had less overprotection, more impaired mother-child interaction, and more problems at home than the AS group, which had least maternal perceived family support among the three groups .

(2)

Conclusion: The finding suggested that the presence of ASD had impact on maternal parenting behaviors, mother-child relations, and family function. Programs targeting family function and mother-child relationships should be incorporated in the