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Journal of Zhejiang University SCIENCE B 2024 Vol.25 No.11 P.1020-1030

http://doi.org/10.1631/jzus.B2300874


Factors associated with self-rated mental health in mothers of children and adolescents with autism spectrum disorder


Author(s):  Yanan ZHAO, Huiyun FAN, Rong ZHANG, Xiaoying ZHENG

Affiliation(s):  School of Public Health, Peking University, Beijing100191, China; more

Corresponding email(s):   zhengxiaoying@sph.pumc.edu.cn, zhangrong@bjmu.edu.cn

Key Words:  Autism spectrum disorder (ASD), Mother, Mental health status, Influencing factor


Yanan ZHAO, Huiyun FAN, Rong ZHANG, Xiaoying ZHENG. Factors associated with self-rated mental health in mothers of children and adolescents with autism spectrum disorder[J]. Journal of Zhejiang University Science B, 2024, 25(11): 1020-1030.

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Abstract: 
The rising demand for child care is putting a strain on parents of children with autism spectrum disorder (ASD), particularly the mothers. This study investigated Chinese mothers of children with ASD and examined the factors associated with maternal mental health. An online national survey was completed by the parents of 5077 ASD children and adolescents aged 0‍‒‍17 years. A total of 28.0% of the mothers reported poor mental health status. mothers with children aged 10‍‒‍13 years had a lower chance of having poor mental health status than mothers with children aged 0‒2 years (odds ratio (OR) 0.63, 95% confidence interval (CI) 0.43‍‒‍0.91). mothers of children with high-functioning autism were less likely to have poor mental health status than those of children with low-functioning autism (OR 0.76, 95% CI 0.62‍‒‍0.94). Having children with comorbidities was related with a higher risk of poor mental status (OR 1.56, 95% CI 1.35‒1.81), as were having conflicts with other family members (OR 1.44, 95% CI 1.22‍‒‍1.70) and providing full-time care (OR 1.22, CI 1.06‍‒‍1.41). A higher-than-average family income was associated with lower risk of having poor mental health status (OR 0.70, 95% CI 0.58‍‒‍0.82). Factors related to the children and family, and providing full-time care, have a significant effect on mothers’ mental health status. Reducing obstacles to work and social interaction, as well as tackling the financial burden of raising an ASD child, may help improve the well-being of mothers.

孤独症谱系障碍儿童和青少年母亲自我汇报心理健康程度的相关因素

赵亚楠1,2, 范慧芸3, 张嵘4,5,6,7, 郑晓瑛8
1北京大学公共卫生学院, 中国北京市, 100191
2澳门城市大学大健康学院, 中国澳门, 999078
3北京大学人口研究所, 中国北京市, 100871
4北京大学神经科学研究所, 中国北京市, 100191
5北京大学基础医学院神经生物学系, 中国北京市, 100191
6神经科学教育部重点实验室, 国家卫生健康委员会神经科学重点实验室, 中国北京市, 100191
7北京大学医学部孤独症研究中心, 中国北京市, 100191
8中国医学科学院北京协和医学院群医学与公共卫生学院, 中国北京市, 100730
摘要:日益增长的儿童照料需求给孤独症谱系障碍(ASD)儿童的父母,尤其是母亲,带来了较大压力。本研究调查了ASD儿童和青少年母亲的自我汇报心理健康情况,并探讨了与母亲心理健康相关的因素。一共5077名0至17岁ASD儿童和青少年(包含4892个双亲家庭、185名单身母亲家庭和150名为单身父亲情况)的父母完成了一项全国在线调查,其中28.0%的母亲报告心理健康状况不佳。与0~2岁孩子的母亲相比,10~13岁孩子的母亲心理健康状况不佳的可能性更低(比值比(OR)为0.63,95% 置信区间(CI)为0.43-0.91);与低功能ASD儿童母亲相比,高功能ASD儿童母亲有不良心理健康状况的可能性更低(OR 0.76,95% CI 0.62-0.94)。共病儿童的母亲更易有较差的心理健康状况(OR 1.56,95% CI 1.35-1.81),当母亲与其他家庭成员存在冲突(OR 1.44,95% CI 1.22-1.70)和提供全职照料(OR 1.22,95% CI 1.06-1.41)时,她们也更容易有较差的心理健康状况。有高于平均水平的家庭收入情况下,母亲更不容易有较差的心理健康状况(OR 0.70,95% CI 0.58-0.82)。综上所述,与儿童和家庭相关的因素以及提供全职照料方面对母亲心理健康状态有显著影响。减少阻碍母亲外出工作和社会交往的障碍,以及解决抚养孤独症ASD儿童的经济负担,可能有助于改善母亲福祉。

关键词:孤独症谱系障碍;母亲;心理健康状态;影响因素

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