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    Title: 學齡前自閉症兒童家長之親職壓力與生活品質：兒童特質、家長親職效能和因應策略之角色
    Parental Stress and Quality of Life in Parents of Young Children with Autism Spectrum Disorder: Roles of Child`s Characteristics, Parental Efficacy and Coping Strategies
    Authors: 蔡必婕
    Tsai, Bi-Jie
    Contributors: 姜忠信
    Chiang, Chung-Hsin
    蔡必婕
    Tsai, Bi-Jie
    Keywords: 親職壓力
    生活品質
    自閉症類群障礙症
    親職效能
    家長因應策略
    Parental stress
    Quality of life
    Autism Spectrum Disorder
    Parental efficacy
    Coping strategies
    Date: 2020
    Issue Date: 2020-08-03 17:55:33 (UTC+8)
    Abstract: 研究背景與目的：自閉症類群障礙症（Autism Spectrum Disorder, ASD）兒童的家長在養育子女的過程中，往往面臨更大的親職壓力及較差的生活品質。雙重ABCX模型是一個被認為可有效解釋ASD兒童家長親職壓力的模型，然而，在過往針對親職壓力影響因子的討論中，鮮少提及家長的內在心理資源，也較少討論兒童行為特徵與家長適應間的第三變項，且單純針對學齡前ASD兒童家長的研究亦不足。是故，研究一之目的為針對學齡前ASD兒童的家長，討論其親職壓力之影響因子。此外，生活品質逐漸受到重視的今日，了解生活品質的影響因子可讓臨床工作者找出高風險群並給予適切協助，有利於家長和兒童的適應，然而，針對學齡前ASD兒童家長的研究仍較有限，因此，研究二之目的為針對學齡前ASD兒童的家長，討論其生活品質之影響因子。

    研究方法：參與者為70名2至4歲經過臨床診斷為ASD的兒童及其家長（67名母親及3名父親），藉由標準化測驗測量兒童發展商數、ASD症狀嚴重度；並透過問卷填答測量兒童適應行為、問題行為，以及家長的因應策略、親職效能、親職壓力及生活品質。

    研究結果：在研究一探討的親職壓力影響因子中，家長親職效能是最強有力的預測因子，其次是兒童問題行為及家長主動迴避的因應策略，當家長的親職效能越高、較少以主動迴避策略因應、兒童問題行為越少時，家長親職壓力越低；家庭收入及社經地位等人口學變項、兒童症狀嚴重度、正向法的因應策略皆不具預測力；此外，家長親職效能及主動迴避的因應策略在兒童問題行為及親職壓力間的部分中介效果。在研究二探討的生活品質影響因子中，家長親職壓力是最強有力的預測因子，其次是家庭收入及使用正向法的因應策略，當家長親職壓力越低、較常以正向解釋事件的方式因應壓力、家庭收入越高時，家長生活品質越佳。

    結論：研究結果反映出兒童問題行為、家長親職效能及主動迴避、正向法因應策略在ASD學齡前兒童家長親職壓力及生活品質程度上的重要角色。
    Objectives: Parents of children with autism spectrum disorder (ASD) report higher level of parental stress and lower level of quality of life than parents of children with other developmental disabilities. Past literature have demonstrated the utility of the Double ABCX model of understanding parental stress for the parents raising a child with ASD. However, little is known about the role of parental internal resources, and the third variables between child characteristics and parental adaptation. Also, there is still little discussion the issue about the parents who have children with ASD in preschooler age. As a results, the purpose of study 1 is to explore the potential factors of parental stress in parents of preschool-age children with ASD. In addition, recently has raised concerns about the quality of life of parents of children with ASD. A better understanding of parental quality of life can inform clinicians to identify high-risk group and provide appropriate assistance, leading to better outcomes for both parents and children. Accordingly, the purpose of study 2 is to explore the potential predictors of parental quality of life in parents of preschool-age children with ASD.

    Methods: Seventy preschool-age children diagnosed with ASD and their parents (67 mothers and 3 fathers) participated in both study 1 and study 2. Using standardized assessment tools to measure children’s developmental quotient and ASD severity, and assess children’s adaptive behavior, behavior problems, parental coping strategies, parental efficacy, parental stress and quality of life through questionnaires.

    Results: The results of study 1 revealed that among the potential predictors of parental stress, parental efficacy is the strongest predictor, followed by child behavior problems and parental active avoidance coping toward stressors. Higher levels of parental efficacy, lower levels of child behavior problem, and the less use of active avoidance coping were associated with lower levels of parental stress. Family income, socioeconomic status, ASD severity and positive coping are not related to parental stress. Furthermore, parental efficacy and active avoidance coping are partial mediators between child problem behavior and parental stress. The results of study 2 revealed that among the potential predictors of parental quality of life, parental stress is the strongest predictor, followed by family income and positive coping. Lower levels of parental stress, the greater use of positive coping and high-income were associated with higher levels of parental quality of life.

    Conclusions: The findings of this study suggest that child behavior problems, parental efficacy, active avoidance and positive coping play important roles for parental stress and quality of life.
    Reference: 王南凱、吳岱穎、鄒國蘇、黃宜靜、郭冠良、吳逸帆、陳建志（2013）。淺談自閉症類群障礙。北市醫學雜誌，10(3)，173-181。
    姚開屏（2000）。台灣版世界衛生組織生活品質問卷之發展簡介。中華公共衛生雜誌，19，315-332。
    姚開屏（2002）。台灣版世界衛生組織生活品質問卷之發展與應用。台灣醫學，6，193-200。
    姚開屏（2005）。台灣版世界衛生組織生活品質問卷之發展及使用手冊。台北：台北世界衛生組織生活品質問卷台灣版發展小組（台大心理系）。
    翁毓秀（2003）。親職壓力量表。台北：心理出版社。
    陳怡群、黃惠玲、趙家琛（2009）。阿肯巴克實證衡鑑系統－計分手冊。台北：心理出版社。
    張紝楟（2013）。城鄉地區母親親職效能與幼兒社會能力之相關研究（未出版之碩士論文）。國立台東大學，台東市。
    曾美惠、陳姿蓉（2008）。感覺處理能力剖析量表 3至10歲中文版。台北：中國行為科學社。
    曾美惠、楊千瑩（2009）。嬰幼兒感覺處理能力剖析表中文版。台北：中國行為科學社。
    黃毅志（2008）。如何精確測量職業地位？“改良版台灣地區新職業聲望與社經地位量表”之建構。台東大學教育學報，19(1)，151-159。
    楊雅如（2017）。學齡前自閉症類群障礙症兒童父母親親職壓力、因應策略與心理健康的關係（未出版之碩士論文）。高雄醫學大學，高雄市。
    盧台華、陳心怡（2009）。適應行為評量系統第二版（ABAS–II）中文－幼兒版。台北：中國行為科學社。
    賴世華（2010）。頭頸癌症患者復發擔憂對癌症關連疲勞之影響—以因應型態及負向情緒為中介變項（未出版之碩士論文）。中原大學，桃園縣。
    Abbeduto, L., Seltzer, M. M., Shattuck, P., Krauss, M. W., Orsmond, G., & Murphy, M. M. (2004). Psychological well-being and coping in mothers of youths with autism, down syndrome, or fragile X syndrome. American Journal on Mental Retardation, 109, 237-254.
    Abidin, R. R. (1990a). Introduction to the special issue: The stresses of parenting. Journal of clinical child psychology, 19, 298-301.
    Abidin, R. R. (1990b). Parenting Stress Index (PSI). Charlottesville, VA: Pediatric Psychology Press.
    Abidin, R. R. (1992). The determinants of parenting behavior. Journal of clinical child psychology, 21, 407-412.
    Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms and profiles. Burlington, VT: University of Vermont, Research center for children, youth, & families.
    Achenbach, T. M., & Rescorla, L. (2001). ASEBA school-age forms & profiles.
    Aldwin, C. M., & Revenson, T. A. (1987). Does coping help? A reexamination of the relation between coping and mental health. Journal of personality and social psychology, 53, 337-348.
    Allik, H., Larsson, J. O., & Smedje, H. (2006). Health-related quality of life in parents of school-age children with Asperger syndrome or high-functioning autism. Health and quality of life outcomes, 4, 1-8.
    Aman, M. G., & Singh, N. N. (1986). A critical appraisal of recent drug research in mental retardation: The Coldwater studies. Journal of Intellectual Disability Research, 30, 203-216.
    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Philadelphia, PA: American Psychiatric Pub.
    Baker, B. L., Blacher, J., Crnic, K. A., & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal on Mental Retardation, 107, 433-444.
    Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K., Edelbrock, C., & Low, C. (2003). Pre‐school children with and without developmental delay: behaviour problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217-230.
    Baker-Ericzén, M. J., Brookman-Frazee, L., & Stahmer, A. (2005). Stress levels and adaptability in parents of toddlers with and without autism spectrum disorders. Research and practice for persons with severe disabilities, 30(4), 194-204.
    Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84, 191-215.
    Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of personality and social psychology, 51, 1173-1182.
    Bayley, N. (1969). Bayley Scales of Infant Development. San Antonio, TX: Psychological Corporation.
    Bebko, J. M., Konstantareas, M. M., & Springer, J. (1987). Parent and professional evaluations of family stress associated with characteristics of autism. Journal of autism and developmental disorders, 17, 565-576.
    Beck, A., Hastings, R. P., Daley, D., & Stevenson, J. (2004). Pro‐social behaviour and behaviour problems independently predict maternal stress. Journal of Intellectual and Developmental Disability, 29, 339-349.
    Bijou, S. W. (1984). Parent training. Parent training: Foundation of research and practice, 15-26.
    Bilgin, H., & Kucuk, L. (2010). Raising an autistic child: Perspectives from Turkish mothers. Journal of Child and Adolescent Psychiatric Nursing, 23, 92-99.
    Blacher, J., & McIntyre, L. L. (2006). Syndrome specificity and behavioural disorders in young adults with intellectual disability: Cultural differences in family impact. Journal of Intellectual Disability Research, 50(3), 184-198.
    Bloomfield, L., & Kendall, S. (2007). Testing a parenting programme evaluation tool as a pre‐and post‐course measure of parenting self‐efficacy. Journal of advanced nursing, 60, 487-493.
    Bourke-Taylor, H., Pallant, J. F., Law, M., & Howie, L. (2012). Predicting mental health among mothers of school-aged children with developmental disabilities: The relative contribution of child, maternal and environmental factors. Research in developmental disabilities, 33, 1732-1740.
    Bristol, M. M. (1987). Mothers of children with autism or communication disorders: Successful adaptation and the double ABCX model. Journal of Autism and Developmental Disorders, 17, 469-486.
    Bruininks, R. H., Hill, B. K., Weaherman, R. E, & Woodcock, R. W. (1986). Inventory for Client andAgency Planning (ICAP). Allen, TX: DLM Teaching Resources.
    Bugental, D. B., Shennum, W. A., & Shaver, P. (1984). " Difficult" children as elicitors and targets of adult communication patterns: An attributional-behavioral transactional analysis. Monographs of the Society for Research in Child Development, 49, 1-81.
    Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the brief cope. International journal of behavioral medicine, 4(1), 92-100.
    Chuang, I. C., Tseng, M. H., Lu, L., Shieh, J. Y., & Cermak, S. A. (2014). Predictors of the health-related quality of life in preschool children with Autism spectrum disorders. Research in Autism Spectrum Disorders, 8, 1062-1070.
    Cohen, J. (1992). A power primer. Psychological bulletin, 112(1), 155-159.
    Coleman, P. K., & Karraker, K. H. (1998). Self-efficacy and parenting quality: Findings and future applications. Developmental review, 18(1), 47-85.
    Cummins, R. A. (2005). Moving from the quality of life concept to a theory. Journal of Intellectual disability research, 49, 699-706.
    Cutrona, C. E., & Troutman, B. R. (1986). Social support, infant temperament, and parenting self-efficacy: A mediational model of postpartum depression. Child development, 57, 1507-1518.
    Davis, N. O., & Carter, A. S. (2008). Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: Associations with child characteristics. Journal of autism and developmental disorders, 38(7), 1278-1291.
    Drew, A., Baird, G., Baron-Cohen, S., Cox, A., Slonims, V., Wheelwright, S., ... & Charman, T. (2002). A pilot randomised control trial of a parent training intervention for pre-school children with autism. European child & adolescent psychiatry, 11(6), 266-272.
    Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., ... & Varley, J. (2010). Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics. Pediatrics,125(1), e17-e23.
    Dardas, L. A., & Ahmad, M. M. (2013). Coping strategies as mediators and moderators between stress and quality of life among parents of children with autistic disorder. Stress and Health, 31, 5-12.
    Dardas, L. A., & Ahmad, M. M. (2014a). Predictors of quality of life for fathers and mothers of children with autistic disorder. Research in Developmental Disabilities, 35, 1326-1333.
    Dardas, L. A., & Ahmad, M. M. (2014b). Quality of life among parents of children with autistic disorder: A sample from the Arab world. Research in Developmental Disabilities, 35, 278-287.
    Dardas, L. A., & Ahmad, M. M. (2015). For fathers raising children with autism, do coping strategies mediate or moderate the relationship between parenting stress and quality of life?. Research in developmental disabilities, 36, 620-629.
    DeVellis, R. F. (1991). Scale development: Theory and applications. Newbury Park, CA: Sage.
    Dunn, M. E., Burbine, T., Bowers, C. A., & Tantleff-Dunn, S. (2001). Moderators of stress in parents of children with autism. Community mental health journal, 37, 39-52.
    Einfeld, S. L., & Tonge, B. J. (1995). The Developmental Behavior Checklist: The development and validation of an instrument to assess behavioral and emotional disturbance in children and adolescents with mental retardation. Journal of autism and developmental disorders, 25(2), 81-104.
    Erdwins, C. J., Buffardi, L. C., Casper, W. J., & O`Brien, A. S. (2001). The relationship of women`s role strain to social support, role satisfaction, and self‐efficacy. Family relations, 50, 230-238.
    Essex, E. L., Seltzer, M. M., & Krauss, M. W. (1999). Differences in coping effectiveness and well-being among aging mothers and fathers of adults with mental retardation. American Journal on Mental Retardation, 104, 545-563.
    Estes, A., Olson, E., Sullivan, K., Greenson, J., Winter, J., Dawson, G., & Munson, J. (2013). Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders. Brain and Development, 35(2), 133-138.
    Evans, M. E., Boothroyd, R. A., Armstrong, M. I., Greenbaum, P. E., Brown, E. C., & Kuppinger, A. D. (2003). An experimental study of the effectiveness of intensive in-home crisis services for children and their families: Program outcomes. Journal of Emotional and Behavioral Disorders, 11(2), 92-102.
    Ewles, G., Clifford, T., & Minnes, P. (2014). Predictors of advocacy in parents of children with autism spectrum disorders. Journal on Developmental Disabilities, 20(1), 73-82.
    Eyberg, S. M., & Ross, A. W. (1978). Assessment of child behavior problems: The validation of a new inventory. Journal of Clinical Child & Adolescent Psychology, 7, 113-116.
    Falk, N. H., Norris, K., & Quinn, M. G. (2014). The factors predicting stress, anxiety and depression in the parents of children with autism. Journal of autism and developmental disorders, 44, 3185-3203.
    Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of health and social behavior,21, 219-239.
    Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: study of emotion and coping during three stages of a college examination. Journal of personality and social psychology, 48(1), 150-170.
    Folkman, S., & Lazarus, R. S. (1988). Coping as a mediator of emotion. Journal of personality and social psychology, 54, 466-475.
    Freeman, N. L., Perry, A., & Factor, D. C. (1991). Child behaviours as stressors: replicating and extending the use of the CARS as a measure of stress: a research note. Journal of Child Psychology and Psychiatry, 32, 1025-1030.
    Friedman, R. J., & Chase-Lansdale, P. L. (2002). Chronic adversities. In M. Rutter, & E. Taylor (Eds.), Child and Adolescent Psychiatry (4th ed., pp. 261-276). London: Blackwell Publishing.
    Friedrich, W. N., Greenberg, M. T., & Crnic, K. (1983). A short-form of the Questionnaire on Resources and Stress. American Journal of Mental Deficiency, 88, 41-48.
    García-López, C., Sarriá, E., & Pozo, P. (2016). Parental self-efficacy and positive contributions regarding autism spectrum condition: An actor–partner interdependence model. Journal of autism and developmental disorders, 46, 2385-2398.
    Gilliam, J. E. (1995). GARS: Gilliam autism rating scale. Austin TX: Pro-ed.
    Giovagnoli, G., Postorino, V., Fatta, L. M., Sanges, V., De Peppo, L., Vassena, L., ... & Mazzone, L. (2015). Behavioral and emotional profile and parental stress in preschool children with autism spectrum disorder. Research in Developmental Disabilities, 45, 411-421.
    Glenn, S., Cunningham, C., Poole, H., Reeves, D., & Weindling, M. (2009). Maternal parenting stress and its correlates in families with a young child with cerebral palsy. Child: care, health and development, 35, 71-78.
    Gondoli, D. M., & Silverberg, S. B. (1997). Maternal emotional distress and diminished responsiveness: The mediating role of parenting efficacy and parental perspective taking. Developmental psychology, 33, 861-868.
    Goodman, R. (1997). The Strengths and Difficulties Questionnaire: a research note. Journal of child psychology and psychiatry, 38, 581-586.
    Goodman, R. (2001). Psychometric properties of the strengths and difficulties questionnaire. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1337-1345.
    Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of autism and developmental disorders, 39(5).
    Gotham, K., Risi, S., Pickles, A., & Lord, C. (2007). The Autism Diagnostic Observation Schedule: revised algorithms for improved diagnostic validity. Journal of autism and developmental disorders, 37, 613-627.
    Graziano, A. M. (1977). Parents as behavior therapists. In Progress in behavior modification, 4, 251-298
    Gross, D., Conrad, B., Fogg, L., & Wothke, W. (1994). A longitudinal model of maternal self‐efficacy, depression, and difficult temperament during toddlerhood. Research in Nursing & Health, 17, 207-215.
    Gross, D., Fogg, L., & Tucker, S. (1995). The efficacy of parent training for promoting positive parent—toddler relationships. Research in nursing & health, 18, 489-499.
    Gross, D., & Rocissano, L. (1988). Maternal confidence in toddlerhood: its measurement for clinical practice and research. The Nurse Practitioner, 13(3), 19-22.
    Hastings, R. P. (2003). Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. Journal of intellectual disability research, 47, 231-237.
    Hastings, R. P., & Brown, T. (2002). Behavior problems of children with autism, parental self-efficacy, and mental health. American journal on mental retardation, 107(3), 222-232.
    Hastings, R. P., & Johnson, E. (2001). Stress in UK families conducting intensive home-based behavioral intervention for their young child with autism. Journal of autism and developmental disorders, 31, 327-336.
    Hastings, R. P., Kovshoff, H., Brown, T., Ward, N. J., Espinosa, F. D., & Remington, B. (2005a). Coping strategies in mothers and fathers of preschool and school-age children with autism. Autism, 9, 377-391.
    Hastings, R. P., Kovshoff, H., Ward, N. J., Espinosa, F. D., Brown, T., & Remington, B. (2005b). Systems analysis of stress and positive perceptions in mothers and fathers of pre-school children with autism. Journal of autism and developmental disorders, 35, 635-644.
    Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of autism and developmental disorders, 43, 629-642.
    Hill, R. (1958). 1. Generic Features of Families under Stress. Social casework, 39, 139-150.
    Hill, R., Boulding, E., Dunigan, L., & Elder, R. A. (1949). Families under stress: Adjustment to the crises of war separation and reunion. New York, NY: Harper.
    Higgins, D. J., Bailey, S. R., & Pearce, J. C. (2005). Factors associated with functioning style and coping strategies of families with a child with an autism spectrum disorder. Autism, 9, 125-137.
    Higgins, J. E., & Endler, N. S. (1995). Coping, life stress, and psychological and somatic distress. European journal of personality, 9, 253-270.
    Holroyd, J. (1987). Questionnaire on Resources and stress: for families with chronically ill or handicapped members [QRS]. Clinical Psychology Publishing Company.
    Holroyd, J., & McArthur, D. (1976). Mental retardation and stress on the parents: A contrast between Down`s syndrome and childhood autism. American Journal of Mental Deficiency, 80, 431-436.
    Honey, E., Hastings, R. P., & Mcconachie, H. (2005). Use of the Questionnaire on Resources and Stress (QRS-F) with parents of young children with autism. Autism, 9, 246-255.
    Hou, Y. M., Stewart, L., Iao, L. S., & Wu, C. C. (2018). Parenting stress and depressive symptoms in Taiwanese mothers of young children with autism spectrum disorder: Association with children’s behavioural problems. Journal of Applied Research in Intellectual Disabilities, 31, 1113-1121.
    Huang, C. Y., Yen, H. C., Tseng, M. H., Tung, L. C., Chen, Y. D., & Chen, K. L. (2014). Impacts of autistic behaviors, emotional and behavioral problems on parenting stress in caregivers of children with autism. Journal of Autism and Developmental Disorders, 44, 1383-1390.
    Hus, V., Gotham, K., & Lord, C. (2014). Standardizing ADOS domain scores: Separating severity of social affect and restricted and repetitive behaviors. Journal of autism and developmental disorders, 44, 2400-2412.
    Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical psychology review, 25, 341-363.
    Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of abnormal child psychology, 36, 567-589.
    Kaniel, S., & Siman-Tov, A. (2011). Comparison between mothers and fathers in coping with autistic children: A multivariate model. European Journal of Special Needs Education, 26, 479-493.
    Kasari, C., & Sigman, M. (1997). Linking parental perceptions to interactions in young children with autism. Journal of autism and developmental disorders, 27, 39-57.
    Kazdin, A. E. (1997). Parent management training: Evidence, outcomes, and issues. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 1349-1356.
    Khanna, R., Madhavan, S. S., Smith, M. J., Patrick, J. H., Tworek, C., & Becker-Cottrill, B. (2011). Assessment of health-related quality of life among primary caregivers of children with autism spectrum disorders. Journal of autism and developmental disorders, 41, 1214-1227.
    Kheir, N., Ghoneim, O., Sandridge, A. L., Al-Ismail, M., Hayder, S., & Al-Rawi, F. (2012). Quality of life of caregivers of children with autism in Qatar. Autism, 16, 293-298.
    Koegel, R. L., Schreibman, L., Loos, L. M., Dirlich-Wilhelm, H., Dunlap, G., Robbins, F. R., & Plienis, A. J. (1992). Consistent stress profiles in mothers of children with autism. Journal of autism and developmental disorders, 22, 205-216.
    Konstantareas, M. M., & Homatidis, S. (1989). Assessing child symptom severity and stress in parents of autistic children. Journal of Child Psychology and Psychiatry, 30, 459-470.
    Koren, P. E., DeChillo, N., & Friesen, B. J. (1992). Measuring empowerment in families whose children have emotional disabilities: a brief questionnaire. Rehabilitation psychology, 37, 305-321.
    Krakovich, T. M., McGrew, J. H., Yu, Y., & Ruble, L. A. (2016). Stress in parents of children with autism spectrum disorder: An exploration of demands and resources. Journal of autism and developmental disorders, 46, 2042-2053.
    Krug, D. A., Arick, J. R., & Almond, P. J. (1978). ABC—Autism behaviour checklist. Portland, OR: ASIEP Education Co.
    Kuhlthau, K., Payakachat, N., Delahaye, J., Hurson, J., Pyne, J. M., Kovacs, E., & Tilford, J. M. (2014). Quality of life for parents of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 8, 1339-1350.
    Kuhn, J. C., & Carter, A. S. (2006). Maternal self‐efficacy and associated parenting cognitions among mothers of children with autism. American Journal of Orthopsychiatry, 76, 564-575.
    Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer publishing company.
    Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50, 172-183.
    Lee, G. K., Lopata, C., Volker, M. A., Thomeer, M. L., Nida, R. E., Toomey, J. A., ... & Smerbeck, A. M. (2009). Health-related quality of life of parents of children with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 24, 227-239.
    Lin, L. Y. (2015). Coping strategies, caregiving burden, and depressive symptoms of Taiwanese mothers of adolescents with autism spectrum disorder. Research in Autism Spectrum Disorders, 15, 1-9.
    Litzinger, T. A., Lee, S. H., Wise, J. C. & Felder, R. M. (2007). A psychometric study of the Index of Learning Styles. Journal of Engineering Education, 96(4), 309-319.
    Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism Diagnostic Observation Schedule-WPS (ADOS-WPS). Los Angeles, CA: Western Psychological Services.
    Lord, C., Rutter, M., Pamela C.. Dilavore, & Risi, S. (2008). ADOS: Autism diagnostic observation schedule. Boston: Hogrefe.
    Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 33, 335-343.
    Luong, J., Yoder, M. K., & Canham, D. (2009). Southeast Asian parents raising a child with autism: A qualitative investigation of coping styles. The Journal of School Nursing, 25(3), 222-229.
    Lyons, A. M., Leon, S. C., Phelps, C. E. R., & Dunleavy, A. M. (2010). The impact of child symptom severity on stress among parents of children with ASD: The moderating role of coping styles. Journal of Child and Family Studies, 19, 516-524.
    Manning, M. M., Wainwright, L., & Bennett, J. (2011). The double ABCX model of adaptation in racially diverse families with a school-age child with autism. Journal of autism and developmental disorders, 41, 320-331.
    McConachie, H., & Diggle, T. (2007). Parent implemented early intervention for young children with autism spectrum disorder: A systematic review. Journal of evaluation in clinical practice, 13, 120-129.
    McCubbin, H. I., Olson, D. H., & Larsen, A. S. (1981). The Family Crisis Oriented Personal Evaluation Scales (F-COPES). In H. I. McCubbin, A. I. Thompson, & M. A. McCubbin (Eds.), Family assessment: Resiliency, coping and adaptation— Inventories for research and practice (pp. 195-207). Madison: University of Wisconsin System.
    McCubbin, H. I., Olson, D. H., Larsen, A. S., Corcoran, K., & Fischer, J. (2000). Family crisis orientated personal evaluation scales [F COPES](1987, 1991). Measures for Clinical Practice: A Sourcebook.
    McCubbin, H. I., & Patterson, J. M. (1983). The family stress process: The double ABCX model of adjustment and adaptation. Marriage & family review, 6, 7-37.
    McStay, R. L., Dissanayake, C., Scheeren, A., Koot, H. M., & Begeer, S. (2014). Parenting stress and autism: The role of age, autism severity, quality of life and problem behaviour of children and adolescents with autism. Autism, 18, 502-510.
    Meunier, J. C., Roskam, I., & Browne, D. T. (2010). Relations between parenting and child behavior: Exploring the child’s personality and parental self-efficacy as third variables. International Journal of Behavioral Development, 35, 246 –259.
    Moons, P., Budts, W., & De Geest, S. (2006). Critique on the conceptualisation of quality of life: a review and evaluation of different conceptual approaches. International journal of nursing studies, 43, 891-901.
    Mori, K., Ujiie, T., Smith, A., & Howlin, P. (2009). Parental stress associated with caring for children with Asperger’s syndrome or autism. Pediatrics International, 51(3), 364-370.
    Mouridsen, S. E., Rich, B., & Isager, T. (2011). A longitudinal study of epilepsy and other central nervous system diseases in individuals with and without a history of infantile autism. Brain and Development, 33, 361-366.
    Mugno, D., Ruta, L., D`Arrigo, V. G., & Mazzone, L. (2007). Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health and quality of life outcomes, 5, 22-30.
    Mulatu, M. S., & Schooler, C. (2002). Health: Reciprocal Effects and Mediating Mechanisms. Journal of health and social behavior, 43, 22-41.
    Mullen, E. (1995). The Mullen Scales of early learning. Circle Pines, MN: American Guidance Service.
    Newschaffer, C. J., Croen, L. A., Daniels, J., Giarelli, E., Grether, J. K., Levy, S. E., Mandell, D. L., et al. (2007). The epidemiology of autism spectrum disorders. Annu. Rev. Public Health, 28, 235-258.
    Nikmat, A. W., Ahmad, M., Oon, N. L., & Razali, S. (2008). Stress and psychological wellbeing among parents of children with autism spectrum disorder. ASEAN Journal of Psychiatry, 9(2), 65-72.
    Oakland, T., & Harrison, P. (2008). Adaptive behaviors and skills: An introduction. Adaptive Behavior Assessment System-II: Clinical uses and interpretations, 3-20.
    Olsson, M. B., & Hwang, C. P. (2001). Depression in mothers and fathers of children with intellectual disability. Journal of intellectual disability research, 45, 535-543.
    Orr, R. R., Cameron, S. J., Dobson, L. A., & Day, D. M. (1993). Age-related changes in stress experienced by families with a child who has developmental delays. Mental retardation, 31(3), 171-176.
    Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2008). Parenting stress reduces the effectiveness of early teaching interventions for autistic spectrum disorders. Journal of autism and developmental disorders, 38(6), 1092-1103.
    Osborne, L. A., & Reed, P. (2010). Stress and self-perceived parenting behaviors of parents of children with autistic spectrum conditions. Research in Autism Spectrum Disorders, 4(3), 405-414.
    Östberg, M., & Hagekull, B. (2000). A structural modeling approach to the understanding of parenting stress. Journal of clinical child psychology, 29, 615-625.
    Pakenham, K. I., Samios, C., & Sofronoff, K. (2005). Adjustment in mothers of children with Asperger syndrome: An application of the double ABCX model of family adjustment. Autism, 9, 191-212.
    Paynter, J., Riley, E., Beamish, W., Davies, M., & Milford, T. (2013). The double ABCX model of family adaptation in families of a child with an autism spectrum disorder attending an Australian early intervention service. Research in Autism Spectrum Disorders, 7, 1183-1195.
    Peters-Scheffer, N., Didden, R., & Korzilius, H. (2012). Maternal stress predicted by characteristics of children with autism spectrum disorder and intellectual disability. Research in Autism Spectrum Disorders, 6, 696-706.
    Phetrasuwan, S., & Shandor Miles, M. (2009). Parenting stress in mothers of children with autism spectrum disorders. Journal for specialists in pediatric nursing, 14(3), 157-165.
    Pisula, E. (2007). A comparative study of stress profiles in mothers of children with autism and those of children with Down`s syndrome. Journal of Applied Research in Intellectual Disabilities, 20, 274-278.
    Pottie, C. G., & Ingram, K. M. (2008). Daily stress, coping, and well-being in parents of children with autism: A multilevel modeling approach. Journal of family psychology, 22(6), 855-864.
    Pozo, P., Sarriá, E., & Brioso, A. (2014). Family quality of life and psychological well‐being in parents of children with autism spectrum disorders: a double ABCX model. Journal of Intellectual Disability Research, 58, 442-458.
    Putnam, S. P., Gartstein, M. A., & Rothbart, M. K. (2006). Measurement of fine-grained aspects of toddler temperament: The Early Childhood Behavior Questionnaire. Infant Behavior and Development, 29, 386-401.
    Redington, C. J., Kysela, G. M., & McDonald, L. (1995). Adaptation and functioning in families of children with special needs: A rural perspective. Exceptionality Education Canada, 5, 57-85.
    Roeyers, H., Thys, M., Druart, C., De Schryver, M., & Schittekatte, M. (2011). SRS Screeningslijst voor autismespectrumstoornissen. Amsterdam, Noord-Holland: Hogrefe.
    Rogers S. J., & Dawson G. (2010). Early Start Denver Model for Young Children with Autism: Promoting Language, Learning, and Engagement. New York: The Guilford Press.
    Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., ... & Dawson, G. (2012). Effects of a brief Early Start Denver Model (ESDM)–based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 1052-1065.
    Salt, J., Shemilt, J., Sellars, V., Boyd, S., Coulson, T., & Mc Cool, S. (2002). The Scottish Centre for Autism Preschool Treatment Programme: II: The results of a controlled treatment outcome study. Autism, 6(1), 33-46.
    Scheel, M. J., & Rieckmann, T. (1998). An empirically derived description of self-efficacy and empowerment for parents of children identified as psychologically disordered. American Journal of Family Therapy, 26, 15-27.
    Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). Journal of autism and developmental disorders, 10, 91-103.
    Schwichtenberg, A., & Poehlmann, J. (2007). Applied behaviour analysis: does intervention intensity relate to family stressors and maternal well‐being? Journal of Intellectual Disability Research, 51(8), 598-605.
    Scorgie, K., & Sobsey, D. (2000). Transformational outcomes associated with parenting children who have disabilities. Mental retardation, 38, 195-206.
    Seiverling, L., Williams, K., & Sturmey, P. (2010). Assessment of feeding problems in children with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 22, 401-413.
    Seltzer, M. M., Greenberg, J. S., & Krauss, M. W. (1995). A comparison of coping strategies of aging mothers of adults with mental illness or mental retardation. Psychology and Aging, 10, 64-75.
    Shields, J. (2001). The NAS EarlyBird Programme: partnership with parents in early intervention. Autism, 5(1), 49-56.
    Shriver, M. D. (1998). Teaching parenting skills. In T. S. Watson & F. M. Gresham, Handbook of child behavior therapy (pp. 165-182). Boston, MA: Springer.
    Shu, B. C. (2009). Quality of life of family caregivers of children with autism: The mother`s perspective. Autism, 13, 81-91.
    Smith, L. E., Seltzer, M. M., Tager-Flusberg, H., Greenberg, J. S., & Carter, A. S. (2008). A comparative analysis of well-being and coping among mothers of toddlers and mothers of adolescents with ASD. Journal of autism and developmental disorders, 38(5), 876-889.
    Stuart, M., & McGrew, J. H. (2009). Caregiver burden after receiving a diagnosis of an autism spectrum disorder. Research in Autism Spectrum Disorders, 3, 86-97.
    Teti, D. M., & Gelfand, D. M. (1991). Behavioral competence among mothers of infants in the first year: The mediational role of maternal self‐efficacy. Child development, 62, 918-929.
    Tobing, L. E., & Glenwick, D. S. (2002). Relation of the childhood autism rating scale-parent version to diagnosis, stress, and age. Research in developmental disabilities, 23, 211-223.
    Tomanik, S., Harris, G. E., & Hawkins, J. (2004). The relationship between behaviours exhibited by children with autism and maternal stress. Journal of Intellectual and Developmental Disability, 29, 16-26.
    Totsika, V., Hastings, R. P., Emerson, E., Berridge, D. M., & Lancaster, G. A. (2011). Behavior problems at 5 years of age and maternal mental health in autism and intellectual disability. Journal of Abnormal Child Psychology, 39, 1137-1147.
    Tucker, S., Gross, D., Fogg, L., Delaney, K., & Lapporte, R. (1998). The long‐term efficacy of a behavioral parent training intervention for families with 2‐year‐olds. Research in Nursing & Health, 21, 199-210.
    Tung, L. C., Huang, C. Y., Tseng, M. H., Yen, H. C., Tsai, Y. P., Lin, Y. C., & Chen, K. L. (2014). Correlates of health-related quality of life and the perception of its importance in caregivers of children with autism. Research in Autism Spectrum Disorders, 8, 1235-1242.
    Wachtel, K., & Carter, A. S. (2008). Reaction to diagnosis and parenting styles among mothers of young children with ASDs. Autism, 12(5), 575-594.
    Wang, J., Hu, Y., Wang, Y., Qin, X., Xia, W., Sun, C., ... & Wang, J. (2013). Parenting stress in Chinese mothers of children with autism spectrum disorders. Social psychiatry and psychiatric epidemiology, 48, 575-582.
    Ware, J., Kosinski, M., & Dewey, J. (2002). How to score version 2 of the SF-36 health survey: a user`s manual. in. Boston: The Health Institute, New England Medical Center.
    Ware Jr, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical care, 34, 220-233.
    Ware Jr, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical care, 30, 473-483.
    Weinberg, S. L., & Richardson, M. S. (1981). Dimensions of stress in early parenting. Journal of Consulting and Clinical Psychology, 49, 686-693.
    Weiss, J. A., Cappadocia, M. C., MacMullin, J. A., Viecili, M., & Lunsky, Y. (2012). The impact of child problem behaviors of children with ASD on parent mental health: The mediating role of acceptance and empowerment. Autism, 16, 261-274.
    Weitlauf, A. S., Vehorn, A. C., Taylor, J. L., & Warren, Z. E. (2014). Relationship satisfaction, parenting stress, and depression in mothers of children with autism. Autism, 18(2), 194-198.
    WHOQOL Group. (1995). The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Social science & medicine, 41, 1403-1409.
    Zaidman-Zait, A., Mirenda, P., Duku, E., Szatmari, P., Georgiades, S., Volden, J., ... & Fombonne, E. (2014). Examination of bidirectional relationships between parent stress and two types of problem behavior in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44, 1908-1917.
    Description: 碩士
    國立政治大學
    心理學系
    105752019
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0105752019
    Data Type: thesis
    DOI: 10.6814/NCCU202000753
    Appears in Collections:[Department of Psychology] Theses

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