發展遲緩兒童母親親職壓力、因應策略與心理健康之相關研究

The relationships of parenting stress of mothers of children with Developmental Delay, coping strategies, and mental health.

陳佳旻(Chia-Min Chen)

指導教授 ： 莊勝發

高雄醫學大學/人文社會科學院/心理學系碩士班/碩士(2016年)

摘要

本研究依據壓力互動模式，探討台灣發展遲緩兒(developmental delay, DD)之母親的親職壓力、因應策略與心理適應之間的關係。研究對象為18至65個月之間發展遲緩兒之母親共53名，研究採問卷分析，受試者填寫親職壓力（Parenting Stress Index, PSI）、簡明因應量表（Brief Coping Orientations to Problems Experienced Scale, B-COPE）、貝克憂鬱量表（Beck Depression Inventory-Second Edition, BDI-Ⅱ）、貝克無望量表（Beck Hopelessness Scale, BHS）與心理健康連續量表-台灣短版（Mental Health Continuum Short-Form）。相關分析發現參與因應、認知重建因應等問題導向因應皆和幸福感呈顯著正相關，亦皆和無望感呈顯著負相關，屬於情緒導向因應的轉移注意因應也和幸福感呈顯著正相關，並與無望感呈顯著負相關，不參與因應與憂鬱呈正相關；階層迴歸分析，控制親職壓力之後，遲緩兒之母親若使用較高程度的參與因應、認知重建因應或轉移注意因應，皆能越能預測較高的幸福感與較低的無望感。總體而言，學齡前期遲緩兒之母親若使用參與因應、認知重建和轉移注意力，對心理健康有促進的效果。

關鍵字

簡明因應量表 ； 幸福感 ； 憂鬱 ； 無望感

並列摘要

According the Transactional Model of Stress, the present study examined the relationship between parental stress, coping strategies, and mental health of 53 mothers of children with developmental delayed(DD)in Taiwan. Parenting Stress Index, Brief COPE , Beck Depression Inventory, Beck Hopelessness Scale and Mental Health Continuum Short-Form Were used. The significant correlation was found between engagement, cognitive reframing and well-being. It was found between distraction, as an emotion-focused coping, and well-being. Only disengagement is correlated with depression. Hierarchical regression analysis showed that engagement and cognitive reframing predicted better well-being and lower hopelessness. Distraction , also predicted better well-being and lower hopelessness. In sum, teaching mothers of children with DD use the problem-focused coping and distraction appropriately will enhance maternal mental health.

並列關鍵字

Brief COPE ； well-being ； depression ； hopelessness

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