Correlates of maternal behaviours in mothers of children with fragile X syndrome

Journal of Intellectual Disability Research - Tập 51 Số 6 - Trang 447-462 - 2007
Anne Wheeler1, Deborah D. Hatton1, Alison Reichardt2, Donald B. Bailey3
1FPG Child Development Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;
2Durham County Public Schools, Durham, NC, USA
3RTI International, Durham, NC, USA

Tóm tắt

AbstractBackground  The behaviours of 24 mothers of children with fragile X syndrome (FXS) with their affected children were examined during planned observations in their homes. The goal of this study was to describe concurrent maternal interactive behaviour and the factors that influence the type and frequency of these behaviours within this group.Methods  The frequency of maintaining, directive and scaffolding behaviours and the extent to which the mothers displayed warm sensitivity and restrictions were examined within a 60‐min naturalistic observation and a 10‐min toy play observation. Rating scales and parent questionnaires were used to assess selected maternal mental health factors, including depression, anxiety, stress and social support. The cognitive status of mothers and developmental and behavioural abilities of children were also examined.Results  The women in this study used primarily maintaining behaviours in interactions with their children. Maintaining behaviours and warm sensitivity were consistent across structured and unstructured settings, while directive, scaffolding and restricting were not correlated across the two settings. Child receptive language skills were related to higher rates of maintaining and scaffolding behaviours. The women reported clinically significant levels of stress, depression and anxiety at a prevalence rate higher than that of the general public. Child behaviour problems contributed to maternal stress, and mothers with higher stress engaged in fewer interactions with their children.Conclusions  The relations between maternal stress, child problem behaviour and number of interactive behaviours exhibited by the mothers in this study provide information that can inform interventions and provide direction for future research exploring environmental influences on the development of children with fragile X syndrome.

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Tài liệu tham khảo

10.1352/0895-8017(2004)109<237:PWACIM>2.0.CO;2

Abidin R. R., 1995, Parenting Stress Index

Achenbach T. M., 2000, Manual for ASEBA Preschool Forms and Profiles.

Ainsworth M. D., 1978, Patterns of Attachment: A Psychological Study of the Strange Situation

10.1352/0895-8017(1998)103<0029:EDTOMW>2.0.CO;2

10.1352/0895-8017(2002)107<0433:BPAPSI>2.0.CO;2

10.1046/j.1365-2788.2003.00484.x

10.1007/BF02233954

Barnard K. E., 1997, The Effectiveness of Early Intervention, 249

Beck A. T., 1993, Beck Anxiety Inventory (BAI)

Beck A. T., 1996, Beck Depression Inventory‐II (BDI‐II)

Benjamini Y., 1995, Controlling the false discovery rate: a practical and powerful approach to multiple testing, Journal of the Royal Statistical Society, 57, 289

Blacher J., 1997, Depression in Latina mothers of children with mental retardation: a neglected concern, American Journal on Mental Retardation, 101, 483

10.1002/cd.23219894306

10.1016/S0163-6383(97)90001-1

10.1017/S0305000900002269

10.1080/09638239719058

10.1023/A:1023943928358

10.1023/A:1014705314406

10.1111/1467-9507.00072

10.1037/0893-3200.11.4.515

10.1016/S0378-3782(96)01757-4

10.1017/S0954579403000154

10.1080/09362839109524770

Dunst C. J., 1988, Parent–Child Interactions and Developmental Disabilities: Theory, Research, and Intervention, 3

Dunst C. J., 1988, Enabling and Empowering Families: Principles and Guidelines for Practice, 153

10.1046/j.1365-2788.2003.00498.x

10.1177/027112140202200401

10.1016/S0163-6383(84)80012-0

Field T., 1995, Handbook of Parenting: Volume 4, Applied and Practical Parenting, 85

10.1002/(SICI)1096-8628(19960809)64:2<334::AID-AJMG20>3.0.CO;2-F

10.1016/S0165-1781(98)00055-9

10.1111/j.1467-8624.1990.tb02765.x

10.1046/j.1365-2788.2003.00487.x

Goldberg S., 1989, Maternal Responsiveness: Characteristics and Consequences, 89

10.1037/0012-1649.31.3.388

10.1037/0012-1649.33.5.861

10.1111/1469-7610.00098

10.56021/9780801868436

10.1037/h0087635

10.1046/j.1365-2788.2003.00485.x

10.1002/ajmg.10216

10.1046/j.1365-2788.1998.00134.x

10.1017/S1352465802003041

10.1017/S0954579497001296

10.1097/00004703-200308000-00008

10.1007/BF00916510

10.1177/027112149601600307

10.1016/S0163-6383(99)00009-0

Landry S. H., 1996, Effects of maternal scaffolding during joint toy play with preterm and full‐term infants, Merrill-Palmer Quarterly, 42, 177

10.1037/0012-1649.33.6.1040

10.1016/S0163-6383(97)90027-8

10.1111/1467-8624.00150

10.1023/A:1026064007253

10.1023/A:1022230504787

McCathren R. B., 1996, Assessment of Communication and Language, 57

10.1037/h0079334

Marfo K., 1998, Handbook of Mental Retardation and Development, 637

10.1002/1098-2779(2000)6:2<96::AID-MRDD3>3.0.CO;2-H

10.1002/(SICI)1096-8628(19960809)64:2<388::AID-AJMG31>3.0.CO;2-9

10.1016/S0193-3973(00)00044-7

10.1093/jpepsy/25.6.427

Mullen E. M., 1995, Mullen Scales of Early Learning

10.1097/00001163-200501000-00006

10.1111/j.1467-8624.1996.tb01871.x

10.1016/S0165-0327(99)00119-6

NICHD, 1999, Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months, Developmental Psychology, 35, 1297, 10.1037/0012-1649.35.5.1297

NICHD Early Child Care Research Network., 2004, Affect dysregulation in the mother–child relationship in the toddler years: antecedents and consequences, Development and Psychopathology, 16, 43

NIMH, 2003, The Numbers Count: Mental Disorders in America.

10.1046/j.1365-2788.2001.00372.x

10.1037/0012-1649.17.5.554

Psychological Corporation, 1999, Wechsler Abbreviated Scale of Intelligence (WASI).

10.1007/s10803-004-5290-2

10.1016/0190-7409(93)90011-W

Rosenberg S., 1988, Early Intervention for Infants and Children with Handicaps, 159

Ross C. N., 1998, Parenting stress in mothers of young children with oppositional defiant disorder and other severe behavior problems, Child Study Journ, 28, 93

10.1046/j.1365-2788.2003.00492.x

10.1007/BF00573637

Schopler E., 1988, The Childhood Autism Rating Scale (CARS)

10.1352/0895-8017(1997)102<0161:PDOPOI>2.0.CO;2

10.1016/S0193-3973(97)90030-7

10.1016/S0022-4405(99)00035-7

10.1097/00004583-199402000-00014

10.1017/S0954579404044384

10.1177/014272379801805305

10.1111/1467-8624.00313

10.1016/0165-1781(96)02785-0

10.1080/13668250410001662892

10.1002/nur.4770150309

10.2224/sbp.1999.27.1.87

Yoder P. J., 1998, Transitions in Prelinguistic Communication, 39

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Journal of Intellectual Disability Research

Tập 51 Số 6

447-462

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