孤独症儿童父母负面评价恐惧和社交焦虑的关系：一个有调节的中介效应模型

doi:10.12139/j.1672-0628.2024.03.017

摘要/Abstract

摘要：

为探讨孤独症儿童父母领悟社会支持在负面评价恐惧和社交焦虑之间的关系，采用负面评价恐惧量表、领悟社会支持量表、社交焦虑量表对582名孤独症儿童父亲或母亲进行了调查。结果表明：(1)负面评价恐惧显著正向预测孤独症儿童父母的社交焦虑；(2)领悟社会支持在孤独症儿童父母的负面评价恐惧与社交焦虑之间起部分中介作用；(3)性别调节负面评价恐惧→领悟社会支持→社交焦虑这一中介模型的前半路径。孤独症儿童母亲群体负面评价恐惧通过领悟社会支持影响社交焦虑的中介效应显著，在父亲群体中不显著。本研究揭示了孤独症儿童父母的负面评价恐惧与社交焦虑的关系及其作用机制，对缓解孤独症儿童父母社交焦虑有一定启示作用。

关键词: 负面评价恐惧, 领悟社会支持, 社交焦虑, 孤独症儿童父母

Abstract:

To explore the relationship between fear of negative evaluation and social anxiety in parents of autistic children, 582 fathers or mothers of autistic children were investigated by Negative Evaluation Fear Scale, Perceived Social Support Scale and Social Anxiety Scale. The results showed that: 1) fear of negative evaluation significantly positively predicted the social anxiety of parents of autistic children; 2) perceived social support mediated the association between fear of negative evaluation and social anxiety of parents of autistic children; 3) gender moderated the first half of the mediation model of fear of negative evaluation → perceived social support → social anxiety. The indirect mediating effect of fear of negative evaluation on social anxiety through perceived social support was significant in the mother group of autistic children, but not significant in the father group. This study reveals the relationship between fear of negative evaluation and social anxiety of parents of autistic children and its mechanism, which has certain enlightenment on alleviating social anxiety of parents of autistic children.

Key words: fear of negative evaluation, perceived social support, social anxiety, parents of autistic children

关文军, 吴添昊, 程毓可, 多强. 孤独症儿童父母负面评价恐惧和社交焦虑的关系：一个有调节的中介效应模型[J]. 心理与行为研究, 2024, 22(3): 418-424.

Wenjun GUAN, Tianhao WU, Yuke CHENG, Qiang DUO. The Relationship Between Fear of Negative Evaluation and Social Anxiety in Parents of Autistic Children: A Moderated Mediation Model[J]. Studies of Psychology and Behavior, 2024, 22(3): 418-424.

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参考文献 0

	黄丽, 姜乾金, 任蔚红. 应对方式、社会支持与癌症病人心身症状的相关性研究. 中国心理卫生杂志, 1996, 10 (4): 160- 161. DOI
	李秀玲, 赵阳. 唐山市自闭症儿童家长的心理健康状况调查. 职业与健康, 2014, 30 (22): 3287- 3289.
	牛更枫, 郝恩河, 孙晓军, 周宗奎. 负性生活事件对大学生抑郁的影响: 应对方式的中介作用和性别的调节作用. 中国临床心理学杂志, 2013, 21 (6): 1022- 1025.
	宋颖, 张守臣. 领悟社会支持对社交焦虑的影响: 反刍思维的中介作用和社会阻抑的调节作用. 心理科学, 2016, 39 (1): 172- 177.
	叶冬梅, 钱铭怡, 刘兴华, 陈曦. 社会交往焦虑量表和社交恐惧量表的修订. 中国临床心理学杂志, 2007, 15 (2): 115- 117. DOI
	张野, 张珊珊, 白冬梅, 刘致宏. 校园人际排斥与青少年自杀意念的关系: 负面评价恐惧与社交焦虑的作用. 心理发展与教育, 2024, 40 (4): 563- 571.
	周浩, 龙立荣. 共同方法偏差的统计检验与控制方法. 心理科学进展, 2004, 12 (6): 942- 950. DOI
	Attar-Schwartz, S., Mishna, F., & Khoury-Kassabri, M. The role of classmates’ social support, peer victimization and gender in externalizing and internalizing behaviors among Canadian youth. Journal of Child and Family Studies, 2019, 28 (9): 2335- 2346. DOI
	Bazargan, G. A., & Sajjadian, I. The effectiveness of emotion efficacy therapy on fear of negative evaluation and experiential avoidance among mothers with autistic children. Journal of Pediatric Nursing, 2024, 10 (2): 25- 35.
	Biolcati, R. The role of self-esteem and fear of negative evaluation in compulsive buying. Frontiers in Psychiatry, 2017, 8, 74. DOI
	Broady, T. R., Stoyles, G. J., & Morse, C. Understanding carers’ lived experience of stigma: The voice of families with a child on the autism spectrum. Health and Social Care in the Community, 2017, 25 (1): 224- 233. DOI
	Chan, K. K. S., & Leung, D. C. K. Linking child autism to parental depression and anxiety: Mediating the roles of enacted and felt stigma. Journal of Autism and Developmental Disorders, 2021, 51 (2): 527- 537. DOI
	DesChamps, T. D., Ibañez, L. V., Edmunds, S. R., Dick, C. C., & Stone, W. L. Parenting stress in caregivers of young children with ASD concerns prior to a formal diagnosis. Autism Research, 2020, 13 (1): 82- 92. DOI
	Grebe, S. C., Mire, S. S., Kim, H., & Keller-Margulis, M. A. Comparing fathers’ and mothers’ perspectives about their child’ s autism spectrum disorder. Journal of Autism and Developmental Disorders, 2022, 52 (4): 1841- 1854. DOI
	Grey, I., Arora, T., Thomas, J., Saneh, A., Tohme, P., & Abi-Habib, R. The role of perceived social support on depression and sleep during the COVID-19 pandemic. Psychiatry Research, 2020, 293, 113452. DOI
	Hankin, B. L., Mermelstein, R., & Roesch, L. Sex differences in adolescent depression: Stress exposure and reactivity models. Child Development, 2007, 78 (1): 279- 295. DOI
	Haque, A. U., & Oino, I. Managerial challenges for software house related to work, worker and workplace: Stress reduction and sustenance of human capital. Polish Journal of Management Studies, 2019, 19 (1): 170- 189. DOI
	Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (3rd ed.). New York: The Guilford Press.
	Heimberg, R. C., Brozovich, F. A., & Rapee, R. M. (2014). A cognitive-behavioral model of social anxiety disorder. In S. G. Hofmann & P. M. DiBartolo (Eds.), Social anxiety: Clinical, developmental, and social perspectives (3rd ed., pp. 705–728). London: Academic Press.
	Kinnear, S. H., Link, B. G., Ballan, M. S., & Fischbach, R. L. Understanding the experience of stigma for parents of children with autism spectrum disorder and the role stigma plays in families’ lives. Journal of Autism and Developmental Disorders, 2016, 46 (3): 942- 953. DOI
	Kuru, N., & Piyal, B. Perceived social support and quality of life of parents of children with Autism. Nigerian Journal of Clinical Practice, 2018, 21 (9): 1182- 1189. DOI
	Lai, W. W., & Oei, T. P. S. Coping in parents and caregivers of children with autism spectrum disorders (ASD): A review. Review Journal of Autism and Developmental Disorders, 2014, 1 (3): 207- 224. DOI
	Leary, M. R. A brief version of the fear of negative evaluation scale. Personality and Social Psychology Bulletin, 1983, 9 (3): 371- 375. DOI
	Mattick, R. P., & Clarke, J. C. Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 1998, 36 (4): 455- 470. DOI
	Morrison, A. S., & Heimberg, R. G. Social anxiety and social anxiety disorder. Annual Review of Clinical Psychology, 2013, 9 (1): 249- 274. DOI
	Munir, S., Chaudhary, F., & Ahmad, G. Psychological distress, coping strategies and social interaction anxiety in the mothers of children with autism. Academic Research International, 2020, 11 (3): 104- 114.
	Mutluer, T., Doenyas, C., & Aslan Genc, H. Behavioral implications of the COVID-19 process for autism spectrum disorder, and individuals’ comprehension of and reactions to the pandemic conditions. Frontiers in Psychiatry, 2020, 11, 561882. DOI
	Newman, M. G., & Llera, S. J. A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry. Clinical Psychology Review, 2011, 31 (3): 371- 382. DOI
	Raff, N. S., Mire, S. S., Frankel, L. A., McQuillin, S. D., Loveland, K. A., Daire, A. P., ... Rosenbrock, G. J. Understanding perceptions underlying the self-reported stress among parents of adolescents with autism spectrum disorder: Considerations for supporting families. Research in Autism Spectrum Disorders, 2021, 84, 101770. DOI
	Rapee, R. M., & Heimberg, R. G. A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 1997, 35 (8): 741- 756. DOI
	Robinson, S., & Weiss, J. A. Examining the relationship between social support and stress for parents of individuals with autism. Research in Autism Spectrum Disorders, 2020, 74, 101557. DOI
	Roquette Viana, C., Caldeira, S., Lourenço, M., & Simões Figueiredo, A. Parenting of children with autism spectrum disorder: A grounded theory study. Healthcare, 2021, 9 (7): 872. DOI
	Ryan, S. Meltdowns’, surveillance and managing emotions; going out with children with autism. Health & Place, 2010, 16 (5): 868- 875.
	Sagar-Ouriaghli, I., Godfrey, E., Bridge, L., Meade, L., & Brown, J. S. L. (2019). Improving mental health service utilization among men: A systematic review and synthesis of behavior change techniques within interventions targeting help-seeking. American Journal of Men’s Health, 13(3), 1557988319857009.
	Sarason, B. R., Pierce, G. R., Shearin, E. N., Sarason, I. G., Waltz, J. A., & Poppe, L. Perceived social support and working models of self and actual others. Journal of Personality and Social Psychology, 1991, 60 (2): 273- 287. DOI
	Vernhet, C., Dellapiazza, F., Blanc, N., Cousson-Gélie, F., Miot, S., Roeyers, H., & Baghdadli, A. Coping strategies of parents of children with autism spectrum disorder: A systematic review. European Child & Adolescent Psychiatry, 2019, 28 (6): 747- 758.
	Villanueva-Moya, L., & Expósito, F. Gender differences in decision-making: The effects of gender stereotype threat moderated by sensitivity to punishment and fear of negative evaluation. Journal of Behavioral Decision Making, 2021, 34 (5): 706- 717. DOI
	Wied, C. C. G. D., & Jansen, L. M. C. The stress-vulnerability hypothesis in psychotic disorders: Focus on the stress response systems. Current Psychiatry Reports, 2002, 4 (3): 166- 170. DOI
	Woodgate, R. L., Ateah, C., & Secco, L. Living in a world of our own: The experience of parents who have a child with autism. Qualitative Health Research, 2008, 18 (8): 1075- 1083. DOI
	Yılmaz, B., Azak, M., & Şahin, N. Mental health of parents of children with autism spectrum disorder during COVID-19 pandemic: A systematic review. World Journal of Psychiatry, 2021, 11 (7): 388- 402. DOI
	Yu, L. D., Stronach, S., & Harrison, A. J. Public knowledge and stigma of autism spectrum disorder: Comparing China with the United States. Autism, 2020, 24 (6): 1531- 1545. DOI
	Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment, 1990, 55 (3–4): 610- 617. DOI

	M	SD	1	2	3	4	5	6	7
1.负面评价恐惧	2.94	0.60
2.领悟社会支持	4.54	1.23	−0.11**
3.社交焦虑	2.47	0.76	0.51***	−0.32***
4.性别			0.14**	0.03	0.12**
5.家庭月收入			−0.04	0.17***	−0.26***	−0.11**
6.家庭所在地区			0.10**	0.05	−0.12**	0.02	0.31***
7.子女的兄弟姐妹个数			−0.11**	−0.08	0.07	−0.08	−0.05	−0.21***
8.子女年龄分组			−0.05	−0.09*	0.14**	−0.12**	−0.14**	−0.04	0.16***

	M	SD	1	2	3	4	5	6	7
1.负面评价恐惧	2.94	0.60
2.领悟社会支持	4.54	1.23	−0.11**
3.社交焦虑	2.47	0.76	0.51***	−0.32***
4.性别			0.14**	0.03	0.12**
5.家庭月收入			−0.04	0.17***	−0.26***	−0.11**
6.家庭所在地区			0.10**	0.05	−0.12**	0.02	0.31***
7.子女的兄弟姐妹个数			−0.11**	−0.08	0.07	−0.08	−0.05	−0.21***
8.子女年龄分组			−0.05	−0.09*	0.14**	−0.12**	−0.14**	−0.04	0.16***

预测变量	社交焦虑			领悟社会支持			社交焦虑
预测变量	β	SE	t	β	SE	t	β	SE	t
家庭月收入	−0.19	0.04	−5.29***	0.15	0.04	3.65***	−0.15	0.03	−4.42***
家庭所在地区	−0.10	0.04	−2.69**	−0.005	0.04	−0.11	−0.10	0.04	−2.82**
独生子女家庭	0.07	0.03	2.11*	−0.07	0.04	−1.69	0.06	0.03	1.71
被试子女年龄	0.12	0.03	3.54***	−0.06	0.04	−1.39	0.11	0.03	3.28**
负面评价恐惧	0.53	0.03	15.52***	−0.12	0.04	−2.81**	0.50	0.03	15.21***
领悟社会支持							−0.22	0.03	−6.69***
F			62.78***			6.11***			63.74***
R²			0.35			0.05			0.40

预测变量	社交焦虑			领悟社会支持			社交焦虑
预测变量	β	SE	t	β	SE	t	β	SE	t
家庭月收入	−0.19	0.04	−5.29***	0.15	0.04	3.65***	−0.15	0.03	−4.42***
家庭所在地区	−0.10	0.04	−2.69**	−0.005	0.04	−0.11	−0.10	0.04	−2.82**
独生子女家庭	0.07	0.03	2.11*	−0.07	0.04	−1.69	0.06	0.03	1.71
被试子女年龄	0.12	0.03	3.54***	−0.06	0.04	−1.39	0.11	0.03	3.28**
负面评价恐惧	0.53	0.03	15.52***	−0.12	0.04	−2.81**	0.50	0.03	15.21***
领悟社会支持							−0.22	0.03	−6.69***
F			62.78***			6.11***			63.74***
R²			0.35			0.05			0.40

效应	效应值	Boot 标准误	95%置信区间		效应值占比(%)
效应	效应值	Boot 标准误	下限	上限	效应值占比(%)
总效应	0.53	0.03	0.46	0.59
负面评价恐惧→社交焦虑	0.50	0.03	0.44	0.57	94.34
负面评价恐惧→ 领悟社会支持→社交焦虑	0.03	0.01	0.004	0.05	5.66