近年來，發展障礙兒童父母之心理健康逐漸受到重視，然而過去研究多聚焦於兒童特定發展障礙類別或發展障礙症狀嚴重程度對父母心理健康的影響，較少從跨障別觀點探討兒童整體問題行為對父母心理幸福感的影響機制。此外，雖已有研究指出父母附屬污名與心理健康密切相關，但兒童問題行為是否透過附屬污名進一步影響父母主觀幸福感，以及華人文化中面子顧慮是否在此歷程中發揮作用，仍缺乏實證研究。因此，本研究以跨障別的方式招募發展障礙兒童父母為研究對象，探討兒童問題行為、父母附屬污名、面子顧慮與父母心理幸福感之間的關係，並檢驗調節中介模型。
本研究採橫斷式問卷調查法，以便利取樣方式招募204位發展障礙兒童之主要照顧者參與研究。研究結果顯示：(1)兒童問題行為與父母負向情緒呈現正相關，與生活滿意度及安適幸福感呈現負相關；(2)中介模型獲得支持，父母附屬污名中介兒童問題行為與心理幸福感（生活滿意度、負向情緒及安適幸福感）之間的關係，亦即兒童問題行為正向影響父母附屬污名的感受，進而對父母主觀幸福感造成負向影響。(3)調節中介模型未獲支持，父母面子顧慮並未顯著調節兒童問題行為與附屬污名之間的中介關係。然而，全路徑探索性調節中介分析卻發現，面子顧慮調節附屬污名對心理幸福感之影響，但此結果效果量較小，且屬探索性分析，仍有待後續研究進一步驗證。
本研究結果可作為未來發展障礙兒童家庭支持服務之參考，未來介入除協助改善兒童問題行為及減輕父母照顧負擔外，亦應關注父母附屬污名對心理幸福感的負向影響，並可透過心理資源、互助團體及親職教育等介入方式，降低父母附屬污名，以促進其生活滿意度及整體心理幸福感。

In recent years, increasing attention has been paid to the subjective well-being of parents raising children with neurodevelopmental disorders. However, previous studies have primarily focused on the effects of children’s specific diagnostic categories or symptom severity on parental mental health, with relatively few examining the underlying mechanisms through which children’s problem behaviors influence parental subjective well-being from a transdiagnostic perspective. Furthermore, although affiliate stigma is closely associated with caregivers’ psychological health, limited evidence has examined whether it mediates the link between children's problem behaviors and parental subjective well-being, or whether face concern modulates this pathway in Chinese societies. Therefore, this study adopted a transdiagnostic approach to investigate the relationships among children’s problem behaviors, parental affiliate stigma, face concern, and subjective well-being, testing a moderated mediation model.
Using a cross-sectional design, a total of 204 primary caregivers of children with developmental disorders were recruited through convenience sampling. The results indicated that: (1) children’s problem behaviors were positively associated with parental negative emotions and negatively associated with parents’ life satisfaction and peace of mind; (2) affiliate stigma significantly mediated the relationships between children’s problem behaviors and parental subjective well-being (measured by life satisfaction, negative affect, and peace of mind); and (3) the hypothesized moderated mediation model was not supported, as face concern did not significantly moderate the relationship between children’s problem behaviors and affiliate stigma. Nevertheless, an exploratory moderated mediation analysis revealed that face concern moderated the relationship between affiliate stigma and subjective well-being. Given the relatively small effect size and exploratory nature of this latter analysis, these findings should be interpreted with caution and require replication.
These findings highlight important implications for family support services. In addition to managing children’s problem behaviors and reducing caregiving burden, future interventions should address parents’ affiliate stigma. Specifically, targeted psychological counseling, peer support groups, and parent education programs could mitigate affiliate stigma and, ultimately, enhance parental subjective well-being.

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