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Lobato-Ruiz V, Romero-Ayuso D, Toledano-González A, Triviño-Juárez JM. Quality of life and parental stress related to executive functioning, sensory processing, and activities of daily living in children and adolescents with neurodevelopmental disorders. PeerJ 2025; 13:e19326. [PMID: 40292106 PMCID: PMC12034243 DOI: 10.7717/peerj.19326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2024] [Accepted: 03/25/2025] [Indexed: 04/30/2025] Open
Abstract
The quality of life (QoL) of families caring for children with neurodevelopmental disorders is influenced by the severity of the disorder, family support, and access to specialized services. Parental stress also affects family dynamics and QoL due to the additional demands of care, particularly focusing on the management of activities of daily living (ADLs). This study aimed to analyze the relationship between parents' QoL and stress, involving 46 parents of children aged 3 to 12 years with neurodevelopmental disorders, while also examining the relationship with the performance in ADLs, sensory processing, and executive functioning of children with neurodevelopmental disorders. Significant positive associations were found between factor 1 of the "Assessment of Sensory Processing and Executive Functions in Childhood" (EPYFEI) with perceived stress (r = 0.401, p ≤ 0.01), and parents physical component summary (PCS) (r = 0.330, p ≤ 0.05). Significant negative correlations were observed between ADL performance and parents' physical component summary (PCS) of SF-12 (r = - 0.356, p ≤ 0.05). Conversely, a significant negative association was found between factors 1 and 4 of the EPYFEI and ADL performance (r = - 0.392, p ≤ 0.01 and r = - 0.660, p ≤ 0.01). Furthermore, a significant positive association was found between parents' perceived stress and the PCS of SF-12 (r = 0.471, p ≤ 0.01), and a negative association between perceived stress and parents' mental component summary (MCS) (r = - 0.300, p ≤ 0.05). The study revealed that QoL and parental stress are closely linked to functioning in ADLs and executive functioning of children with neurodevelopmental disorders. Interventions to strengthen these areas might improve parents' well-being and QoL. Additionally, it underscores the importance of teaching these parents stress management strategies.
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Affiliation(s)
- Vanesa Lobato-Ruiz
- Department of Occupational Therapy, ASPACE Cáceres, Plasencia, Extremadura, Spain
| | - Dulce Romero-Ayuso
- Department of Physical Therapy (Occupational Therapy Division), Faculty of Health Sciences, University of Granada, Granada, Andalucía, Spain
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Andalucía, Spain
- Institute of Biomedical Research IBS, Institute of Biomedical Research IBS, Granada, Andalucía, Spain
| | - Abel Toledano-González
- University of Castilla-La Mancha, Biomedicine Institute, Albacete, Castilla-La Mancha, Spain
- Department of Psychology, Faculty of Health Sciences, Universidad de Castilla La Mancha, Talavera de la Reina, Castilla-La Mancha, Spain
| | - José Matías Triviño-Juárez
- Department of Radiology and Physical Medicine, Faculty of Medicine, University of Granada, Granada, Andalucía, Spain
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Buchwald K, Shepherd D, Siegert RJ, Vignes M, Landon J. Factors predicting parenting stress in the autism spectrum disorder context: A network analysis approach. PLoS One 2025; 20:e0319036. [PMID: 40258034 PMCID: PMC12011239 DOI: 10.1371/journal.pone.0319036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2024] [Accepted: 01/25/2025] [Indexed: 04/23/2025] Open
Abstract
Elevated levels of parenting stress have been reported in parents raising an Autistic child. Previous studies have identified a multitude of predictors of parenting stress, including both child-related and parent-related factors, though findings across studies are not always in agreement. In the present study we investigate the determinants of parenting stress using a Network Analysis approach, which is then used to inform a subsequent structural equation model. New Zealand parents (n = 490) of a child diagnosed with Autism Spectrum Disorder (ASD) provided data on their Autistic child (e.g., ASD core symptoms, problem behaviours) and themselves (i.e., parenting stress). The analysis revealed that both child and parent demographic factors were poor predictors of parenting stress, while the child's current language and communication ability were correlated with diagnostic age and parenting stress. An earlier diagnostic age, in turn, suggested better behavioural and emotional outcomes for children. Overall, the Network Analysis showed itself to be an informative approach to understanding parenting stress in the ASD context. Findings further advocate for the implementation of ASD-related and language-related interventions as early as possible, and that language delays during early infancy justify prompt clinical assessment.
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Affiliation(s)
- Khan Buchwald
- Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Daniel Shepherd
- Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Richard J. Siegert
- Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Matthieu Vignes
- School of Mathematical and Computational Sciences, Massey University, Auckland, New Zealand
| | - Jason Landon
- Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
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Zhang H, Chen S, Yu J, Niu X, Wang X, Wang L. Association between adherence to behavioral intervention and capability well-being among parents of autistic children: a cross-sectional study from China. BMC Psychiatry 2024; 24:922. [PMID: 39696063 DOI: 10.1186/s12888-024-06394-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Accepted: 12/09/2024] [Indexed: 12/20/2024] Open
Abstract
BACKGROUND High adherence to behavioral interventions among parents of autistic children contribute to improvement in children's behaviors and parental outcomes. However, most of previous studies focused on the effects of intervention adherence on health-related well-being among parents, which is inadequate to capture the multi-dimensional parental burden of caring for autistic children. The aim of this study is to assess the association between parents' adherence to behavioral intervention and their capability well-being. METHODS A cross-sectional study was conducted among caregivers of autistic children aged 1-17 years with a confirmed diagnosis in China. A total of 213 parents of autistic children who were currently receiving behavioral intervention were considered in this study. Parental adherence to behavioral intervention was evaluated by the 5-item General Adherence subscale of the Medical Outcome Study. Capability well-being was assessed using the Investigating Choice Experiments Capability Measures for Adults (ICECAP-A), including the domains of stability, attachment, autonomy, achievement, and enjoyment. The index scores for each domain were computed based on the preference-based value set in the United Kingdom, ranging from 0 to 1. Multivariate linear regression analyses were conducted to assess the relationship between intervention adherence and parental well-being. Intervention adherence as well as the variables with p < 0.1 in the univariate analyses were included in multivariate linear regression analyses. RESULTS The mean overall score of ICECAP-A was 0.681 (0.205). In the univariate analyses, intervention adherence was positively associated with stability, autonomy, achievement, and enjoyment (p < 0.05), while the relationship between intervention adherence and attachment was not significant (p = 0.07). After controlling for the confounders in the multivariate linear regression analyses, intervention adherence was positively associated with achievement (β = 0.0004) and enjoyment (β = 0.0004). CONCLUSIONS The overall capability well-being among parents of autistic children was worse than that of the general population and caregivers of adult patients with chronic diseases. Adherence to behavioral interventions was positively associated with parental well-being in terms of achievement and enjoyment. Health professionals should involve parents in behavioral interventions and encourage them to implement therapeutic strategies on a routine basis. Customized interventions are warranted to improve capability well-being targeting at vulnerable groups.
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Affiliation(s)
- Huanyu Zhang
- Clinical Big Data Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518107, China
| | - Shanquan Chen
- International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK
| | - Jiazhou Yu
- Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China
| | - Xuejing Niu
- International Office, Guilin University of Aerospace Technology, Guilin, 541004, China
| | - Xue Wang
- Education Practice and Leadership, University of North Dakota, Grand Forks, ND, 58202, USA
| | - Li Wang
- Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, 518000, China.
- Brain and Mind Institute, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
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González-López KT, Vásquez-Chingay SN, Rodrigo-Tintaya RA, Leiva-Colos FV, Morales-García WC, Adriano-Rengifo CE. Psychometric properties of the Parenting Stress Index-Short Form in a Peruvian sample. PSICOLOGIA-REFLEXAO E CRITICA 2024; 37:42. [PMID: 39331317 PMCID: PMC11436543 DOI: 10.1186/s41155-024-00327-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Accepted: 09/19/2024] [Indexed: 09/28/2024] Open
Abstract
BACKGROUND The stress experienced by parents in fulfilling their parental role has consequences for couple dynamics, parent-child interactions, and the mental health of parents. However, studies on the psychometric properties of the PSI-SF, particularly among Latin American parents, are scarce. Therefore, this study aims to evaluate the psychometric properties of the Spanish version of the Parenting Stress Index-Short Form (PSI-SF). METHODS The participants were Peruvian mothers and fathers with children in early childhood and primary education, with a mean age of 34.4 years (SD = 6.8). The sample was obtained in two phases: 130 participants for the Exploratory Factor Analysis (EFA) and 791 participants for the Confirmatory Factor Analysis (CFA). RESULTS The study results show a modified three-factor structure of the PSI-SF scale, with adequate fit indices (GFI = .99, AGFI = .99, SRMR = .024, CFI = .98, TLI = .98, RMSEA = .074) and loadings above 0.40. Additionally, the three factors of the scale demonstrated high reliability, with Cronbach's alpha and McDonald's omega values for Parental Distress (α = .94; ω = .95), Parent-Child Dysfunctional Interaction (α = .97; ω = .97), and Difficult Child (α = .94; ω = .94). The scale was also found to be invariant with respect to gender. CONCLUSION In conclusion, the study results suggest that the modified PSI-SF has adequate psychometric properties and is invariant for assessing parental stress in Peruvian fathers and mothers with children in early childhood and primary education.
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Affiliation(s)
- Katlin T González-López
- Faculty of Health Sciences, Professional School of Psychology, Universidad Peruana Unión, Lima, Perú
| | - Sheyra N Vásquez-Chingay
- Faculty of Health Sciences, Professional School of Psychology, Universidad Peruana Unión, Lima, Perú
| | - Raquel A Rodrigo-Tintaya
- Faculty of Health Sciences, Professional School of Psychology, Universidad Peruana Unión, Lima, Perú
| | - Flor V Leiva-Colos
- Faculty of Health Sciences, Professional School of Psychology, Universidad Peruana Unión, Lima, Perú
| | - Wilter C Morales-García
- Faculty of Health Sciences, Professional School of Human Medicine, Universidad Peruana Unión, Lima, Perú
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Papadopoulos A, Tsapara A, Gryparis A, Tafiadis D, Trimmis N, Plotas P, Skapinakis P, Tzoufi M, Siafaka V. A Prospective Study of the Family Quality of Life, Illness Perceptions, and Coping in Mothers of Children Newly Diagnosed with Autism Spectrum Disorder and Communication Difficulties. Eur J Investig Health Psychol Educ 2024; 14:2187-2204. [PMID: 39194940 PMCID: PMC11353484 DOI: 10.3390/ejihpe14080146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2024] [Revised: 07/12/2024] [Accepted: 07/30/2024] [Indexed: 08/29/2024] Open
Abstract
(1) Background: This study assesses the impact of mothers' illness perceptions about autism spectrum disorder and their coping strategies on the family's quality of life during the initial period following diagnosis and one year afterward. (2) Method: The sample consisted of 53 mothers of children newly diagnosed with autism spectrum disorder and having communication difficulties who completed the following: the Beach Center Family Quality of Life Scale, the Brief Illness Perception Questionnaire, and the Brief-COPE. (3) Results: The findings revealed a moderate family quality of life in the initial assessment and a lack of a statistically significant change one year later. Notably, statistically significant changes were observed in coping strategies, as in the second assessment, and the score in denial and self-blame decreased. Pearson and Eta analyses indicated several correlations between socio-demographic characteristics, illness perceptions, coping strategies, and family quality of life. Multiple regression analysis showed that positive reframing was positively associated with total family quality of life in the initial period following diagnosis and one year afterward, while self-blame was associated with poorer quality of life in the time after diagnosis. Furthermore, the belief about the controllability of the disorder was correlated with better family quality of life one year after the diagnosis. (4) Conclusions: Illness perceptions and coping can be considered as predictors of family quality of life outcomes one year after the diagnosis of autism spectrum disorder. The focus of interventions, apart from controlling the disorder's symptoms, should aim to strengthen specific strategies and weaken others.
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Affiliation(s)
- Angelos Papadopoulos
- School of Humanities and Social Sciences, University of Patras, 26504 Patras, Greece;
- General Children’s Hospital of Patras “Karamandaneio”, 26331 Patras, Greece
| | - Angeliki Tsapara
- Department of Speech and Language Therapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece; (A.T.); (N.T.); (P.P.)
| | - Alexandros Gryparis
- Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, 4th Km National Road Ioannina-Athens, 45500 Ioannina, Greece; (A.G.); (V.S.)
| | - Dionysios Tafiadis
- Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, 4th Km National Road Ioannina-Athens, 45500 Ioannina, Greece; (A.G.); (V.S.)
| | - Nikolaos Trimmis
- Department of Speech and Language Therapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece; (A.T.); (N.T.); (P.P.)
- Laboratory of Primary Health Care, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece
| | - Panagiotis Plotas
- Department of Speech and Language Therapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece; (A.T.); (N.T.); (P.P.)
- Laboratory of Primary Health Care, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece
| | - Petros Skapinakis
- Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece; (P.S.); (M.T.)
| | - Meropi Tzoufi
- Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece; (P.S.); (M.T.)
| | - Vassiliki Siafaka
- Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, 4th Km National Road Ioannina-Athens, 45500 Ioannina, Greece; (A.G.); (V.S.)
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Sobieski M, Grata-Borkowska U, Bujnowska-Fedak MM. Implementing an Early Detection Program for Autism Spectrum Disorders in the Polish Primary Healthcare Setting-Possible Obstacles and Experiences from Online ASD Screening. Brain Sci 2024; 14:388. [PMID: 38672037 PMCID: PMC11047999 DOI: 10.3390/brainsci14040388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Revised: 04/08/2024] [Accepted: 04/15/2024] [Indexed: 04/28/2024] Open
Abstract
A screening questionnaire for autism symptoms is not yet available in Poland, and there are no recommendations regarding screening for developmental disorders in Polish primary healthcare. The aim of this study was to assess the opinions of parents and physicians on the legitimacy and necessity of screening for autism spectrum disorders, potential barriers to the implementation of the screening program, and the evaluation and presentation of the process of online ASD screening, which was part of the validation program for the Polish version of one of the screening tools. This study involved 418 parents whose children were screened online and 95 primary care physicians who expressed their opinions in prepared surveys. The results indicate that both parents and doctors perceive the need to screen children for ASD in the general population without a clear preference as to the screening method (online or in person). Moreover, online screening is considered by respondents as a satisfactory diagnostic method. Therefore, online screening may prove to be at least a partial method of solving numerous obstacles indicated by participants' systemic difficulties including time constraints, the lack of experienced specialists in the field of developmental disorders and organizational difficulties of healthcare systems.
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Affiliation(s)
- Mateusz Sobieski
- Department of Family Medicine, Wroclaw Medical University, Syrokomli 1, 51-141 Wroclaw, Poland; (U.G.-B.); (M.M.B.-F.)
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Alasmari M, Alduais A, Qasem F, Almaghlouth S, AlAmri L. Examining Language, Speech and Behaviour Characteristics: A Cross-Sectional Study in Saudi Arabia Using the Arabic Version of Gilliam Autism Rating Scale-Third Edition. CHILDREN (BASEL, SWITZERLAND) 2024; 11:472. [PMID: 38671690 PMCID: PMC11049596 DOI: 10.3390/children11040472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Revised: 04/09/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024]
Abstract
Autism spectrum disorder (ASD) exhibits diverse manifestations influenced by demographic factors. This study evaluates these variations within Saudi Arabia, aiming to investigate language, speech and behaviour characteristics across different demographics in Saudi Arabia using the Arabic Version of the Gilliam Autism Rating Scale-Third Edition (A-GARS-3). Employing a cross-sectional design, 178 participants were stratified by developmental status (n = 124 school settings, n = 54 clinical setting), sex (Females = 77, Males =101), age (range = 3-22), and geographical region (different provinces in Saudi Arabia). The A-GARS-3 measured ASD manifestations across six subscales. The study identified significant differences in ASD manifestations by developmental status, with higher ASD likelihood and severity in clinical settings. Younger children showed more pronounced ASD characteristics, and males were slightly more likely to be diagnosed with ASD. Geographical analysis revealed regional differences in severity. The findings underline the importance of demographic considerations in ASD assessment and diagnosis, suggesting the need for age-specific and culturally sensitive approaches. The A-GARS-3 is a reliable tool for the Saudi context. Regional disparities in ASD prevalence and severity indicate a need for tailored health policies and resources across Saudi provinces.
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Affiliation(s)
- Muhammad Alasmari
- Department of English Language and Literature, College of Arts of Letters, University of Bisha, Bisha 67714, Saudi Arabia; (M.A.); (F.Q.)
| | - Ahmed Alduais
- Department of Human Sciences (Psychology), University of Verona, 37129 Verona, Italy
| | - Fawaz Qasem
- Department of English Language and Literature, College of Arts of Letters, University of Bisha, Bisha 67714, Saudi Arabia; (M.A.); (F.Q.)
| | - Shrouq Almaghlouth
- Department of English Language and Translation, College of Science and Theoretical Studies, Saudi Electronic University, Riyadh 11673, Saudi Arabia;
| | - Lujain AlAmri
- Speech Pathology Division, Jeddah Institute for Speech and Hearing and Medical Rehabilitation, Jeddah 21471, Saudi Arabia;
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Dai Y, Chen M, Deng T, Huang B, Ji Y, Feng Y, Liu S, Zhang L. The importance of parenting self-efficacy and social support for family quality of life in children newly diagnosed with autism spectrum disorder: A one-year follow-up study. Autism Res 2024; 17:148-161. [PMID: 37987229 DOI: 10.1002/aur.3061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 10/30/2023] [Indexed: 11/22/2023]
Abstract
Improving the quality of family life (FQoL) is one of the ultimate goals for autism spectrum disorder (ASD) intervention, and parenting self-efficacy and social support are critical for the well-being of families. However, longitudinal studies focusing on FQoL and its predictors for families of children with ASD are scarce. This study aims to describe the characteristics of FQoL among parents of children newly diagnosed with ASD at two waves (newly diagnosed and diagnosed after one year) and to explore the predictors of FQoL at two waves. It was conducted at a tertiary hospital in Guangzhou, China. A total of 156 parents and their children were included in Wave 1, followed up with 110 in Wave 2 after 1 year. The overall satisfaction of FQoL improved (t = -2.128, p < 0.05), while satisfaction with physical/material well-being decreased (t = 5.972, p < 0.01). Additionally, the overall importance rating of FQoL improved but did not have statistical significance (p > 0.05). Parents with higher parenting self-efficacy (β = 0.716, P < 0.01), and more subjective social support (β = 1.127, p < 0.001) reported higher satisfaction with FQoL, and those with better social support utilization (β = 1.066, p < 0.05) reported higher importance for FQoL. FQoL needs to be improved in the early stage of ASD diagnosis, and parental self-efficacy and social support can serve as the intervention targets.
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Affiliation(s)
- Yushen Dai
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Miaoying Chen
- Child Development and Behavior Center, The Third Affiliated Hospital of Sun Yat-Sen University Lingnan Hospital, Guangzhou, China
| | - Tao Deng
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Baoqin Huang
- Child Development and Behavior Center, The Third Affiliated Hospital of Sun Yat-Sen University Lingnan Hospital, Guangzhou, China
| | - Yan Ji
- Child Development and Behavior Center, The Third Affiliated Hospital of Sun Yat-Sen University Lingnan Hospital, Guangzhou, China
| | - Yongshen Feng
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Shaofei Liu
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Lifeng Zhang
- School of Nursing, Sun Yat-sen University, Guangzhou, China
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Papadopoulos A, Fouska S, Tafiadis D, Trimmis N, Plotas P, Siafaka V. Psychometric Properties of the Greek Version of the Autism Parenting Stress Index (APSI) among Parents of Children with Autism Spectrum Disorder. Diagnostics (Basel) 2023; 13:3259. [PMID: 37892080 PMCID: PMC10606891 DOI: 10.3390/diagnostics13203259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 10/15/2023] [Accepted: 10/18/2023] [Indexed: 10/29/2023] Open
Abstract
(1) Background: This study aimed to validate the Greek version of the Autism Parenting Stress Index (APSI) among parents of children with ASD. (2) Methods: The translated version was administered to 113 parents (Male: 12, Female: 101, 39.24 years old, SD 6.70, age range, 25-58) of children diagnosed with ASD and 127 parents (Male: 24, Female: 103, 41.08 years old, SD 6.22, age range: 27-56) of typically developing children. (3) Results: Significant differences between the APSI total scores and three domains between groups were observed. Although the initial factor structure could not be replicated, the APSI's internal consistency was excellent (a = 0.914), with a high positive item-total correlation (0.900-0.917). The APSI's test-retest reliability was excellent, showing an ICC equal to 0.922 [95%, CI: 0.900-0.940]. The APSI's total score cut-off point was equal to 12.00 (AUC 0.845, p < 0.001) with a sensitivity of 0.839 and 1-specificity of 0.220. A principal component analysis of the 13 items, using varimax rotations, identified three factors, which explained approximately 45.8% of the overall variance. (4) Conclusions: The Greek version of the APSI exhibited discriminant validity for measuring parents of children with ASD. Greek health professionals can use it to assess the stress experienced by parents of children with ASD.
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Affiliation(s)
- Angelos Papadopoulos
- Department of Speech and Language Therapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece;
- General Children’s Hospital of Patras “Karamandaneio”, 26331 Patras, Greece
| | - Stefania Fouska
- Department of Education, School of Education, University of Nicosia, Nicosia 2417, Cyprus;
| | - Dionysios Tafiadis
- Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece; (D.T.); (V.S.)
| | - Nikolaos Trimmis
- Department of Speech and Language Therapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece;
| | - Panagiotis Plotas
- Department of Speech and Language Therapy, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece;
- Laboratory of Primary Health Care, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece
| | - Vassiliki Siafaka
- Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece; (D.T.); (V.S.)
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Kutuk MO, Tufan AE, Kilicaslan F, Vural P, Gokcen C, Alsen Guney S, Kutuk B, Ozyurt G, Inal N, Mutluer T, Acikalin EY, Ozer FH, Pamuk EN, Yesilmese SC, Karadag M, Hangul Z, Bilginer C, Sahin N, Bilac O, Kandemir H, Ercan ES, Eseroglu Soylemez T, Acikel SB, Guler Aksu G, Dag P, Toros F, Mutlu C, Kardas O, Kardas B, Kizildag S, Demirci E, Ozmen S, Sevicin L, Karagoz YS, Isik U, Aktepe E, Altun H, Yektas Ç, Polat Tuysuz B, Buber A, Cansiz MA, Ogutlu H, Eray S, Taner HA, Altintas E, Kutuk O. functional outcome in late adolescence/early adulthood of patients with autism spectrum disorder and its relationships with parental burnout and depression: A preliminary multi-center, cross-sectional study. Heliyon 2023; 9:e20766. [PMID: 37867841 PMCID: PMC10589842 DOI: 10.1016/j.heliyon.2023.e20766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 10/05/2023] [Accepted: 10/05/2023] [Indexed: 10/24/2023] Open
Abstract
The aim of this study is to determine the functioning of adults with autism spectrum disorders (ASDs) diagnosed in childhood and depression and burnout levels among their parents. A total of 261 adults with ASDs and their parents were recruited for the study. Both parents completed the Beck Depression and Maslach Burnout Inventories and reported the functioning of their adult offspring with ASDs. Only 5.4 % of our sample reported "good" or "very good" outcomes. The most common psychiatric comorbidities were intellectual disabilities and attention-deficit/hyperactivity disorder. Maternal burnout and depression scores were significantly elevated compared to those of fathers. There is an undeniable urgent need for more research to identify the needs of adults and families suffering from ASD. Modifications for those with ASD may have to be made for support in workplaces, achieving driving licenses, using public transportation and attendance at tertiary education.
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Affiliation(s)
- Meryem Ozlem Kutuk
- Department of Child and Adolescent Psychiatry, Baskent University Faculty of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Turkey
| | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey
| | - Fethiye Kilicaslan
- Department of Child and Adolescent Psychiatry, Harran University, Faculty of Medicine, Sanliurfa, Turkey
| | - Pınar Vural
- Department of Child and Adolescent Psychiatry, Uludag University, Faculty of Medicine, Bursa, Turkey
| | - Cem Gokcen
- Department of Child and Adolescent Psychiatry, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey
| | - Sevay Alsen Guney
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
| | - Bahtim Kutuk
- Department of Psychology, Ege University, Izmir, Turkey
| | - Gonca Ozyurt
- Department of Child and Adolescent Psychiatry, İzmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey
| | - Neslihan Inal
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey
| | - Tuba Mutluer
- Department of Child and Adolescent Psychiatry, Koc University Faculty of Medicine, Istanbul, Zip code: 34450, Turkey
| | - Eren Yavuz Acikalin
- Department of Child and Adolescent Psychiatry, Koc University Faculty of Medicine, Istanbul, Zip code: 34450, Turkey
| | - Fadime Hande Ozer
- Department of Psychology, Hasan Kalyoncu University, Gaziantep, Zipcode: 27410, Turkey
| | - Esma Nur Pamuk
- Department of Psychology, Cag University, Mersin, Zip code: 33800, Turkey
| | | | - Mehmet Karadag
- Department of Child and Adolescent Psychiatry, Gaziantep University, Faculty of Medicine, Gaziantep, Zip code: 27310, Turkey
| | - Zehra Hangul
- Department of Child and Adolescent Psychiatry, Gaziantep University, Faculty of Medicine, Gaziantep, Zip code: 27310, Turkey
| | - Cilem Bilginer
- Department of Child and Adolescent Psychiatry, Karadeniz Technical University, Faculty of Medicine, Trabzon, Zip code: 61080, Turkey
| | - Nilfer Sahin
- Department of Child and Adolescent Psychiatry, Mugla Sitki Kocman University, Faculty of Medicine, Mugla, Zip code: 48000, Turkey
| | - Oznur Bilac
- Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University, Faculty of Medicine, Manisa, Zip code: 45030, Turkey
| | - Hasan Kandemir
- Department of Child and Adolescent Psychiatry, Manisa Celal Bayar University, Faculty of Medicine, Manisa, Zip code: 45030, Turkey
| | - Eyup Sabri Ercan
- Department of Child and Adolescent Psychiatry, Ege University, Faculty of Medicine, İzmir, Zip code: 35040, Turkey
| | - Tugba Eseroglu Soylemez
- Department of Child and Adolescent Psychiatry, Baskent University, Faculty of Medicine, Istanbul Medical and Research Center, Istanbul, Zip code: 34662, Turkey
| | - Sadettin Burak Acikel
- Department of Child and Adolescent Psychiatry, Konya City Training and Research Hospital, Konya, Zip code: 42090, Turkey
| | - Gulen Guler Aksu
- Department of Child and Adolescent Psychiatry, Mersin University, Faculty of Medicine, Mersin, Zip code: 33343, Turkey
| | - Pelin Dag
- Department of Child and Adolescent Psychiatry, Mersin City Training and Research Hospital, Mersin, Zip code: 33240, Turkey
| | - Fevziye Toros
- Department of Child and Adolescent Psychiatry, Mersin University, Faculty of Medicine, Mersin, Zip code: 33343, Turkey
| | - Caner Mutlu
- Department of Child and Adolescent Psychiatry, Uludag University Faculty of Medicine, Bursa, Zip code: 34494, Turkey
| | - Omer Kardas
- Department of Child and Adolescent Psychiatry, Dicle University, Faculty of Medicine, Diyarbakır, Zip code: 21280, Turkey
| | - Burcu Kardas
- Department of Child and Adolescent Psychiatry, Gazi Yasargil Education and Research Hospital, Diyarbakir, Zip code: 21010, Turkey
| | - Suleyman Kizildag
- Department of Child and Adolescent Psychiatry, Dicle University, Faculty of Medicine, Diyarbakır, Zip code: 21280, Turkey
| | - Esra Demirci
- Department of Child and Adolescent Psychiatry, Erciyes University, Faculty of Medicine, Kayseri, Zip code: 38039, Turkey
| | - Sevgi Ozmen
- Department of Child and Adolescent Psychiatry, Erciyes University, Faculty of Medicine, Kayseri, Zip code: 38039, Turkey
| | - Leyla Sevicin
- Department of Child and Adolescent Psychiatry, Erciyes University, Faculty of Medicine, Kayseri, Zip code: 38039, Turkey
| | - Yuksel Sumeyra Karagoz
- Department of Child and Adolescent Psychiatry, Training and Research Hospital, Erzurum, Zip code: 25240, Turkey
| | - Umit Isik
- Department of Child and Adolescent Psychiatry, Suleyman Demirel University, Faculty of Medicine, Isparta, Zip code: 71100, Turkey
| | - Evrim Aktepe
- Department of Child and Adolescent Psychiatry, Suleyman Demirel University, Faculty of Medicine, Isparta, Zip code: 71100, Turkey
| | - Hatice Altun
- Department of Child and Adolescent Psychiatry, Kahramanmaras Sutcu Imam University, Faculty of Medicine, Kahramanmaras, Zip code: 46000, Turkey
| | - Çigdem Yektas
- Department of Child and Adolescent Psychiatry, Uskudar University, Istanbul, Zip code: 34662, Turkey
| | - Berna Polat Tuysuz
- Department of Child and Adolescent Psychiatry, Sanliurfa Education and Research Hospital, Sanliurfa, Zip code: 63250, Turkey
| | - Ahmet Buber
- Department of Child and Adolescent Psychiatry, Pamukkale University, Faculty of Medicine, Denizli, Zip code: 20070, Turkey
| | - Mehmet Akif Cansiz
- Department of Child and Adolescent Psychiatry, Yozgat Bozok University, Faculty of Medicine, Yozgat, Zip code: 66100, Turkey
| | - Hakan Ogutlu
- Department of Child and Adolescent Psychiatry, Ankara City Hospital, Ankara, Zip code: 06800, Turkey
| | - Safak Eray
- Department of Child and Adolescent Psychiatry, Uludag University Faculty of Medicine, Bursa, Zip code: 16059, Turkey
| | - Hande Ayraler Taner
- Department of Child and Adolescent Psychiatry, Baskent University, Medical Faculty, Ankara, Zip code: 06490, Turkey
| | - Ebru Altintas
- Department of Psychiatry, Baskent University Faculty of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Zip code: 01110, Turkey
| | - Ozgur Kutuk
- Department of Immunology, Baskent University Faculty of Medicine, Adana Dr. Turgut Noyan Medical and Research Center, Adana, Zip code: 01110, Turkey
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