Psychological Stress in Parents of Children with Autism Spectrum Disorder

Authors

DOI:

https://doi.org/10.55489/njcm.150620243909

Keywords:

parents, autism spectrum disorder, stress, sociodemographic, PSS 10

Abstract

Purpose: This study investigated the relationship between parents' educational level, child's birth order within the family, and family size with psychological stress in parents of children with Autism Spectrum Disorder (ASD).

Methods: A cross-sectional study was conducted in Ho Chi Minh City, Vietnam. Parents of children with ASD were recruited through convenience sampling at Hospital (n = 230). The Perceived Stress Scale (PSS) assessed psychological stress. Independent-sample t-tests and one-way ANOVA were used to analyze the data.

Results: The average score for the PSS among parents with children diagnosed with ASD was 19.83±6.13. Parents with higher educational attainment reported lower psychological stress compared to those with lower degrees. Parents of firstborn children diagnosed with ASD experienced greater stress than parents of children diagnosed later. Parents with one child with ASD reported higher stress compared to parents with two or three children. No significant difference in stress levels was observed between mothers and fathers.

Conclusion: This study highlights the influence of educational level, child's birth order, and family size on parental stress in families with ASD children. These findings inform the development of targeted support strategies to create a more supportive environment for families coping with ASD.

References

American Psychiatric Association. Diagnostic And Statistical Manual Of Mental Disorders. 5th ed.: American Psychiatric Association Publishing, 2013. Doi: https://doi.org/10.1176/appi.books.9780890425596

Politte LC, Howe Y, Nowinski L, et al. Evidence-Based Treatments for Autism Spectrum Disorder. Current Treatment Options in Psychiatry 2015; 2: 38-56. Doi: https://doi.org/10.1007/s40501-015-0031-z

Aishworiya R, Valica T, Hagerman R and Restrepo B. An Update on Psychopharmacological Treatment of Autism Spectrum Disorder. Neurotherapeutics 2022; 19: 248-262. Doi: https://doi.org/10.1007/s13311-022-01183-1 PMid:35029811 PMCid:PMC9130393

Desquenne Godfrey G, Downes N and Cappe E. A Systematic Review of Family Functioning in Families of Children on the Autism Spectrum. Journal of Autism and Developmental Disorders 2024; 54: 1036-1057. Doi: https://doi.org/10.1007/s10803-022-05830-6 PMid:36626001

Johnson J. Parental Stress, https://autism.org/parental-stress/ (n.d., accessed March 9, 2024).

Curley K, Colman R, Rushforth A and Kotera Y. Stress Reduction Interventions for Parents of Children with Autism Spectrum Disorder: A Focused Literature Review. Youth 2023; 3: 246-260. Doi: https://doi.org/10.3390/youth3010017

Al-Oran HM and Khuan L. Predictors of Parenting Stress in Parents of Children Diagnosed With Autism Spectrum Disorder: A Scoping Review. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 2021; 57: 103. Doi: https://doi.org/10.1186/s41983-021-00345-w

Fang Y, Luo J, Boele M, et al. Parent, Child, and Situational Factors Associated With Parenting Stress: A Systematic Review. European Child & Adolescent Psychiatry 2022; 2022. Doi: https://doi.org/10.1007/s00787-022-02027-1 PMid:35876894

Ilias K, Cornish K, Kummar AS, et al. Parenting Stress and Resilience in Parents of Children With Autism Spectrum Disorder (ASD) in Southeast Asia: A Systematic Review. Frontiers in Psychology 2018; 9: 280. Doi: https://doi.org/10.3389/fpsyg.2018.00280 PMid:29686632 PMCid:PMC5900388

Ren J, Li X, Chen S, et al. The Influence of Factors Such as Parenting Stress and Social Support on the State Anxiety in Parents of Special Needs Children During the COVID-19 Epidemic. Frontiers in Psychology 2020; 11: 565393. Doi: https://doi.org/10.3389/fpsyg.2020.565393 PMid:33362628 PMCid:PMC7758194

World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA 2013; 310: 2191-2194. Doi: https://doi.org/10.1001/jama.2013.281053 PMid:24141714

American Psychological Association. Ethical Principles of Psychologists and Code of Conduct, https://www.apa.org/ethics/code (2017, accessed March 9, 2024).

Cohen S, Kamarck T and Mermelstein R. A Global Measure of Perceived Stress. Journal of Health and Social Behavior 1983; 24: 385-396. Doi: https://doi.org/10.2307/2136404 PMid:6668417

Lee E-H. Review of the Psychometric Evidence of the Perceived Stress Scale. Asian Nursing Research 2012; 6: 121-127. Doi: https://doi.org/10.1016/j.anr.2012.08.004 PMid:25031113

Dao-Tran T-H, Anderson D and Seib C. The Vietnamese Version of the Perceived Stress Scale (PSS-10): Translation Equivalence and Psychometric Properties Among Older Women. BMC Psychiatry 2017; 17: 53. Doi: https://doi.org/10.1186/s12888-017-1221-6 PMid:28166754 PMCid:PMC5295219

Hair JF, Black WC, Babin BJ and Anderson RE. Multivariate Data Analysis. 8th ed.: Cengage, 2018.

Taylor JM. Psychometric Analysis of the Ten-Item Perceived Stress Scale. Psychological Assessment 2015; 27: 90-101. Doi: https://doi.org/10.1037/a0038100 PMid:25346996

Mishra P, Pandey CM, Singh U, et al. Descriptive Statistics and Normality Tests for Statistical Data. Annals of Cardiac Anaesthesia 2019; 22: 67-72. Doi: https://doi.org/10.4103/aca.ACA_157_18 PMid:30648682 PMCid:PMC6350423

Kim H-Y. Statistical Notes for Clinical Researchers: Assessing Normal Distribution (2) Using Skewness and Kurtosis. Restor Dent Endod 2013; 38: 52-54. Doi: https://doi.org/10.5395/rde.2013.38.1.52 PMid:23495371 PMCid:PMC3591587

Alibekova R, Kai Chan C, Crape B, et al. Stress, Anxiety and Depression in Parents of Children With Autism Spectrum Disorders in Kazakhstan: Prevalence and Associated Factors. Global Mental Health 2022; 9: 472-482. Doi: https://doi.org/10.1017/gmh.2022.51 PMid:36618742 PMCid:PMC9806964

Sharma S, Govindan R and Kommu JVS. Effectiveness of Parent-to-Parent Support Group in Reduction of Anxiety and Stress Among Parents of Children With Autism and Attention Deficit Hyperactivity Disorder. Indian Journal of Psychological Medicine 2022; 44: 575-579. Doi: https://doi.org/10.1177/02537176211072984 PMid:36339698 PMCid:PMC9615447

Noyan Erbaş A, Özcebe E and Cak Esen T. Investigation of the Effect of Hanen's "More Than Words" on Parental Self-Efficacy, Emotional States, Perceived Social Support, and on Communication Skills of Children With ASD. Logopedics Phoniatrics Vocology 2021; 46: 17-27. Doi: https://doi.org/10.1080/14015439.2020.1717601 PMid:32003252

Chiel ZA. Parental Attributions of Control and Self-Efficacy: Observed Parenting Behaviors in Mothers of Preschool Children with Autism Spectrum Disorder. Doctoral Theses, Columbia University, 2018.

Bonis S. Stress and Parents of Children with Autism: A Review of Literature. Issues in Mental Health Nursing 2016; 37: 153-163. Doi: https://doi.org/10.3109/01612840.2015.1116030 PMid:27028741

Li F, Tang Y, Li F, et al. Psychological Distress in Parents of Children With Autism Spectrum Disorder: A Cross-Sectional Study Based on 683 Mother-Father Dyads. Journal of Pediatric Nursing 2022; 65: E49-E55. Doi: https://doi.org/10.1016/j.pedn.2022.02.006 PMid:35249769

Hayes SA and Watson SL. The Impact of Parenting Stress: A Meta-analysis of Studies Comparing the Experience of Parenting Stress in Parents of Children With and Without Autism Spectrum Disorder. Journal of Autism and Developmental Disorders 2013; 43: 629-642. Doi: https://doi.org/10.1007/s10803-012-1604-y PMid:22790429

DesChamps TD, Ibañez LV, Edmunds SR, et al. Parenting Stress in Caregivers of Young Children With ASD Concerns Prior to a Formal Diagnosis. Autism Research 2020; 13: 82-92. Doi: https://doi.org/10.1002/aur.2213 PMid:31593362

Cai RY, Uljarević M and Leekam SR. Predicting Mental Health and Psychological Wellbeing in Mothers of Children with Autism Spectrum Disorder: Roles of Intolerance of Uncertainty and Coping. Autism Research 2020; 13: 1797-1801. Doi: https://doi.org/10.1002/aur.2341 PMid:32618140

Weiss JA, Cappadocia MC, MacMullin JA, et al. The Impact of Child Problem Behaviors of Children With ASD on Parent Mental Health: The Mediating Role of Acceptance and Empowerment. Autism 2012; 16: 261-274. Doi: https://doi.org/10.1177/1362361311422708 PMid:22297202

Almendingen A and Pilkington P. Parenting Self-Efficacy and Psychological Distress in Parents of Children with an Autism Spectrum Disorder. Journal of Autism and Developmental Disorders 2023; 2023. Doi: https://doi.org/10.1007/s10803-023-05939-2 PMid:37142902

Cappe É, Poirier N, Boujut É, et al. Autism Spectrum Disorder and Evaluation of Perceived Stress Parents and Professionals: Study of the Psychometric Properties of a French Adaptation of the Appraisal of Life Event Scale (ALES-vf). L'Encéphale 2017; 43: 321-325. Doi: https://doi.org/10.1016/j.encep.2016.08.001 PMid:27623118

Alvares GA, Licari MK, Stevenson PG, et al. Investigating Associations Between Birth Order and Autism Diagnostic Phenotypes. Journal of Child Psychology and Psychiatry 2021; 62: 961-970. Doi: https://doi.org/10.1111/jcpp.13349 PMid:33164221

Wang H, Hu X and Han ZR. Parental Stress, Involvement, and Family Quality of Life in Mothers and Fathers of Children With Autism Spectrum Disorder in Mainland China: A Dyadic Analysis. Research in Developmental Disabilities 2020; 107: 103791. Doi: https://doi.org/10.1016/j.ridd.2020.103791 PMid:33091710

McStay RL, Trembath D and Dissanayake C. Stress and Family Quality of Life in Parents of Children with Autism Spectrum Disorder: Parent Gender and the Double ABCX Model. Journal of Autism and Developmental Disorders 2014; 44: 3101-3118. Doi: https://doi.org/10.1007/s10803-014-2178-7 PMid:24997633

Jackson SZ, Pinto-Martin JA, Deatrick JA, et al. High Depressive Symptoms, Low Family Functioning, and Low Self-Efficacy in Mothers of Children With Autism Spectrum Disorder Compared to Two Control Groups. Journal of the American Psychiatric Nurses Association 2022; 30: 300-312. Doi: https://doi.org/10.1177/10783903221104147 PMid:35708452

Reed P, Picton L, Grainger N and Osborne LA. Impact of Diagnostic Practices on the Self-Reported Health of Mothers of Recently Diagnosed Children with ASD. International Journal of Environmental Research and Public Health 2016; 13: 888. Doi: https://doi.org/10.3390/ijerph13090888 PMid:27618075 PMCid:PMC5036721

May C, Fletcher R, Dempsey I and Newman L. Modeling Relations among Coparenting Quality, Autism-Specific Parenting Self-Efficacy, and Parenting Stress in Mothers and Fathers of Children with ASD. Parenting 2015; 15: 119-133. Doi: https://doi.org/10.1080/15295192.2015.1020145

Grebe SC, Mire SS, Kim H and Keller-Margulis MA. Comparing Fathers' and Mothers' Perspectives About Their Child's Autism Spectrum Disorder. Journal of Autism and Developmental Disorders 2022; 52: 1841-1854. Doi: https://doi.org/10.1007/s10803-021-05077-7 PMid:34027629

Ozturk Y, Riccadonna S and Venuti P. Parenting Dimensions in Mothers and Fathers of Children With Autism Spectrum Disorders. Research in Autism Spectrum Disorders 2014; 8: 1295-1306. Doi: https://doi.org/10.1016/j.rasd.2014.07.001

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Published

2024-06-01

How to Cite

1.
Ha CTM, Nguyen HT, Nguyen AHV, Tran Thien GP. Psychological Stress in Parents of Children with Autism Spectrum Disorder. Natl J Community Med [Internet]. 2024 Jun. 1 [cited 2024 Dec. 22];15(06):451-60. Available from: https://njcmindia.com/index.php/file/article/view/3909

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Original Research Articles