Depression among mothers of autistic spectral disorder children
Keywords:
Depression, Mothers, ASD, childrenAbstract
Background: This study aimed to evaluate the presence of depression in a group of mothers of ASD children in comparison with a group of mothers of normally developing children and to identify associated factors.
Methods: A case control study design, 60 autistic cases diagnosed by DSM-IV-TR criteria (American psychiatric association, 1994 diagnostic and statistical manual of mental disorders, 4th edition criteria, text revised) were recruited from Mental health clinic of Children Hospital Taif Region KSA, and private autism center, these cases with their parents were enrolled in the group called (cases). One control subject was matched for each case in the age of mother, sex and age of the patients, they were recruited from well-baby clinic of children hospital. These cases with their mothers were enrolled in the group called (controls).
Results: Using short Beck inventory scale depression was significantly more among cases than controls (P = 0.001, 0.001, 0.000). Exploring socio-demographic factors while female sex had a significant impact on maternal depression (P =0.022), number of siblings, family income, level of mother education, showed no significant impact on maternal depression (P = 0.72, 0.53, 0.71). Considering factors related to autism, the only significant factor was the mean age of autism child (P = 0.022). In relation to the support factors, while mother knowledge about autism, mother joining a support group had no significant impact on maternal depression (P =0.35, 0.44) the social and financial support for autistic families were both significantly impacting maternal depression (P =0.02, 0.001).
Conclusions: Autism is associated with burden and stress for mothers of the affected child. The demands placed by disability contribute to higher overall incidence of depression among mothers. Mothers of ASD children do need psychological interventions. Evaluate the efficacy of support group in local community. Stress on social support to mothers Of ASD children as it had a significant impact on maternal depression.
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References
Baxter AJ, Brugha TS, Erskine HE, Scheurer RW, Vos T, Scott TG. The epidemiology and global burden of autism spectrum disorders. Psychol Med. 2014;11:1-13.
Chew M, Connoly AN, Streif EM. Brain derived neurotropic factor and autoantibodies to neural antigens in sera of children with autistic spectrum disorders. Landau-Kleffner syndrome and epilepsy. Biol Psychiatry. 2006;59(14):354-63.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. In: APA, eds. DSM-IV-TR 4th ed. (TextRevision). Washington (DC): American Psychiatric Association; 2000.
Levy SE, Mandell DS, Schultz RT. Autism. Lancet. 2009;374:1627-38.
Johnson CP, Myers SM; American Academy of Pediatrics Council on children with Disabilities. Identification and evaluation of children with autism spectrum disorders. Pediatrics. 2007;120:1183-215.
Newschaffer CJ, Croen LA, Daniels J, Giarelli E, Grether JK, Levy SE, et al. The epidemiology of autism spectrum disorders. Annu Rev Public Health. 2007;28:235-58.
Al-Salehi SM, Al-Hifthy EH, Ghaziuddin M. Autism in Saudi Arabia: presentation, clinical correlates and comorbidity. Transcult Psychiatry. 2009;46:340-7.
Al-Zahrani A. Prevalence and clinical characteristics of autism spectrum disorders in school-age children in Taif-KSA. Int J Med Sci Public Health. 2013;2(3):578-82.
WHO. Mental health. Mental health disorders, 2012. Available at: http://www.who.int/mental_health/management/depression/definition/en/. Accessed July 22 2012.
Kuczynski L, Kochanska G. Development of children non-compliant strategies from toddlerhood to age 5. Dev Psychol. 1990;26:398-408.
Goodman SH. Depression in mothers. In: Nolen-Hoeksema S, Cannon TD, Widiger T, eds. Annual Rev Clin Psychol. 2007;3:107-35.
Kochanska G, Kuczynski L, Radke-Yarrow M, Welsh JD. Resolution of control episodes between well and affectively ill mothers and their young children. J Abnormal Child Psychol. 1987;15:441-56.
National Research Council and Institute of Medicine. Depression in parents, parenting, and children: opportunities to improve identification, treatment, and prevention. In: England MJ, Sim LJ, eds. Committee on Depression, Parenting Practices, and the Healthy Development of Children. US: NRCIM; 2009.
Goodman SH, Rouse MH, Connell AM, Broth MR, Hall CM, Heyward D. Maternal depression and child psychopathology: a meta-analytic review. Clin Child Fam Psychol Rev. 2011;14:1-27.
Howlin P, Goode S, Hutton J, Rutter M. Adult outcome for children with autism. J Child Psychol Psychiatry. 2004;45:212-29.
Levy SE, Mandell DS, Schultz RT. Autism. Lancet. 2009;374:1627-38.
Sanders JL, Morgan SB. Family stress and adjustment as perceived by parents of children with autism or Down syndrome: implications for intervention. Child Fam Behav Ther. 1997;19:15-32.
Herrmann C. International experiences with the hospital anxiety and depression scale--a review of validation data and clinical results. J Psychosom Res. 1997;42:17-41.
Koegel RL, Schreibman L, Loos LM, Dirlich-Wilhelm H, Dunlap G, Robbins FR, et al. Consistent stress profiles in mothers of children with autism. J Autism Dev Disord, 1992; 22:205-16.
Veissan M. Depression symptoms and emotional states in parents/care giver of disabled and non-disabled children. Soc Behav Personality. 1999;27:87-98.
Almansour MA, Alateeq MA, Alzahrani MK. Depression and anxiety among parents and caregivers of autistic spectral disorder children. Neurosciences. 2013;18:58-63.
Ghareb G, Beshai J. Arabic version of Children depression Inventory. J Clin Child Psychol. 1989;18(4):322-6.
Al-Farsi YM, Al-Sharbati M. Brief report: prevalence of autistic spectrum disorders in the Sultanate of Oman. J Autism Dev Disord. 2007;41:821-5.
Eapen V, Mabrouk AA, Zoubeidi T, Yunis F. Prevalence of pervasive developmental disorders in preschool children in the UAE. J Trop Paediatr. 2007;53:202-20.
Dumas J, Wolf L, Fisman S, Culligan A. Parenting stress, child behaviour problems, and dysphoria in parents of children with autism, Down syndrome, behaviour disorders, and normal development. Exceptional: Res J. 1991;2:97-110.
Veisson M. Depression symptoms and emotional states in parents of disabled and non-disabled children. Soc Behav Personality. 1999;27:87-98.
Blacher J, Lopez S. Contributions to depression in Latina mothers with and without children with retardation: implications for care-giving. Fam Relat Interdisciplin J Appl Fam Stud. 1997;46:325-34.
Hoare P, Harris M, Jackson P, Kerley S. A community survey of children with severe intellectual disability and their families: Psychological adjustment, carer distress and the effect of respite care. J Intellect Disabil Res. 1998;42:218-27.
Fido A, Saad S. Psychological effects of parenting children with autism prospective study in Kuwait. Open J Psychiatry. 2013;3(2A):5-10.
Firat S, Diler RS, Avci A, Seydaogl G. Comparison of psychopathology in the mothers of autistic and mentally retarded children. J Korean Med Sci. 2002;17:679-85.
Athiari P, Ghaidi L, Kosnini A. Mother’s depression and stress severity of autism among children and family income. Int J Psych Res. 2013;6(2):98-106.
Hastings R. Brief report: Behavioral adjustment of siblings of children with autism. J Autism Dev Disord. 2003;33(1):99-104.
Farrugia D. Exploring stigma: Medical knowledge and the stigmatization of parents of children diagnosed with autism spectrum disorder. Sociol Health Illness. 2009;31:1011-27.
Boyd B. Examining the relationship between stress and lack of social support in mothers of children with autism. Focus Autism Other Dev Disabl. 2002;17(4):208-15.
Bristol MM, Schopler E. Stress and coping in families of autistic adolescents. In: Schopler E, Mesibov GB, eds. Autism in Adolescents and Adults. 1st ed. New York: Plenum; 1983: 251-276.
Peck CZ. Program evaluation of a family systems model of service delivery for parents of children with autism: promoting adaptation to family stress. Special Servic Schools. 1998;14:127-45.
Kogan MD, Strickland BB, Blumberg SJ, Singh GK, Perrin JM, Van Dyck PC. A national profile of the health care experiences and family impact of autism spectrum disorder among children in the United States. 2005-2006. Pediatrics. 2008;122(6):1149-58.