Otizm Spektrum Bozukluğu Olan Çocukların Ebeveynlerinde Yürütücü İşlevlerle Tükenmişlik, Depresif, Anksiyete ve Geniş Otizm Fenotip Belirtilerinin İlişkisi

Year 2025, Volume: 10 Issue: 2, 170 - 177, 30.06.2025

Mustafa Tezcan , Şeyda Nur İspir Çaltıner , Hacer Reyyan Demirel , Beyza Nur Korucu , Barış Şen , Fatih Ekici

https://doi.org/10.26453/otjhs.1672755

Abstract

Amaç: Bu çalışmanın amacı otizm spektrum bozukluğu (OSB) tanılı çocukların ebeveynlerinde tükenmişlik, depresyon, anksiyete ve geniş otizm fenotipi skorlarını tipik gelişen (TG) sağlıklı çocukların ebeveynleri ile karşılaştırmak ve bu skorların yürütücü işlevler ile ilişkilerini araştırmaktır.
Materyal ve Metot: Bu çalışmaya 29-40 yaşları arasında 43 OSB tanılı çocukların ebeveynleri ve 53 TG sağlıklı kontrol dahil edilmiştir. Katılımcılar Beck anksiyete-depresyon ölçeği, maslach burnout inventory ve Autism-Spectrum Quotient (AQ) skorları ile değerlendirilmiştir.
Ebeveynler, Ruhsal Bozuklukların Tanısal ve İstatistiksel El Kitabının Beşinci Baskısı kullanılarak Ruhsal Bozukluklar için Yapılandırılmış Klinik Görüşme ile değerlendirilmiş ve ebeveynlerde yürütücü işlevleri değerlendirmek için Stroop testi uygulanmıştır.
Bulgular: ASD grubunda kontrollere göre anlamlı olarak daha yüksek anksiyete, depresyon, tükenmişlik ve AQ skorları gözlendi (p< 0,001). Kontrollerle karşılaştırıldığında, ASD grubunun Stroop testinde anlamlı olarak daha kötü performans sergilediği gözlenmiştir (p<0,05). Ayrıca ASD grubunda Stroop testindeki kötü performansın anksiyete, depresyon, tükenmişlik ve AQ skorları ile anlamlı düzeyde ilişkili olmadığı belirlenmiştir.
Sonuç: Bu çalışma ASD’li çocukların ebeveynlerinde daha fazla anksiyete, depresyon ve tükenmişlik belirtileri olabileceğini göstermektedir.

Keywords

Ebeveynler , geniş otizm fenotipi , otizm spektrum bozukluğu , tükenmişlik , yürütücü işlevler

The Relationship Between Executive Functioning and Burnout, Depressive, Anxiety and Broad Autism Phenotype Symptoms in Parents of Children with Autism Spectrum Disorder

Abstract

Objective: The aim of this study was to compare burnout, depression, anxiety and broad autism phenotype scores in parents of children diagnosed with autism spectrum disorder (ASD) with parents of typically developing (TD) healthy children and to investigate the relationship between these scores and executive functions.
Materials and Methods: This study included 43 parents of children diagnosed with ASD and 53 healthy controls aged 29-40 years. Participants were evaluated with Beck anxiety-depression inventory, Maslach burnout inventory and Autism-Spectrum Quotient (AQ) scores. Parents were assessed with the Structured Clinical Interview for Mental Disorders using the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders and the Stroop test was administered to assess executive functions in parents.
Results: Significantly higher anxiety, depression, burnout and AQ scores were observed in the ASD group compared to controls (p< 0.001). Compared to controls, the ASD group performed significantly worse on the Stroop test (p< 0.05). In addition, poor performance in the Stroop test was not significantly associated with anxiety, depression, burnout and AQ scores in the ASD group.
Conclusions: This study suggests that parents of children with ASD may have more anxiety, depression and burnout symptoms.

Keywords

Autism spectrum disorder , broad autism phenotype , burnout , executive functions , parents

Ethical Statement

The study was conducted in accordance with the Declaration of Helsinki and approved by the ethics committee of the Selçuk University Faculty of Medicine (Date: February 25, 2025, number: 2025/04).

References

• Edition F. Diagnostic and statistical manual of mental disorders. Am Psychiatric Assoc. 2013;21(21):591-643.
• Lin Y, Wang Y, Lin C, et al. The mediating role of perceived social support: Alexithymia and parental burnout in parents of children with autism spectrum disorder. Front Psychol. 2023;14:1139618. doi:10.3389/fpsyg.2023.1139618
• Holly LE, Fenley AR, Kritikos TK, Merson RA, Abidin RR, Langer DA. Evidence-base update for parenting stress measures in clinical samples. J Clin Child Adolesc Psychol. 2019;48(5):685-705. doi:10.1080/15374416.2019.1639515
• Koçak F, Çevik Ö, Kizilkaya H. Views of parents with a child diagnosed with autism spectrum disorder on their burnout: A meta-synthesis study. International Journal of Modern Education Studies. 2023;7(2),435-456. doi:10.51383/ijonmes.2023.335
• Kütük M, Tufan AE, Kılıçaslan F, et al. High depression symptoms and burnout levels among parents of children with autism spectrum disorders: A multi-center, cross-sectional, case-control study. J Autism Dev Disord. 2021;51(11):4086-99. doi:10.1007/s10803-021-04874-4
• Schnabel A, Youssef GJ, Hallford DJ, et al. Psychopathology in parents of children with autism spectrum disorder: A systematic review and meta-analysis of prevalence. Autism. 2020;24(1):26-40. doi:10.1177/1362361319844636
• Renzo M, Castelbianco FB, Vanadia E, Petrillo M, Racinaro L, Rea M. Parental perception of stress and emotional-behavioural difficulties of children with autism spectrum disorder and specific language impairment. Autism Dev Lang Impair. 2020;5:2396941520971502. doi:10.1177/2396941520971502
• Zait AZ. The contribution of maternal executive functions and active coping to dyadic affective dynamics: Children with autism spectrum disorder and their mothers. Autism. 2020;24(3):645-57. doi:10.1177/1362361319854653
• Qin T, Wang Z, Li X, Zhang S. Selective attentional networks deficits in parents of children with autism spectrum disorder: Evidence from attention network test. Psychiatry Investig. 2023;20(8):721-9. doi:10.30773/pi.2022.0248
• Kenworthy L, Childress D, Armour AC, et al. Leveraging technology to make parent training more accessible: Randomized trial of in-person versus online executive function training for parents of autistic children. Autism. 2023;27(3):616-28. doi:10.1177/13623613221111212
• Kaufman J, Birmaher B, Brent D, et al. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. J Am Acad Child Adolesc Psychiatry. 1997;36(7):980-8. doi:10.1097/00004583-199707000-00021
• Ünal F, Öktem F, Çuhadaroğlu FÇ, et al. Reliability and validity of the schedule for affective disorders and schizophrenia for school-age children-present and lifetime version, DSM-5, November 2016-Turkish adaptation (K-SADS-PL-DSM-5-T). Turkish Journal of Psychiatry. 2019;30(1):42-50. doi:10.5080/u23408
• Elbir M, Alp ÖT, Bayad S, et al. DSM-5 bozuklukları için yapılandırılmış klinik görüşmenin klinisyen versiyonunun türkçeye uyarlanması ve güvenilirlik çalışması. Turk Psikiyatri Dergisi. 2019;30(1):51-6. doi:10.5080/u23431
• Ulusoy M, Sahin NH, Erkmen H. Turkish version of the beck anxiety inventory: psychometric properties. Journal of Cognitive Psychotherapy. 1998;12(2):163-172.
• Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology. 1988;56(6):893–897. https://doi.org/10.1037/0022-006X.56.6.893
• Hisli N. Beck depresyon envanterinin geçerliliği üzerine bir calışma. Psikoloji Dergisi. 1988;6(22):118-26.
• Beck AT, Steer RA, Brown G. Beck depression inventory–II. Psychological assessment. 1996. doi:10.1037/t00742-000
• Maslach C, Jackson SE. The measurement of experienced burnout. Journal of organizational behavior. 1981;2(2):99-113. doi:10.1002/job.4030020205
• Ergin C. Doktor ve hemşirelerde tükenmişlik ve maslach tükenmişlik ölçeğinin uyarlanması. VII. Ulusal Psikoloji Kongresi, Eylül 22, 1992, Ankara / Türkiye.
• Duygun T, Sezgin N. The effects of stress symptoms, coping styles and perceived social support on burnout level of mentally handicapped and healthy children's mothers. Turk Psikoloji Dergisi. 2003;18(52):37-52.
• Baron-Cohen S, Wheelwright S, Skinner R, Martin J, Clubley E. The autism-spectrum quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord. 2001;31(1):5-17. doi:10.1023/a:1005653411471
• Köse S, Bora E, Erermiş S, Aydin C. Otizm-spektrum anketi türkçe formunun psikometrik özellikleri. Anadolu Psikiyatri Dergisi. 2010;11(3):253-60.
• Kılıç BG, Koçkar Aİ, Irak M, Şener Ş, Karakaş S. Stroop testi TBAG formunun 6-11 yaş grubu çocuklarda standardizasyon çalişmasi. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 2002;9(2):86-99.
• Karakaş S, Erdoğan E, Soysal Ş, et al. Stroop test TBAG form: standardisation for Turkish culture, reliability and validity. Journal of Clinical Psychiatry. 1999;2(2):75-88.
• Yesilkaya M, Magallón-Neri E. Parental stress related to caring for a child with autism spectrum disorder and the benefit of mindfulness-based interventions for parental stress: A systematic review. SAGE Open, 2024;14(2). doi:10.1177/21582440241235033
• Scherer N, Verhey I, Kuper H. Depression and anxiety in parents of children with intellectual and developmental disabilities: A systematic review and meta-analysis. PLOS ONE. 2019;14(7):e0219888. doi:10.1371/journal.pone.0219888
• Liu S, Zhang L, Yi J, et al. The relationship between parenting stress and parental burnout among Chinese parents of children with ASD: A moderated mediation model. J Autism Dev Disord. 2024;54(4):1527-37. doi:10.1007/s10803-022-05854-y
• Robel L, Rousselot-Pailley B, Fortin C, Levy-Rueff M, Golse B, Falissard B. Subthreshold traits of the broad autistic spectrum are distributed across different subgroups in parents, but not siblings, of probands with autism. Eur Child Adolesc Psychiatry. 2014;23(4):225-33. doi:10.1007/s00787-013-0451-5
• Machado AS, Dias G, I PC. Disentangling the relationship between sensory processing, alexithymia and broad autism spectrum: A study in parents' of children with autism spectrum disorders and sensory processing disorders. Res Dev Disabil. 2024;149:104742. doi:10.1016/j.ridd.2024.104742
• Zait AZ, Shilo I. Parental ADHD Symptoms and Inhibitory Control in Relation to Parenting Among Mothers of Children With and Without ADHD. J Atten Disord. 2021;25(3):389-402. doi:10.1177/1087054718808063