CAREGIVERS OF CHILDREN WITH AUTISM SPECTRUM DISORDER QUALITY OF LIFE AND SPIRITUAL REQUIREMENTS IN THE COVID-19 PANDEMIC
Year 2024,
Volume: 7 Issue: 2, 95 - 110, 31.12.2024
Remziye Araz
,
Sümeyya Koçhan
,
Menevşe Yıldırım
Abstract
Purpose: The aim of this study was to determine the levels of quality of life and spiritual needs of caregivers of children with “Autism Spectrum Disorder”, and to examine the relationship between the two variables and the sociodemographic characteristics that may influence the variables.
Methods: Descriptive, cross-sectional study. The population of the study consisted of caregivers (n=230) of autistic children registered in two public rehabilitation centers. 187 caregivers were reached using the convenience sampling method. The data were collected online via "Google Forms" from September 30, 2021, to August 30, 2022. The data collected using the "Sociodemographic Data Form," "Quality of Life in Autism Questionnaire-Parent Version," and "Spirituality Scale" were evaluated with descriptive statistics, independent t-tests, one-way ANOVA, and correlation analysis. Post-hoc Bonferroni correction was applied (p < 0.05).
Results: The quality of life of caregivers of children with Autism Spectrum Disorder was above average, and their levels of spirituality were high. The relationship between the quality of life and spirituality levels of caregivers was weak. Quality of life scores varied based on age, gender, educational status, occupation, income level, proximity to the autistic child, chronic disease status, and age of the autistic child. Spirituality scores varied based on the gender of the caregiver and their level of closeness to the autistic child.
Conclusions: As a result, spirituality scores measured during the pandemic are high and quality of life is at a level that can be improved. Sociodemographic variables of caregivers may cause differences in quality of life and spirituality scores.
Ethical Statement
Institutional permission was obtained from Muğla Sıtkı Koçman University Health Sciences Ethics Committee (Protocol No: 210004, Decision No: 7, Date: 05.11.2021), as well as from the scale owners and two rehabilitation centers to conduct the study. Before collecting the study data, parents were briefly informed about the purpose and scope of the study. Those who voluntarily agreed to participate could proceed to fill out the questionnaires, while the study was terminated for those who did not.
Supporting Institution
This research was supported with project number 1919B012104090 within the scope of "TÜBİTAK 2209-A University Students Research Projects Support Program".
Project Number
1919B012104090
Thanks
We thank all family members who participated during data collection.
References
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Aoki, A., Togoobaatar, G., Tseveenjav, A., Nyam, N., Zuunnast, K., & Takehara, K. (2022). Quality of life of mothers of children and adolescents with mental health problems in Mongolia: associations with the severity of children’s mental health problems and family structure. Global Mental Health, 9, 298-305.
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- Bülbül Ş., Giray S. (2011). Sosyodemografik Özellikler ile Mutluluk Algısı Arasındaki İlişki Yapısının Analizi. Ege Akademik Bakış; 11:113-123
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- Bostancı Daştan, N., & Buzlu, S. (2010). Meme kanseri hastalarında maneviyatın etkileri ve manevi bakım. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 3(1): 73-78.
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- Eapen, V., Karlov, L., John, J. R., Grimes, P. Z., Mardare, I., Voicu, L., & Gyori, M. (2023). Quality of life in parents of autistic children: A transcultural perspective. Frontiers in Psychology, 14, 1022094
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- Hsiao, Y. J. (2018). Autism spectrum disorders: Family demographics, parental stress, and family quality of life. Journal of Policy and Practice in Intellectual Disabilities, 15(1):70-79.
- Hurwitz, S., Garman-McClaine, B., & Carlock, K. (2022). Special education for students with autism during the COVID-19 pandemic: “Each day brings new challenges”. Autism, 26(4):889-899.
- Isensee, C., Schmid, B., Marschik, P. B., Zhang, D., & Poustka, L. (2022). Impact of COVID-19 pandemic on families living with autism: An online survey. Research in Developmental Disabilities, 129, 104307.
- Karaca, A., & Konuk Şener, D. (2021). Spirituality as a coping method for mothers of children with developmental disabilities. International Journal of Developmental Disabilities, 67(2):112-120.
- Kreysa, H., Schneider, D., Kowallik, A. E., Dastgheib, S. S., Doğdu, C., Kühn, G.,... & Schweinberger, S. R. (2022, April). Psychosocial and Behavioral Effects of the COVID-19 Pandemic on Children and Adolescents with Autism and Their Families: Overview of the Literature and Initial Data from a Multinational Online Survey. Healthcare, 10(4):714.
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- Özabacı N. (2001). Demografik Özellikler ile Okul Başarısızlığına Neden Olan Faktörler Arasındaki İlişkinin İncelenmesi. M.Ü. Atatürk Eğitim Fakültesi Eğitim Bilimleri Dergisi, 13:135-150.
- Özgür B.G., Aksu G., Eser E. (2017). Otizmde Yaşam Kalitesi Anketi Anne-Baba sürümünün Türkçe geçerliliği ve güvenilirliği. Anadolu Psikiyatri Dergisi, 18(4):344-352.
- Özgür, B. G., Aksu, H., & Eser, E. (2018). Factors affecting quality of life of caregivers of children diagnosed with autism spectrum disorder. Indian Journal of Psychiatry, 60(3), 278-285.
- Parsaei, R., Roohafza, H., Feizi, A., Sadeghi, M., & Sarrafzadegan, N. (2020). How different stressors affect quality of life: an application of multilevel latent class analysis on a large sample of industrial employees. Risk Management and Healthcare Policy, 1261-1270.
- Salkas K, Magaña S, Marques I, & Mirza M (2016). Spirituality in Latino families of children with autism spectrum disorder. Journal of Family Social Work, 19(1):1–18.
- Schober, P., Boer, C., & Schwarte, L. A. (2018). Correlation coefficients: appropriate use and interpretation. Anesthesia & Analgesia, 126(5): 1763-1768.
- Shu, B. C. (2009). Quality of life of family caregivers of children with autism: The mother’s perspective. Autism, 13(1): 81-91.
- Şirin T. (2018). Maneviyat Ölçeği’nin Geliştirilmesi: Geçerlik ve Güvenirlik Çalışması. Turkish Studies Social Sciences; 13(18):1283-1309.
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- Turnage, D., & Conner, N. (2022). Quality of life of parents of children with Autism Spectrum Disorder: An integrative literature review. Journal for Specialists in Pediatric Nursing, 27(4): e12391.
- Uçar, M. (2017). Yaşlılarda yaşam kalitesi ile spiritüalite (maneviyat) arasındaki ilişki (Master’s thesis, İnönü Üniversitesi Sağlık Bilimleri Enstitüsü).
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Otizm Spektrum Bozukluğu Olan Çocuklara Bakımverenlerin COVID-19 Pandemisinde Yaşam Kalitesi ve Manevi Gereksinimleri
Year 2024,
Volume: 7 Issue: 2, 95 - 110, 31.12.2024
Remziye Araz
,
Sümeyya Koçhan
,
Menevşe Yıldırım
Project Number
1919B012104090
References
- Abolkheirian, S., Sadeghi, R., & Shojaeizadeh, D. (2022). What do parents of children with autism spectrum disorder think about their quality of life? A qualitative study. Journal of Education and Health Promotion, 11(1): 169.
- Alhazmi, A., Petersen, R., & Donald, K. A. (2018). Quality of life among parents of South African children with autism spectrum disorder. Acta neuropsychiatrica, 30(4), 226-231.
- Alemdar, D. K., Yilmaz, G., & Günaydin, N. (2023). The spiritual and religious coping of mothers with disabled children in Turkey: correlation between stress coping styles and self-efficacy. Journal of Religion and Health, 62(2):888-905.
- Alenazi, D. S., Hammad, S. M., & Mohamed, A. E. (2020). Effect of autism on parental quality of life in Arar City, Saudi Arabia. Journal of Family and Community Medicine, 27(1): 15-22.
- APA (American Psychiatric Association). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Aoki, A., Togoobaatar, G., Tseveenjav, A., Nyam, N., Zuunnast, K., & Takehara, K. (2022). Quality of life of mothers of children and adolescents with mental health problems in Mongolia: associations with the severity of children’s mental health problems and family structure. Global Mental Health, 9, 298-305.
- Aslan, G., Kant, E., & Gül Can, F. (2023). Investigation of the Relationship Between Spiritual Coping Styles and Hope Levels in Mothers with Disabled Children in Turkey. Journal of Religion and Health, 62(5):3347-3363.
- Bülbül Ş., Giray S. (2011). Sosyodemografik Özellikler ile Mutluluk Algısı Arasındaki İlişki Yapısının Analizi. Ege Akademik Bakış; 11:113-123
- Beheshti, S. Z., Hosseini, S. S., Maroufizadeh, S., & Almasi-Hashiani, A. (2022). Occupational performance of children with autism spectrum disorder and quality of life of their mothers. BMC Research Notes, 15(1):18.
- Borilli, M. C., Germano, C. M. R., de Avó, L. R. D. S., Pilotto, R. F., & Melo, D. G. (2022). Family quality of life among families who have children with mild intellectual disability associated with mild autism spectrum disorder. Arquivos de Neuro-Psiquiatria, 80, 360-367.
- Bostancı Daştan, N., & Buzlu, S. (2010). Meme kanseri hastalarında maneviyatın etkileri ve manevi bakım. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 3(1): 73-78.
- Cardon, A., & Marshall, T. (2021). To raise a child with autism spectrum disorder: A qualitative, comparative study of parental experiences in the United States and Senegal. Transcultural Psychiatry, 58(3):335-350.
- Çoban, Ö. G., Önder, A., Sürer Adanır, A., Kara, A., Gürbüz Özgür, B., Aktaş Terzioğlu, M.,... & Nasıroğlu, S. (2022). The Relationship Between the Use of Complementary and Alternative Therapies in Children with Autism Spectrum Disorder and Quality of Life, Hopelessness, Depression, and Vaccine Refusal in Their Caregivers in Turkey. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 29(2):159-166.
- Davis III, R. F., & Kiang, L. (2020). Parental stress and religious coping by mothers of children with autism. Psychology of Religion and Spirituality, 12(2):137.
- Eğlence, R., & Şimşek, N. (2014). Hemşirelerin maneviyat ve manevi bakım hakkındaki bilgilerinin değerlendirilmesi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, (1): 48-53.
- Eapen, V., Črnčec, R., Walter, A., & Tay, K. P. (2014). Conceptualisation and development of a quality of life measure for parents of children with autism spectrum disorder. Autism Research and Treatment, 2014(1):160783.
- Eapen, V., Karlov, L., John, J. R., Grimes, P. Z., Mardare, I., Voicu, L., & Gyori, M. (2023). Quality of life in parents of autistic children: A transcultural perspective. Frontiers in Psychology, 14, 1022094
.
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2):175-191. https://doi.org/10.3758/BF03193146
- Hatun, O., Yavuz-Birben, F., İnce, Z., & Kalkan-Yeni, G. (2016). The ticket to heaven: A spiritual resource for coping with disability. Spiritual Psychology and Counseling, 1(2), 209-235.
- Heydari, A., Shahidi, L. H., & Mohammadpour, A. (2015). Spiritual journey in mothers’ lived experiences of caring for children with autism spectrum disorders. Global Journal of Health Science, 7(6):79.
- Hsiao, Y. J. (2018). Autism spectrum disorders: Family demographics, parental stress, and family quality of life. Journal of Policy and Practice in Intellectual Disabilities, 15(1):70-79.
- Hurwitz, S., Garman-McClaine, B., & Carlock, K. (2022). Special education for students with autism during the COVID-19 pandemic: “Each day brings new challenges”. Autism, 26(4):889-899.
- Isensee, C., Schmid, B., Marschik, P. B., Zhang, D., & Poustka, L. (2022). Impact of COVID-19 pandemic on families living with autism: An online survey. Research in Developmental Disabilities, 129, 104307.
- Karaca, A., & Konuk Şener, D. (2021). Spirituality as a coping method for mothers of children with developmental disabilities. International Journal of Developmental Disabilities, 67(2):112-120.
- Kreysa, H., Schneider, D., Kowallik, A. E., Dastgheib, S. S., Doğdu, C., Kühn, G.,... & Schweinberger, S. R. (2022, April). Psychosocial and Behavioral Effects of the COVID-19 Pandemic on Children and Adolescents with Autism and Their Families: Overview of the Literature and Initial Data from a Multinational Online Survey. Healthcare, 10(4):714.
- Lai, W. W., & Oei, T. P. S. (2014). Coping in parents and caregivers of children with autism spectrum disorders (ASD): A review. Review Journal of Autism and Developmental Disorders, 1, 207-224.
- Özabacı N. (2001). Demografik Özellikler ile Okul Başarısızlığına Neden Olan Faktörler Arasındaki İlişkinin İncelenmesi. M.Ü. Atatürk Eğitim Fakültesi Eğitim Bilimleri Dergisi, 13:135-150.
- Özgür B.G., Aksu G., Eser E. (2017). Otizmde Yaşam Kalitesi Anketi Anne-Baba sürümünün Türkçe geçerliliği ve güvenilirliği. Anadolu Psikiyatri Dergisi, 18(4):344-352.
- Özgür, B. G., Aksu, H., & Eser, E. (2018). Factors affecting quality of life of caregivers of children diagnosed with autism spectrum disorder. Indian Journal of Psychiatry, 60(3), 278-285.
- Parsaei, R., Roohafza, H., Feizi, A., Sadeghi, M., & Sarrafzadegan, N. (2020). How different stressors affect quality of life: an application of multilevel latent class analysis on a large sample of industrial employees. Risk Management and Healthcare Policy, 1261-1270.
- Salkas K, Magaña S, Marques I, & Mirza M (2016). Spirituality in Latino families of children with autism spectrum disorder. Journal of Family Social Work, 19(1):1–18.
- Schober, P., Boer, C., & Schwarte, L. A. (2018). Correlation coefficients: appropriate use and interpretation. Anesthesia & Analgesia, 126(5): 1763-1768.
- Shu, B. C. (2009). Quality of life of family caregivers of children with autism: The mother’s perspective. Autism, 13(1): 81-91.
- Şirin T. (2018). Maneviyat Ölçeği’nin Geliştirilmesi: Geçerlik ve Güvenirlik Çalışması. Turkish Studies Social Sciences; 13(18):1283-1309.
- Stadheim, J., Johns, A., Mitchell, M., Smith, C. J., Braden, B. B., & Matthews, N. L. (2022). A qualitative examination of the impact of the COVID-19 pandemic on children and adolescents with autism and their parents. Research in Developmental Disabilities, 125(2022): 104232.
- Ten Hoopen, L. W., de Nijs, P. F., Duvekot, J., Greaves-Lord, K., Hillegers, M. H., Brouwer, W. B., & Hakkaart-van Roijen, L. (2022). Caring for children with an autism spectrum disorder: Factors associating with health-and care-related quality of life of the caregivers. Journal of Autism and Developmental Disorders, 52(11): 4665-4678.
- Turnage, D., & Conner, N. (2022). Quality of life of parents of children with Autism Spectrum Disorder: An integrative literature review. Journal for Specialists in Pediatric Nursing, 27(4): e12391.
- Uçar, M. (2017). Yaşlılarda yaşam kalitesi ile spiritüalite (maneviyat) arasındaki ilişki (Master’s thesis, İnönü Üniversitesi Sağlık Bilimleri Enstitüsü).
- Vasilopoulou, E., & Nisbet, J. (2016). The quality of life of parents of children with autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders, 23(2016):36-49.
- Vernhet, C., Michelon, C., Dellapiazza, F., Rattaz, C., Geoffrey, M. M., Roeyers, H. ... & Baghdadli, A. (2022). Perceptions of parents of the impact of autism spectrum disorder on their quality of life and correlates: comparison between mothers and fathers. Quality of Life Research, 1-10.
- Volgyesi-Molnar, M., Gyori, M., Eapen, V., Borsos, Z., Havasi, A., Jakab, Z.,... & Stefanik, K. (2024). Quality of Life in Hungarian Parents of Autistic Individuals. Journal of Autism and Developmental Disorders, 1-16.
- Yassıbaş, U., Şahin, C. H., Çolak, A., & Toprak, Ö. F. (2019). Çocukları otizm spektrum bozukluğu olan ailelerin yaşam deneyimlerine yönelik yapılan çalışmaların incelenmesi: Meta-sentez çalışması. Eğitimde Nitel Araştırmalar Dergisi, 7(1): 86-113.
- World Health Organization. (1998). Programme on mental health: WHOQOL user manual (No. WHO/HIS/HSI Rev. 2012.03). World Health Organization.