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

Öz

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.

Anahtar Kelimeler

• 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

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