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Otizm Spektrum Bozukluğu Tanılı Çocuk Yetiştirmek: Ebeveyn Faktörlerinin İncelenmesi

Yıl 2025, Cilt: 17 Sayı: 2, 197 - 210
https://doi.org/10.18863/pgy.1455122

Öz

Otizm spektrum bozukluğu günümüzde oldukça yaygın görülen nörogelişimsel bir bozukluktur. Otizm spektrum bozukluğu tanısı almak çocukların yaşamlarında pek çok zorlukla karşı karşıya kalmalarına neden olmakla birlikte otizm spektrum bozukluğu tanılı bir çocuk yetiştirmek de çocuğun ebeveynleri ve aile sistemi üzerinde çeşitli zorluklar barındırmaktadır. Otizm spektrum bozukluğu tanılı çocuk yetiştiren ebeveynler kendi ebeveynliklerini yetersiz algılayabilmekte, çocuklarının davranış problemlerinden dolayı stres, depresyon ve kaygı yaşayabilmektedir. Ebeveynler kendilerine yeterli vakit ayıramamakta, bundan dolayı yoğun yorgunluk bildirmektedir. Aynı zamanda otizm spektrum bozukluğu tanılı çocuk yetiştirmek ebeveyn ve çocuk arasındaki ilişkiyi de farklılaştırmaktadır. Aile sistemi içerisinde ise evlilik ve kardeş ilişkileri etkilenmekte, aile içerisinde yaşanan zorluklardan dolayı ebeveynler yüksek boşanma oranları bildirmektedir. Yeterli maddi kaynağa ve zamana erişimin olmaması da aile içerisinde çeşitli zorluklara neden olmaktadır. Yaşanan tüm bu zorluklar ebeveynlerin yaşam kalitesini olumsuz etkilemektedir. Tüm bu alanlara ilişkin ebeveynlerin ihtiyaçlarına özgü oluşturulacak müdahalelerin gerekliliği ise kaçınılmazdır. Bu derleme çalışmasında otizm spektrum bozukluğu tanılı çocuk yetiştiren ebeveynlerin yaşamlarının farklı alanlarındaki zorlukların incelenmesi ve otizm spektrum bozukluğunun ebeveynler üzerindeki etkisini inceleyen çalışmaların kısıtlılıklarının tartışılması amaçlanmıştır.

Etik Beyan

İlgili yazı derleme türünde olduğundan etik kurul iznine gerek yoktur. Gerekli belge eklerde gönderilmiştir.

Destekleyen Kurum

Maddi bir destek alınmamıştır.

Kaynakça

  • Almendingen A, Pilkington P (2024) Parenting self-efficacy and psychological distress in parents of children with an autism spectrum disorder. J Autism Dev Disord, 54:2604-2614.
  • APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5). Washington DC, American Psychiatric Association.
  • Ardıç A (2020) Relationship between parental burnout level and perceived social levels of parents of children with autism spectrum disorder. Int J Educ Method, 6:533-543.
  • Bascoe SM, Davies PT, Cummings EM (2012) Beyond warmth and conflict: the developmental utility of a boundary conceptualization of sibling relationship processes. Child Dev, 83:2121-2138.
  • Bonis S (2016) Stress and parents of children with autism: a review of literature. Issues Ment Health Nurs, 37:153-163.
  • Boyd BA (2002) Examining the relationship between stress and lack of social support in mothers of children with autism. Focus Autism Other Dev Disabl, 17:208-215.
  • Bromley J, Hare DJ, Davison K, Emerson E (2004) Mothers supporting children with autistic spectrum disorders: social support, mental health status and satisfaction with services. Autism, 8:409-423.
  • Burrell TL, Borrego Jr J (2012) Parents' involvement in ASD treatment: what is their role. Cogn Behav Pract, 19:423-432.
  • Carter AS, Martínez‐Pedraza, FDL, Gray SA (2009) Stability and individual change in depressive symptoms among mothers raising young children with ASD: maternal and child correlates. J Clin Psychol, 65:1270-1280.
  • Cavkaytar A, Batu S, Beklan Çetin O (2008) Perspectives of Turkish mothers on having a child with developmental disabilities. Int J Spec Educ, 23:102-109.
  • CDC (2023) Center for Disease Control and Prevention. https://www.cdc.gov/ (Accessed 17.12.2023).
  • Chan KKS, Leung DCK (2020) The impact of child autistic symptoms on parental marital relationship: parenting and coparenting processes as mediating mechanisms. Autism Res, 13:1516-1526.
  • Coffman MC, Kelso N, Antezana L, Braconnier M, Richey JA, Wolf J (2021) Understanding of ASD by siblings is associated with warmth and hostility in the sibling relationship. J Child Fam Stud, 30:1577-1585.
  • Costa AP, Steffgen G, Ferring D (2017) Contributors to well-being and stress in parents of children with autism spectrum disorder. Res Autism Spectr Disord, 37:61-72.
  • Coyne JC, Ellard JH, Smith DAF (1990) Social support, interdependence, and the dilemmas of helping. In Social Support: An Interactional View (Eds BR Sarason, IG Sarason, GR Pierce):129–149). New York, Wiley.
  • Çetrez Arıcan G, Fazlıoğlu Y, Tezcan S (2018) Otizmli öğrencilere kendini tanıtma becerisinin öğretiminde videoyla model olmanın etkililiği. Trakya Üniversitesi Sosyal Bilimler Dergisi, 20:157-176.
  • Da Paz NS, Wallander JL (2017) Interventions that target improvements in mental health for parents of children with autism spectrum disorders: a narrative review. Clin Psychol Rev, 51:1-14.
  • Dabrowska A, Pisula E (2010) Parenting stress and coping styles in mothers and fathers of pre‐school children with autism and down syndrome. J Intellect Disabil Res, 54:266-280.
  • Dardas LA, Ahmad MM (2014) Predictors of quality of life for fathers and mothers of children with autistic disorder. Res Dev Disabil, 35:1326-1333.
  • Davis NO, Carter AS (2008) Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: associations with child characteristics. J Autism Dev Disord, 38:1278-1291.
  • Dunn ME, Burbine T, Bowers CA, Tantleff-Dunn S (2001) Moderators of stress in parents of children with autism. Community Ment Health J, 37:39-52.
  • Ekas NV, Lickenbrock DM, Whitman TL (2010) Optimism, social support, and well-being in mothers of children with autism spectrum disorder. J Autism Dev Disord, 40:1274-1284.
  • Enea V, Rusu DM (2020) Raising a child with autism spectrum disorder: a systematic review of the literature investigating parenting stress. J Ment Health Res Intellect Disabil, 13:283-321.
  • Gönültaş SG (2019) Zihinsel engelli çocuğa sahip olan ebeveynlerin bakım yükü, sosyal destek düzeyleri ve yaşam kalitesi arasındaki ilişkinin incelenmesi. (Yüksek lisans tezi), Manisa, Celal Bayar Üniversitesi.
  • Estes A, Munson J, Dawson G, Koehler E, Zhou XH, Abbott R (2009) Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism, 13:375-387.
  • Feng Y, Zhou X, Qin X, Cai G, Lin Y, Pang Y et al. (2022) Parental self-efficacy and family quality of life in parents of children with autism spectrum disorder in China: the possible mediating role of social support. J Pediatr Nurs, 63:159-167.
  • Ferraioli SJ, Harris SL (2009) The impact of autism on siblings. Soc Work Ment Health, 8:41-53.
  • Giallo R, Wood CE, Jellett R, Porter R (2013) Fatigue, wellbeing and parental self-efficacy in mothers of children with an autism spectrum disorder. Autism, 17:465-480.
  • Güller B, Yaylacı F (2022) Otizm spektrum bozukluğu tanılı çocukların ebeveynlerinde yaşam kalitesi, kaygı, depresyon düzeyleri ve ilişkili faktörler. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 48:217-224.
  • Hartley SL, Barker E T, Baker JK, Seltzer MM, Greenberg JS (2012) Marital satisfaction and life circumstances of grown children with autism across 7 years. J Fam Psychol, 26:688-697.
  • Hartley SL, Barker ET, Seltzer MM, Floyd F, Greenberg J, Orsmond G, Bolt D (2010) The relative risk and timing of divorce in families of children with an autism spectrum disorder. J Fam Psychol, 24:449-457.
  • Hartley SL, Barker ET, Seltzer MM, Greenberg JS, Floyd FJ (2011) Marital satisfaction and parenting experiences of mothers and fathers of adolescents and adults with autism. Am J Intellect Dev Disabil, 116:81-95.
  • Hastings RP (2003) Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. J Intellect Disabil Res, 47:231-237.
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  • He B, Wongpakaran T, Wongpakaran N, Wedding D (2022) Marital satisfaction and perceived family support in families of children with autistic spectrum disorder: dyadic analysis. Healthcare, 10:1227.
  • Hill EL (2004) Executive dysfunction in autism. Trends Cogn Sci, 8:26-32.
  • Hisoğlu A (2018) Otizm spektrum bozukluğu tanılı çocukların ebeveynlerinde algılanan sosyal destek ve problem çözme becerilerinin yaşam doyumuna etkisi. (Yüksek lisans tezi), İstanbul, Üsküdar Üniversitesi.
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Raising a Child with Autism Spectrum Disorder: Examining Parental Factors

Yıl 2025, Cilt: 17 Sayı: 2, 197 - 210
https://doi.org/10.18863/pgy.1455122

Öz

Autism spectrum disorder is a neurodevelopmental disorder that is quite common today. Although being diagnosed with autism spectrum disorder causes children to face with various difficulties in their lives, raising a child with autism spectrum disorder also poses several difficulties for the parents and families. Studies showed that parents raising children with autism spectrum disorder may perceive their parenting as inadequate and may experience stress, depression and anxiety due to their children's health, behavioral, social and emotional problems. Parents cannot devote enough time to themselves and therefore report intense fatigue. At the same time, raising a child diagnosed with autism spectrum disorder also differentiates the relationship between parent and child. Within the family system, marriage and sibling relationships are also affected and parents report high divorce rates due to difficulties experienced within the family. Lack of access to sufficient financial resources and time also causes various difficulties within the family. All these difficulties negatively affect parents' quality of life. The necessity of interventions specific to the needs of parents in all these areas is inevitable. In this review study, it is aimed to examine difficulties parents experience with their children diagnosed with autism spectrum disorder and, to discuss the limitations of studies examining the impact of autism spectrum disorder on parents.

Kaynakça

  • Almendingen A, Pilkington P (2024) Parenting self-efficacy and psychological distress in parents of children with an autism spectrum disorder. J Autism Dev Disord, 54:2604-2614.
  • APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5). Washington DC, American Psychiatric Association.
  • Ardıç A (2020) Relationship between parental burnout level and perceived social levels of parents of children with autism spectrum disorder. Int J Educ Method, 6:533-543.
  • Bascoe SM, Davies PT, Cummings EM (2012) Beyond warmth and conflict: the developmental utility of a boundary conceptualization of sibling relationship processes. Child Dev, 83:2121-2138.
  • Bonis S (2016) Stress and parents of children with autism: a review of literature. Issues Ment Health Nurs, 37:153-163.
  • Boyd BA (2002) Examining the relationship between stress and lack of social support in mothers of children with autism. Focus Autism Other Dev Disabl, 17:208-215.
  • Bromley J, Hare DJ, Davison K, Emerson E (2004) Mothers supporting children with autistic spectrum disorders: social support, mental health status and satisfaction with services. Autism, 8:409-423.
  • Burrell TL, Borrego Jr J (2012) Parents' involvement in ASD treatment: what is their role. Cogn Behav Pract, 19:423-432.
  • Carter AS, Martínez‐Pedraza, FDL, Gray SA (2009) Stability and individual change in depressive symptoms among mothers raising young children with ASD: maternal and child correlates. J Clin Psychol, 65:1270-1280.
  • Cavkaytar A, Batu S, Beklan Çetin O (2008) Perspectives of Turkish mothers on having a child with developmental disabilities. Int J Spec Educ, 23:102-109.
  • CDC (2023) Center for Disease Control and Prevention. https://www.cdc.gov/ (Accessed 17.12.2023).
  • Chan KKS, Leung DCK (2020) The impact of child autistic symptoms on parental marital relationship: parenting and coparenting processes as mediating mechanisms. Autism Res, 13:1516-1526.
  • Coffman MC, Kelso N, Antezana L, Braconnier M, Richey JA, Wolf J (2021) Understanding of ASD by siblings is associated with warmth and hostility in the sibling relationship. J Child Fam Stud, 30:1577-1585.
  • Costa AP, Steffgen G, Ferring D (2017) Contributors to well-being and stress in parents of children with autism spectrum disorder. Res Autism Spectr Disord, 37:61-72.
  • Coyne JC, Ellard JH, Smith DAF (1990) Social support, interdependence, and the dilemmas of helping. In Social Support: An Interactional View (Eds BR Sarason, IG Sarason, GR Pierce):129–149). New York, Wiley.
  • Çetrez Arıcan G, Fazlıoğlu Y, Tezcan S (2018) Otizmli öğrencilere kendini tanıtma becerisinin öğretiminde videoyla model olmanın etkililiği. Trakya Üniversitesi Sosyal Bilimler Dergisi, 20:157-176.
  • Da Paz NS, Wallander JL (2017) Interventions that target improvements in mental health for parents of children with autism spectrum disorders: a narrative review. Clin Psychol Rev, 51:1-14.
  • Dabrowska A, Pisula E (2010) Parenting stress and coping styles in mothers and fathers of pre‐school children with autism and down syndrome. J Intellect Disabil Res, 54:266-280.
  • Dardas LA, Ahmad MM (2014) Predictors of quality of life for fathers and mothers of children with autistic disorder. Res Dev Disabil, 35:1326-1333.
  • Davis NO, Carter AS (2008) Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: associations with child characteristics. J Autism Dev Disord, 38:1278-1291.
  • Dunn ME, Burbine T, Bowers CA, Tantleff-Dunn S (2001) Moderators of stress in parents of children with autism. Community Ment Health J, 37:39-52.
  • Ekas NV, Lickenbrock DM, Whitman TL (2010) Optimism, social support, and well-being in mothers of children with autism spectrum disorder. J Autism Dev Disord, 40:1274-1284.
  • Enea V, Rusu DM (2020) Raising a child with autism spectrum disorder: a systematic review of the literature investigating parenting stress. J Ment Health Res Intellect Disabil, 13:283-321.
  • Gönültaş SG (2019) Zihinsel engelli çocuğa sahip olan ebeveynlerin bakım yükü, sosyal destek düzeyleri ve yaşam kalitesi arasındaki ilişkinin incelenmesi. (Yüksek lisans tezi), Manisa, Celal Bayar Üniversitesi.
  • Estes A, Munson J, Dawson G, Koehler E, Zhou XH, Abbott R (2009) Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism, 13:375-387.
  • Feng Y, Zhou X, Qin X, Cai G, Lin Y, Pang Y et al. (2022) Parental self-efficacy and family quality of life in parents of children with autism spectrum disorder in China: the possible mediating role of social support. J Pediatr Nurs, 63:159-167.
  • Ferraioli SJ, Harris SL (2009) The impact of autism on siblings. Soc Work Ment Health, 8:41-53.
  • Giallo R, Wood CE, Jellett R, Porter R (2013) Fatigue, wellbeing and parental self-efficacy in mothers of children with an autism spectrum disorder. Autism, 17:465-480.
  • Güller B, Yaylacı F (2022) Otizm spektrum bozukluğu tanılı çocukların ebeveynlerinde yaşam kalitesi, kaygı, depresyon düzeyleri ve ilişkili faktörler. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 48:217-224.
  • Hartley SL, Barker E T, Baker JK, Seltzer MM, Greenberg JS (2012) Marital satisfaction and life circumstances of grown children with autism across 7 years. J Fam Psychol, 26:688-697.
  • Hartley SL, Barker ET, Seltzer MM, Floyd F, Greenberg J, Orsmond G, Bolt D (2010) The relative risk and timing of divorce in families of children with an autism spectrum disorder. J Fam Psychol, 24:449-457.
  • Hartley SL, Barker ET, Seltzer MM, Greenberg JS, Floyd FJ (2011) Marital satisfaction and parenting experiences of mothers and fathers of adolescents and adults with autism. Am J Intellect Dev Disabil, 116:81-95.
  • Hastings RP (2003) Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. J Intellect Disabil Res, 47:231-237.
  • Hastings RP, Brown T (2002) Behavior problems of children with autism, parental self-efficacy, and mental health. Am J Ment Retard, 107:222-232.
  • Hastings RP, Kovshoff H, Brown T, Ward NJ, Espinosa FD, Remington B (2005) Coping strategies in mothers and fathers of preschool and school-age children with autism. Autism, 9:377-391.
  • Hayes SA, Watson SL (2013) 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. J Autism Dev Disord, 43:629-642.
  • He B, Wongpakaran T, Wongpakaran N, Wedding D (2022) Marital satisfaction and perceived family support in families of children with autistic spectrum disorder: dyadic analysis. Healthcare, 10:1227.
  • Hill EL (2004) Executive dysfunction in autism. Trends Cogn Sci, 8:26-32.
  • Hisoğlu A (2018) Otizm spektrum bozukluğu tanılı çocukların ebeveynlerinde algılanan sosyal destek ve problem çözme becerilerinin yaşam doyumuna etkisi. (Yüksek lisans tezi), İstanbul, Üsküdar Üniversitesi.
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  • Zablotsky B, Bradshaw CP, Stuart EA (2013) The association between mental health, stress, and coping supports in mothers of children with autism spectrum disorders. J Autism Dev Disord, 43:1380-1393.
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  • Zhao M, Fu W, Ai J (2021) The mediating role of social support in the relationship between parenting stress and resilience among Chinese parents of children with disability. J Autism Dev Disord, 51:3412-3422.
Toplam 90 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Gelişim Psikolojisi (Diğer)
Bölüm Derleme
Yazarlar

Ayça Barklı 0009-0005-4214-1850

Aysun Doğan 0000-0002-0075-9047

Yayımlanma Tarihi
Gönderilme Tarihi 18 Mart 2024
Kabul Tarihi 3 Temmuz 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 17 Sayı: 2

Kaynak Göster

AMA Barklı A, Doğan A. Raising a Child with Autism Spectrum Disorder: Examining Parental Factors. Psikiyatride Güncel Yaklaşımlar. 17(2):197-210. doi:10.18863/pgy.1455122

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Psikiyatride Güncel Yaklaşımlar Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.