Comparaison des points de vue des pères et des mères sur le "trouble du spectre de l'autisme" de leur enfant

Aperçu: G.M.

Les mères sont souvent les principaux parents participants à la recherche sur les "troubles du spectre de l'autisme" (TSA). En conséquence, on sait peu de choses sur les perceptions des pères concernant les TSA de leurs enfants et si ces perceptions diffèrent de celles des mères.
Compte tenu des informations limitées disponibles concernant les perceptions des pères sur les TSA de leurs enfants, cette étude visait à étudier les variables pères (stress, adaptation, soutien et perception du handicap) et comment elles se comparent à celles des mères.
Les participants étaient 361 parents biologiques (294 mères et 67 pères) d'enfants autistes qui ont participé à une étude plus vaste.
Les résultats ont révélé des différences significatives entre le stress et l'adaptation autodéclarés par les mères et les pères.
Comprendre les différences entre les points de vue des parents a à la fois des implications de recherche et cliniques pour travailler avec des familles qui élèvent des enfants autistes.

. 2021 May 23.  doi: 10.1007/s10803-021-050

Comparing Fathers' and Mothers' Perspectives About Their Child's Autism Spectrum Disorder

Stacey C Grebe  ^{1   2} , Sarah S Mire  ³ , Hanjoe Kim  ³ , Milena A Keller-Margulis  ³

Affiliations

• PMID: 34027629
• DOI: 10.1007/s10803-021-05077-7

Abstract

Mothers are often the primary parent participants in autism spectrum disorder (ASD) research. As a result, little is known about fathers' perceptions regarding their children's ASD and whether these perceptions differ from mothers'. Given the limited information available regarding fathers' perceptions about their children's ASD, this study aimed to investigate father variables (stress, coping, support, and perception of disability) and how they compare to mothers'. Participants were 361 biological parents (294 mothers and 67 fathers) of children on the autism spectrum who participated in a larger study. Results revealed significant differences between mothers' and fathers' self-reported stress and coping. Understanding differences between parents' perspectives has both research and clinical implications for working with families raising children on the autism spectrum.

Keywords: Autism; Coping style; Fathers; Parental stress; Perception of disability; Support style.

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Phénotype de l'autisme parental élargi et compétences linguistiques des enfants avec un diagnostic de "trouble du spectre de l'autisme"

Aperçu: G.M.

Les interactions père-enfant et mère-enfant ont été examinées afin d'étudier les associations simultanées entre trois caractéristiques du phénotype élargi de l'autisme chez les parents (distance, rigidité, déficits du langage pragmatique), la capacité verbale parentale et les compétences langagières des enfants avec un diagnostic de TSA.  

Les résultats pour les mères ont indiqué que la distance et la rigidité étaient négativement associées à la fois à l'engagement des enfants et aux compétences langagières des enfant. L'éloignement maternel était également négativement corrélé avec la réponse verbale à leurs enfants, mais la rigidité ne l'était pas. Les résultats suggèrent que l'association entre la distance et le langage de l'enfant est potentiellement médiée par l'utilisation par la mère de comportements verbaux réactifs. Les déficits langagiers pragmatiques maternels n'étaient pas simultanément liés à l'engagement ou aux compétences linguistiques initiées par les enfants.  

En revanche, chez les pères, l'éloignement et la rigidité n'étaient pas liés à l'engagement et aux compétences linguistiques initiées par les enfants. Les déficits pragmatiques paternels n'étaient pas non plus associés au langage des enfants, cependant des associations positives significatives ont été trouvées entre les déficits du langage pragmatique paternel et la fréquence de l'engagement initié par l'enfant.  

Les résultats sont discutés en référence à des implications cliniques potentielles et des orientations pour de futures recherches.

J Autism Dev Disord. 2018 Jan 6. doi: 10.1007/s10803-017-3431-7.

Parental Broad Autism Phenotype and the Language Skills of Children with Autism Spectrum Disorder

Flippin M¹, Watson LR².

Author information

1

Department of Communicative Disorders, University of Rhode Island, Kingston, RI, 02881, USA. mflippin@uri.edu.

2

University of North Carolina, Chapel Hill, NC, USA.

Abstract

Father-child and mother-child interactions were examined in order to investigate concurrent associations between three characteristics of parental broad autism phenotype (i.e., aloofness, rigidity, pragmatic language deficits), parental verbal responsiveness, and language skills of children with ASD. Results for mothers indicated that aloofness and rigidity were negatively associated with both child-initiated engagement and child language skills. Maternal aloofness was also negatively correlated with verbal responsiveness to their children, but rigidity was not. Results suggest that the association between aloofness and child language are potentially mediated by maternal use of responsive verbal behaviors. Maternal pragmatic language deficits were not concurrently related to child-initiated engagement or language skills. In contrast, for fathers, aloofness and rigidity were unrelated to child-initiated engagement and language skills. Paternal pragmatic deficits were also not associated with child language, however significant positive associations were found between paternal pragmatic language deficits and frequency of child-initiated engagement. Results are discussed in reference to potential clinical implications and directions for future research.

PMID:29307040

DOI:10.1007/s10803-017-3431-7

[Réduction du stress parental maternel des enfants avec un diagnostic de trouble du spectre de l'autisme: implication du père]

Aperçu: G.M.

L'objectif de la recherche était d'explorer la relation entre le temps de soins des pères et le stress parental maternel des enfants avec un diagnostic de trouble du spectre de l'autisme (dTSA).  

Les mères de 98 enfants avec dTSA qui ont été diagnostiqués pour la première fois dans le département des soins pédiatriques de l'Université de Fudan entre juin 2015 et janvier 2016 ont été inclus dans le groupe TSA, avec 92 mères d'enfants au développement typique. 

L'évaluation du stress parental, le temps de soins des parents et d'autres facteurs connexes ont été analysés de façon transversale.

Le stress parental maternel des enfants autistes a une corrélation négative significative avec le temps de soins du père sur le score de stress total parental, alors qu'aucune corrélation de ce type n'a été trouvée dans le groupe témoin en termes de temps de soins du père (P = 0,22, 0,42, 0,06).  

Le test de Wilcoxon Rank-Sum a montré que chez les 62 familles dTSA (63,3%) à double revenu et 72 (78,3%) familles sans dTSA à double revenu, il y avait des différences significatives entre les pères TSA et les mères dTSA et le temps de pères typique (2,0 (0,5, 2,1) contre 3,5 (2,4, 6,0) contre 3,0 (2,0, 4,7) h, t = -86,32, -49,65, tous P <0,01).  

L'absence de participation des pères était courante chez les familles d'enfants autistes. L'augmentation du temps de soin des pères, ainsi que leur enthousiasme et leur initiative dans l'intervention familiale pourraient soulager le stress parental maternel et améliorer le mode d'intervention des enfants autistes.

Zhonghua Er Ke Za Zhi. 2017 May 4;55(5):355-359. doi: 10.3760/cma.j.issn.0578-1310.2017.05.009.

[Reducing maternal parenting stress of children with autism spectrum disorder: father's involvement]

[Article in Chinese; Abstract available in Chinese from the publisher]

Hu CC¹, Li Y, Zhou BR, Liu CX, Li CY, Zhang Y, Xu Q, Xu X.

Author information

1

Department of Child Health Care, Children's Hospital of Fudan University, Shanghai 201102, China.

Abstract

in English, Chinese

Objective: To explore the relationship between fathers' nursing time and maternal parenting stress of children with autism spectrum disorder(ASD). Method: Mothers of 98 ASD children who were first diagnosed in the department of Child Health Care, Children's Hospital of Fudan University during June 2015 to January 2016 were included in the ASD group, with mothers of 92 typical children from a Community Maternal and Child Health Hospital and a kindergarten in the control group. The evaluation of parenting stress, parents' nursing time and other related factors were cross-sectionally analyzed. Interview was conducted with the following tools: Parental Stress Index-Short Form(PSI-SF)for maternal parenting stress, and self-made General Parenting Information Questionnaire for nursing time of both parents and other related factors. The relationships were analyzed by Multiple Linear Regression analysis and Wilcoxon Rank-Sum test. Result: Maternal parenting stress of ASD children had a significant negative correlation with father's nursing time in total score of parenting stress, PCDI domain and PD domain (t=-2.76, -2.98, -2.79; P=0.007, 0.004, 0.006), within which PD domain also included family annual income and mothers' nursing time (R(2)=0.22, 0.24, 0.25); while no such correlation was found in control group in terms of father's nursing time(P=0.22, 0.42, 0.06). Wilcoxon Rank-Sum test showed that in 62 (63.3%) double-income ASD families and 72(78.3%) double-income typical families, there were significant differences between ASD fathers' and ASD mothers'and typical fathers'nursing time(2.0(0.5, 2.1)vs. 3.5(2.4, 6.0)vs. 3.0(2.0, 4.7)h, t=-86.32、-49.65, all P<0.01). Conclusion: Lack of fathers' involvements was common in ASD children's families. Increasing these fathers' nursing time, as well as their enthusiasm and initiative in the family intervention could relieve maternal parenting stress and improve the intervention pattern of ASD children.

PMID:28482386

*Le fonctionnement de la famille, le stress parental et la qualité de vie des mères et des pères d'enfants polonais "présentant un autisme de haut niveau ou un syndrome d'Asperger"

Aperçu: G.M.

Le but de l'étude était d'étudier la perception du fonctionnement de la famille chez les parents d'enfants avec un diagnostic de "trouble du spectre de l'autisme" (dTSA) avec une intelligence standard et les relations entre le fonctionnement familial, le stress parental et la qualité de vie.  

Des dyades de parents d'enfants avec dTSA sans déficience intellectuelle et de parents d'enfants au développement typique (témoins) ont rempli un ensemble de questionnaires d'auto-évaluation.  

Les parents d'enfants avec dTSA ont rapporté un fonctionnement plus faible de la famille dans son ensemble et leur propre fonctionnement en tant que membres de la famille; ils présentaient des niveaux plus élevés de stress parental et une qualité de vie inférieure. 

Les mères d'enfants avec un dTSA ont éprouvé plus de stress dans leur domaine personnel que les pères.  

Les relations entre le fonctionnement familial, le stress parental et la qualité de vie ont été établies.  

Il y avait aussi des corrélations modérées à fortes dans les dyades mère-père entre leurs évaluations du fonctionnement de la famille, le stress parental et la qualité de vie dans les relations sociales et les domaines environnementaux.

PLoS One. 2017 Oct 16;12(10):e0186536. doi: 10.1371/journal.pone.0186536. eCollection 2017.

Family functioning, parenting stress and quality of life in mothers and fathers of Polish children with high functioning autism or Asperger syndrome

Pisula E¹, Porębowicz-Dörsmann A¹.

Author information

1

Faculty of Psychology, University of Warsaw, Warsaw, Poland.

Abstract

The aim of the study was to investigate the perception of the family functioning in parents of children with autism spectrum disorders (ASD) with normal-range intelligence and the relationships between family functioning, parenting stress and quality of life. Dyads of parents of children with ASD without intellectual disability and parents of typically developing children (controls) completed a set of self-report questionnaires. Parents of children with ASD reported lower functioning of the family as a whole and their own functioning as family members; they exhibited higher levels of parenting stress and lower quality of life. Mothers of children with ASD experienced more stress in personal domain than fathers. Relationships between family functioning, parenting stress and quality of life have been established. There were also moderate to strong correlations in mother-father dyads between their assessments of family functioning, parenting stress and QoL in social relationships and environmental domains.

PMID:29036188

PMCID:PMC5643111

DOI:10.1371/journal.pone.0186536

Improving maternal mental health after a child's diagnosis of autism spectrum disorder: results from a randomized clinical trial

Traduction: G.M.

JAMA Pediatr. 2014 Jan;168(1):40-6. doi: 10.1001/jamapediatrics.2013.3445.

Améliorer la santé mentale de la mère après le diagnostic de trouble du spectre autistique de l'enfant: résultats d'un essai clinique randomisé

Feinberg E1, Augustyn M2, Fitzgerald E3, Sandler J4, Ferreira-Cesar Suarez Z5, Chen N2, Cabral H6, Beardslee W7, Silverstein M2.

Author information

• 1Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts2Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts.
• 2Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts3Department of Pediatrics, Boston Medical Center, Boston, Massachusetts.
• 3Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts4National Initiative for Children's Healthcare Quality, Boston, Massachusetts.
• 4Department of Pediatrics, Boston Medical Center, Boston, Massachusetts.
• 5Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts.
• 6Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts.
• 7Department of Psychiatry, Children's Hospital Boston, Boston, Massachusetts.

Abstract

IMPORTANCE

The prevalence of psychological distress among mothers of children with autism spectrum disorder (ASD) suggests a need for interventions that address parental mental health during the critical period after the child's autism diagnosis when parents are learning to navigate the complex system of autism services.

La prévalence de la détresse psychologique chez les mères d'enfants atteints de troubles du spectre autistique (TSA) suggère la nécessité d'interventions axées sur la santé mentale des parents pendant la période critique après le diagnostic de l'autisme de l'enfant lorsque les parents apprennent à naviguer dans le système complexe des services de l'autisme. 

OBJECTIVE

To investigate whether a brief cognitive behavioral intervention, problem-solving education (PSE), decreases parenting stress and maternal depressive symptoms during the period immediately following a child's diagnosis of ASD.

Déterminer si une brève intervention cognitivo-comportementale, formation à la résolution de problèmes (PSE), diminue le stress parental et les symptômes dépressifs maternels au cours de la période qui suit immédiatement le diagnostic de TSA d'un enfant. 

DESIGN, SETTING, AND PARTICIPANTS

A randomized clinical trial compared 6 sessions of PSE with usual care. Settings included an autism clinic and 6 community-based early intervention programs that primarily serve low-income families. Participants were mothers of 122 young children (mean age, 34 months) who recently received a diagnosis of ASD. Among mothers assessed for eligibility, 17.0% declined participation. We report outcomes after 3 months of follow-up (immediate postdiagnosis period).

INTERVENTIONS

Problem-solving education is a brief, cognitive intervention delivered in six 30-minute individualized sessions by existing staff (early intervention programs) or research staff without formal mental health training (autism clinic).

La formation à la résolution de problèmes est une brève intervention cognitive délivrée en six séances de 30 minutes individualisés par le personnel en place (programmes d'intervention précoce) ou du personnel de recherche sans formation en santé mentale (clinique de l'autisme). 

MAIN OUTCOMES AND MEASURES

Primary outcomes were parental stress and maternal depressive symptoms.

RESULTS

Fifty-nine mothers were randomized to receive PSE and 63 to receive usual care. The follow-up rate was 91.0%. Most intervention mothers (78.0%) received the full PSE course. At the 3-month follow-up assessment, PSE mothers were significantly less likely than those serving as controls to have clinically significant parental stress (3.8% vs 29.3%; adjusted relative risk [aRR], 0.17; 95% CI, 0.04 to 0.65). For depressive symptoms, the risk reduction in clinically significant symptoms did not reach statistical significance (5.7% vs 22.4%; aRR, 0.33; 95% CI, 0.10 to 1.08); however, the reduction in mean depressive symptoms was statistically significant (Quick Inventory of Depressive Symptomatology score, 4.6 with PSE vs 6.9 with usual care; adjusted mean difference, -1.67; 95% CI, -3.17 to -0.18).

Cinquante-neuf mères ont été randomisés pour recevoir la PSE et 63 pour recevoir les soins habituels. Le taux de suivi a été de 91,0%. La plupart des mères qui ont eu l'intervention (78,0%) ont reçu la totalité des cours de PSE. 

À l'évaluation de suivi de 3 mois, les mères PSE étaient significativement moins susceptibles que celles du groupe témoin d'avoir un stress parental cliniquement significatif (3,8% vs 29,3%; ajusté risque relatif [aRR], 0,17, IC 95%, 0,04 à 0,65 ). 

Pour les symptômes dépressifs, la réduction du risque des symptômes cliniquement significatifs n'a pas atteint la signification statistique (5,7% vs 22,4%; aRR, 0,33, IC 95% de 0,10 à 1.08); Toutefois, la réduction des symptômes dépressifs moyens était statistiquement significative (Inventaire rapide de la note symptomatologie dépressive, 4.6 avec PSE vs 6,9 aux soins habituels; différence moyenne ajustée, -1,67, IC 95%, de -3,17 à -0,18). 

CONCLUSIONS AND RELEVANCE

The positive effects of PSE in reducing parenting stress and depressive symptoms during the critical postdiagnosis period, when parents are asked to navigate a complex service delivery system, suggest that it may have a place in clinical practice. Further work will monitor these families for a total of 9 months to determine the trajectory of outcomes.

Les effets positifs de PSE pour réduire le stress parental et les symptômes dépressifs au cours de la période critique post diagnostique , lorsque les parents sont invités à naviguer dans un système de prestation de services complexe, suggère qu'il pourrait avoir sa place dans la pratique clinique. 

D'autres travaux assureront le suivi de ces familles pour une durée de 9 mois afin à déterminer l'évolution des résultats. 

PMID: 

24217336