High Depression Symptoms and Burnout Levels Among Parents of Children with Autism Spectrum Disorders: A Multi-Center, Cross-Sectional, Case–Control Study

The diagnosis of autism spectrum disorder (ASD) in a child affects family processes, increases parenting stress and marital conflicts, and may lead to parental psychopathology. It may also affect the prognosis for their children. The aim of this study is to determine depression and burnout levels as...

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Veröffentlicht in:Journal of autism and developmental disorders 2021-11, Vol.51 (11), p.4086-4099
Hauptverfasser: Kütük, Meryem Özlem, Tufan, Ali Evren, Kılıçaslan, Fethiye, Güler, Gülen, Çelik, Fatma, Altıntaş, Ebru, Gökçen, Cem, Karadağ, Mehmet, Yektaş, Çiğdem, Mutluer, Tuba, Kandemir, Hasan, Büber, Ahmet, Topal, Zehra, Acikbas, Ufuk, Giray, Aslı, Kütük, Özgür
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container_end_page 4099
container_issue 11
container_start_page 4086
container_title Journal of autism and developmental disorders
container_volume 51
creator Kütük, Meryem Özlem
Tufan, Ali Evren
Kılıçaslan, Fethiye
Güler, Gülen
Çelik, Fatma
Altıntaş, Ebru
Gökçen, Cem
Karadağ, Mehmet
Yektaş, Çiğdem
Mutluer, Tuba
Kandemir, Hasan
Büber, Ahmet
Topal, Zehra
Acikbas, Ufuk
Giray, Aslı
Kütük, Özgür
description The diagnosis of autism spectrum disorder (ASD) in a child affects family processes, increases parenting stress and marital conflicts, and may lead to parental psychopathology. It may also affect the prognosis for their children. The aim of this study is to determine depression and burnout levels as well as their predictors among parents of children with ASD compared with those of healthy children. We also sought to evaluate rate of complementary and alternative medicine (CAM) interventions among parents and explore the associations of this phenomenon in an exploratory fashion. 145 children with ASD and 127 control children were enrolled along with their mothers and fathers. Beck Depression Inventory and Maslach Burnout Inventory were used to evaluate parents’ depression symptoms and burnout levels. Symptoms of children with ASDs were evaluated according to the Childhood Autism Rating Scale by the clinicians. Family, child and CAM variables were screened by means of a sociodemographic data form. Descriptive, bivariate and correlation analyses were used in statistical evaluations. Predictors of burnout were evaluated with multiple regression analysis. Burnout and depression levels among parents of children with ASD were significantly elevated compared to controls. Burnout levels of mothers were significantly elevated compared to fathers while depression scores of fathers were significantly elevated compared to mothers. Maternal burnout was significantly predicted by presence of functional speech in child while paternal burnout was significantly predicted by paternal vocation. Maternal depression was associated with paternal depression, lack of speech in child and attendance of child to special education services. Paternal depression was associated with autistic symptom severity and maternal depression. More than half the parents sought CAM interventions. Education level did not affect search for CAM interventions while both maternal and paternal psychopathology and presence of epilepsy among children increased use of CAM methods. Psychological support should be provided to both mothers and fathers of a child receiving a diagnosis of ASD. Addressing parents’ burnout and stress levels and facilitating their negotiation of knowledge on etiology and treatments for ASD may be beneficial for the family unit as a whole.
doi_str_mv 10.1007/s10803-021-04874-4
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It may also affect the prognosis for their children. The aim of this study is to determine depression and burnout levels as well as their predictors among parents of children with ASD compared with those of healthy children. We also sought to evaluate rate of complementary and alternative medicine (CAM) interventions among parents and explore the associations of this phenomenon in an exploratory fashion. 145 children with ASD and 127 control children were enrolled along with their mothers and fathers. Beck Depression Inventory and Maslach Burnout Inventory were used to evaluate parents’ depression symptoms and burnout levels. Symptoms of children with ASDs were evaluated according to the Childhood Autism Rating Scale by the clinicians. Family, child and CAM variables were screened by means of a sociodemographic data form. Descriptive, bivariate and correlation analyses were used in statistical evaluations. Predictors of burnout were evaluated with multiple regression analysis. Burnout and depression levels among parents of children with ASD were significantly elevated compared to controls. Burnout levels of mothers were significantly elevated compared to fathers while depression scores of fathers were significantly elevated compared to mothers. Maternal burnout was significantly predicted by presence of functional speech in child while paternal burnout was significantly predicted by paternal vocation. Maternal depression was associated with paternal depression, lack of speech in child and attendance of child to special education services. Paternal depression was associated with autistic symptom severity and maternal depression. More than half the parents sought CAM interventions. Education level did not affect search for CAM interventions while both maternal and paternal psychopathology and presence of epilepsy among children increased use of CAM methods. Psychological support should be provided to both mothers and fathers of a child receiving a diagnosis of ASD. Addressing parents’ burnout and stress levels and facilitating their negotiation of knowledge on etiology and treatments for ASD may be beneficial for the family unit as a whole.</description><identifier>ISSN: 0162-3257</identifier><identifier>EISSN: 1573-3432</identifier><identifier>DOI: 10.1007/s10803-021-04874-4</identifier><identifier>PMID: 33459915</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Alternative medicine ; Autism ; Autism Spectrum Disorders ; Autistic children ; Behavioral Science and Psychology ; Burn out (Psychology) ; Burnout ; Care and treatment ; Case Studies ; Child and School Psychology ; Childhood ; Children ; Children &amp; youth ; Correlation analysis ; Demographic aspects ; Depression (Psychology) ; Depression, Mental ; Diagnosis ; Epilepsy ; Etiology ; Families &amp; family life ; Fathers ; Health aspects ; Intervention ; Maternal depression ; Measures (Individuals) ; Medical diagnosis ; Medical prognosis ; Medicine ; Mental depression ; Mothers ; Multiple regression analysis ; Neurosciences ; Original Paper ; Parent Child Relationship ; Parent Education ; Parental stress ; Parenthood education ; Parents ; Parents &amp; parenting ; Paternal depression ; Pediatrics ; Pervasive Developmental Disorders ; Predictor Variables ; Prognosis ; Psychological aspects ; Psychology ; Psychopathology ; Public Health ; Rating Scales ; Regression analysis ; Risk factors ; Sociodemographics ; Special education ; Speech ; Symptoms (Individual Disorders) ; Therapy</subject><ispartof>Journal of autism and developmental disorders, 2021-11, Vol.51 (11), p.4086-4099</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021. corrected publication 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021. corrected publication 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c569t-ca9d032a15ce774194f142adbc192862b5e586379a1c749992839e393c04bba83</citedby><cites>FETCH-LOGICAL-c569t-ca9d032a15ce774194f142adbc192862b5e586379a1c749992839e393c04bba83</cites><orcidid>0000-0001-5207-6240</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10803-021-04874-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10803-021-04874-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,12825,27901,27902,30976,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1313015$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33459915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kütük, Meryem Özlem</creatorcontrib><creatorcontrib>Tufan, Ali Evren</creatorcontrib><creatorcontrib>Kılıçaslan, Fethiye</creatorcontrib><creatorcontrib>Güler, Gülen</creatorcontrib><creatorcontrib>Çelik, Fatma</creatorcontrib><creatorcontrib>Altıntaş, Ebru</creatorcontrib><creatorcontrib>Gökçen, Cem</creatorcontrib><creatorcontrib>Karadağ, Mehmet</creatorcontrib><creatorcontrib>Yektaş, Çiğdem</creatorcontrib><creatorcontrib>Mutluer, Tuba</creatorcontrib><creatorcontrib>Kandemir, Hasan</creatorcontrib><creatorcontrib>Büber, Ahmet</creatorcontrib><creatorcontrib>Topal, Zehra</creatorcontrib><creatorcontrib>Acikbas, Ufuk</creatorcontrib><creatorcontrib>Giray, Aslı</creatorcontrib><creatorcontrib>Kütük, Özgür</creatorcontrib><title>High Depression Symptoms and Burnout Levels Among Parents of Children with Autism Spectrum Disorders: A Multi-Center, Cross-Sectional, Case–Control Study</title><title>Journal of autism and developmental disorders</title><addtitle>J Autism Dev Disord</addtitle><addtitle>J Autism Dev Disord</addtitle><description>The diagnosis of autism spectrum disorder (ASD) in a child affects family processes, increases parenting stress and marital conflicts, and may lead to parental psychopathology. It may also affect the prognosis for their children. The aim of this study is to determine depression and burnout levels as well as their predictors among parents of children with ASD compared with those of healthy children. We also sought to evaluate rate of complementary and alternative medicine (CAM) interventions among parents and explore the associations of this phenomenon in an exploratory fashion. 145 children with ASD and 127 control children were enrolled along with their mothers and fathers. Beck Depression Inventory and Maslach Burnout Inventory were used to evaluate parents’ depression symptoms and burnout levels. Symptoms of children with ASDs were evaluated according to the Childhood Autism Rating Scale by the clinicians. Family, child and CAM variables were screened by means of a sociodemographic data form. Descriptive, bivariate and correlation analyses were used in statistical evaluations. Predictors of burnout were evaluated with multiple regression analysis. Burnout and depression levels among parents of children with ASD were significantly elevated compared to controls. Burnout levels of mothers were significantly elevated compared to fathers while depression scores of fathers were significantly elevated compared to mothers. Maternal burnout was significantly predicted by presence of functional speech in child while paternal burnout was significantly predicted by paternal vocation. Maternal depression was associated with paternal depression, lack of speech in child and attendance of child to special education services. Paternal depression was associated with autistic symptom severity and maternal depression. More than half the parents sought CAM interventions. Education level did not affect search for CAM interventions while both maternal and paternal psychopathology and presence of epilepsy among children increased use of CAM methods. Psychological support should be provided to both mothers and fathers of a child receiving a diagnosis of ASD. Addressing parents’ burnout and stress levels and facilitating their negotiation of knowledge on etiology and treatments for ASD may be beneficial for the family unit as a whole.</description><subject>Alternative medicine</subject><subject>Autism</subject><subject>Autism Spectrum Disorders</subject><subject>Autistic children</subject><subject>Behavioral Science and Psychology</subject><subject>Burn out (Psychology)</subject><subject>Burnout</subject><subject>Care and treatment</subject><subject>Case Studies</subject><subject>Child and School Psychology</subject><subject>Childhood</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Correlation analysis</subject><subject>Demographic aspects</subject><subject>Depression (Psychology)</subject><subject>Depression, Mental</subject><subject>Diagnosis</subject><subject>Epilepsy</subject><subject>Etiology</subject><subject>Families &amp; family life</subject><subject>Fathers</subject><subject>Health aspects</subject><subject>Intervention</subject><subject>Maternal depression</subject><subject>Measures (Individuals)</subject><subject>Medical diagnosis</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Mental depression</subject><subject>Mothers</subject><subject>Multiple regression analysis</subject><subject>Neurosciences</subject><subject>Original Paper</subject><subject>Parent Child Relationship</subject><subject>Parent Education</subject><subject>Parental stress</subject><subject>Parenthood education</subject><subject>Parents</subject><subject>Parents &amp; 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Abstracts (ASSIA)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of autism and developmental disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kütük, Meryem Özlem</au><au>Tufan, Ali Evren</au><au>Kılıçaslan, Fethiye</au><au>Güler, Gülen</au><au>Çelik, Fatma</au><au>Altıntaş, Ebru</au><au>Gökçen, Cem</au><au>Karadağ, Mehmet</au><au>Yektaş, Çiğdem</au><au>Mutluer, Tuba</au><au>Kandemir, Hasan</au><au>Büber, Ahmet</au><au>Topal, Zehra</au><au>Acikbas, Ufuk</au><au>Giray, Aslı</au><au>Kütük, Özgür</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1313015</ericid><atitle>High Depression Symptoms and Burnout Levels Among Parents of Children with Autism Spectrum Disorders: A Multi-Center, Cross-Sectional, Case–Control Study</atitle><jtitle>Journal of autism and developmental disorders</jtitle><stitle>J Autism Dev Disord</stitle><addtitle>J Autism Dev Disord</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>51</volume><issue>11</issue><spage>4086</spage><epage>4099</epage><pages>4086-4099</pages><issn>0162-3257</issn><eissn>1573-3432</eissn><abstract>The diagnosis of autism spectrum disorder (ASD) in a child affects family processes, increases parenting stress and marital conflicts, and may lead to parental psychopathology. It may also affect the prognosis for their children. The aim of this study is to determine depression and burnout levels as well as their predictors among parents of children with ASD compared with those of healthy children. We also sought to evaluate rate of complementary and alternative medicine (CAM) interventions among parents and explore the associations of this phenomenon in an exploratory fashion. 145 children with ASD and 127 control children were enrolled along with their mothers and fathers. Beck Depression Inventory and Maslach Burnout Inventory were used to evaluate parents’ depression symptoms and burnout levels. Symptoms of children with ASDs were evaluated according to the Childhood Autism Rating Scale by the clinicians. Family, child and CAM variables were screened by means of a sociodemographic data form. Descriptive, bivariate and correlation analyses were used in statistical evaluations. Predictors of burnout were evaluated with multiple regression analysis. Burnout and depression levels among parents of children with ASD were significantly elevated compared to controls. Burnout levels of mothers were significantly elevated compared to fathers while depression scores of fathers were significantly elevated compared to mothers. Maternal burnout was significantly predicted by presence of functional speech in child while paternal burnout was significantly predicted by paternal vocation. Maternal depression was associated with paternal depression, lack of speech in child and attendance of child to special education services. Paternal depression was associated with autistic symptom severity and maternal depression. More than half the parents sought CAM interventions. Education level did not affect search for CAM interventions while both maternal and paternal psychopathology and presence of epilepsy among children increased use of CAM methods. Psychological support should be provided to both mothers and fathers of a child receiving a diagnosis of ASD. Addressing parents’ burnout and stress levels and facilitating their negotiation of knowledge on etiology and treatments for ASD may be beneficial for the family unit as a whole.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33459915</pmid><doi>10.1007/s10803-021-04874-4</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-5207-6240</orcidid></addata></record>
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identifier ISSN: 0162-3257
ispartof Journal of autism and developmental disorders, 2021-11, Vol.51 (11), p.4086-4099
issn 0162-3257
1573-3432
language eng
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source Applied Social Sciences Index & Abstracts (ASSIA); Education Source; SpringerLink Journals
subjects Alternative medicine
Autism
Autism Spectrum Disorders
Autistic children
Behavioral Science and Psychology
Burn out (Psychology)
Burnout
Care and treatment
Case Studies
Child and School Psychology
Childhood
Children
Children & youth
Correlation analysis
Demographic aspects
Depression (Psychology)
Depression, Mental
Diagnosis
Epilepsy
Etiology
Families & family life
Fathers
Health aspects
Intervention
Maternal depression
Measures (Individuals)
Medical diagnosis
Medical prognosis
Medicine
Mental depression
Mothers
Multiple regression analysis
Neurosciences
Original Paper
Parent Child Relationship
Parent Education
Parental stress
Parenthood education
Parents
Parents & parenting
Paternal depression
Pediatrics
Pervasive Developmental Disorders
Predictor Variables
Prognosis
Psychological aspects
Psychology
Psychopathology
Public Health
Rating Scales
Regression analysis
Risk factors
Sociodemographics
Special education
Speech
Symptoms (Individual Disorders)
Therapy
title High Depression Symptoms and Burnout Levels Among Parents of Children with Autism Spectrum Disorders: A Multi-Center, Cross-Sectional, Case–Control Study
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