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[患有自闭症谱系障碍(ASD)的父母及其子女的人生轨迹]

[The life path of parents and of their children presenting an autism spectrum disorder (ASD)].

作者信息

Poirier Nathalie, Vallée-Ouimet Jacinthe

机构信息

Département de psychologie, Université du Québec à Montréal.

出版信息

Sante Ment Que. 2015 Spring;40(1):203-26.

Abstract

OBJECTIVES

This research aims to study parents' experiences (n=41) of their autistic child. in regards to different aspects of his development, such as diagnosis, health, family, interventions, child care services, school and awareness of the disorder.

METHODS

In order to ensure variability in the levels of severity of the disorder, forty-one parents of persons with an Autism Spectrum Disorder (ASD) were recruited either through the Fédération québécoise de l'autisme (FQA) or through a convenience sample. Participants were asked to complete a 192-item questionnaire covering respondents' demographic information, the child's diagnosis as well as information regarding health, family, respite services, child care setting, interventions, school setting, adolescence, adulthood, individual rights and awareness of the disorder. This questionnaire was reviewed by ten doctoral students in psychology and by three ASD experts to assess the relevance, the correctness and the richness of the questions. The questionnaire was adapted accordingly and was administered to 10 parents within the framework of a qualitative study.

RESULTS

This study revealed that parents' primary concerns regarding their child's development regarded language development, visual contact, isolation and motor abilities. These parents also mentioned feeling positive emotions, such as pride and joy, as well as negative emotions, such as worries about their child's future. Only a few of these families used respite services and most deemed intervention services as insufficient; about half of parents were satisfied with the services provided at school. Moreover, most of adults with ASD have always lived with at least one of their parents; some have occupations, but their salary is minimal. In terms of disorder awareness, parents mentioned that they would have preferred that their child not have the disorder in order for them to live an easier life.

CONCLUSION

Data obtained from this study serves to provide a better comprehension parents' experiences, which can contribute to adapting the services for families of children living with ASD. In addition, an increase in public funding for intervention and respite services is recommended as it was considered insufficient.

摘要

目的

本研究旨在探讨41位自闭症儿童家长在孩子不同发展方面的经历,包括诊断、健康、家庭、干预措施、儿童保育服务、学校以及对该病症的认知。

方法

为确保研究对象在病症严重程度上具有多样性,通过魁北克自闭症联合会(FQA)或便利抽样的方式招募了41位自闭症谱系障碍(ASD)患者的家长。参与者被要求填写一份包含192个项目的问卷,内容涵盖受访者的人口统计学信息、孩子的诊断情况以及有关健康、家庭、临时照顾服务、儿童保育环境、干预措施、学校环境、青少年期、成年期、个人权利和对该病症认知的信息。这份问卷由十位心理学博士生和三位ASD专家进行审核,以评估问题的相关性、正确性和丰富性。问卷据此进行了调整,并在一项定性研究的框架内对10位家长进行了发放。

结果

本研究表明,家长对孩子发展的主要担忧涉及语言发展、目光接触、社交孤立和运动能力。这些家长还提到了积极情绪,如自豪和喜悦,以及消极情绪,如对孩子未来的担忧。这些家庭中只有少数使用了临时照顾服务,大多数认为干预服务不足;约一半的家长对学校提供的服务感到满意。此外,大多数成年ASD患者一直与至少一位家长生活在一起;一些人有工作,但收入微薄。在对病症的认知方面,家长们表示,他们宁愿孩子没有这种病症,以便让生活更轻松。

结论

本研究获得的数据有助于更好地理解家长的经历,这可为调整针对自闭症谱系障碍儿童家庭的服务提供参考。此外,建议增加对干预和临时照顾服务的公共资金投入,因为目前认为资金不足。

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