Department of Speech Pathology and Audiology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa,
Department of Speech Pathology and Audiology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa.
Folia Phoniatr Logop. 2021;73(3):164-173. doi: 10.1159/000507928. Epub 2020 Jul 9.
To explore the experiences of mothers feeding their children with autism spectrum disorder (ASD) in South Africa as well as to better understand the impact of context and culture on feeding disorders.
A qualitative research design was employed. Seven mothers of 8 children (1 mother had twins), aged 4-9 years, who were diagnosed with ASD and who had associated feeding difficulties participated in the study. Semi-structured interviews were conducted, and data were transcribed and analysed using inductive thematic analysis.
Findings indicated that children with ASD and feeding difficulties increase parental stress and anxiety. Novel findings pertaining to context and culture showed the negative impact feeding difficulties have on the siblings, the role taken on by the mother as the caregiver and the provider, and an additional financial burden associated with feeding a child with ASD.
Findings add to the field of speech therapy by providing awareness of the challenges experienced by these mothers as well as those that are unique to the South African context. In addition, the current study provides insight into the experiences of mothers from different contexts and cultural backgrounds to those reported in previous literature.
探索南非喂养自闭症谱系障碍(ASD)儿童的母亲的经验,以便更好地了解背景和文化对喂养障碍的影响。
采用定性研究设计。本研究纳入了 7 位患有 ASD 且存在相关喂养困难的 8 岁以下儿童的母亲(1 位母亲有双胞胎)。采用半结构式访谈进行研究,转录并使用归纳主题分析对数据进行分析。
研究结果表明,患有 ASD 和喂养困难的儿童会增加父母的压力和焦虑。与背景和文化相关的新发现表明,喂养困难会对兄弟姐妹产生负面影响,母亲作为照顾者和提供者所扮演的角色,以及与喂养 ASD 儿童相关的额外经济负担。
研究结果通过提高对这些母亲所面临挑战的认识,以及对南非特定背景下所面临挑战的认识,丰富了言语治疗领域的知识。此外,本研究还深入了解了来自不同文化背景的母亲的经历,这些经历与以往文献中的报道不同。