Division of Psychology, Brunel University London, Uxbridge, UK.
University of California, Santa Barbara, USA.
Transcult Psychiatry. 2021 Jun;58(3):335-350. doi: 10.1177/1363461520953342. Epub 2020 Sep 28.
Raising a child with Autism Spectrum Disorder (ASD) can often be a difficult and stressful process for families and caregivers. Though research on ASDs in Africa is burgeoning, very little is known about autism in francophone West Africa. Furthermore, no known ASD studies have explored parental experiences in particular from a cross-cultural perspective. This research used Interpretative Phenomenological Analysis to analyze in-depth, semi-structured interviews with seven Senegalese and seven American families to investigate parental experiences within the Senegalese community with further illustration by cross-cultural comparison. Comparative analysis of data across the two countries was undertaken to identify cultural variables previously unreported, especially those that may affect Senegalese family experience. Analysis of interviews revealed thematic differences in social and community support. Although access to effective treatment services was low among Senegalese families compared to the American families, traditional Senegalese household structures and community relations were hypothesized to serve as protective factors against the high social isolation and resulting logistical struggles reported in the U.S. sample. Further targeted research within the Senegalese environment is recommended, particularly to explore social stigma and its possible effects on families with autism, causal beliefs and treatment practices, and parental mental health and wellbeing.
养育自闭症谱系障碍(ASD)儿童的过程对家庭和照顾者来说往往是困难和有压力的。尽管非洲的 ASD 研究正在蓬勃发展,但关于西非法语国家的自闭症却知之甚少。此外,从跨文化的角度来看,没有已知的 ASD 研究探讨过父母的经历。本研究使用解释现象学分析,对 7 个塞内加尔家庭和 7 个美国家庭进行了深入的半结构化访谈,以调查塞内加尔社区内父母的经历,并通过跨文化比较进一步说明。对两个国家的数据进行了比较分析,以确定以前未报告的文化变量,特别是那些可能影响塞内加尔家庭经历的变量。对访谈的分析揭示了社会和社区支持方面的主题差异。尽管与美国家庭相比,塞内加尔家庭获得有效治疗服务的机会较少,但传统的塞内加尔家庭结构和社区关系被假设为保护因素,可以防止美国样本中报告的高社交隔离和由此产生的后勤困难。建议在塞内加尔环境中进行更有针对性的研究,特别是探索社会污名及其对自闭症家庭的可能影响、因果信念和治疗实践,以及父母的心理健康和幸福。