Alghamdi Khaled, Alahmadi Shahad, Sayedahmad Abeer, Mosleh Hanan
Pediatrics, Taibah University, Madinah, SAU.
Preventive Medicine, Ministry of Health Holdings, Madinah, SAU.
Cureus. 2022 Mar 18;14(3):e23284. doi: 10.7759/cureus.23284. eCollection 2022 Mar.
Introduction Previous studies reported that parents of children with autism spectrum disorder (ASD) experience higher levels of stress than parents of children with typical development. Methods This study conducted a quantitative cross-sectional survey to evaluate the levels of depression, anxiety, and stress among mothers of children with ASD compared with mothers of children with typical development. In addition, we assessed whether the perception of social support is correlated to psychological well-being. The study recruited a non-probability sample of 143 mothers of children with ASD and a comparison group of 143 mothers of children with typical development. For data collection, an online questionnaire was used to investigate the levels of depression, anxiety, and stress using the 21-item Depression Anxiety Stress Scale (DASS-21) and examine social support for mothers using the Multidimensional Scale of Perceived Social Support (MSPSS). Results No significant difference was observed in the levels of depression and anxiety between both groups. Nevertheless, extremely severe levels of depression and anxiety were observed in 23.1% and 27.3% of mothers in the ASD group compared with 11.9% and 16.8% for the control group, respectively. Alternatively, a significant difference exists between the two groups in the levels of stress. Extremely severe stress was identified in 17.5% of mothers of children with ASD compared with only 6.3% in the control group (p = 0.04). Lastly, the study found a significant correlation among the scores for stress, anxiety, and depression and for MSPSS. Conclusion Providing mental health services for mothers in need and investigating the underlying factors of extremely severe levels of depression and anxiety are recommended initiatives.
引言 以往研究报告称,自闭症谱系障碍(ASD)儿童的家长比发育正常儿童的家长承受着更高水平的压力。方法 本研究进行了一项定量横断面调查,以评估ASD儿童母亲与发育正常儿童母亲相比的抑郁、焦虑和压力水平。此外,我们评估了社会支持的感知是否与心理健康相关。该研究招募了143名ASD儿童母亲的非概率样本以及143名发育正常儿童母亲的对照组。为收集数据,使用在线问卷通过21项抑郁焦虑压力量表(DASS - 21)调查抑郁、焦虑和压力水平,并使用感知社会支持多维量表(MSPSS)检查母亲的社会支持情况。结果 两组在抑郁和焦虑水平上未观察到显著差异。然而,ASD组分别有23.1%和27.3%的母亲出现极其严重的抑郁和焦虑水平,而对照组分别为11.9%和16.8%。另外,两组在压力水平上存在显著差异。ASD儿童母亲中有17.5%被确定为承受极其严重的压力,而对照组仅为6.3%(p = 0.04)。最后,研究发现压力、焦虑和抑郁得分与MSPSS得分之间存在显著相关性。结论 建议为有需要的母亲提供心理健康服务,并调查极其严重的抑郁和焦虑水平的潜在因素。