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“是的,这真是一种极大的解脱”:母亲们如何经历孩子的自闭症诊断。

'Yebo, it was a great relief': How mothers experience their children's autism diagnoses.

作者信息

Manono Mbalenhle N, Clasquin-Johnson Mary G

机构信息

Department of Inclusive Education, College of Education, University of South Africa, Pretoria, South Africa.

出版信息

Afr J Disabil. 2023 Mar 28;12:1101. doi: 10.4102/ajod.v12i0.1101. eCollection 2023.

Abstract

BACKGROUND

There is an emerging body of knowledge on the lived experiences of parenting a child with autism from a maternal perspective. Mothers' reactions to their children's autism diagnoses have been identified as a key factor influencing their children's long-term outcomes.

OBJECTIVES

This qualitative study aimed to explore how South African mothers experience their children's autism diagnoses.

METHOD

Telephonic interviews were conducted with 12 mothers from KwaZulu-Natal to understand their experiences prior, during and following their children's autism diagnoses. The data were analysed thematically according to the values of , social support, culture, tradition, interpersonal relationships, interconnectedness and continuity and compared to the existing scholarship, employing an Afrocentric theoretical lens.

RESULTS

The participants held strong cultural and religious beliefs which influenced the entire diagnosis process. Some, who waited a long time, turned to traditional healers or religious leaders. While some reported feeling relieved after the diagnosis, in the sense of at least having a name for their child's condition, they also reported feeling overwhelmed by the realisation that there is no cure for autism. Over time, mothers' feelings of guilt and anxiety declined, and they became increasingly resilient and empowered as their understanding of the meaning of their children's autism diagnosis deepened, but many continued to pray for a miracle.

CONCLUSION

Future research should focus on how to enhance support for mothers and their children during each of the three phases of autism diagnosis: prior, during and following their children's autism diagnoses.

CONTRIBUTION

The study highlighted the crucial role of community-based religious and cultural organisations in providing appropriate support to mothers and their children diagnosed with autism, aligned to the values of , social support, culture, tradition, interpersonal relationships, interconnectedness and continuity.

摘要

背景

从母亲的角度来看,关于养育自闭症儿童的生活经历,相关知识正在不断涌现。母亲对孩子自闭症诊断的反应已被确定为影响孩子长期预后的关键因素。

目的

这项定性研究旨在探讨南非母亲如何经历孩子的自闭症诊断。

方法

对夸祖鲁-纳塔尔省的12位母亲进行了电话访谈,以了解她们在孩子自闭症诊断之前、期间和之后的经历。根据社会支持、文化、传统、人际关系、相互联系和连续性等价值观,对数据进行主题分析,并运用以非洲为中心的理论视角与现有学术研究进行比较。

结果

参与者持有强烈的文化和宗教信仰,这些信仰影响了整个诊断过程。一些等待了很长时间的人求助于传统治疗师或宗教领袖。虽然一些人在诊断后表示松了一口气,因为至少孩子的病情有了一个名称,但他们也表示,意识到自闭症无法治愈让他们感到不知所措。随着时间的推移,母亲的内疚和焦虑感有所下降,随着她们对孩子自闭症诊断意义的理解加深,她们变得越来越有韧性和力量,但许多人仍在祈求奇迹。

结论

未来的研究应关注如何在自闭症诊断的三个阶段(孩子自闭症诊断之前、期间和之后)的每个阶段加强对母亲及其孩子的支持。

贡献

该研究强调了社区宗教和文化组织在为被诊断患有自闭症的母亲及其孩子提供适当支持方面的关键作用,这与社会支持、文化、传统、人际关系、相互联系和连续性等价值观相一致。

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