Living with the delusion of autism recovery: A grounded theory study on the experiences of mothers

A. Elif Işık-Uslu PhD , Zeynep Çetin PhD
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Abstract

Purpose

This study employs Charmaz's (2014) constructivist Grounded Theory (GT) approach to explore and construct a theory about the experiences of mothers raising children diagnosed with autism spectrum disorder (ASD).

Methods

Data were collected over 1.5 years from online forum posts written by 10 mothers and in-depth qualitative interviews conducted with nine mothers. During the theoretical sampling phase, an additional four mothers were interviewed face-to-face. The analysis adhered to Charmaz's constructivist GT methodology, encompassing initial coding, focused coding, and theoretical coding.

Results

The study introduces the grounded theory, “Living with the Delusion of Autism Recovery,” which encapsulates mothers' oscillation between hope and despair as they navigate their children's developmental journeys. This longitudinal analysis traces mothers' experiences from the pre-diagnosis phase through special education, addressing a significant gap in the literature by examining the progression of experiences rather than isolated moments.

Conclusions

The findings underscore the urgent need for timely interventions and robust support systems. Delays in diagnosis, driven by healthcare professionals' reluctance to diagnose early and the lack of a formal early intervention system, exacerbate developmental challenges. This research provides a unique contribution to the literature by centering on the experiences of Turkish mothers, shedding light on cultural nuances and the dynamic nature of parenting a child with ASD in Türkiye. It is notable as the first study of its kind in Türkiye, offering invaluable insights into the evolving experiences of these mothers.
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生活在自闭症康复的妄想中:基于母亲经验的理论研究。
目的:本研究采用Charmaz(2014)的建构主义扎根理论(GT)方法,探讨并构建母亲养育自闭症谱系障碍(ASD)儿童的经验理论。方法:收集10位母亲在1.5年的时间里撰写的在线论坛帖子,并对9位母亲进行深度定性访谈。在理论抽样阶段,另外四位母亲接受了面对面的采访。分析遵循Charmaz的建构主义GT方法论,包括初始编码、重点编码和理论编码。研究结果:该研究引入了“与自闭症康复的错觉一起生活”的理论,该理论概括了母亲在引导孩子的发展历程时在希望和绝望之间的摇摆。这项纵向分析追踪母亲从诊断前阶段到特殊教育的经历,通过检查经历的进展而不是孤立的时刻来解决文献中的重大差距。结论:研究结果强调了及时干预和强有力的支持系统的迫切需要。由于卫生保健专业人员不愿早期诊断和缺乏正式的早期干预系统,导致诊断延误,加剧了发展挑战。这项研究以土耳其母亲的经历为中心,为文献提供了独特的贡献,揭示了文化的细微差别和在土耳其养育自闭症儿童的动态性质。值得注意的是,这是在 rkiye进行的第一次此类研究,为这些母亲不断发展的经历提供了宝贵的见解。
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来源期刊
CiteScore
3.70
自引率
8.30%
发文量
291
审稿时长
65 days
期刊介绍: Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.
期刊最新文献
The effect of abdominal massage on gastrointestinal complications in enterally fed pediatric intensive care patients. The effect of tele-nursing application on metabolic control, self-efficacy, quality of life and anxiety level in adolescents with Type 1 diabetes: A randomized controlled trial. Experiences and influencing factors of secondary traumatic stress in neonatal intensive care unit nurses: A mixed-methods study. Hypothyroidism associated with anti-epileptic medications: Two case reports. Nurses' self-efficacy levels and influencing factors in the care of children with epilepsy.
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