[Parenting resilience for rearing a child with autism spectrum disorder: a qualitative study].

Q4 Medicine No To Hattatsu Pub Date : 2015-07-01
Kota Suzuki, Tomoka Kobayashi, Karin Moriyama, Makiko Kaga, Michio Hiratani, Kyota Watanabe, Yushiro Yamashita, Takashi Hayashi, Masumi Inagaki
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Abstract

Objective: Resilience is defined as the dynamic process of positive adaptation despite the experience of adversity. The aims of this study were to apply the concept of resilience to the mothers of children with autism spectrum disorder (ASD), which we call "parenting resilience" for rearing a child with ASD, and to explain the construct of parenting resilience.

Methods: Interviews were conducted with 23 mothers of adults with ASD to collect data on rearing these children from infancy to adulthood. Data were analyzed using a modified grounded-theory approach.

Results: The analytic theme was the thought process from the problems associated with raising developmentally challenged children to the implementation of the appropriate coping method. We proposed a model comprising twelve concepts and five categories, i. e., "a sense of motherhood", "self-efficacy", "knowledge of the child's characteristics", "perceived social support", and "foresight". The model assumes that a sense of motherhood and self-efficacy motivate these mothers to cope with the problems associated with developmentally challenged children, and they derive the way of dealing with it from knowledge of the child's characteristics, perceived social support, and foresight.

Discussion: We suggest that the construct of parenting resilience for rearing a child with ASD is composed of the proposed categories and concepts.

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[养育自闭症谱系障碍儿童的父母韧性:一项定性研究]。
目的:将弹性定义为经历逆境后积极适应的动态过程。本研究的目的是将心理弹性的概念应用于自闭症谱系障碍(ASD)儿童的母亲,即我们所说的养育ASD儿童的“养育弹性”,并解释养育弹性的结构。方法:对23名ASD成人的母亲进行访谈,收集这些儿童从婴儿期到成年期的抚养资料。数据分析采用改进的接地理论方法。结果:分析主题为从培养发育障碍儿童的相关问题到实施适当应对方法的思考过程。我们提出了一个包含12个概念和5个类别的模型,即“母性感”、“自我效能感”、“对儿童特征的了解”、“感知社会支持”和“远见”。该模型假设母性感和自我效能感激励这些母亲处理与发育障碍儿童相关的问题,她们从对儿童特征的了解、感知到的社会支持和远见中得出处理问题的方法。讨论:我们建议由提出的类别和概念组成养育自闭症儿童的父母弹性的结构。
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No To Hattatsu
No To Hattatsu Medicine-Pediatrics, Perinatology and Child Health
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