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The association of illness perceptions with depressive symptoms and general psychological distress in parents of an offspring with autism spectrum disorder
Institution:1. Department of Primary Education, Special and Intercultural Education, University of Ioannina, Greece;2. Department of Psychiatry, Medical School, University of Ioannina, 45110 Ioannina, Greece;3. Department of Clinical Medicine, Faculty of Medicine, Federal University of Ceará, Fortaleza, Brazil;1. State Key Laboratory of Multi-phase Complex Systems, Institute of Process Engineering, Chinese Academy of Science (CAS), China;2. University of Chinese Academy of Sciences (UCAS), Beijing 100049, China;1. Institute of Power Source & Eco-materials Science, Hebei University of Technology, Tianjin 300130, China;2. Faculty of Metallurgical and Energy Engineering, Kunming University of Science and Technology, Kunming, Yunnan 650093, China;3. Chemical Engineering Program, The Petroleum Institute, P.O. Box 2533 Abu Dhabi, United Arab Emirates;1. Department of Medical Imaging and Radiological Sciences, I-Shou University, Kaohsiung City 82445, Taiwan;2. Department of Nuclear Medicine, E-DA Hospital, I-Shou University, Kaohsiung City 82445, Taiwan;3. Department of Radiology, E-DA Hospital, I-Shou University, Kaohsiung City 82445, Taiwan;4. Department of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung City 82445, Taiwan;1. Servicio de Anestesiología y Reanimación, Hospital Central de la Defensa Gómez Ulla, Madrid, España;2. Servicio de Pediatría, Hospital Central de la Defensa Gómez Ulla, Madrid, España;3. Servicio de Ginecología y Obstetricia, Hospital Central de la Defensa Gómez Ulla, Madrid, España;1. Department of Psychology and Cognitive Science, University of Trento, Rovereto, Italy;2. Department of Computational Biology, Research and Innovation Centre, Fondazione Edmund Mach (FEM), San Michele all’Adige, Italy
Abstract:BackgroundRaising a child with an autism spectrum disorder (ASD) is a severe stressor and parents often present high levels of depression. Depression is associated with illness perceptions but this association has not been studied in parents of ASD offspring.ObjectiveWe aimed to assess the prevalence of psychological distress symptoms and their associations with illness perceptions in parents with an ASD offspring.MethodsIn 111 parents of ASD offspring we assessed depressive symptoms (PHQ-9), illness perceptions (B-IPQ) and general psychological distress (GHQ-28). Multiple linear and logistic regressions were used to assess their independent associations.ResultsThe prevalence of parental clinically significant depressive symptoms was 34.2%, while 55% presented clinically significant levels of general psychological distress. Younger parents and those with lower financial resources had greater psychological distress and more severe depressive symptoms. Parents felt that the condition impacted their lives and believed it would be chronic. Their beliefs about the consequences and the chronicity of the disorder were significant independent correlates of their psychological distress and depressive symptoms severity.ConclusionsThese findings indicate that a remarkable proportion of parents with an ASD offspring present clinically significant depressive symptoms, which were associated with illness perceptions relevant to the consequences and the chronicity of the disorder. Our data encourage psychotherapeutic interventions aiming to support parents to deal with the consequences and chronicity of their offspring's disorder, in order to reduce parental psychological distress.
Keywords:Autism spectrum disorder  Depression  Illness perceptions  Parents  PHQ-9  GHQ-28
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