Families of adolescents and adults with autism spectrum disorders in Taiwan: The role of social support and coping in family adaptation and maternal well-being |
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| Authors: | Ling-Yi Lin Gael I Orsmond Wendy J Coster Ellen S Cohn |
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| Institution: | 1. Department of Occupational Therapy, National Cheng Kung University, No. 1, University Road, Tainan City 701, Taiwan, ROC;2. Department of Occupational Therapy, Boston University, USA;1. Department of Educational Sciences, College of Education, Majmaah University, Majmaah, 11952, Saudi Arabia;2. Department of Special Education, College of Education, Majmaah University, Majmaah, 11952, Saudi Arabia;1. Special Education Department, School of Education, Guangzhou University, Guangzhou, People’s Republic of China;2. Special Education Department, School of Education, South China Normal University, Guangzhou, People’s Republic of China;1. Special Education Department, School of Education, Guangzhou University, Guangzhou, People’s Republic of China;2. School of Education, Guangzhou University, Guangzhou, People’s Republic of China;1. Child Development and Rehabilitation Center, Oregon Health & Science University, P.O. Box 574, Portland, OR, United States;2. Department of Psychiatry and Behavioral Sciences, University of Washington and Autism Program, Seattle Children''s Hospital, CAC - Autism Center, 4909 - 25th Ave NE, Seattle, WA 98105, United States;3. Oregon Health & Science University, Portland, OR, United States;4. Warm Springs Autism Diagnostic & Treatment Center, United States;5. Columbia University College of Physicians and Surgeons, 635 West 165th Street, Room 635, New York, NY 10032, United States;6. Center for Child & Adolescent Health Research and Policy, Massachusetts General Hospital, 100 Cambridge Street, 15th Floor - C100, Boston, MA 02114, United States;7. EMMES Corporation, 401 N. Washington St., Suite 700, Rockville, MD 20850, United States;8. Center for Child and Adolescent Health Policy, Massachusetts General Hospital, Department of Pediatrics, Harvard Medical School, 100 Cambridge Street, 15th Floor - C100, Boston, MA 02114, United States;1. Department of Psychology, Texas Christian University, United States;2. Department of Psychology, University of Miami, United States;3. Department of Education, University of Miami, United States;4. Florida International University, United States |
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| Abstract: | In this study we examined differences in social support and coping between mothers of adolescents and adults with an autism spectrum disorder (ASD) in Taiwan and the United States and to investigate the effects of social support and coping strategies on family adaptation and maternal well-being. Participants were 76 Taiwanese mothers who had at least one son or daughter with an ASD (10 years old and older), and a comparison group of 325 mothers in the United States matched on the age range of the child with an ASD. Mothers completed self-administered, written questionnaires and participated in an interview. Taiwanese mothers reported significantly greater use of problem-focused and emotion-focused coping strategies than did mothers in the United States. For Taiwanese families, greater use of problem-focused coping strategies was associated with lower levels of depressive symptoms and anxiety. Emotion-focused coping mediated the relationships between ethnicity/culture and several outcome measures: family adaptability, family cohesion, and maternal depressive symptoms. The higher levels of emotion-focused coping in Taiwanese mothers appeared to account for their lower levels of family adaptability and cohesion and higher levels of maternal depressive symptoms. The results from this cross-cultural study helped determine the role of social support and coping strategies in family adaptation and maternal well-being in families of individuals with an ASD in each culture. Implications for service delivery are discussed. |
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