Mothering and mother-child interactions in the unaffected siblings of autistic children.

Autor: Chang JP; Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan.; Department of Psychiatry, China Medical University Hospital and College of Medicine, Taichung, Taiwan.; Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK., Chou WJ; Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan., Chiu YN; Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan., Tsai WC; Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan., Shang CY; Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan., Wu YY; Department of Psychiatry, Chang Gung Memorial Hospital-Linkou Medical Center, Linkou, Taiwan., Gau SS; Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan.; Department of Psychology, School of Occupational Therapy, and Graduate Institute of Brain and Mind Sciences, National Taiwan University, Taipei, Taiwan.
Jazyk: angličtina
Zdroj: Developmental medicine and child neurology [Dev Med Child Neurol] 2024 Nov; Vol. 66 (11), pp. 1446-1456. Date of Electronic Publication: 2024 Apr 26.
DOI: 10.1111/dmcn.15917
Abstrakt: Aim: To investigate parenting and mother-child interactions in unaffected siblings of autistic children.
Method: This cross-sectional study enrolled 274 probands with a DSM-5 diagnosis of autism spectrum disorder (ASD) (87.4% male; mean [SD] age = 11 years 4 months [3 years 2 months]), their unaffected siblings (n = 274, 46.72% male; mean [SD] age = 11 years 3 months [3 years 4 months]), and 296 age-balanced and sex-balanced typically developing children (82.77% male; mean [SD] age = 11 years 3 months [2 years 8 months]). Maternal parenting styles and mother-child interactions were assessed using maternal reporting.
Results: Regardless of the child's age, maternal educational level, or presence of attention-deficit/hyperactivity disorder, autistic children received more overprotective and controlling parental behaviour than unaffected children. Correlates for parenting, mother-child interactions, and behavioural problems in the home setting in children with ASD and typically developing children were autistic traits, maternal anxiety and depressive symptoms, and maternal autistic characteristics; those in unaffected siblings were age, autistic traits, maternal educational level, and maternal autistic characteristics.
Interpretation: The diagnosis of ASD in a child can significantly influence maternal parenting behaviours, mother-child interactions, and the child's behavioural problems in the home setting. Furthermore, maternal anxiety or depressive symptoms, along with autistic characteristics in both mother and child, might shape parenting practices and exacerbate behavioural difficulties in autistic children.
What This Paper Adds: Autistic children received more overprotective and controlling parenting. In children with autism spectrum disorder and typically developing children, autistic traits, maternal anxiety and depression, and maternal autistic characteristics were correlated. In unaffected siblings, age, autistic traits, maternal education, and maternal autistic characteristics were correlated.
(© 2024 Mac Keith Press.)
Databáze: MEDLINE
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