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Brief Report: Burden of Care in Mothers of Children with Autism Spectrum Disorder or Intellectual Disability

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Abstract

Compared to other mothers, mothers of children with autism spectrum disorder (ASD) or intellectual disability (ID) have higher rates of treatment episodes for psychiatric disorders. We aimed to estimate the maternal burden of care by comparing the length of hospitalisations for psychiatric disorders and the treatment rates for psychiatric disorders after the birth in mothers of children with ASD/ID and no psychiatric history to that of other mothers with no psychiatric history. Mothers of children with ID of known cause (not Down syndrome) and mothers of children ASD without ID emerged as particularly vulnerable. Mothers of children with Down syndrome were resilient. The development of specialised organisations to provide support to mothers of children with ID of known cause (not Down syndrome) and mothers of children with ASD without ID could assist them to maintain their mental health.

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References

  • Abbeduto, L., Seltzer, M., Shattuck, P., Krauss, M., Orsmond, G., & Murphy, M. (2004). Psychological well-being and coping in mothers of youths with autism, down syndrome, or fragile X syndrome. American Journal on Mental Retardation, 109(3), 237–254.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). The diagnostic and statistical manual of mental disorders: DSM 5. Arlington, VA: BookpointUS.

    Book  Google Scholar 

  • Astley, S., Bailey, D., Talbot, C., & Clarren, S. (2000). Fetal alcohol syndrome (FAS) primary prevention through FAS diagnosis: Identification of high-risk birth mothers through the diagnosis of their children. Alcohol and Alcoholism, 35(5), 499–508.

    Article  PubMed  Google Scholar 

  • Autism Association of Western Australia. (2012). Helping children with autism package-early intervention funding. from http://www.autism.org.au/services-we-provide/autism-advisor-program/early-intervention-funding.aspx

  • Baker, B., Blacher, J., Crnic, K., & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal on Mental Retardation, 107(6), 433–444.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2014). Prevalence of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morbidity and Mortality Weekly Report, 63(2), 1–21.

    Google Scholar 

  • Daniels, J., Forssen, U., Hultman, C., Cnattingius, S., Savitz, D., Feychting, M., & Sparen, P. (2008). Parental psychiatric disorders associated with autism spectrum disorders in the offspring. Pediatrics, 121(5), 1357–1362.

    Article  Google Scholar 

  • Department of Health. (2014). Information about health data. Retrieved 2014 July 16, from http://www.health.wa.gov.au/healthdata/statewide/midwives.cfm

  • Education and Health Standing Committee. (2012). A child who is healthy, attends school, and is able to read will have better educational outcomes. Perth, Western Australia: Government of Western Australia. Retrieved from http://www.parliament.wa.gov.au/Parliament/commit.nsf/28Evidence+Lookup+by+Com+ID29/A742EA66F4D283AB48257AB70006CAB5?opendocument

  • Einfeld, S., & Tonge, B. (1996). Population prevalence of psychopathology in children and adolescents with intellectual disability: II epidemiological findings. Journal of Intellectual Disability Research, 40(2), 99–109.

    Article  PubMed  Google Scholar 

  • Emerson, E. (2003a). Mothers of children and adolescents with intellectual disability: social and economic situation, mental health status, and the self-assessed social and psychological impact of the child’s difficulties. Journal of Intellectual Disability Research, 47(4–5), 385–399.

    Article  PubMed  Google Scholar 

  • Emerson, E. (2003b). Prevalence of psychiatric disorders in children and adolescents with and without intellectual disability. Journal of Intellectual Disability Research, 47(1), 51–58. doi:10.1046/j.1365-2788.2003.00464.x.

    Article  PubMed  Google Scholar 

  • Emerson, E., Hatton, C., Llewellyn, G., Blacker, J., & Graham, H. (2006). Socio-economic position, household composition, health status and indicators of the well-being of mothers of children with and without intellectual disabilities. Journal of Intellectual Disability Research, 50(12), 862–873.

    Article  PubMed  Google Scholar 

  • Fairthorne, J., Hammond, G., Bourke, J., de Klerk, N., & Leonard, H. (2015a). Maternal psychiatric disorder and the risk of autism spectrum disorder or intellectual disability in subsequent offspring. Journal of Austism and Developmental Disorders. doi:10.1007/s10803-015-2594-3.

    Google Scholar 

  • Fairthorne, J., Jacoby, P., Bourke, J., de Klerk, N., & Leonard, H. (2015b). Onset of maternal psychiatric disorders after the birth of a child with autism spectrum disorder: A retrospective cohort study. Autism. doi:10.1177/1362361314566048.

    PubMed  Google Scholar 

  • Fairthorne, J., Jacoby, P., Bourke, J., de Klerk, N., & Leonard, H. (2015c). Onset of maternal psychiatric disorders after the birth of a child with intellectual disability: A retrospective cohort study. Journal of Psychiatry Research, 61, 223–230. doi:10.1016/j.jpsychires.2014.11.011.

    Article  Google Scholar 

  • Frenette, P., Dodds, L., MacPherson, K., Flowerdew, G., Hennen, B., & Bryson, S. (2013). Factors affecting the age at diagnosis of autism spectrum disorders in Nova Scotia, Canada. Autism, 17(2), 184–195.

    Article  PubMed  Google Scholar 

  • Ghose, A. (2007). Children and young people with a disability in Western Australia. Perth, Western Australia: National Disability Services WA.

    Google Scholar 

  • Gray, D. (2002). Ten years on: A longitudinal study of families of children with autism. Journal of Intellectual and Developmental Disability, 27(3), 215–222.

    Article  Google Scholar 

  • Green, S. (2007). We’re tired, not sad: Benefits and burdens of mothering a child with a disability. Social Science and Medicine, 64(1), 150–163.

    Article  PubMed  Google Scholar 

  • Hagerman, R. (2006). Lessons from fragile X regarding neurobiology, autism, and neurodegeneration. Journal of Developmental and Behavioral Pediatrics, 27(1), 63–74.

    Article  PubMed  Google Scholar 

  • Hoppes, K., & Harris, S. (1990). Perceptions of child attachment and maternal gratification in mothers of children with autism and down syndrome. Journal of Clinical Child and Adolescent Psychology, 19(4), 365–370.

    Article  Google Scholar 

  • Jokiranta, E., Brown, A., Heinimaa, M., Cheslack-Postava, K., Suominen, A., & Sourander, A. (2013). Parental psychiatric disorders and autism spectrum disorders. Psychiatry Research, 207(3), 203–211.

    Article  PubMed Central  PubMed  Google Scholar 

  • Larsson, H., Eaton, W., Madsen, K., Vestergaard, M., Olesen, A., Agerbo, E., & Mortensen, P. (2005). Risk factors for autism: perinatal factors, parental psychiatric history, and socioeconomic status. American Journal of Epidemiology, 161(10), 916–925.

    Article  PubMed  Google Scholar 

  • Leonard, H., Glasson, E., Nassar, N., Whitehouse, A., Bebbington, A., Bourke, J., & Stanley, F. (2011). Autism and intellectual disability are differentially related to sociodemographic background at birth. PLoS One, 6(3), e17875.

    Article  PubMed Central  PubMed  Google Scholar 

  • Leyfer, O., Folstein, S., Bacalman, S., Davis, N., Dinh, E., Morgan, J., & Lainhart, J. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861.

    Article  PubMed  Google Scholar 

  • Mak, S., & Cheung, R. (2008). Affiliate stigma among caregivers of people with intellectual disability or mental illness. Journal of Applied Research in Intellectual Disabilities, 21(6), 532–545.

    Article  Google Scholar 

  • Petterson, B., Leonard, H., Bourke, J., Sanders, R., Chalmers, R., Jacoby, P., & Bower, C. (2005). IDEA (intellectual disability exploring answers): A population-based database for intellectual disability in Western Australia. Annals of Human Biology, 32(2), 237–243.

    Article  PubMed  Google Scholar 

  • Richdale, A. (1999). Sleep problems in autism: prevalence, cause, and intervention. Developmental Medicine and Child Neurology, 41(1), 60–66.

    Article  PubMed  Google Scholar 

  • Richdale, A., Andre, F., Gavidia-Payne, S., & Cotton, S. (2000). Stress, behaviour, and sleep problems in children with an intellectual disability. Journal of Intellectual and Developmental Disability, 25(2), 147–161.

    Article  Google Scholar 

  • Shearn, J., & Todd, S. (2000). Maternal employment and family responsibilities: The perspectives of mothers of children with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 13(3), 109–131.

    Article  Google Scholar 

  • Singhi, P., Goyal, L., Pershad, D., Singhi, S., & Walia, B. (1990). Psychosocial problems in families of disabled children. British Journal of Medical Psychology, 63(2), 173–182.

    Article  PubMed  Google Scholar 

  • Sullivan, P., Magnusson, C., Reichenberg, A., Boman, M., Dalman, C., Davidson, M., & Långström, N. (2012). Family history of schizophrenia and bipolar disorder as risk factors for autism. Archives of General Psychiatry, 2, 1–5.

    Google Scholar 

  • Weiss, M. (2002). Hardiness and social support as predictors of stress in mothers of typical children, children with autism, and children with mental retardation. Autism, 6(1), 115–130.

    Article  PubMed  Google Scholar 

  • World Health Organisation. (2006). International statistical classification of diseases and related health problems, 10th revision, version for 2007 http://apps.who.int/classifications/apps/icd/icd10online/

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Author Contributions

Dr Fairthorne conceived, undertook all new analyses and wrote the first draft of the study. Professor de Klerk provided statistical advice. All co-authors provided input on subsequent versions.

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Correspondence to Jenny Fairthorne.

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Fairthorne, J., de Klerk, N. & Leonard, H. Brief Report: Burden of Care in Mothers of Children with Autism Spectrum Disorder or Intellectual Disability. J Autism Dev Disord 46, 1103–1109 (2016). https://doi.org/10.1007/s10803-015-2629-9

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  • DOI: https://doi.org/10.1007/s10803-015-2629-9

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