The current situation and influencing factors of anxiety and depression among parents of children with autism-internal and external factors, which has a more significant impact?

Introduction

 

Parenting is a demanding role, and when a child has autism spectrum disorder (ASD), the challenges intensify significantly. Parents often find themselves dealing with emotional, social, and financial pressures that can lead to mental health issues like anxiety and depression. A study published in August 2024 titled “The current situation and influencing factors of anxiety and depression among parents of children with autism—internal and external factors, which has a more significant impact?” dives deep into these challenges, offering insights into which factors most significantly affect the mental health of these parents.

 

Study Overview

 

The research was conducted by a team from the Affiliated Children’s Hospital of Zhejiang University School of Medicine. They examined 411 parents of children with ASD, focusing on the prevalence of anxiety and depression. The study sought to determine whether internal factors, such as psychological resilience, or external factors, like the severity of the child’s ASD symptoms, have a more profound impact on the mental health of these parents.

 

Key Findings

 

1. Psychological Resilience: The Most Significant Internal Factor

 

The study found that psychological resilience—a parent’s ability to recover quickly from difficulties—was the most critical factor influencing both anxiety and depression levels. This internal strength proved more influential than external stressors, such as the severity of the child’s autism symptoms. This suggests that fostering resilience could be key to improving the mental well-being of parents.

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   Why Resilience Matters

 

Resilience helps parents cope with the ongoing challenges of raising a child with ASD. It involves maintaining a positive outlook, finding meaning in adversity, and relying on social support. Strengthening these aspects can help parents manage stress and reduce the risk of anxiety and depression.

 

2. External Factors: The Role of Child’s Condition

 

While internal resilience is crucial, external factors also play a role. The severity of the child’s ASD symptoms was a significant predictor of anxiety and depression among parents. However, this factor was less influential compared to psychological resilience, indicating that while the child’s condition is a source of stress, how parents cope internally is more critical.

 

Severity of Autism Symptoms

 

Parents of children with more severe autism symptoms often face greater challenges, including behavioral issues, communication difficulties, and the need for constant supervision. These demands can exacerbate stress and contribute to anxiety and depression.

 

3. Gender Differences in Anxiety

 

The study highlighted significant gender differences in anxiety levels, with mothers reporting higher levels of anxiety than fathers. This finding suggests that mothers might experience more stress due to societal expectations, caregiving responsibilities, or emotional attachment.

 

Addressing Gender-Specific Needs

 

Given the higher levels of anxiety among mothers, there is a need for targeted interventions that provide them with the necessary support, whether through counseling, support groups, or stress management techniques.

 

4. Marital Status and Depression

 

Marital status also emerged as a key factor influencing depression. Parents who were unmarried or experiencing marital strain were more likely to report depressive symptoms. This finding underscores the importance of a supportive marital relationship in managing the stresses of raising a child with ASD.

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The Importance of Marital Support

 

A strong, supportive partnership can provide emotional backing, share caregiving duties, and reduce the sense of isolation that many parents feel. Interventions that strengthen marital bonds, such as couples counseling, can be beneficial in reducing depression.

 

Discussion: Internal vs. External Factors

 

The study’s findings emphasize that while both internal and external factors contribute to anxiety and depression, internal factors like psychological resilience have a more significant impact. This insight is crucial for developing interventions that focus on building resilience among parents. Programs that enhance coping skills, provide social support, and promote mental health awareness can make a substantial difference in the lives of these parents.

 

Implications for Practice

 

Given the importance of psychological resilience, practitioners should prioritize interventions that help parents develop this trait. This could involve:

 

  • Resilience Training: Offering workshops and support groups that focus on building resilience through stress management techniques, positive thinking, and problem-solving skills.
  • Mental Health Support: Providing access to counseling and therapy for parents struggling with anxiety and depression, tailored to address the unique challenges of raising a child with ASD.
  • Family-Centered Care: Encouraging a holistic approach that includes marital counseling and family therapy to strengthen the overall family unit.

 

Conclusion

 

This study provides valuable insights into the mental health challenges faced by parents of children with autism. It highlights the critical role of psychological resilience in mitigating anxiety and depression, suggesting that interventions aimed at boosting resilience could significantly improve the quality of life for these parents. While external factors like the severity of the child’s condition are important, the internal strength of the parents plays a more crucial role in determining their mental health outcomes.

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By focusing on building resilience, addressing gender-specific needs, and providing marital support, we can help parents better cope with the challenges of raising a child with autism, leading to healthier families and more positive outcomes for everyone involved.

 

Source:

https://assets-eu.researchsquare.com/files/rs-4747323/v1/a2e3e8d9-b1b7-49b3-b8f6-5764c27663df.pdf?c=1723443876

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