Tensions in Maternal Care for Children, Youth, and Adults With Autism Spectrum Disorder.

autism caregivers lived experience mothering mothers

Journal

Global qualitative nursing research
ISSN: 2333-3936
Titre abrégé: Glob Qual Nurs Res
Pays: United States
ID NLM: 101666563

Informations de publication

Date de publication:
Historique:
received: 12 04 2019
revised: 10 01 2020
accepted: 16 01 2020
entrez: 5 3 2020
pubmed: 5 3 2020
medline: 5 3 2020
Statut: epublish

Résumé

This study explored the experiences of mothers caring for an individual with autism spectrum disorder (ASD) ranging from 5 to 25 years of age, and examined pervasive tensions in caregiving. Guided by ethnographic methods, a retrospective cross-sectional study was conducted. Interviews with 85 mothers were analyzed inductively. Prevalent tensions in maternal caregiving were identified: (a) difficulties obtaining, yet resistance to, an ASD diagnosis; (b) identified giftedness of the child versus notions of deficit imposed by others; (c) disability-related behaviors erroneously interpreted as 'poor parenting'; (d) contradictory considerations in diagnosis disclosure; (e) the invisibility yet pervasiveness of ASD; (f) extensive need for, yet the lack of, accessible services; (g) ASD-related care demands versus other pressing responsibilities; (h) arguments for inclusive versus exclusive services; and (i) aims of nurturing independence versus managing safety risk. Tensions were heightened by insufficient supports relative to need. Implications and recommendations for practice and policy are offered.

Identifiants

pubmed: 32128352
doi: 10.1177/2333393620907588
pii: 10.1177_2333393620907588
pmc: PMC7036502
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2333393620907588

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Références

J Autism Dev Disord. 2014 Aug;44(8):1793-807
pubmed: 24599424
Autism Res. 2017 Jul;10(7):1259-1268
pubmed: 28339168
Qual Health Res. 2013 Oct;23(10):1320-32
pubmed: 24022735
J Pediatr Nurs. 2016 Nov - Dec;31(6):567-579
pubmed: 27637421
Front Psychol. 2019 Mar 08;10:464
pubmed: 30906274
Autism. 2012 May;16(3):261-74
pubmed: 22297202
Phys Occup Ther Pediatr. 2010 Nov;30(4):340-50
pubmed: 20735198
J Intellect Dev Disabil. 2012 Dec;37(4):294-302
pubmed: 23171310
J Intellect Disabil Res. 2010 Mar;54(3):266-80
pubmed: 20146741
J Pediatr Nurs. 2012 Jun;27(3):206-13
pubmed: 22525808
Qual Health Res. 2015 Apr;25(4):569-83
pubmed: 25246329
J Spec Pediatr Nurs. 2009 Jul;14(3):157-65
pubmed: 19614824
Autism Res Treat. 2017;2017:8685950
pubmed: 29435368
J Autism Dev Disord. 2013 Jun;43(6):1380-93
pubmed: 23100053
J Autism Dev Disord. 2017 Oct;47(10):3311-3319
pubmed: 28685408
Dev Neurorehabil. 2018 Apr;21(3):155-165
pubmed: 28598245
Qual Health Res. 2016 Jun;26(7):921-34
pubmed: 26612886

Auteurs

David B Nicholas (DB)

University of Calgary, Edmonton, Alberta, Canada.

Radha MacCulloch (R)

Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.

Wendy Roberts (W)

Intergrated Services for Autism and Neurodevelopmental Disorders, Toronto, Ontario, Canada.

Lonnie Zwaigenbaum (L)

University of Alberta, Edmonton, Alberta, Canada.

Patricia McKeever (P)

Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.
University of Toronto, Toronto, Ontario, Canada.

Classifications MeSH