Mental health in mothers of children with autism spectrum disorder: a cross-sectional study

The increased prevalence of autism spectrum disorder (ASD) has placed a significant emotional and psychological burden on mothers. We explored the association between the severity of ASD symptoms in children and the mental health of their mothers during the COVID-19 pandemic. Our study included 1,92...

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Bibliographic Details
Published in:	Women & health Vol. 64; no. 8; pp. 636 - 647
Main Authors:	Santiago, César F. G., Lelis, Deborah F., Ferreira, Gabriel F. Silveira, Pinto, Andressa L., Caldeira, Isabella P., Ribeiro, Natália G., Forechi, Ludimila, Baldo, Thais de O. Faria, Baldo, Marcelo P.
Format:	Journal Article
Language:	English
Published:	United States Taylor & Francis 13-09-2024 Taylor & Francis LLC
Subjects:	Adult Age groups Anxiety Anxiety - epidemiology Anxiety - psychology Autism autism spectrum disorder Autism Spectrum Disorder - epidemiology Autism Spectrum Disorder - psychology Child Child, Preschool Children Childrens health COVID-19 COVID-19 - epidemiology COVID-19 - psychology Cross-Sectional Studies depression Depression - epidemiology Depression - psychology Female Humans Internet Male Mental depression Mental disorders Mental Health mental illness, women's health, mothers Middle Aged Mothers Mothers - psychology Polls & surveys Prescription drugs Psychotropic drugs SARS-CoV-2 Severity of Illness Index Sociodemographics Stress Stress, Psychological - epidemiology Stress, Psychological - psychology Surveys and Questionnaires Symptoms Unemployment Well being Anxiety depression autism spectrum disorder mental illness, women’s health, mothers
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Summary:	The increased prevalence of autism spectrum disorder (ASD) has placed a significant emotional and psychological burden on mothers. We explored the association between the severity of ASD symptoms in children and the mental health of their mothers during the COVID-19 pandemic. Our study included 1,924 mothers of children with ASD, enrolled in a web-based cross-sectional survey over 85 consecutive days to gather clinical and sociodemographic data. The severity of ASD symptoms was obtained according to the children's age. Using the Depression, Anxiety, and Stress Scales (DASS-21) scale, we found that 35.8 percent of mothers experienced both anxiety and depression. A high education level and a high family income reduced the chance of concurrent anxiety and depression. Conversely, unemployment, a child using psychiatric medication, and higher severity of ASD symptoms increased the chance. Notably, the severity of the ASD symptom was the sole predictor of maternal co-occurring anxiety and depression across all age groups (<3 years aOR = 2.04, 95%CI 1.07-3.89; 3-5 years aOR = 2.76, 95%CI 1.67-4.56; ≥ 6 years aOR = 1.61, 95%CI 1.04-2.50). Recognizing the challenges associated with ASD leads to greater acceptance and tailored interventions, ultimately improving the overall well-being of both individuals with ASD and their mothers.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0363-0242 1541-0331 1541-0331
DOI:	10.1080/03630242.2024.2392137