Factors Influencing Despair, Self-Blame, and Acceptance among Parents of Children with Autism Spectrum Disorder (ASD): A Malaysian Perspective

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Bibliographic Details
Title: Factors Influencing Despair, Self-Blame, and Acceptance among Parents of Children with Autism Spectrum Disorder (ASD): A Malaysian Perspective
Language: English
Authors: Muhammad Hanif Abd Latif, Wan Salwina Wan Ismail (ORCID 0000-0002-9364-5195), Mohd Rizal Abdul Manaf, Nur Iwana Abdul Taib
Source: Journal of Autism and Developmental Disorders. 2025 55(6):2067-2074.
Availability: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 8
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: Depression (Psychology), Self Concept, Parent Attitudes, Children, Parent Child Relationship, Autism Spectrum Disorders, Foreign Countries, Clinical Diagnosis, Drug Therapy, Ethnicity, Emotional Response, Parent Background
Geographic Terms: Malaysia
DOI: 10.1007/s10803-023-06155-8
ISSN: 0162-3257
1573-3432
Abstract: Purpose: Accepting and adapting to the child's diagnosis of Autism Spectrum Disorder (ASD) can be challenging for parents. We aimed to assess domains of parental adjustment namely despair, self-blame, and acceptance among parents whose children were diagnosed with ASD. Methods: A cross-sectional study was conducted among 111 parents of children with autism who attended Child and Adolescent Psychiatry Unit (CAPU), in a university teaching hospital in Kuala Lumpur, Malaysia. Sociodemographic profiles of both parents and children were gathered. Parental adjustment focusing on parental self-blame, despair and acceptance were assessed using self-reported questionnaires namely Adjustment to the Diagnosis of Autism (ADA). Results: Higher level of despair was associated with parents who have medical illness ([beta] = 0.214, p = 0.016) and children who received antipsychotic medications ([beta] = 0.329, p < 0.001). Parents with tertiary education ([beta] = -0.207, p = 0.023) and those with autistic child attended school ([beta] = -0.200, p = 0.037) have lower level of despair. Parents with medical illness ([beta] = 0.245, p = 0.008), child receiving antipsychotic medications ([beta] = 0.251, p = 0.005), Chinese ethnicity ([beta] = 0.185, p = 0.04), and child's gender ([beta] = 0.283, p = 0.003) were significantly associated with higher level of self-blame. Lower acceptance was found among Chinese parents ([beta] = -0.264, p = 0.005) while married parents had higher acceptance levels ([beta] = 0.215, p = 0.022). Conclusion: Parental adjustment involving domains of despair, self-blame, and acceptance were significantly associated with ethnicity of parents, educational level, parents' marital status and medical illness, as well as the ASD children's schooling status and type of medications used.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1470819
Database: ERIC
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Abstract:Purpose: Accepting and adapting to the child's diagnosis of Autism Spectrum Disorder (ASD) can be challenging for parents. We aimed to assess domains of parental adjustment namely despair, self-blame, and acceptance among parents whose children were diagnosed with ASD. Methods: A cross-sectional study was conducted among 111 parents of children with autism who attended Child and Adolescent Psychiatry Unit (CAPU), in a university teaching hospital in Kuala Lumpur, Malaysia. Sociodemographic profiles of both parents and children were gathered. Parental adjustment focusing on parental self-blame, despair and acceptance were assessed using self-reported questionnaires namely Adjustment to the Diagnosis of Autism (ADA). Results: Higher level of despair was associated with parents who have medical illness ([beta] = 0.214, p = 0.016) and children who received antipsychotic medications ([beta] = 0.329, p < 0.001). Parents with tertiary education ([beta] = -0.207, p = 0.023) and those with autistic child attended school ([beta] = -0.200, p = 0.037) have lower level of despair. Parents with medical illness ([beta] = 0.245, p = 0.008), child receiving antipsychotic medications ([beta] = 0.251, p = 0.005), Chinese ethnicity ([beta] = 0.185, p = 0.04), and child's gender ([beta] = 0.283, p = 0.003) were significantly associated with higher level of self-blame. Lower acceptance was found among Chinese parents ([beta] = -0.264, p = 0.005) while married parents had higher acceptance levels ([beta] = 0.215, p = 0.022). Conclusion: Parental adjustment involving domains of despair, self-blame, and acceptance were significantly associated with ethnicity of parents, educational level, parents' marital status and medical illness, as well as the ASD children's schooling status and type of medications used.
ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-023-06155-8