Psychometric Properties of the Impact on Family of ASD Children and a Control Group in Albania

Pages24-30
24
Vol. 7 No.3
January, 2022
Balkan Journal of Interdisciplinary Research
IIPCCL Publishing, Graz-Austria
ISSN 2410-759X
Acces online at www.iipccl.org
Psychometric Properties of the Impact on Family of ASD Children and a
Control Group in Albania
PhD Anita Pilika
Faculty of Medicine, Neuroscience Department, Psychiatric Service (University Hospital
Center Mother Teresa), Tirana, Albania
Abstract
Background: Autistic Spectrum Disorder, (ASD) is a lifelong disability that impairs 3 main
areas; communication skills, social interaction and behavioral paerns. Despite the increasing
involvement of parents as child’s therapist in interventions, lile is known about the eects
of involvement on the whole family. Parenting a child with ASD endures more stress than
parenting a child with any other disability & heightens negative outcomes on health. The
children & families living with ASD face many practicable & emotional challenges.
Objectives: Minimal research has focused on the stress & impact on the parents & family of
ASD children, & in particular the origin of such stress & depression. Consequently, the present
study aempts s to examine the degree of impact on the family a child with ASD has.
Methods: Participants were 60 parents of ASD children, and 60 parents of children without ASD.
Translational validity was undertaken to ascertain whether the content of the questionnaire
was appropriate and relevant to the study purpose. Questionnaires aimed to examine the
impact on family of an ASD child compared to the control cohort.
Results: Factor analysis with equamax rotation yielded an interpretable structure with 5
factors – nancial, social, personal, mastery and impact on siblings - accounting for 55.2% of
the variance. The convergent and dierential validity of the scales was supported. Coecient
alphas for the respective subscales were between .67 and .75 and for the full Scale was .71.
Corrected item-total correlations were within acceptable boundaries. All the correlations were
signicant (p < .001).
Conclusion: The overall results indicate that for assessing the impact on the family of an ASD
child in Albania the locally translated version of IFS is a reliable and valid instrument because
it displays ve domains of that impact. Having a child with ASD has a large impact on the
family. Financial, social and personal domains exhibit the greatest impact, with mastery rating
slightly behind
Keywords: ASD, family, impact.
Introduction
Families coping with ASD are searching for answers about causes, diagnosis and
treatment (National Institute of Mental Health, 2004). Despite the increasing involve-
ment of parents as the child’s therapist in interventions for their autistic child, much
research has focused on the outcome for the child, with lile known about the ef-
fects of involvement on the whole family (Williams and Wishart, 2003). Children and
families living with ASD face many emotional and practical challenges, and of all the
diculties that can beset parents, having a child with ASD ranks among the worst
(Ives and Munro, 2003; Hewson, Icasiano, Machet and Cooper, 2003). Some psychiat-
ric problems and anxiety traits seen in parents of ASD children have been associated
with the burden of caring for their ASD child (Murphy, Bolton, Pickels, Fombonne,

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