27th National Clinical Education Symposium Presentation Abstracts

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Evaluation of the outcome of individuals with autism spectrum disorder in adulthood and factors predicting prognosis - Page S113
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30 APRIL 2025, WEDNESDAY
09.00-10.15 ORAL PRESENTATION SESSION - 10

Psychiatric symptoms and their predictors in aging parents of adults with Autism Spectrum Disorder

Müjdat Erarkadaş1, Kübra Özmeral Erarkadaş2, Şahika Gülen Şismanlar2

1. Gölcük Necati Çelik State Hospital, Clinic of Child and Adolescent Psychiatry, Kocaeli, Turkey
2. Kocaeli University, Medical Faculty, Child and Adolescent Psychiatry Department, Kocaeli, Turkey

DOI: 10.5080/kes27.abs88 Page 112

BACKGROUND AND AIM: Autism Spectrum Disorder(ASD) has devastating effects on parental mental health(MH). While effects of this chronic disorder on parental MH during childhood have been studied, there is limited information regarding the parental MH of increasing adult ASD population. Therefore, we aim to determine the psychiatric symptoms levels(PSL) of parents of adult with ASD, to compare the PSL between mothers and fathers, to investigate the predictors of parental PSL.
METHODS: Mothers(aged:39-62) and fathers(aged:42-69) of 77 adult ASD patients(aged:18-39) were included. Parental PSL was assessed with the Brief Symptom Inventory, behavioral problems of patients was assessed with the Aberrant Behavior Checklist, independence level of patients(IL) was measured with the Lawton Instrumental Activities of Daily Living Scale, and social functioning level of patients(SFL) was evaluated with the Social Functioning Scale. Variables related to patients(age/gender/independent toileting and self-care skills/functional speech ability/literacy learning status/intellectual disability(ID)/medical and psychiatric comorbidity/psychotropic use/behavioral problems/autism severity) and parents(age/education/working status/medical diagnosis) included in the regression models. Approval was obtained from Kocaeli University(No:2022/20.21).
RESULTS: Mothers were the most frequent caregiver. Mothers' labor force participation rate was significantly lower, somatization and depression were significantly higher than fathers'. As IL increased, paternal depression and negative self-concept(NSC) significantly decreased. When SFL increased, maternal anxiety, depression, somatization and paternal NSC significantly decreased. Parents of patients with psychiatric comorbidity and ID, who was dependent on self-care and toileting skills, and illiterate had significantly higher PSL. In regression analysis; increased patient's irritability was associated with increased maternal anxiety, NSC and paternal anxiety, depression, somatization, hostility; increased hyperactivity was associated with increased maternal depression and hostility; increased irritability and presence of medical disease in the mother and patient, increased maternal somatization; increased irritability and social withdrawal were associated with increased paternal NSC.
CONCLUSIONS: This study contributes to better understanding of the protective and risk factors of adult ASD cases parents' psychopathology.