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Child Characteristics Coping and Stress in Parents of Children With Autism

Thesis Info

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Author

Rauf, Nelofar Kiran

Program

PhD

Institute

Quaid-I-Azam University

City

Islamabad

Province

Islamabad.

Country

Pakistan

Thesis Completing Year

2017

Thesis Completion Status

Completed

Subject

Psychology

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/12708/1/nelofar.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676724549082

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The purpose of this research was to study the relationship between child characteristics, coping and stress in parent of children with autism. One of the objectives was to study the impact of child characteristics on paternal and maternal stress. The factors included in child characteristics were autism symptom severity, adaptive behaviors, and problem behaviors. The study also investigated the mediating role of family coping (reframing, passive appraisal and mobilizing family to acquire and accept help) between child characteristics and paternal, maternal stress. Moreover, the relationship of different family socio-demographic variables (age, gender of the child; age, education, and work status of mothers; socio economic status and type of family system) was also examined with reference to paternal and maternal stress. The measures used to assess characteristic of children with autism were Childhood Autism Rating Scale-2 (CARS-2), Adaptive Behavior scale-School Edition (ABS: 2S, Part-1) and Strengths and Difficulties Questionnaire (SDQ). The measure used to assess parental stress and coping were Questionnaire on resources and stress (QRS-F) and The Family Crisis Oriented Personal Evaluation Scale (FCOPES). Two independent studies i.e. study I and study II were carried out to meet the objectives of the study. The objective of study I was to translate and validate the instruments of the study. Furthermore, study I, consisted of three phases, phase I was related to Urdu translation of Adaptive Behavior scale-School Edition (ABS: 2S, Part-1), Questionnaire on resources and stress (QRS-F), The Family Crisis Oriented Personal Evaluation Scale (F-COPES) and few modification were done in already existing Urdu version of Strengths and Difficulties Questionnaire (SDQ). In Phase II content validity index (CVI) of translated instruments was established and in phase III other psychometric properties were addressed. Findings of study I, found that the content validity index for the translated instruments was well above the critical value of .80. Similarly, the instruments also showed satisfactory psychometric properties for the current sample. This indicated that the instruments were valid and reliable measures to be used with the present population. The Study II (main study) consisted of hypothesis testing. A purposive sample of 103 mothers and 83 fathers (having at least one child with autism within age range of 3 to 14 years) participated in the study. Results of the main study revealed that all three child characteristics autism symptom severity, adaptive behaviors and problem behaviors were the significant predictors of maternal stress. However, problem behaviors were impacting more on maternal stress, followed by autism symptom severity and adaptive behaviors. Whereas, autism symptoms severity was the only significant predictor for paternal stress. Further analysis into child characteristics revealed that core symptomology of autism was the significant predictor of maternal stress. In case of adaptive behaviors, poor personal self sufficiency of children with autism accounted for significant proportion of variance in both maternal and paternal stress but the impact was more for maternal stress. Similarly, sub facets of problem behaviors that were emotional symptom and conduct problems accounted for significant proportion of variance only in maternal stress. Moreover, present study also revealed that family coping (reframing, passive appraisal and mobilizing family to acquire and accept help) partially mediates the relationship between child characteristics (autism symptom severity, adaptive behaviors, problematic behaviors) and maternal stress. Whereas, in case of paternal stress no significant mediation effect was found. In addition, it was found that stress for employed mothers and those living in nuclear families was greater as compared to those who were not employed and living in joint families. With increase in mother’s age and monthly income stress in mothers decreased. Moreover, with increase in the monthly income of the family, stress in mothers of children with autism decreases.. Implications of the present study are discussed under need for interventions for families with autistic children in Pakistan and need for awareness in general masses regarding autistic disorder. Limitations have been acknowledged and future research directions have been suggested accordingly.
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ہسپتال دی نرس

ہسپتال دی نرس
لوکی تینوں سسٹر کہندے، کریں علاج بیماراں
سُن کے دکھ مریضاں دیویں خوشیاں لکھ ہزاراں
چٹی وردی سوہنی تیری پئی دلاں نوں بھاوے
ویکھن والا ول ول ویکھے ایڈا شوق ودھاوے
ایہہ وی تیرا شوق ہے رکھدی لگیاں توڑ نبھاوے
نال تیرے ایہہ جاسی جس دم جاسیں جنگل باراں
لوکی تینوں سسٹر کہندے، کریں علاج بیماراں
تن دی کریں صفائی بہتی ایہہ تیری مجبوری
رکھناں خوش مریضاں تائیں ایہہ وی بہت ضروری
من دی کریں صفائی جئے توں پاویں قرب حضوری
عزت ہوسی تیری جیویں ہوندی نیکو کاراں
لوکی تینوں سسٹر کہندے، کریں علاج بیماراں
کونجاں وانگ اکٹھے رہنا رل مل کرو اوتارا
جتھے جائو لہر خوشی دی خوشیاں دا ورتارا
ہمدردی تے جذبے تیرے موہ لیا اے جگ سارا
تیرے نال ہے رونق سارے گھر تے وچ بازارں
لوکی تینوں سسٹر کہندے، کریں علاج بیماراں

تیرے ورگا حوصلہ مینوں کدھرے نظر نہ آوے
ہر دی گل ہس کے سن لیناں تیری شان ودھاوے
وچ مریضاں ٹرنا پھرنا بہتا درد گھٹاوے
تیرے اس جذبے نوں میں تے دیواں داد ہزاراں
لوکی تینوں سسٹر کہندے، کریں علاج بیماراں
ڈاکٹراں سنگ سہاندی ایں توں ، تاہیوں اوہ خوش رہندے
ول ول تیریاں کرن تعریفاں اک دوجے سنگ بہندے
ناز ادا تے نخرے تیرے نال خوشی دے سہندے
واہ وا دل نوں بھائی جاون تیریاں خوش گفتاراں
لوکی تینوں سسٹر کہندے، کریں علاج بیماراں
ویکھ اقبالؔ ایہہ سسٹر سیانی گجھیاں مرضاں جانے
ایہدے دارو نال تے یارو جاندے دکھ پرانے
نیک نمازی ، خدمت گار تے ہوئے فضل ربانے
اوہدی جے کر محفل بہیے کھڑکن دل دیاں تاراں
لوکی تینوں سسٹر کہندے، کریں علاج...

PRIORITIZING FALL RISK MANAGEMENT: IRRESPECTIVE OF PARKINSON’S DISEASE PROGRESSION DURING REHABILITATION

Background and Aims: It has been established that the hazard of falling in Parkinson's patients is a primary cause of loss of independence, and hence it is a significant component to the disease's burden. As a result, the goal of this study is to evaluate the relationship between level of disease progression and the risk of falling in order to understand the critical need for rehab intervention in Parkinson's disease. Methodology: A cross-sectional survey was conducted on 24 participants participated in study through convenience sampling technique from primary and tertiary care institutes/ hospitals. Tinetti balance and gait test was used to evaluate the risk of fall among patients while The Hoehn and Yahr Scale was used to track the progression of Parkinson's symptoms and disability. Results: Total 24 (n=24) participants with idiopathic Parkinson’s disease were enrolled in the study in which the majority of the participants belong to age group 59-69 years. The balance and gait of Parkinson’s patient is strongly negative correlated i.e. -8.33 with the severity of Parkinson’s disease with .000 level of significance which is strongly negative correlated with the severity of Parkinson’s disease (p<0.05). Conclusion: This demonstrates that the balance and gait of a Parkinson’s person is not related to the severity level Parkinson’s disease thus fall management in PD patients must be kept in priority during the rehab intervention for ADL independence and social participation.

Impact of Investor Biases on Investment Decisions of Investors: Evidence from Pakistan

This dissertation studies the impact of investor biases on investment decisions of Pakistani stock investors. Investors take many investment decisions in stock market on daily basis but could not avoid investor biases which they are facing during this decision-making process. For this researcher carried this study and had two primary aims; first to analyze the impact ofinvestor biases on investment decisions of Pakistan stock investors and second to find which of investor biases have high, moderate, low, positive or negative, statistically significant and insignificant impact on investment decision making .The study will use Kahneman & Tversky (1979) Prospect theory as the main theoretical framework, for analyzing impact of four investor biases such as : Overconfidence bias, conservatism bias, herding effect bias and availability bias on investment decisions of investors. The study applied a mixed method approach. Quantitative data was collected through a well-defined adopted questionnaire from the respondents selected through Stratified random sampling technique. In first stage, piloting was done on the sample of 50 respondents to shortlist best questions in the questionnaire who could answer all the research questions raised in the study. After piloting and refining of questionnaire a questionnaire survey was carried out by the researcher and administered to over 462 (77% response rate) stock investor of Pakistan stock exchange (PSX) branches such as : Karachi Stock Exchange(KSE), Lahore Stock Exchange(LSE) and Islamabad Stock Exchange(ISE) on the basis of Stratified random sampling technique. After that, quantitative data was analyzed by using IBM SPSS 21 statistical software. This data analysis was carried out in two sections namely; pre and post to find the impact of different investor biases on the investment decision of Pakistani stock investors. Both descriptive and exploratory analysis were done to determine the impact of these variables in pre and post analysis. The main variables were overconfidence bias, conservatism bias, herding effect bias and availability bias consisting of seven, six, seven and six sub variables respectively. After that, qualitative data analysis was carried out through interviews technique and then through thematic analysis technique. Findings of both quantitative and qualitative data analysis in this study revealed that investor biases have different level of impact on investment decisions of PSX investors and results shows that they have statistical significance and insignificant impact, positive and negative impact, high, moderate and low impact on investment decisions of PSX investors.