Caregivers of Children with Autism Spectrum Disorders: The Role of Guilt Sensitivity and Support

Author:

Rizzo Amelia12ORCID,Sorrenti Luana1,Commendatore Martina1ORCID,Mautone Aurora1,Caparello Concettina3ORCID,Maggio Maria Grazia4ORCID,Özaslan Ahmet56ORCID,Karaman Hakan7ORCID,Yıldırım Murat89ORCID,Filippello Pina1

Affiliation:

1. Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy

2. Department of Cognitive Sciences, Pedagogical Psychological and Cultural Studies, University of Messina, 98122 Messina, Italy

3. Department of Health Sciences, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy

4. IRCCS Centro Neurolesi “Bonino Pulejo”, 98124 Messina, Italy

5. Child and Adolescent Psychiatry Department, Gazi University Medical Faculty, 06560 Ankara, Turkey

6. Child Protection Research and Application Center, Gazi University, 06560 Ankara, Turkey

7. Department of Social Work, Faculty of Health Sciences, İstanbul Üniversitesi—Cerrahpaşa, 34320 İstanbul, Turkey

8. Department of Psychology, Faculty of Science and Letters, Ağrı İbrahim Çeçen University, 04100 Ağrı, Turkey

9. Department of Social and Educational Sciences, Lebanese American University, Beirut 03797751, Lebanon

Abstract

Background/Objectives: Burden Syndrome, also known as Caregiver Syndrome, particularly affects those who serve in the role of informal caregiver in the presence of family members with conditions. The ABCX dual model examines the impact on the caregiver of the diagnosis of autism spectrum disorder (ASD) on the family. This model considers the severity of the stressor (A), the additional demands of life stress (aA), the family’s internal resources (B), the family’s external resources (bB), the family’s assessment of the situation (C), coping strategies (cC), and outcome (X). The purpose of the present study is to investigate the relationships between resilience, guilt, and burden of care in caregivers of children with ASD. Methods: Various assessment instruments were used, including the “Caregiver Burden Inventory” to measure burden, the “Brief Resilience Scale” to assess resilience, the “Guilt Sensitivity Questionnaire” to examine guilt sensitivity, and the “DA.L.I.A.” to collect information on parent and child characteristics. A total of 80 parents/caregivers participated in the research, including 53 women (Age M = 41.72; SD = 7.8) and 27 men (Age M = 43.35; SD = 6.29). Results: The findings indicate that individuals’ resilience to stressful events correlates negatively with burden, a developmental subtype. However, guilt seems not to play a significant role in the overall perception of burden. In contrast, it was found that the use of informal supports is associated with higher levels of guilt and emotional burden, whereas the use of formal supports is correlated with higher emotional burden, but not higher perceptions of guilt. Conclusions: This study provides important information about the support needed by caregivers and suggests how to address emotional burdens to prevent burnout and support families with children with ASD.

Publisher

MDPI AG

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