Autism in East Malaysia: A Survey Among Parents of Children with ASD in Kota Kinabalu Sabah

Abstract

The aim of this study is to understand the characteristics ASD children, past and present service utilization, parental stigma, and support networks received by families raising ASD children in Kota Kinabalu Sabah. A quantitative study was conducted on 44 parents of children with ASD using the Affiliate Stigma Scale and the Family Support Scale (FSS). In general, the children first show ASD symptoms at the average age of 28.1 months (SD 17.3) and the average age of diagnosis is 46 months (SD 23.4). The validity of the instruments in this study is high with the Cronbach's alpha value of 0.93 for stigma and 0.81 for family support. 56.8% children with ASD in this study have no-verbal ability or able to use single words. The findings show that the average age of children with ASD in this study is 7.7 years. The most common characteristic of ASD children is showing no response when their name is called, no eye contact, lack of speech ability compared other children of the same age, delayed speech, difficulty in interacting with others, and behavioral problems. Most diagnoses were done by psychiatrists and pediatricians. Occupational therapy is the most widely used therapy, followed by speech and language therapy, sensory integration therapy, and behavior al therapy. Behaviorists and psychiatrists are the commonly used specialists. Half of parents say they sometimes experience frustration when it comes to providing services for their children. Overall, the levels of stigma and family support network are low.

Keywords

Autism (ASD); child characteristics perceive stigma; family support network

References

  • Abdul Manan, A. I., Amit, N., Said, Z., & Ahmad, M. (2018). The Influences of Parenting Stress, Children Behavioral Problems and Children Quality of Life on Depression Symptoms Among Parents of Children with Autism: Preliminary Findings. Jurnal Sains Kesihatan Malaysia, 16(si), 137–143. https://doi.org/10.17576/jskm-2018-19
  • Clark, M. L. E., Vinen, Z., Barbaro, J., & Dissanayake, C. (2018). School Age Outcomes of Children Diagnosed Early and Later with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 48(1), 92–102. https://doi.org/10.1007/s10803-017-3279-x
  • Daniels, A. M., Como, A., Hergüner, S., Kostadinova, K., Stosic, J., & Shih, A. (2017). Autism in Southeast Europe: A Survey of Caregivers of Children with Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 47(8), 2314–2325. https://doi.org/10.1007/s10803-017-3145-x
  • Elafros, M. A., Sakubita-Simasiku, C., Atadzhanov, M., Haworth, A., Chomba, E., & Birbeck, G. L. (2013). Stigma and psychiatric morbidity among mothers of children with epilepsy in Zambia. International Health, 5(4), 288–294. https://doi.org/10.1093/inthealth/iht028
  • Failla, M. D., Schwartz, K. L., Chaganti, S., Cutting, L. E., Landman, B. A., dan Cascio, C. J., (2019). Characterizing co-occurring conditions by age at diagnosis in autism spectrum disorders. 0–34.
  • Haziq, M., & Akma, N. (2019). Cabaran Ibu Bapa Bersama Kanak-Kanak Kecelaruan Spektrum Parents Challenges With Children Autism Spectrum Disorders (Asd): Literature Review, 4(1), 33–43.
  • Ilias, K., Cornish, K., Kummar, A. S., Park, M. S. A., & Golden, K. J. (2018). Parenting stress and resilience in parents of children with autism spectrum disorder (ASD) in Southeast Asia: A systematic review. Frontiers in Psychology, 9(APR). https://doi.org/10.3389/fpsyg.2018.00280
  • K, D. P., Srinath, D. S., Seshadri, D. S. P., Girimaji, D. S. C., & Kommu, D. J. V. S. (2017). Lost time—Need for more awareness in early intervention of autism spectrum disorder. Asian Journal of Psychiatry, 25, 13–15. https://doi.org/10.1016/j.ajp.2016.07.021
  • Lovell, B., & A. Wetherell, M. (2018). Caregivers’ characteristics and family constellation variables as predictors of affiliate stigma in caregivers of children with ASD. Psychiatry Research, 270(February), 426–429. https://doi.org/10.1016/j.psychres.2018.09.055
  • Mak, W. W. S., & Kwok, Y. T. Y. (2010). Internalization of stigma for parents of children with autism spectrum disorder in Hong Kong. Social Science and Medicine, 70(12), 2045–2051. https://doi.org/10.1016/j.socscimed.2010.02.023
  • McPartland, J. C., Reichow, B., & Volkmar, F. R. (2012). Sensitivity and specificity of proposed DSM-5 diagnostic criteria for autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 51(4), 368–383. https://doi.org/10.1016/j.jaac.2012.01.007
  • Minnes, P., Perry, A., & Weiss, J. A. (2015). Predictors of distress and well-being in parents of young children with developmental delays and disabilities: The importance of parent perceptions. Journal of Intellectual Disability Research, 59(6), 551–560. https://doi.org/10.1111/jir.12160
  • Montiel-Nava, C., Chacín, J. A., & González-Ávila, Z. (2017). Age of diagnosis of autism spectrum disorder in Latino children: The case of Venezuelan children. Autism, 21(5), 573–580. https://doi.org/10.1177/1362361317701267
  • Patra, S., & Kumar Patro, B. (2019). Affiliate stigma among parents of children with autism in eastern India. Asian Journal of Psychiatry, 44(July), 45–47. https://doi.org/10.1016/j.ajp.2019.07.018
  • Petrou, A. M., Parr, J. R., & McConachie, H. (2018). Gender differences in parent-reported age at diagnosis of children with autism spectrum disorder. Research in Autism Spectrum Disorders, 50(January), 32–42. https://doi.org/10.1016/j.rasd.2018.02.003
  • Robinson, S., Weiss, J. A., Lunsky, Y., & Ouellette-Kuntz, H. (2016). Informal Support and Burden among Parents of Adults with Intellectual and/or Developmental Disabilities. Journal of Applied Research in Intellectual Disabilities : JARID, 29(4), 356–365. https://doi.org/10.1111/jar.12184
  • Rutherford, M., McKenzie, K., Johnson, T., Catchpole, C., O’Hare, A., McClure, I., … Murray, A. (2016). Gender ratio in a clinical population sample, age of diagnosis and duration of assessment in children and adults with autism spectrum disorder. Autism, 20(5), 628–634. https://doi.org/10.1177/1362361315617879
  • Salomone, E., Charman, T., Mcconachie, H., & Warreyn, P. (2016). Child’s verbal ability and gender are associated with age at diagnosis in a sample of young children with ASD in Europe. Child: Care, Health and Development, 42(1), 141–145. https://doi.org/10.1111/cch.12261
  • Sicherman, N., Loewenstein, G., Tavassoli, T., & Buxbaum, J. D. (2018). Grandma knows best: Family structure and age of diagnosis of autism spectrum disorder. Autism, 22(3), 368–376. https://doi.org/10.1177/1362361316679632
  • Wang, K., Wang, C., Guo, D., van Wijngaarden, M., & Begeer, S. (2018). Children with autism spectrum disorder from China and the Netherlands: Age of diagnosis, gender and comorbidities. Research in Autism Spectrum Disorders, 54(July), 76–82. https://doi.org/10.1016/j.rasd.2018.07.004
  • Xiang Neik, T. T., Lee, L. W., Low, H. M., Kok Hwee Chia, N., & Chee Keong Chua, A. (2014). Prevalence, diagnosis, treatment and research on autism spectrum disorders (ASD) in Singapore and Malaysia. International Journal of Special Education, 29(3), 1–10.
  • Zablotsky, B., Colpe, L. J., Pringle, B. A., Kogan, M. D., Rice, C., & Blumberg, S. J. (2017). Age of parental concern, diagnosis, and service initiation among children with autism spectrum disorder. American Journal on Intellectual and Developmental Disabilities, 122(1), 49–61. https://doi.org/10.1352/1944-7558-122.1.49
  • Zwaigenbaum, L., Duku, E., Fombonne, E., Szatmari, P., Smith, I. M., Bryson, S. E., … Bruno, R. (2019). Developmental functioning and symptom severity influence age of diagnosis in Canadian preschool children with autism. Paediatrics and Child Health (Canada), 24(1), E57–E65. https://doi.org/10.1093/pch/pxy076

DOI : https://doi.org/10.32698/GCS-04300