Korean Immigrant Mothers and the Journey to Autism Diagnosis and Services for Their Child in the United States.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Hyeyoung Kim, Sohyun An Kim, Han Lee, Robin Dodds
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Abstract

Since autism diagnosis is directly linked to the availability of supportive services, identifying best practices for early diagnosis of autism has long been a concern of professionals and families. Meanwhile, studies show persistent racial disparities in autism diagnosis. Although numerous clinical diagnostic guidelines have been published, there is not enough discussion of diagnostic procedures through the lens of culturally diverse families.

Purpose: This study focuses on the autism diagnostic experiences that Korean immigrant mothers had with their children.

Methods: Eleven first-generation Korean-American mothers of children with autism were included in the study. The data was collected using semi-structured interviews in Korean.

Results: The main five factors (i.e., cultural beliefs and values, language barriers, complex emotions, immigration and navigating systems, and facilitators and assets) that mainly influence the diagnosis process were identified through thematic analysis.

Conclusion: Dynamics are interactive within and between the factors, influencing the entire diagnostic process by either delaying or facilitating the identification of a child's autism and the provision of treatment.

Abstract Image

韩国移民母亲与美国自闭症诊断和儿童服务之旅。
由于自闭症诊断与支持服务的可用性直接相关,因此确定自闭症早期诊断的最佳实践一直是专业人士和家庭关注的问题。同时,研究显示自闭症诊断中持续存在种族差异。尽管已经发表了许多临床诊断指南,但从文化多样性家庭的角度对诊断程序的讨论还不够。目的:本研究关注韩国移民母亲对孩子的自闭症诊断经历。方法:11位第一代韩裔美国自闭症儿童母亲被纳入研究。结果:通过主题分析确定了主要影响诊断过程的五个主要因素(即文化信仰和价值观、语言障碍、复杂情绪、移民和导航系统以及促进者和资产)。结论:动力学在因素内部和因素之间是相互作用的,通过延迟或促进儿童自闭症的识别和治疗来影响整个诊断过程。
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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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