Perceived Causes of Autism Spectrum Disorders among Taiwanese Parents of Affected Children: A Qualitative Study

Abstract

Background: Autism Spectrum Disorders (ASDs) represent a complex group of neurodevelopment and mental disorders. Currently, the etiologies for ASDs are unclear. Consequently, it is important to assess the perceptions of ASDs among parents of affected children, as their perceptions can impact parent-child bonding, disease prognosis and treatment, subsequent education and living environment of the affected child, and interactions with health professionals.  The majority of available research regarding parental perceptions of ASDs has been conducted in the Western countries. Given that culture plays an important role in parents’ views regarding the causes of ASDs, this study aims to examine perceptions of the etiology of ASDs among parents in Taiwan – an Asian country strongly influenced by the Chinese culture.

Methods: Participants were recruitment through ASDs organizations in Taiwan. In-depth interviews were performed with 31 mothers and 8 fathers who had at least one child diagnosed with ASDs. All interviews were audio-recorded, transcribed, and subsequently analyzed via content analysis.

Results: The themes of ASDs etiologies identified by participants from the highest to the lowest frequencies were: genetics (n=30; 76.9%), problems during mother’s pregnancy (n=18; 46.2%), complications/situations during delivery (n=13; 33.3%), vaccination (n=11; 28.2%), environmental pollutions (n=10; 25.6%), children’s non-ASDs related health problems and unintended injuries (n=9; 23.1%), parenting style (n=7; 17.9%), parents’ occupation (n=7; 17.9%), spiritual or religious factors (n=6; 15.4%), children’s diet (n=2; 5.1%), maternal age at the time of pregnancy (n=1; 2.6%), and children’s use of traditional Chinese medicine (n=1; 2.6%).

Discussion: Taiwanese parents held diverse views on the causes of ASDs. Overall, parental beliefs were based on culture, scientific evidence/research and uninformed non-scientific views. Our results may help health professionals and researchers identify gaps in parents’ knowledge of ASDs and understand commonly held misperceptions about the causes of ASDs. Further, findings generated from this qualitative research may serve as the foundation for a research instrument to survey beliefs regarding the causes of ASDs among larger samples of Taiwanese parents who have children affected by ASDs.