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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0169

Interpersonal factors outweigh intrapersonal factors: a meta-analysis of factors associated with family resilience in families of children with autism spectrum disorder

INTERPERSONAL FACTORS OUTWEIGH INTRAPERSONAL FACTORS: A META-ANALYSIS OF FACTORS ASSOCIATED WITH FAMILY RESILIENCE IN FAMILIES OF CHILDREN WITH ASD

Family cohesion, an interpersonal factor, shows the strongest association with family resilience, suggesting that family-level processes are the central mechanism.

The aim is to conduct the first meta-analysis to quantitatively identify risk and protective factors associated with family resilience in families of children with autism, along with their moderators. The method is a systematic review and meta-analysis conducted in accordance with PRISMA guidelines and registered with PROSPERO (CRD42024595923); six English-language databases (PubMed, PsycINFO, Embase, Web of Science, MEDLINE, Scopus), two Chinese-language databases (CNKI, Wanfang), and ProQuest for dissertations were searched through November 2024. Cross-sectional or longitudinal studies involving caregivers over the age of 18 of children with autism and reporting at least one correlation with family resilience were included. Quality was assessed independently by two reviewers using the Newcastle–Ottawa Scale (κ = 0.75); Pearson’s r values were pooled using a random-effects model (Fisher’s z transformation), beta coefficients and OR values were converted to r, and moderator analyses, meta-regressions, and Egger’s test were performed. Forty-one studies from nine countries, involving 15,817 caregivers, were included, and 15 factors were identified (12 intrapersonal and 3 interpersonal); effect sizes ranged from r = -0.46 to 0.70. Among interpersonal factors, family cohesion had an r = 0.70 (95% CI 0.57 to 0.80), family quality of life an r = 0.59 (0.33 to 0.77), and social support an r = 0.39 (0.32 to 0.46). Intrapersonal protective factors were parental self-efficacy, r = 0.51 (0.35 to 0.63), parental well-being, r = 0.39 (0.28 to 0.49), and positive perceptions, r = 0.35 (0.27 to 0.43); risk factors were parental stress, r = -0.46 (-0.56 to -0.35), uncertainty, r = -0.43 (-0.54 to -0.30), maladaptive coping, r = -0.31 (-0.46 to -0.15), problem behaviors, r = -0.30 (-0.43 to -0.15), psychological distress, r = -0.29 (-0.50 to -0.05), and autism severity, r = -0.19 (-0.25 to -0.12). In conclusion, the authors propose a multilevel framework of family resilience that integrates a family-level core with intrapersonal and societal levels in a cycle of ripple effects; clinically, they emphasize strengthening family bonds and family quality of life, enhancing parental self-efficacy and stress management, and mobilizing formal and informal support.

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