Year : 2019  |  Volume : 61  |  Issue : 6  |  Page : 661--662

Commentary on: Parental care seeking pathway and challenges for autistic spectrum disorder


Avni Gupta, Sujata Sethi, Hitesh Khurana, Ashish Kumar Malik 
 Department of Psychiatry, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India

Correspondence Address:
Sujata Sethi
Department of Psychiatry, Pt. B.D. Sharma PGIMS, Rohtak, Haryana
India




How to cite this article:
Gupta A, Sethi S, Khurana H, Malik AK. Commentary on: Parental care seeking pathway and challenges for autistic spectrum disorder.Indian J Psychiatry 2019;61:661-662


How to cite this URL:
Gupta A, Sethi S, Khurana H, Malik AK. Commentary on: Parental care seeking pathway and challenges for autistic spectrum disorder. Indian J Psychiatry [serial online] 2019 [cited 2020 Jan 27 ];61:661-662
Available from: http://www.indianjpsychiatry.org/text.asp?2019/61/6/661/270331


Full Text



Sir,

We read the article – “Parental care-seeking pathway and challenges for autistic spectrum disorders (ASDs) children: A mixed-method study from Bhubaneswar, Odisha[1] and found it quite interesting. There is little emphasis on qualitative research in psychiatry. The authors need to be complimented for taking this initiative. The parallel mixed-method approach by experienced and trained researchers, coordination among researchers, supervision, and the use of qualitative analysis software are definite strengths of this study and ensure scientific rigor. Normal distribution pattern has also been taken care of where ever quantitative analyses were required. However, we would like to emphasize on few of the things that should be taken care of in subsequent studies.

First, in the overall diagnostic process after an initial diagnosis of ASD, it is stated that the ASD was suspected or confirmed after the use of screening or standard diagnostic approaches. However, that results would have better generalizability, had the authors taken only confirmed cases of ASD. Further, treating suspected cases for ASD is not having sufficient scientific merit.

In addition, the authors also state that – some interviews were conducted at home, besides planned facility-based assessments. The proportion of such assessments is not mentioned in the article, further limiting the scope for generalization.

The mismatch between the figures in the table and text should be avoided. The description related to [Table 1] states the proportion of first-order children as 58% contrary to figures in table, i.e., 58 (76.7%).{Table 1}

The most surprising about the study is that it was planned as qualitative, and the authors intended to identify themes related to parents' perception about ASD. However, such a thematic analysis[2] is conspicuously missing from the description which is elemental in qualitative research.

Sufficient care should be taken to overcome these discrepancies in subsequent research.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Mahapatra P, Pati S, Sinha R, Chauhan AS, Nanda RR, Nallala S, et al. Parental care-seeking pathway and challenges for autistic spectrum disorders children: A mixed method study from Bhubaneswar, Odisha. Indian J Psychiatry 2019;61:37-44.
2Epstein A, Whitehouse A, Williams K, Murphy N, Leonard H, Davis E, et al. Parent-observed thematic data on quality of life in children with autism spectrum disorder. Autism 2017;23:71-80.