{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:05:55Z","timestamp":1789599955656,"version":"build-2803163510"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","pediatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Nursing"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.pedn.2026.08.019","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:20:21Z","timestamp":1786652421000},"page":"155-165","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Children with intellectual disabilities at the intersection of adolescence and sexuality: A qualitative study on mothers' experiences regarding care, protection, and sexual education"],"prefix":"10.1016","volume":"91","author":[{"given":"Musa","family":"\u00d6zsavran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cihangir","family":"Karakaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Ba\u015fc\u0131llar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0005","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1017\/S1352465817000704","article-title":"Coping strategies in mothers of children with intellectual disabilities showing multiple forms of challenging behavior: Associations with maternal mental health","volume":"46","author":"Adams","year":"2018","journal-title":"Behavior and Cognitive Psychotherapy"},{"issue":"2","key":"10.1016\/j.pedn.2026.08.019_bb0010","first-page":"68","article-title":"Comparison of behavioral and sexual problems between intellectually disabled and normal adolescent boys during puberty in Yazd Iran","volume":"8","author":"Akrami","year":"2014","journal-title":"Iranian Journal of Psychiatry and Behavioral Sciences"},{"key":"10.1016\/j.pedn.2026.08.019_bb0015","series-title":"Diagnostic and statistical manual of mental disorders, text revision (DSM-5-TR)","author":"American Psychiatric Association","year":"2022"},{"issue":"2","key":"10.1016\/j.pedn.2026.08.019_bb0020","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.019_bb0025","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s11195-022-09766-8","article-title":"Mothers of adults with intellectual disabilities: Experiences, perceptions and influences on their sons\u2019 and daughters\u2019 romantic and sexual lives","volume":"41","author":"Charitou","year":"2023","journal-title":"Sexuality and Disability"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0030","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1080\/09687599.2019.1647150","article-title":"Benefits and limits of peer support for mothers with intellectual disability affected by domestic violence and child protection","volume":"35","author":"Collings","year":"2020","journal-title":"Disability & Society"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0035","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1111\/jar.12680","article-title":"The experience of mothers supporting self-determination of adult sons and daughters with intellectual disability","volume":"33","author":"Curryer","year":"2020","journal-title":"Journal of Applied Research in Intellectual Disabilities"},{"issue":"2","key":"10.1016\/j.pedn.2026.08.019_bb0040","first-page":"35","article-title":"Challenges facing mothers of mentally disabled child: A qualitative study of the mothers\u2019 experiences","volume":"12","author":"El Sherbini","year":"2016","journal-title":"Zagazig Nursing Journal"},{"issue":"8","key":"10.1016\/j.pedn.2026.08.019_bb0045","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1111\/jir.12859","article-title":"Experiences of mothers caring for a child with an intellectual disability during the COVID-19 pandemic in the Netherlands","volume":"65","author":"Embregts","year":"2021","journal-title":"Journal of Intellectual Disability Research"},{"issue":"4\u20135","key":"10.1016\/j.pedn.2026.08.019_bb0050","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1046\/j.1365-2788.2003.00498.x","article-title":"Mothers of children and adolescents with intellectual disability: Social and economic situation, mental health status, and the self-assessed social and psychological impact of the child\u2019s difficulties","volume":"47","author":"Emerson","year":"2003","journal-title":"Journal of Intellectual Disability Research"},{"issue":"4","key":"10.1016\/j.pedn.2026.08.019_bb0055","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1080\/15546128.2022.2082617","article-title":"Important conversations: Exploring parental experiences in providing sexuality education for their children with intellectual disabilities","volume":"17","author":"Eyres","year":"2022","journal-title":"American Journal of Sexuality Education"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0060","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s11195-019-09582-7","article-title":"Supporting parents as sexuality educators for individuals with intellectual disability: The development of the Home B.A.S.E curriculum","volume":"37","author":"Frank","year":"2019","journal-title":"Sexuality and Disability"},{"issue":"2","key":"10.1016\/j.pedn.2026.08.019_bb0065","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s11195-014-9338-8","article-title":"Views of mothers having children with intellectual disability regarding sexual education: A qualitative study","volume":"32","author":"G\u00fcrol","year":"2014","journal-title":"Sexuality and Disability"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0070","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.3390\/ijerph19031070","article-title":"Barriers and concerns in providing sex education among children with intellectual disabilities: Experiences from Malay mothers","volume":"19","author":"Kamaludin","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"12","key":"10.1016\/j.pedn.2026.08.019_bb0075","doi-asserted-by":"crossref","first-page":"7249","DOI":"10.3390\/ijerph19127249","article-title":"Providing sex education is challenging: Malay mothers\u2019 experience in implementing sex education to their children with intellectual disabilities","volume":"19","author":"Kamaludin","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"4\u20135","key":"10.1016\/j.pedn.2026.08.019_bb0080","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1046\/j.1365-2788.2003.00493.x","article-title":"The role of coping in maintaining the psychological well-being of mothers of adults with intellectual disability and mental illness","volume":"47","author":"Kim","year":"2003","journal-title":"Journal of Intellectual Disability Research"},{"key":"10.1016\/j.pedn.2026.08.019_bb0085","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1016\/j.pedn.2023.12.027","article-title":"The effectiveness of sexual health and development education given to children with intellectual disabilities: A randomized controlled study","volume":"75","author":"Kurt","year":"2024","journal-title":"Journal of Pediatric Nursing"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0090","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1007\/s11195-020-09638-z","article-title":"Sexual education and development in children with intellectual disability: Mothers\u2019 opinions","volume":"38","author":"K\u00fcrt\u00fcnc\u00fc","year":"2020","journal-title":"Sexuality and Disability"},{"key":"10.1016\/j.pedn.2026.08.019_bb0100","series-title":"Naturalistic inquiry","author":"Lincoln","year":"1985"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.019_bb0105","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s11195-014-9378-0","article-title":"Asexuality and disability: Strange but compatible bedfellows","volume":"33","author":"Lund","year":"2015","journal-title":"Sexuality and Disability"},{"issue":"4","key":"10.1016\/j.pedn.2026.08.019_bb0110","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1080\/09687599.2017.1301854","article-title":"What kind of abuse is him spitting in my food?: Reflections on the similarities between disability hate crime, so-called \u2018mate\u2019 crime and domestic violence against women with intellectual disabilities","volume":"32","author":"McCarthy","year":"2017","journal-title":"Disability & Society"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.019_bb0115","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ijnurstu.2006.08.007","article-title":"The impact on mothers of bringing up a child with intellectual disabilities: A cross-cultural study","volume":"45","author":"McConkey","year":"2008","journal-title":"International Journal of Nursing Studies"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0120","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s11195-017-9508-6","article-title":"Sexuality in people with intellectual disability: Review of literature","volume":"36","author":"Medina-Rico","year":"2018","journal-title":"Sexuality and Disability"},{"issue":"4","key":"10.1016\/j.pedn.2026.08.019_bb0125","doi-asserted-by":"crossref","DOI":"10.1177\/2158244017745578","article-title":"Exploring the lived experiences of mothers of children with intellectual disability in Ghana","volume":"7","author":"Oti-Boadi","year":"2017","journal-title":"SAGE Open"},{"issue":"4","key":"10.1016\/j.pedn.2026.08.019_bb0130","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1080\/20473869.2024.2378243","article-title":"\u2018I can\u2019t take my eyes off her\u2019 problems and difficulties experienced by mothers caring for their intellectually disabled children at home: A qualitative research","volume":"71","author":"\u00d6zsavran","year":"2025","journal-title":"International Journal of Developmental Disabilities"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0135","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/jar.12342","article-title":"Love and resistance of mothers with intellectual disability from ethnocultural communities in Canada","volume":"30","author":"Pacheco","year":"2017","journal-title":"Journal of Applied Research in Intellectual Disabilities"},{"issue":"7","key":"10.1016\/j.pedn.2026.08.019_bb0140","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1111\/jir.12952","article-title":"A systematic review of relationships and sex education outcomes for students with intellectual disability reported in the international literature","volume":"66","author":"Paulauskaite","year":"2022","journal-title":"Journal of Intellectual Disability Research"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0145","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1352\/1944-7558-116.3.205","article-title":"Sexual understanding and development of young people with intellectual disabilities: Mothers\u2019 perspectives of within-family context","volume":"116","author":"Pownall","year":"2011","journal-title":"American Journal on Intellectual and Developmental Disabilities"},{"issue":"2","key":"10.1016\/j.pedn.2026.08.019_bb0150","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1352\/1934-9556-50.2.140","article-title":"Sexuality and sex education of adolescents with intellectual disability: Mothers\u2019 attitudes, experiences, and support needs","volume":"50","author":"Pownall","year":"2012","journal-title":"Intellectual and Developmental Disabilities"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0155","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1080\/20473869.2018.1446704","article-title":"A qualitative study of mothers\u2019 experiences of supporting the sexual development of their sons with autism and an accompanying intellectual disability","volume":"64","author":"Pryde","year":"2018","journal-title":"International Journal of Developmental Disabilities"},{"issue":"2","key":"10.1016\/j.pedn.2026.08.019_bb0160","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1037\/a0019473","article-title":"Giving parents a voice: A qualitative study of the challenges experienced by parents of children with disabilities","volume":"55","author":"Resch","year":"2010","journal-title":"Rehabilitation Psychology"},{"issue":"6","key":"10.1016\/j.pedn.2026.08.019_bb0165","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1111\/jar.12884","article-title":"The experiences of mothers of children and young people with intellectual disabilities during the first COVID-19 lockdown period","volume":"34","author":"Rogers","year":"2021","journal-title":"Journal of Applied Research in Intellectual Disabilities"},{"issue":"4","key":"10.1016\/j.pedn.2026.08.019_bb0170","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/j.ridd.2014.01.012","article-title":"What difficulties are experienced by caregivers in relation to the sexuality of people with intellectual disabilities? A qualitative meta-synthesis","volume":"35","author":"Rushbrooke","year":"2014","journal-title":"Research in Developmental Disabilities"},{"issue":"6","key":"10.1016\/j.pedn.2026.08.019_bb0175","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/jir.12827","article-title":"Mental ill-health in mothers of people with intellectual disabilities compared with mothers of typically developing people: A systematic review and meta-analysis","volume":"65","author":"Rydzewska","year":"2021","journal-title":"Journal of Intellectual Disability Research"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.019_bb0180","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s11195-016-9466-4","article-title":"People with intellectual disabilities talk about sexuality: Implications for the development of sex education","volume":"35","author":"Schaafsma","year":"2017","journal-title":"Sexuality and Disability"},{"issue":"7","key":"10.1016\/j.pedn.2026.08.019_bb0185","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0219888","article-title":"Depression and anxiety in parents of children with intellectual and developmental disabilities: A systematic review and meta-analysis","volume":"14","author":"Scherer","year":"2019","journal-title":"PLOS ONE"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0190","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1046\/j.1468-3148.2000.00021.x","article-title":"Maternal employment and family responsibilities: The perspectives of mothers of children with intellectual disabilities","volume":"13","author":"Shearn","year":"2000","journal-title":"Journal of Applied Research in Intellectual Disabilities"},{"key":"10.1016\/j.pedn.2026.08.019_bb0195","article-title":"Effects of mindfulness-based positive behavior support (MBPBS) training are equally beneficial for mothers and their children with autism spectrum disorder or with intellectual disabilities","volume":"10, Article 385","author":"Singh","year":"2019","journal-title":"Frontiers in Psychology"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.019_bb0200","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1080\/14681811.2021.1941842","article-title":"Scoping review on sex education for high school-aged students with intellectual disability and\/or on the autism spectrum: Parents\u2019, teachers\u2019 and students\u2019 perspectives, attitudes and experiences","volume":"22","author":"Strnadov\u00e1","year":"2022","journal-title":"Sex Education"},{"key":"10.1016\/j.pedn.2026.08.019_bb0205","article-title":"Qualitative study exploring the barriers to menstrual hygiene management faced by adolescents and young people with a disability, and their carers in the Kavrepalanchok district","volume":"21(1), Article 476","author":"Wilbur","year":"2021","journal-title":"Nepal. BMC Public Health"},{"key":"10.1016\/j.pedn.2026.08.019_bb0210","series-title":"Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioral and neurodevelopmental disorders","author":"World Health Organization","year":"2024"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.019_bb0215","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s11195-016-9465-5","article-title":"Effectiveness of a sexual education program for mothers of young adults with intellectual disabilities on mothers\u2019 attitudes toward sexual education and the perception of social support","volume":"35","author":"Y\u0131ld\u0131z","year":"2017","journal-title":"Sexuality and Disability"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.019_bb0220","doi-asserted-by":"crossref","first-page":"8","DOI":"10.21776\/ub.IJDS.2019.007.01.2","article-title":"Mothers\u2019 experience in taking care of children with special needs: A literature review","volume":"7","author":"Zulfia","year":"2020","journal-title":"Indonesian Journal of Disability Studies"}],"container-title":["Journal of Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326003878?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326003878?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T22:18:51Z","timestamp":1789597131000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0882596326003878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":43,"alternative-id":["S0882596326003878"],"URL":"https:\/\/doi.org\/10.1016\/j.pedn.2026.08.019","relation":{},"ISSN":["0882-5963"],"issn-type":[{"value":"0882-5963","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Children with intellectual disabilities at the intersection of adolescence and sexuality: A qualitative study on mothers' experiences regarding care, protection, and sexual education","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedn.2026.08.019","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}