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Shepherd D, Buchwald K, Siegert RJ, Vignes M. Using network analysis to identify factors influencing the heath-related quality of life of parents caring for an autistic child. RESEARCH IN DEVELOPMENTAL DISABILITIES 2024; 152:104808. [PMID: 39067240 DOI: 10.1016/j.ridd.2024.104808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Revised: 06/24/2024] [Accepted: 07/16/2024] [Indexed: 07/30/2024]
Abstract
BACKGROUND Raising an autistic child is associated with increased parenting stress relative to raising typically developing children. Increased parenting stress is associated with lower parent wellbeing, which in turn can negatively impact child wellbeing. AIMS The current study sought to quantify parenting stress and parent health-related quality of life (HRQOL) in the autism context, and further understand the relationship between them by employing a relatively novel statistical method, Network Analysis. METHODS AND PROCEDURES This cross-sectional study involved 476 parents of an autistic child. Parents completed an online survey requesting information on parent and child characteristics, parent's perceptions of their autistic child's symptoms and problem behaviours, and assessed their parenting stress and HRQOL. OUTCOMES AND RESULTS Relative to normative data, parent HRQOL was significantly lower in terms of physical health and mental wellbeing. The structure extracted by the Network Analysis indicated that child age and externalising behaviours were the main contributors to parenting stress, and that externalising behaviours, ASD core behavioural symptoms, and parenting stress predicted HRQOL. CONCLUSIONS AND IMPLICATIONS Parental responses to child-related factors likely determine parent HRQOL. Findings are discussed in relation to the transactional model, emphasising the importance of both parent and child wellbeing.
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Affiliation(s)
- Daniel Shepherd
- School of Clinical Sciences, Auckland University of Technology, New Zealand.
| | - Khan Buchwald
- School of Clinical Sciences, Auckland University of Technology, New Zealand
| | - Richard J Siegert
- School of Clinical Sciences, Auckland University of Technology, New Zealand
| | - Matthieu Vignes
- School of Computational and Mathematical Sciences, Massey University, New Zealand
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2
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Garrido D, Catena A, Garcia-Retamero R. Neurodevelopmental disorders and family quality of life: emerging trends and future research directions. Pediatr Res 2024:10.1038/s41390-024-03350-w. [PMID: 38926550 DOI: 10.1038/s41390-024-03350-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 01/30/2024] [Accepted: 06/07/2024] [Indexed: 06/28/2024]
Abstract
Autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD) are the most prevalent neurodevelopmental disorders. There is a growing body of literature investigating factors affecting quality of life in families (FQoL) with a child with these disorders. However, there are no studies that trace their knowledge anatomy. Thus, we conducted a scientometric analysis to describe this literature, detect certain variables that could be related to FQoL, and identify tendencies and open questions for future research. A literature search in the Web of Science, PubMed, and Scopus was run and identified 3281 publications published between 1975 and 2022. The results suggest an increase in the quantity of publications on FQoL in ASD and ADHD over the last few years (14% and 12%, respectively). For both research fields, the USA published the highest number of documents, showing that the production related to ADHD and FQoL is concentrated in just a few countries. Thematic analysis revealed several clusters, considering quality of life and children as core themes that are still setting trend lines. Moreover, it would be worthwhile to describe and analyze FQoL not only during the childhood of children with ASD and ADHD but also during their adolescence. IMPACT: Although the relationship between family quality of life and neurodevelopmental disorders could be considered novel, there is a growing interest from an interdisciplinary perspective. Family quality of life should be monitored not only during the childhood of children with ASD and ADHD, but also during their adolescence and adulthood. The analysis of the family quality of life in first-degree relatives and its relationship with protective factors (e.g., resilience and social support) should be explored in future studies.
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Affiliation(s)
| | | | - Rocio Garcia-Retamero
- University of Granada, Granada, Spain
- Max Planck Institute for Human Development, Berlin, Germany
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3
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Cappe E, Despax J, Pedoux A, Zylberberg P, Chaste P, De Gaulmyn A, Doyen C, Pommepuy N. Parental involvement and adjustment during the diagnostic evaluation of autism spectrum disorder at two diagnostic centers. L'ENCEPHALE 2024:S0013-7006(24)00046-0. [PMID: 38523027 DOI: 10.1016/j.encep.2024.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 12/18/2023] [Accepted: 01/12/2024] [Indexed: 03/26/2024]
Abstract
OBJECTIVES The primary objective of this study was to determine the effects of permanent, mediated parental presence during all autism spectrum disorder diagnostic evaluations on parental adjustment (perceived parental stress and sense of parental competence) compared with procedures that traditionally only involve parents in pivotal periods of the diagnosis. The level of satisfaction with the diagnostic procedure and parents' needs were also evaluated to complete this first objective. The secondary objective was to assess the effects of psychosocial, individual, and contextual variables on perceived parental stress and sense of parental competence. METHODS The total sample of 49 parents was divided (using simple randomization) into two subgroups, each for a different procedure. Participants were met with once before the first consultation and once after. They completed self-reported questionnaires on parental stress, sense of parental competence, satisfaction with the procedure, social support, locus of control, and appraisal of life events. Statistical analysis was conducted using SPAD and SPSS software. RESULTS There was no difference between the two groups in the variables assessed. Satisfaction with the diagnostic procedure was high in both groups, but parents highlighted that they had important needs following the diagnosis. The child's level of autonomy, the presence of disruptive behaviors, and satisfaction with social support were found to be important for determining parental adjustment. CONCLUSIONS Several hypotheses may explain the lack of differences between the two groups, including that parents may not yet have been in a position to benefit from the procedure aimed at integrating them. Our suggestion is that professional interventions should focus on improving the child's autonomy and helping the parent to develop a satisfactory support network. Finally, parents' needs for the post-diagnosis phase should be given greater consideration, particularly in future research.
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Affiliation(s)
- Emilie Cappe
- Université Paris Cité, Laboratoire de Psychopathologie et Processus de Santé, 92100 Boulogne-Billancourt, France; Institut universitaire de France (IUF), Paris, France.
| | - Johanna Despax
- Université Paris Cité, Laboratoire de Psychopathologie et Processus de Santé, 92100 Boulogne-Billancourt, France
| | - Amandine Pedoux
- Department of Child and Adolescent Psychiatry, Robert-Debré Hospital, AP-HP, Paris University, Paris, France
| | - Pascale Zylberberg
- Unité de psychiatrie pédiatrique, Assistance publique-Hôpitaux de Paris (AP-HP), hôpital Necker-Enfants Malades, 75015 Paris, France
| | - Pauline Chaste
- Service de psychiatrie de l'enfant et de l'adolescent, AP-HP, hôpital universitaire Necker-Enfants Malades, 75015 Paris, France
| | - Aude De Gaulmyn
- CREDAT, centre de recherche de d'évaluation des troubles du neurodéveloppement, GHU Paris psychiatrie et neurosciences, 75014 Paris, France
| | - Catherine Doyen
- CREDAT, centre de recherche de d'évaluation des troubles du neurodéveloppement, GHU Paris psychiatrie et neurosciences, 75014 Paris, France
| | - Noël Pommepuy
- Pôle de psychiatrie de l'enfant et de l'adolescent 93I05, EPS Ville-Evrard, 93330 Neuilly-sur-Marne, France
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4
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Musetti A, Zagaria A, Pezzi M, Fante C, Dioni B, Raffin C, Manari T, Lenzo V, De Luca Picione R. Parental quality of life, child adjustment and adult attachment in parents of children and adolescents with Autism Spectrum Disorder. RESEARCH IN DEVELOPMENTAL DISABILITIES 2024; 146:104684. [PMID: 38281373 DOI: 10.1016/j.ridd.2024.104684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 12/27/2023] [Accepted: 01/19/2024] [Indexed: 01/30/2024]
Abstract
BACKGROUND Parents of children and adolescents with Autism Spectrum Disorder (ASD) may experience a lower quality of life (QoL) than parents of offspring with typical development. However, factors associated with parental QoL are not yet fully understood. AIMS This study aimed to investigate the relationships between parental QoL, child adjustment and adult attachment among parents of children and adolescents with ASD. METHODS AND PROCEDURES One hundred and eighty-eight parents of children and adolescents diagnosed with ASD completed a group of self-report questionnaires on sociodemographic variables, QoL (i.e., overall QoL and ASD symptoms-related parental QoL), child adjustment (i.e., offspring's total problems and prosocial behaviors) and adult attachment. OUTCOMES AND RESULTS Structural equation modeling revealed that the overall parental QoL was negatively related to children's total problems and positively associated with prosocial behaviors, as well as with higher levels of secure attachment and lower levels of fearful attachment styles. Additionally, ASD symptoms-related parental QoL was negatively associated with the offspring's total problems. CONCLUSIONS AND IMPLICATIONS This suggests that child characteristics may interact with parental characteristics to either enhance or compromise the QoL of parents of children and adolescents with ASD. Implications of these findings for promoting parental QoL are discussed.
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Affiliation(s)
- Alessandro Musetti
- University of Parma Department of Humanities, Social Sciences and Cultural Industries, Parma, Italy.
| | - Andrea Zagaria
- Sapienza University of Rome Department of Psychology, Roma, Italy
| | - Mattia Pezzi
- University of Parma Department of Humanities, Social Sciences and Cultural Industries, Parma, Italy
| | - Chiara Fante
- Institute for Educational Technologies, National Research Council, Genoa, Italy
| | - Barbara Dioni
- University of Parma Department of Humanities, Social Sciences and Cultural Industries, Parma, Italy; Fondazione Bambini e Autismo Onlus, Pordenone, Italy
| | - Cinzia Raffin
- Fondazione Bambini e Autismo Onlus, Pordenone, Italy
| | - Tommaso Manari
- University of Parma Department of Humanities, Social Sciences and Cultural Industries, Parma, Italy
| | - Vittorio Lenzo
- University of Catania Department Educational Sciences, Catania, Italy
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5
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Fante C, De Luca Picione R, Dioni B, Manari T, Raffin C, Capelli F, Franceschini C, Lenzo V, Musetti A. Parental Quality of Life and Impact of Multidisciplinary Intervention for Children with Autism Spectrum Disorders: A Qualitative Study. J Autism Dev Disord 2024:10.1007/s10803-023-06225-x. [PMID: 38170430 DOI: 10.1007/s10803-023-06225-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/18/2023] [Indexed: 01/05/2024]
Abstract
The presence of a child with Autism Spectrum Disorder (ASD) in the family can have a negative impact on parental Quality of Life (QoL), but evidence on how treatments for children with ASD can affect parental QoL is currently limited. In this qualitative study, we develop a semi-structured interview in order to investigate the impact of ASD on the QoL of mothers and fathers from a subjective perspective, as well as the effect of the intervention on their QoL and adjustment process. The sample consisted of 31 parents of children with ASD severity 2 or 3, aged 5 to 11 years, undergoing a multidisciplinary intervention. In order to identify emerging themes from the interview transcripts, a Thematic Analysis was conducted using a bottom-up approach. We identified three main themes relating to parental QoL (ASD impact on QoL, useful external resources, QoL improvement-related factors) and five themes relating to parents' views on the intervention (positive impact on parent, dissatisfaction with previous interventions, parental involvement, useful features, critical issues). The results provide indications of the process of parental adaptation and the components of interventions that foster an improvement in their QoL. In conclusion, living with a child with ASD can have a significant influence on a parents' QoL, not just physically and emotionally, but also in terms of general goals, family structure, and social interactions.
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Affiliation(s)
- Chiara Fante
- Institute for Educational Technologies, National Research Council, Via De Marini 6, Torre di Francia, Genoa, Italy.
| | | | - Barbara Dioni
- Fondazione Bambini e Autismo Onlus, Pordenone, Italy
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, Parma, Italy
| | - Tommaso Manari
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, Parma, Italy
| | - Cinzia Raffin
- Fondazione Bambini e Autismo Onlus, Pordenone, Italy
| | | | | | - Vittorio Lenzo
- Department Educational Sciences, University of Catania, Catania, Italy
| | - Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, Parma, Italy.
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Abu Khait A, Menger A, Mahmoud KF, Hamaideh SH. A Moderated Mediation Model of Social Support on the Association between Coping Strategies and Psycho-Emotional Distress of Healthcare Professionals Caring for Children with Autism. Issues Ment Health Nurs 2023; 44:879-890. [PMID: 37616590 DOI: 10.1080/01612840.2023.2232860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/26/2023]
Abstract
Healthcare professionals caring for children with autism spectrum disorder are more likely to be emotionally and psychologically distressed because of the children's challenging behaviors. This study aimed to investigate whether social support mediates the association between coping strategies and perceived emotional and psychological distress among professionals working with children with autism spectrum disorder. Additionally, this study explored the moderating effect of autism severity on this mediation. The study's design is cross-sectional, correlational, and predictive. An online, self-administered questionnaire was used to recruit a convenience sample of 180 healthcare professionals working with children with autism spectrum disorder. The results revealed a significant mediation effect of family social support on the relationship between problem-focused coping and psychological distress for those dealing with moderate or severe autism. Likewise, there was also a significant mediation effect of family social support on the relationship between avoidant coping and psychological distress for those dealing with moderate autism. Familial social support can serve as a protective factor for healthcare professionals caring for children with autism against accumulated psychological distress. The direct effect of avoidant coping strategies on emotional distress changes depending on autism severity. The study's findings are informative to mental health nurses to create more effective coping strategies as problem-solving interventions or develop new coping strategies based on familial social support for those working with children with autism.
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Affiliation(s)
- Abdallah Abu Khait
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
| | - Austin Menger
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
| | - Khadejah F Mahmoud
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
| | - Shaher H Hamaideh
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
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7
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Fong VC, Shim J, Yoon A, Lee BS, Iarocci G. A preliminary exploration of different coping strategies used by Korean immigrant parents of autistic children in high versus low family quality of life ratings. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2023; 27:1307-1319. [PMID: 36317392 PMCID: PMC10291356 DOI: 10.1177/13623613221133961] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Abstract
The experiences of coping in parents of autistic children have been extensively studied in the literature. While this research has identified both effective and ineffective coping strategies used by caregivers, no studies to date have examined how coping strategies used by parents might be linked to family quality of life outcomes. Furthermore, few studies exist examining both coping strategies and family quality of life in culturally and linguistically diverse populations. Thus, this study aimed to address both limitations. A total of 12 Korean immigrant parents of autistic children, 6 representing the high family quality of life group and 6 representing the low family quality of life group, shared their experiences related to coping and managing stress. Responses fell under three broad categories (problem-focused, emotion-focused, and adjustment-focused) with differences observed when comparing the high versus low family quality of life groups. A better understanding of the link between coping strategies and family quality of life outcomes may help identify effective and culturally sensitive supports for caregivers and families to improve their quality of life and well-being.
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8
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Almasoud H, Alqahtani S. Potential impact of autism services on the quality of life of individuals with autism spectrum disorder and their families. RESEARCH IN DEVELOPMENTAL DISABILITIES 2023; 136:104492. [PMID: 36958127 DOI: 10.1016/j.ridd.2023.104492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 03/10/2023] [Accepted: 03/12/2023] [Indexed: 06/18/2023]
Abstract
Autism spectrum disorder (ASD) is a lifelong condition that requires autism-specific services. However, the quality of autism services in Saudi Arabia has rarely been examined. Therefore, exploring issues from the parents' perspective is crucial to improve the quality of life (QOL) outcomes for such a population. Semi-structured interviews were administered to nine parents of individuals with ASD, and thematic analysis was used for data analysis. Results showed that parents' experiences regarding the quality of autism services varied. In addition, the quality of autism services must be further developed to meet the diverse needs of individuals with ASD and their families, in line with the 2030 vision of Saudi Arabia, which prioritises the QOL of individuals with a disability and their families. This study highlighted some influencing factors of the quality of autism services and QOL of individuals with ASD and their families from the parents' perspective. This study concluded that further research is necessary to gain in-depth understanding of the influencing factors of the quality of national autism services. Overall, the reasons behind the diversity in experiences amongst parents of individuals with ASD regarding the quality of autism services must be further explored.
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Affiliation(s)
- Hanan Almasoud
- Special Education Department, King Saud University, Riyadh 11451, Saudi Arabia.
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9
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Marcinechová D, Záhorcová L, Lohazerová K. Self-forgiveness, Guilt, Shame, and Parental Stress among Parents of Children with Autism Spectrum Disorder. CURRENT PSYCHOLOGY 2023:1-16. [PMID: 37359690 PMCID: PMC10000355 DOI: 10.1007/s12144-023-04476-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2023] [Indexed: 03/12/2023]
Abstract
A mixed-method approach was used to explore and compare self-forgiveness, guilt, shame, and parental stress in parents of children with autism spectrum disorder (ASD) and parents of neurotypical (NT) children. The data were obtained by the Heartland Forgiveness Scale (Thompson et al., 2005), Guilt and Shame Experience Scale (Maliňáková et al., 2019), Parental Stress Scale (Berry & Jones, 1995) and by open-ended questions. The research sample consisted of 143 parents of children with ASD and 135 parents of NT children from Slovakia. The regression analysis confirmed that guilt, shame, and self-forgiveness explained 23% of the variance in parental stress, while the only significant negative predictor was self-forgiveness. Furthermore, shame mediated the pathway between self-forgiveness and parental stress in parents of children with ASD. Parents of children with ASD experience more shame than parents of NT children. The qualitative analysis obtained a more comprehensive understanding of both groups. Parents of children with ASD mostly experienced shame in regard to their child's inappropriate behavior or it being misunderstood by society, while parents of NT children mostly did not feel ashamed of their parenting. Acceptance, social support, religious beliefs, and love from the child were the most often mentioned factors helping self-forgiveness in parents of children with ASD. We highlight the importance of self-forgiveness as a potential coping mechanism for parental stress and suggest focusing on negative aspects of shame in parents of children with ASD.
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Affiliation(s)
- Denisa Marcinechová
- Institute of Experimental Psychology of the Centre of Social and Psychological Sciences, Slovak Academy of Sciences, Dúbravská Cesta 5819/9, 84104 Karlova Ves, Bratislava, Slovakia
| | - Lucia Záhorcová
- Department of Psychology, Trnava University in Trnava, Hornopotočná 23, 91701 Trnava, Slovakia
| | - Katarína Lohazerová
- Department of Psychology, Trnava University in Trnava, Hornopotočná 23, 91701 Trnava, Slovakia
- Memory, Mlynarovičova 2571/21, 85103 Bratislava, Slovakia
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10
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Couderc S, Cousson-Gélie F, Pernon E, Porro B, Miot S, Baghdadli A. Burnout among direct support workers of adults with autism spectrum disorder and intellectual disability. Scand J Caring Sci 2023; 37:131-140. [PMID: 34075606 DOI: 10.1111/scs.13008] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 03/30/2021] [Accepted: 04/30/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Direct support workers (DSWs) accompany adults with autism spectrum disorder (ASD) and intellectual disability (ID) in residential care homes. Such DSWs, without specialised ASD training, are exposed to chronic stress linked to supporting ASD-ID clients and must adjust by coping strategies adapted to the needs of the residents. Nevertheless, difficulties adjusting constitute a burnout risk for DSWs, characterised by high levels of emotional exhaustion, depersonalisation and loss of a sense of personal accomplishment. We aimed to describe the burnout of DSWs who support adults with ASD-ID and to identify personal variables (experience and specialised training for ASD) and transactional variables (perceived stress and coping strategies) that could predict and mediate burnout. METHOD In total, 125 DSWs accompanying ASD-ID adults on a daily basis were included. Each participant answered four questionnaires measuring burnout, sociodemographic and professional variables, coping strategies and perceived stress. RESULTS Five per cent of DSWs were in a state of burnout. Eighteen, six and fifty-nine per cent showed high average scores of emotional exhaustion, depersonalisation and loss of a sense of personal accomplishment, respectively. Being older, specialised training in ASD, stress perceived as a challenge and problem-focused coping strategies were associated with low levels of depersonalisation and loss of a sense of personal accomplishment. CONCLUSIONS Understanding the burnout process of ASD-ID DSWs may require the assessment of the organisational characteristics linked to the quality of life of the DSWs and the recognition of their specific needs when facing difficulties. The necessary ASD-focused training and support depends on an appraisal that would be individualised to adult ASD-ID DSWs.
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Affiliation(s)
- Sylvie Couderc
- Univ Paul Valéry Montpellier 3, Univ. Montpellier, EPSYLON EA 4556, Montpellier, France.,Center of Resources in Autism and Center of Excellence in Autism and Neurodevelopmental disorders, University and CHU of Montpellier, Montpellier, France.,UVSQ, Inserm, CESP, 'DevPsy', Université Paris-Saclay, Villejuif, France
| | - Florence Cousson-Gélie
- Univ Paul Valéry Montpellier 3, Univ. Montpellier, EPSYLON EA 4556, Montpellier, France.,Institut du Cancer de Montpellier, ICM, Epidaure Département de Prévention, Montpellier, France
| | - Eric Pernon
- Univ Paul Valéry Montpellier 3, Univ. Montpellier, EPSYLON EA 4556, Montpellier, France.,Center of Resources in Autism and Center of Excellence in Autism and Neurodevelopmental disorders, University and CHU of Montpellier, Montpellier, France
| | - Bertrand Porro
- Univ Paul Valéry Montpellier 3, Univ. Montpellier, EPSYLON EA 4556, Montpellier, France.,Inserm, EHESP, Irset-UMR_S 1085, University of Angers, University of Rennes, Angers, France
| | - Stéphanie Miot
- Center of Resources in Autism and Center of Excellence in Autism and Neurodevelopmental disorders, University and CHU of Montpellier, Montpellier, France.,Geriatrics Department, University and CHU of Montpellier, Montpellier, France
| | - Amaria Baghdadli
- Center of Resources in Autism and Center of Excellence in Autism and Neurodevelopmental disorders, University and CHU of Montpellier, Montpellier, France.,UVSQ, Inserm, CESP, 'DevPsy', Université Paris-Saclay, Villejuif, France.,School of Medicine, Univ. Montpellier, Montpellier, France
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11
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Brillet L, Peries M, Vernhet C, Rattaz C, Michelon C, Baghdadli A. Dyadic Effect of Coping on the Perceived Impact of ASD of Children on Parental Quality of Life: Report from the ELENA Cohort. J Autism Dev Disord 2023; 53:38-49. [PMID: 34994927 DOI: 10.1007/s10803-021-05414-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2021] [Indexed: 02/03/2023]
Abstract
Autism spectrum disorder (ASD) has a significant impact on the quality of life (QoL) of families. This study aimed to examine, for parents of children with ASD, the dyadic effect of each parent's coping strategy on the perception of the impact of ASD on their QoL. In total, 164 couples completed self-report questionnaires, including the Par-DD-QoL, to evaluate the parental perception of QoL. Results from the actor-partner interdependence model showed that, in addition to the effect of the mothers' and fathers' emotion-focused coping on their own perception of QoL, the mothers' emotion-focused coping plays a key role in the fathers' perception of QoL. These findings suggest that both parents of children with ASD would benefit from couple-focused interventions.
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Affiliation(s)
- Leïla Brillet
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'Excellence Sur Les Troubles Neuro-Développementaux, CHU Montpellier, Montpellier, France
- University of Medecine, Montpellier, France
| | - Marianne Peries
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'Excellence Sur Les Troubles Neuro-Développementaux, CHU Montpellier, Montpellier, France
| | - Christelle Vernhet
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'Excellence Sur Les Troubles Neuro-Développementaux, CHU Montpellier, Montpellier, France
| | - Cécile Rattaz
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'Excellence Sur Les Troubles Neuro-Développementaux, CHU Montpellier, Montpellier, France
| | - Cécile Michelon
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'Excellence Sur Les Troubles Neuro-Développementaux, CHU Montpellier, Montpellier, France
| | - Amaria Baghdadli
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'Excellence Sur Les Troubles Neuro-Développementaux, CHU Montpellier, Montpellier, France.
- University of Medecine, Montpellier, France.
- Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, 94807, Villejuif, France.
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles Neuro-développementaux, CHU Montpellier, 39 Avenue Charles Flahault, 34295 Cedex 05, Montpellier, France.
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12
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Turnage D, Conner N. Quality of life of parents of children with Autism Spectrum Disorder: An integrative literature review. J SPEC PEDIATR NURS 2022; 27:e12391. [PMID: 35986656 DOI: 10.1111/jspn.12391] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 06/22/2022] [Accepted: 07/06/2022] [Indexed: 11/30/2022]
Abstract
PURPOSE This paper presents an integrated literature review of the quality of life (QOL) in parents of individuals with Autism Spectrum Disorder (ASD). The rate of ASD is increasing. Parents of children with ASD have higher levels of stress and burden, which may lead to lower QOL. DESIGN AND METHODS A comprehensive, electronic search was performed to retrieve 15 relevant articles, including 5565 participants. An integrative review was performed to appraise and synthesize findings. RESULTS QOL was found to be lower in parents of children with ASD in physical, psychological, and social health and in spirituality, as compared with adults who were not parents of children with ASD. The strongest risk factor for parental QOL was the severity of the diagnosis of ASD. Protective factors for parental QOL were parent education level and levels of severity of ASD in the child. PRACTICE IMPLICATIONS Nurses can support families impacted by ASD, particularly severe ASD, through tailored resources to support early diagnosis and intervention, through the support of policies affecting low-income families, and through increased awareness of severe ASD and its' impact on the child and the family.
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Affiliation(s)
- Dawn Turnage
- College of Nursing, University of Central Florida, Orlando, Florida, USA
| | - Norma Conner
- College of Nursing, University of Central Florida, Orlando, Florida, USA
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13
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Schneider S, Clément C, Goltzene MA, Meyer N, Gras-Vincendon A, Schröder CM, Coutelle R. Determinants of the evolutions of behaviours, school adjustment and quality of life in autistic children in an adapted school setting: an exploratory study with the International Classification of Functioning, disability and health (ICF). BMC Psychiatry 2022; 22:323. [PMID: 35524241 PMCID: PMC9074195 DOI: 10.1186/s12888-022-03924-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 04/07/2022] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Previous studies about Quality of Life (QoL) in autistic children (ASD) have put forward the negative impact of factors such as Autism Spectrum Disorder (ASD) severity, psychiatric comorbidities and adaptive behaviour impairment. However, little is known about the relation of these factors to school adjustment, measured with the International Classification of Functions disability and health (ICF) framework (World Health Organization, 2001), and QoL evolutions. Thus, this study aimed at investigating the determinants of behaviours, school adjustment and QoL changes in 32 children in an ASD inclusion program over one academic year. METHODS Using Bayesian methods, we studied the impact of ASD severity, psychiatric comorbidities, adaptive behaviour level and a diagnosis of Pathological Demand Avoidance (PDA) on evolutions of behaviour, school adjustment (measured with the ICF) and QoL. RESULTS As predicted, adequate adaptive behaviour levels were associated with better progress of behaviours and school adjustment whereas psychiatric comorbidities were related to worse outcome of school adjustment. Contrary to our hypotheses, severe ASD was associated to better evolution of adjustment at school. PDA was not discriminant. We did not find any association between the studied factors and the evolution of QoL over the academic year. CONCLUSION Our results show that the assessment of adaptive behaviour levels, psychiatric comorbidities and ASD severity level may be useful predictors to discriminate of school adjustment evolution (assessed by teachers within the ICF model) over a one-year period in autistic children. The assessment of this time course of school adjustment was sensitive to change and adapted to differentiate evolutions in an inclusive education framework. The investigation of quality of school life of autistic children as well as its determinants may therefore be relevant to improving academic adaptation. However, further research in larger groups, over longer periods and in different personalized school settings for autistic children is needed.
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Affiliation(s)
- Stéphanie Schneider
- grid.412220.70000 0001 2177 138XService de Psychiatrie de l’Enfant et de l’Adolescent, FHU NEUROGENΨCS, Fédération de Médecine Translationnelle de Strasbourg (FMTS), University Hospital and Medical School of Strasbourg, INSERM 1114, GIS Autisme et TND, Centre d’Excellence STRAS&ND, Strasbourg, France ,GIS Autisme et TND, Centre d’Excellence STRAS&ND, Strasbourg, France
| | - Céline Clément
- GIS Autisme et TND, Centre d’Excellence STRAS&ND, Strasbourg, France ,grid.11843.3f0000 0001 2157 9291LISEC, Laboratoire Interuniversitaire en Sciences de l’Education et de la Communication, UR 2310, Université de Strasbourg, Strasbourg, France
| | - Marc-André Goltzene
- grid.412220.70000 0001 2177 138XHôpitaux Universitaires de Strasbourg, Service de pathologie professionnelle et environnementale, 1 place de l’hôpital, 67000 Strasbourg, France
| | - Nicolas Meyer
- grid.412220.70000 0001 2177 138XDepartment of Public Health, University Hospitals of Strasbourg, Strasbourg, France ,grid.11843.3f0000 0001 2157 9291Faculty of Medicine, University of Strasbourg, Strasbourg, France
| | - Agnès Gras-Vincendon
- grid.412220.70000 0001 2177 138XService de Psychiatrie de l’Enfant et de l’Adolescent, FHU NEUROGENΨCS, Fédération de Médecine Translationnelle de Strasbourg (FMTS), University Hospital and Medical School of Strasbourg, INSERM 1114, GIS Autisme et TND, Centre d’Excellence STRAS&ND, Strasbourg, France ,GIS Autisme et TND, Centre d’Excellence STRAS&ND, Strasbourg, France
| | - Carmen M. Schröder
- grid.412220.70000 0001 2177 138XService de Psychiatrie de l’Enfant et de l’Adolescent, FHU NEUROGENΨCS, Fédération de Médecine Translationnelle de Strasbourg (FMTS), University Hospital and Medical School of Strasbourg, INSERM 1114, GIS Autisme et TND, Centre d’Excellence STRAS&ND, Strasbourg, France ,GIS Autisme et TND, Centre d’Excellence STRAS&ND, Strasbourg, France ,grid.462184.d0000 0004 0367 4422CNRS UPR 3212, Equipe 9, “Lumière, Rythmes Circadiens, Homéostasie du Sommeil et Neuropsychiatrie”, Institut des Neurosciences Cellulaires et Intégratives (INCI), Strasbourg, France
| | - Romain Coutelle
- Service de Psychiatrie de l'Enfant et de l'Adolescent, FHU NEUROGENΨCS, Fédération de Médecine Translationnelle de Strasbourg (FMTS), University Hospital and Medical School of Strasbourg, INSERM 1114, GIS Autisme et TND, Centre d'Excellence STRAS&ND, Strasbourg, France. .,GIS Autisme et TND, Centre d'Excellence STRAS&ND, Strasbourg, France.
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Vernhet C, Michelon C, Dellapiazza F, Rattaz C, Geoffray MM, Roeyers H, Picot MC, Baghdadli A. Perceptions of parents of the impact of autism spectrum disorder on their quality of life and correlates: comparison between mothers and fathers. Qual Life Res 2021; 31:1499-1508. [PMID: 34822048 DOI: 10.1007/s11136-021-03045-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/18/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE To compare mothers and fathers perceptions of the impact of autism spectrum disorder on their Quality of Life (QoL), we used the Parental-Developmental Disorders-Quality of Life scale (Par-DD-QoL). METHOD The perception of QoL of mothers and fathers was compared for 130 pairs of parents of children with ASD and the associated variables were investigated. RESULTS Mothers perceived a significantly greater impact of ASD on their QoL than fathers. Parents perceived a higher impact of ASD on global QoL when their child's adaptive skills were low and when the level of aberrant behaviors was high. More precisely, the perception of QoL by the mothers was negatively associated with their child's internalized disorders, whereas the perception of QoL by the fathers was negatively associated with their child's externalized disorders. Neither the mothers' nor the fathers' perception of the impact on QoL was associated with their children's age or the severity of their autistic symptoms. Some parental factors, such as being members of a family association, having benefited from training in ASD and having experienced a disruption in professional activity were associated with a greater impact on their QoL. CONCLUSION Our finding that the perceived impact of ASD on QoL differed between mothers and fathers argues for individualized psychosocial support. Moreover, the strong correlation between the child's clinical characteristics and the perception by parents of a higher impact of ASD on QoL should be seen as red flag concerning the needs of the parents in terms of social and educational support. TRIAL REGISTRATION NUMBER NCT02625116 (October 2015).
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Affiliation(s)
- Christelle Vernhet
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles Neurodéveloppementaux, CHU Montpellier, 39 Avenue Charles Flahault, 34295 Cedex 05, Montpellier, France
| | - Cécile Michelon
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles Neurodéveloppementaux, CHU Montpellier, 39 Avenue Charles Flahault, 34295 Cedex 05, Montpellier, France
| | - Florine Dellapiazza
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles Neurodéveloppementaux, CHU Montpellier, 39 Avenue Charles Flahault, 34295 Cedex 05, Montpellier, France
| | - Cécile Rattaz
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles Neurodéveloppementaux, CHU Montpellier, 39 Avenue Charles Flahault, 34295 Cedex 05, Montpellier, France
| | - Marie-Maude Geoffray
- Child and Adolescent Psychiatry Departement, Center for Assessment and Diagnostic of Autism, Le Vinatier Hospital, Bron, France
| | - Herbert Roeyers
- Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium
| | - Marie-Christine Picot
- Clinical Research Unit, Department of Medical Information, CHU Montpellier, Montpellier, France
- Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, 94807, Villejuif, France
| | - Amaria Baghdadli
- Centre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles Neurodéveloppementaux, CHU Montpellier, 39 Avenue Charles Flahault, 34295 Cedex 05, Montpellier, France.
- Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, 94807, Villejuif, France.
- Faculté de Médecine, Université de Montpellier, Montpellier, France.
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15
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Musetti A, Manari T, Dioni B, Raffin C, Bravo G, Mariani R, Esposito G, Dimitriou D, Plazzi G, Franceschini C, Corsano P. Parental Quality of Life and Involvement in Intervention for Children or Adolescents with Autism Spectrum Disorders: A Systematic Review. J Pers Med 2021; 11:894. [PMID: 34575671 PMCID: PMC8469292 DOI: 10.3390/jpm11090894] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 09/05/2021] [Accepted: 09/06/2021] [Indexed: 11/24/2022] Open
Abstract
Previous research has examined several parental, child-related, and contextual factors associated with parental quality of life (QoL) among parents with a child or an adolescent with autism spectrum disorders (ASD); however, no systematic review has examined the relationship between parental QoL and parental involvement in intervention. To fill this gap, a systematic review was conducted using four electronic databases and checked reference lists of retrieved studies. Records were included in the systematic review if they presented original data, assessed parental QoL, and involvement in intervention for children or adolescents with ASD, were published in peer-reviewed journals between 2000 and 2020, and were written in English. Among the 96 screened full-texts, 17 articles met the eligibility criteria. The selected studies included over 2000 parents of children or adolescents with ASD. Three categories of parental involvement (i.e., none, indirect, direct) were identified, which varied across studies, although most had direct parental involvement. The results from this review show that increased parental involvement in the intervention for children or adolescents with ASD may be one way to promote their QoL. However, further research specifically focused on parental involvement during the intervention for children and adolescents with ASD is warranted.
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Affiliation(s)
- Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, 43121 Parma, Italy
| | - Tommaso Manari
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, 43121 Parma, Italy
| | - Barbara Dioni
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, 43121 Parma, Italy
- Fondazione Bambini e Autismo Onlus, 33170 Pordenone, Italy
| | - Cinzia Raffin
- Fondazione Bambini e Autismo Onlus, 33170 Pordenone, Italy
| | - Giulia Bravo
- Fondazione Bambini e Autismo Onlus, 33170 Pordenone, Italy
| | - Rachele Mariani
- Department of Dynamic and Clinical Psychology, Sapienza University of Rome, 00185 Rome, Italy
| | - Gianluca Esposito
- Social and Affective Neuroscience Lab, Psychology Program-SSS, Nanyang Technological University, Singapore 639818, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 636921, Singapore
- Affiliative Behaviour and Physiology Lab, Department of Psychology and Cognitive Science, University Trento, 38068 Rovereto, Italy
| | - Dagmara Dimitriou
- Sleep Education and Research Laboratory, Department of Psychology and Human Development, UCL-Institute of Education, London WC1H 0AA, UK
- The National Institute for Stress, Anxiety, Depression and Behavioural Change (NISAD), 252 21 Helsingborg, Sweden
| | - Giuseppe Plazzi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy
- IRCCS Institute of Neurological Sciences of Bologna (ISNB), 40139 Bologna, Italy
| | | | - Paola Corsano
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, 43121 Parma, Italy
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16
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Jemes-Campaña IC, Romero-Galisteo RP, Gálvez-Ruiz P, Labajos-Manzanares MT, Moreno-Morales N. Service Quality in Early Intervention Centres: An Analysis of Its Influence on Satisfaction and Family Quality of Life. CHILDREN (BASEL, SWITZERLAND) 2021; 8:716. [PMID: 34438607 PMCID: PMC8391886 DOI: 10.3390/children8080716] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 08/20/2021] [Accepted: 08/20/2021] [Indexed: 06/13/2023]
Abstract
Early Intervention (EI) is a set of interventions focused on responding to the needs of children with or at risk of developmental problems. This study aimed to investigate the relationships between the perceived quality of service, satisfaction and family quality of life. METHODS to conduct a multi-centre, transversal study with a non-probabilistic sample. The participants (N = 1551) were families from 24 Early Intervention Centres (EICs) located in Spain. RESULTS The results indicated an adequate fit of the measurement and structural models, with the latter showing a capacity of 73% to predict the family quality of life. The structural model established that the perceived service quality was a positive and significant predictor of satisfaction (β = 0.85; p < 0.001). Both the perceived quality of service (β = 0.28; p < 0.001) and satisfaction (β = 0.33; p < 0.001) obtained a similar positive and significant relationship with family quality of life, which was slightly stronger than satisfaction. CONCLUSIONS This study provided a better understanding of the importance of the services offered in EICs and their influence on the satisfaction and family quality of life of their users. Thus, delving into these relationships was highly relevant for decision-making in the context of EI.
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Affiliation(s)
| | - Rita-Pilar Romero-Galisteo
- Department of Fhysiotherapy, University of Málaga, C/Arquitecto Francisco Peñalosa, s/n., 29071 Málaga, Spain; (M.-T.L.-M.); (N.M.-M.)
| | - Pablo Gálvez-Ruiz
- Faculty of Law and Social Sciences, Valencian International University, 46002 Valencia, Spain;
| | - Maria-Teresa Labajos-Manzanares
- Department of Fhysiotherapy, University of Málaga, C/Arquitecto Francisco Peñalosa, s/n., 29071 Málaga, Spain; (M.-T.L.-M.); (N.M.-M.)
| | - Noelia Moreno-Morales
- Department of Fhysiotherapy, University of Málaga, C/Arquitecto Francisco Peñalosa, s/n., 29071 Málaga, Spain; (M.-T.L.-M.); (N.M.-M.)
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17
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Downes N, Geoffray MM, Isnard P, Lemonnier E, Orêve MJ, Cappe E. Dyadic coping and coparenting among couples after their child's recent autism diagnosis. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2021; 26:121-134. [PMID: 34098749 DOI: 10.1177/13623613211020916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
LAY ABSTRACT We investigated how couples support each other after their child's autism diagnosis and whether this affects the way they work together to raise their child. We recruited 70 couples raising a child on the autism spectrum. Both partners were asked to complete the same questionnaires measuring how they perceived the experience of having a child on the autism spectrum, how they used their relationship to support each other during stressful situations, how competent they felt completing their parenting tasks, and the coparenting relationship to explore how they worked together as a team when parenting their child. Parents participated in the study 1-36 months after their child's autism diagnosis. We used statistical techniques that allowed us to see the impact mothers and fathers had on each other. Overall, parents who felt more competent and supported by their partner worked better as a team to raise their child on the spectrum. Fathers invested in the coparenting relationship more when mothers felt more supported by fathers. Mothers invested in the coparenting relationship more when fathers felt more competent parenting their child. Further research is needed to better understand how we can support couples as their child gets older.
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Affiliation(s)
- Naomi Downes
- Université de Paris, LPPS, F-92100 Boulogne-Billancourt, France
| | - Marie-Maude Geoffray
- Department of Child and Adolescent Neurodevelopmental Psychiatry, Le Vinatier Hospital, 95 Boulevard Pinel, 69678 Bron CEDEX, France.,Health Services and Performance Research (HESPER), Claude Bernard University Lyon 1, 43 Boulevard du 11 Novembre 1918, 69622 Villeurbane CEDEX, France
| | - Pascale Isnard
- APHP, Hôpital Bichat-Claude Bernard, Service de psychopathologie de l'enfant et de l'adolescent, Paris, France.,Le Moulin Vert, PDAP la Boussole, Paris, France.,INSERM, CESP, « Team DevPsy », Villejuif, France
| | - Eric Lemonnier
- Centre de Ressources Autisme du Limousin, CHU de Limoges, 2 Avenue Dupuytren, 87000 Limoges, France
| | - Marie-Joëlle Orêve
- Université Paris-Saclay, UVSQ, Inserm, CESP, Equipe DevPsy, 78000, Versailles, France.,Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Centre Hospitalier de Versailles
| | - Emilie Cappe
- Université de Paris, LPPS, F-92100 Boulogne-Billancourt, France
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18
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Pyszkowska A, Wrona K. Self-compassion, ego-resiliency, coping with stress and the quality of life of parents of children with autism spectrum disorder. PeerJ 2021; 9:e11198. [PMID: 33986986 PMCID: PMC8101449 DOI: 10.7717/peerj.11198] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 03/10/2021] [Indexed: 11/20/2022] Open
Abstract
Background The literature shows a fairly coherent picture of the types of difficulties parents face. Adaptive both coping styles and resources, such as self-compassion and ego-resiliency, indicated as important predictors of the quality of life among parents of children with autism spectrum disorder. The aim of the study was to determine the links between self-compassion and ego-resiliency, coping with stress and quality of life among parents of children with autism spectrum disorder in a Polish sample (N = 76). Methods A cross-sectional study was conducted. The CISS, Self-Compassion Scale-Short, Ego-Resiliency Scale, and Quality of Life Questionnaire were used. Results Regression analysis was carried out to address the research question. It was confirmed that both resources studied exhibited negative relations with emotion-oriented coping, while ego-resiliency was also positively correlated with task- and avoidance-oriented strategies. The hierarchical multiple regression conducted in three steps indicated that ego-resiliency (18%) and emotion-oriented (14%) were the strongest predictors of quality of life among parents of children with ASD. Conclusions The obtained results proved that ego-resiliency and a task-oriented coping strategy were important indicators of the quality of life of parents of children with ASD.
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Affiliation(s)
- Anna Pyszkowska
- Institute of Psychology, University of Silesia, Katowice, Silesia, Poland
| | - Kamila Wrona
- Institute of Psychology, University of Silesia, Katowice, Silesia, Poland
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19
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Widyawati Y, Scholte RHJ, Kleemans T, Otten R. Positive parenting and its mediating role in the relationship between parental resilience and quality of life in children with developmental disabilities in Java Island, Indonesia. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 112:103911. [PMID: 33631600 DOI: 10.1016/j.ridd.2021.103911] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 02/14/2021] [Accepted: 02/15/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUNDS Developmental disabilities exert severe physical, cognitive and social-emotional consequences, such as low quality of life, not only on children but also on their families. However, the extent of the effect of such consequences on quality of life is partially dependent on how parents address the situation. AIMS The study aimed to examine whether positive parenting mediates the link between parental resilience and quality of life of children with a developmental disability in Indonesia. METHODS AND PROCEDURES Data were derived from a three-wave longitudinal study on 497, 224 and 209 families in waves one, two and three, respectively. The study determined parental resilience by assessing the knowledge of parents about the characteristics of their child, perceived social support and positive perception of parenting. Quality of life consisted of five aspects: material well-being, communication and influence, socio-emotional well-being, development and activity. Positive parenting was assessed through observed levels of support, encouragement and praise. CONCLUSIONS AND IMPLICATIONS The results demonstrated that positive parenting mediated the impact of positive perception of parenting on quality of life. This finding implies that positive perception and positive parenting should be encouraged when families with children with developmental disabilities receive care or support.
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Affiliation(s)
- Yapina Widyawati
- Behavioural Science Institute, Radboud University, Montessorilaan 3, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands.
| | - R H J Scholte
- Behavioural Science Institute, Radboud University, Montessorilaan 3, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands
| | - Tijs Kleemans
- Behavioural Science Institute, Radboud University, Montessorilaan 3, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands
| | - Roy Otten
- Behavioural Science Institute, Radboud University, Montessorilaan 3, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands
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20
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Cai RY, Uljarević M, Leekam SR. Predicting Mental Health and Psychological Wellbeing in Mothers of Children with Autism Spectrum Disorder: Roles of Intolerance of Uncertainty and Coping. Autism Res 2020; 13:1797-1801. [PMID: 32618140 DOI: 10.1002/aur.2341] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Revised: 04/23/2020] [Accepted: 05/30/2020] [Indexed: 11/08/2022]
Abstract
Research has consistently shown that parents of children with autism spectrum disorder (ASD) are more likely to report chronic stress and symptoms of psychopathology when compared to parents of typically developing children and children with other psychological or physical conditions. Certain individual characteristics might either put parents at risk or allow them to cope more effectively under the strenuous conditions of raising children with neurodevelopmental conditions. Previous research has suggested that higher levels of intolerance of uncertainty and certain coping styles are associated with higher parental levels of anxiety and depression. The aim of this study is to characterize the way in which intolerance of uncertainty and coping (avoidant and problem-focused coping) predict mental health and psychological wellbeing in parents of children with ASD. Only mothers participated in this study. Fifty mothers (Mage = 44.28 years, SDage = 6.58) of children with ASD completed questionnaires assessing anxiety and depression, psychological wellbeing, intolerance of uncertainty, and avoidant and problem-focused coping. The results from this study provide preliminary evidence that higher use of problem-focused coping but not avoidant coping and intolerance of uncertainty predicts psychological wellbeing. Furthermore, our observation of greater intolerance of uncertainty and higher use of avoidant coping predicting anxiety and depression supports previous research. The findings from this study have implications for the development of intervention programs to help improve the mental health and psychological wellbeing of parents. LAY SUMMARY: This research studied the factors that impact the mental health of parents of children on the autism spectrum. We found that mothers, who are not comfortable with uncertainty, use more avoidant coping, and less problem-focused coping have poorer mental health. Identifying these factors is a crucial first step in developing intervention programs to help improve the mental health of parents. Autism Res 2020, 13: 1797-1801. © 2020 International Society for Autism Research and Wiley Periodicals LLC.
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Affiliation(s)
- Ru Ying Cai
- Aspect Research Centre for Autism Practice, Autism Spectrum Australia, Flemington, Victoria, Australia.,Department of Educational Studies, Macquarie University, Sydney, New South Wales, Australia
| | - Mirko Uljarević
- Melbourne School of Psychological Sciences, Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Susan R Leekam
- Wales Autism Research Centre, School of Psychology, Cardiff University, Cardiff, UK
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21
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Cappe É, Pedoux A, Poirier N, Downes N, Nader-Grosbois N. Adaptation and quality of life of parents with a child with autism spectrum disorder: A comparative exploratory study between France, French-Speaking Belgium and Quebec. PSYCHOLOGIE FRANCAISE 2020. [DOI: 10.1016/j.psfr.2018.11.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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22
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Craig F, Savino R, Fanizza I, Lucarelli E, Russo L, Trabacca A. A systematic review of coping strategies in parents of children with attention deficit hyperactivity disorder (ADHD). RESEARCH IN DEVELOPMENTAL DISABILITIES 2020; 98:103571. [PMID: 31931455 DOI: 10.1016/j.ridd.2020.103571] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Revised: 10/15/2019] [Accepted: 01/02/2020] [Indexed: 05/17/2023]
Abstract
BACKGROUND Parents of children with attention deficit hyperactivity disorder (ADHD) use several coping strategies to deal with ADHD symptoms impacting family life. AIM The aim of this systematic review was to summarize the coping strategies used by parents of children with ADHD, identify which tools are most frequently used to measure coping strategies, and examine factors influencing parental coping. METHOD According to PRISMA guidelines, we searched for articles indexed in PubMed, EBSCOhost, Scopus, and Web of Science using a combination of expressions including "coping" AND "ADHD" OR "attention-deficit/hyperactivity disorder" AND "parent" OR "parenting" OR "caregiver". RESULTS Fourteen empirical studies were identified as relevant to our research. Many different types of tools are used to assess coping strategies. We found that parents of ADHD children used more avoidant-focused coping strategies than parents of typical children. Mothers of ADHD children sought significantly more support and used more indirect means than mothers of typically developing (TD) children. CONCLUSIONS This review underlines the importance of further exploring coping mechanisms of parents of children with ADHD in order to promote positive coping strategies for parents of children with ADHD, and to help such parents to identify people who can support them.
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Affiliation(s)
- Francesco Craig
- Scientific Institute, IRCCS E. Medea, Unit for Severe Disabilities in Developmental Age and Young Adults, Brindisi, Italy
| | - Rosa Savino
- Scientific Institute, IRCCS E. Medea, Unit for Severe Disabilities in Developmental Age and Young Adults, Brindisi, Italy
| | - Isabella Fanizza
- Scientific Institute, IRCCS E. Medea, Unit for Severe Disabilities in Developmental Age and Young Adults, Brindisi, Italy
| | - Elisabetta Lucarelli
- Scientific Institute, IRCCS E. Medea, Unit for Severe Disabilities in Developmental Age and Young Adults, Brindisi, Italy
| | - Luigi Russo
- Scientific Institute, IRCCS E. Medea, Unit for Severe Disabilities in Developmental Age and Young Adults, Brindisi, Italy
| | - Antonio Trabacca
- Scientific Institute, IRCCS E. Medea, Unit for Severe Disabilities in Developmental Age and Young Adults, Brindisi, Italy.
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23
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Ishtiaq N, Mumtaz N, Saqulain G. Stress and coping strategies for parenting children with hearing impairment and autism. Pak J Med Sci 2020; 36:538-543. [PMID: 32292467 PMCID: PMC7150387 DOI: 10.12669/pjms.36.3.1766] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Objectives: To determine the level of stress experienced and coping strategies used by parents of hearing impaired and autistic children. Methods: Using non-probability convenience sampling this cross sectional study recruited n =200 parents of hearing impaired (HI) and 100 parents of autistic children, of either gender, aged 20 to 60 years. Samples were recruited from Special Education Institutes of Islamabad and Rawalpindi, over a period of six months, from October 2018 to March 2019 and conducted at Isra Institute of Rehabilitation Sciences, Islamabad. Basic demographical sheet, Parental Stress Scale and Coping Strategies Inventory were used for data collection. Statistical analysis was done using SPSS 21. Results: In parents of hearing impaired the mean parental stress score was 47.44±12.85 and commonest coping strategy was problem focused engagement (26.03) followed by problem focused dis-engagement (24.25). In the autistic group the mean parental stress score was 48.92+11.22 with problem focused engagement being the most frequently used strategy (27.4) followed by emotion focused strategy. Conclusion: Different level of stress experienced by parents of autistic and hearing impaired children which is statistically significant and they employed different coping strategies.
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Affiliation(s)
- Naima Ishtiaq
- Ms. Naima Ishtaiq, M.Phil. (Speech Language Pathology), Speech Language Pathologist, Inspire Education, The Bridge School, Islamabad, Pakistan
| | - Nazia Mumtaz
- Dr. Nazia Mumtaz, PhD. (Rehabilitation Sciences), Head of Department, Department of Speech Language Pathology & Hearing Sciences. Isra Institute of Rehabilitation Sciences, Isra University, Islamabad, Pakistan
| | - Ghulam Saqulain
- Dr. Ghulam Saqulain, F.C.P.S. (Otorhinolaryngology), Head of Department, Department of ENT, Capital Hospital, Islamabad, Pakistan
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The Effects of Parent Training Programs on the Quality of Life and Stress Levels of Parents Raising a Child with Autism Spectrum Disorder: a Systematic Review of the Literature. REVIEW JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS 2019. [DOI: 10.1007/s40489-019-00190-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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Self-compassion: A Novel Predictor of Stress and Quality of Life in Parents of Children with Autism Spectrum Disorder. J Autism Dev Disord 2019; 49:4039-4052. [DOI: 10.1007/s10803-019-04121-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Coping strategies of parents of children with autism spectrum disorder: a systematic review. Eur Child Adolesc Psychiatry 2019; 28:747-758. [PMID: 29915911 DOI: 10.1007/s00787-018-1183-3] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2017] [Accepted: 06/11/2018] [Indexed: 01/06/2023]
Abstract
To deal with stress, parents of children with ASD use coping strategies that help to tackle the challenging situations of raising their child. This systematic review examines parental coping strategy's questionnaires, factors which influence these coping strategies, interactions between these strategies and perceived stress and their impact on parental quality of life. According to PRISMA guidelines, an electronic search was conducted on Medline, PsycInfo and Eric: 156 articles were identified and 11 studies were selected. Many types of self-reported questionnaires were used to assess parental coping strategies. Studies highlighted that parents of a child with ASD used more avoidance strategies and less social support-seeking strategies than those of typical children. Furthermore, problem-focused coping protects parental stress and quality of life, that on the contrary, emotion-focused coping is a risk factor for alteration. Our systematic review illustrates the need to adapt psychoeducational interventions for parents of children with ASD.
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Edelstein OE, Shorer T, Shorer Z, Bachner YG. Correlates of quality of life in mothers of children with diagnosed epilepsy. Epilepsy Behav 2019; 93:80-86. [PMID: 30831406 DOI: 10.1016/j.yebeh.2019.01.039] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Revised: 01/28/2019] [Accepted: 01/28/2019] [Indexed: 01/31/2023]
Abstract
Contrary to a plethora of studies on the quality of life (QoL) of parents caring for children with chronic conditions, information regarding parents of children with epilepsy remains limited. The main purpose of the current study was to explore associations between children's biomedical characteristics, mothers' sociodemographic characteristics, mothers' situational factors, and QoL among mothers of children with epilepsy. One hundred and fifty mothers of children with epilepsy completed valid and reliable measures. The study was conducted at a large outpatient clinic for children with epilepsy in a central hospital in southern Israel. Sense of mastery and optimism emerged as significant predictors of all four domains of QoL; self-rated health (SRH) and mothers' socioeconomic status were significant predictors of three QoL domains; mothers' sleeping disturbances and children's behavioral problems predicted one QoL component. These results highlight the pivotal role that mastery and optimism play in securing the QoL of mothers caring for children with epilepsy. Moreover, mother's socioeconomic status and SRH should also be screened to deal with possible socioeconomic deprivation. In addition, health professionals should screen mothers and children for sleeping disturbances, and provide information about sleep hygiene. Psychosocial interventions need to be developed and offered to parents, in an attempt to address the social and behavior problems of children with epilepsy.
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Affiliation(s)
- Offer E Edelstein
- Ben-Gurion University of the Negev, The Spitzer Department of Social Work, Beer-Sheva 841050, Israel.
| | - Talia Shorer
- Soroka Medical Center, Head Nurse Manager, Beer-Sheva 841050, Israel
| | - Zamir Shorer
- Soroka Medical Center, Pediatric Neurology Unit, Ben-Gurion University of the Negev, 841050, Israel
| | - Yaacov G Bachner
- Ben-Gurion University of the Negev, Faculty of Health Sciences, Department of Public Health, Beer-Sheva 8410501, Israel
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Lee GK, Krizova K, Shivers CM. Needs, strain, coping, and mental health among caregivers of individuals with autism spectrum disorder: A moderated mediation analysis. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2019; 23:1936-1947. [PMID: 30892929 DOI: 10.1177/1362361319833678] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
This study investigated the relationships among caregiving strain, coping, and mental health among caregivers of individuals with autism spectrum disorder (ASD) and the mediational moderation of caregiver needs. One hundred and ninety-three caregivers of individuals with ASD completed an online survey. Results showed that maladaptive coping behaviors were significant in mediating the relationship between strain and mental health. Professional service and emotional caregiving needs moderated the relationship between maladaptive coping and mental health at times of high caregiving strain, but not involvement, health information, and instrumental support needs. Results highlighted the negative effect of maladaptive coping, as well as professional service and emotional support needs were salient in moderating coping and mental health in times of high caregiving strain.
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Mantri-Langeveldt A, Dada S, Boshoff K. Measures for social support in raising a child with a disability: A scoping review. Child Care Health Dev 2019; 45:159-174. [PMID: 30690765 DOI: 10.1111/cch.12646] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 12/17/2018] [Accepted: 01/22/2019] [Indexed: 12/23/2022]
Abstract
BACKGROUND The benefits of social support for caregivers raising a child with a disability have been identified in the literature. These benefits include the improvement of the mental and physical well-being of the caregivers, improvement in caregiving styles, and overall improvement of family quality of life. Whilst the benefits of social support are widely reported, the definitions and measures of social support in the literature are varied. METHOD A scoping review was therefore undertaken to identify and describe the tools used to measure social support of primary caregivers (i.e., parents or grandparents) raising a child (0-18 years) with a congenital disability in international studies. Ten databases were systematically searched. RESULTS Sixteen studies were included in the review, from which nine social support measures were identified. Attributes of the measures were searched from their referenced papers and described in terms of their reported psychometric properties. CONCLUSIONS Through the identification of the measures of social support and ensuring its accurate measurement, direction can be provided for intervention by allowing professionals to detect and address social support available. Future recommendations for research are made.
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Affiliation(s)
- Anushka Mantri-Langeveldt
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, South Africa
| | - Kobie Boshoff
- International Centre for Allied Health Evidence, University of South Australia, South Australia
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Shahabi B, Shahabi R, Foroozandeh E. Analysis of the self-compassion and cognitive flexibility with marital compatibility in parents of children with autism spectrum disorder. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2019; 66:282-288. [PMID: 34141390 PMCID: PMC7952048 DOI: 10.1080/20473869.2019.1573000] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2018] [Revised: 12/08/2018] [Accepted: 01/12/2019] [Indexed: 06/12/2023]
Abstract
Purpose: Parents of children with autism spectrum disorder (ASD) face many problems in their marital lives. Autism is a developmental disorder, emerging during childhood that affects development across various domains. Studies suggest that autism prevalence rates are increasing, and research shows that parents of children with ASD frequently experience high levels of parenting stress. Marital compatibility is fulfilled when couples have the sense of satisfaction and contentment from each other. This study was done to analyze self-compassion and cognitive flexibility in relation with marital compatibility in parents having children with ASD. Methods: A sample size with 100 married couples, who referred to autism centers, was selected after clinical interviews. The research tools included structural clinical interview (DSM SCID), self-compassion scales questionnaire, cognitive flexibility inventory questionnaire, and marital compatibility test questionnaire, which were completed by the participants. Results: The research is a correlational descriptive study. Data analysis was done by the path analysis method. The findings showed that there was a significant relation between self-compassion, cognitive flexibility, and marital compatibility. Conclusions: In this study, it could be concluded that compassion via flexibility can have indirect positive effects on marital compatibility as two features of self-compassion and cognitive flexibility can help parents of children with ASD to be more compatible and flexible in their marital lives.
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Affiliation(s)
- Bahareh Shahabi
- Department of Psychology, Islamic Azad University Science and Research Branch of Tehran, Tehran, Iran
| | - Rana Shahabi
- Department of Physiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Elham Foroozandeh
- Department of Psychology, Isfahan (Naein) Branch, Islamic Azad University, Isfahan, Iran
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Goltzer G, Pearlman-Avnion S. Feelings of Parents with Broader Autism Phenotype Towards Their Autistic Child. AUTISM IN ADULTHOOD 2019. [DOI: 10.1007/978-3-030-28833-4_12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Lee GK, Shivers CM. Factors that affect the physical and mental health of caregivers of school-age children and transitioning young adults with autism spectrum disorder. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2018; 32:622-634. [PMID: 30575246 DOI: 10.1111/jar.12556] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2018] [Revised: 11/20/2018] [Accepted: 11/22/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Although studies have examined quality of life (QOL) among family caregivers of individuals with autism spectrum disorder (ASD), little is known about potential differences in QOL based on the age of the individual with ASD, particularly in relation to caregivers' needs, beliefs and coping mechanisms. METHOD This study investigated 132 caregivers of school-age children and 61 caregivers of transitioning young adults with ASD on measures of caregiving, strain, coping, family needs and QOL. RESULTS The results indicated that there were no significant differences in QOL based on the age of the individuals with ASD, although parents of children reported significantly more caregiving behaviours, with coping, internalized strain and health information needs predicted mental health QOL. DISCUSSION Age of the individual with ASD was not significantly related to caregivers' QOL. More research is needed to determine independent predictors of caregiver QOL across the lifespan.
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Affiliation(s)
- Gloria K Lee
- Department of Counseling, Educational Psychology & Special Education, Michigan State University, East Lansing, Michigan
| | - Carolyn M Shivers
- Department of Human Development, Virginia Tech, Blacksburg, Virginia
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Supporting Parents of a Child with Autism Spectrum Disorder: The French Awakening. J Autism Dev Disord 2018; 49:1142-1153. [PMID: 30413911 DOI: 10.1007/s10803-018-3800-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Derguy C, Roux S, Portex M, M'bailara K. An ecological exploration of individual, family, and environmental contributions to parental quality of life in autism. Psychiatry Res 2018; 268:87-93. [PMID: 30015111 DOI: 10.1016/j.psychres.2018.07.006] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Revised: 04/12/2018] [Accepted: 07/05/2018] [Indexed: 01/26/2023]
Abstract
The aim of this study was to assess the respective weight of individual and environmental factors on quality of life (Qol) of parents of children with autism spectrum disorders (ASD). Few studies have investigated both individual and environmental predictors of Qol but to our knowledge, none of them has considered the child's and parents' characteristics, family context and services available in the same design. Participants were 115 parents (73 mothers and 42 fathers) of children with ASD aged from 3 to 10 years. Hierarchical regression analyses were conducted to investigate predictors of parental Qol among child-related, parent-related and environmental factors. Findings indicate that a higher Qol is associated with a good quality of interaction in marital and parent-grandparents dyads, no family medical history and access to psycho-educational interventions for the child, regardless of child's developmental quotient, comorbidity, parent sex and working time. This final model best fits the data and explains 31.5% of the variance of parents' Qol. This study highlights that it is crucial to consider both individual and environmental variables as potential protective factors of parental adjustment. An ecological approach seems to be relevant to understand which parenting resources should be targeted in support programs.
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Affiliation(s)
- Cyrielle Derguy
- Laboratoire de Psychopathologie et Processus de Santé, EA 4057, Université Paris Descartes, Sorbonne Paris Cité, 71 Avenue E. Vaillant 92100 Boulogne-Billancourt, France.
| | - Solenne Roux
- Laboratoire Psychologie, Univ. Bordeaux, EA 4139, 3ter place de la Victoire F-33000 Bordeaux, France
| | - Marine Portex
- Laboratoire Psychologie, Univ. Bordeaux, EA 4139, 3ter place de la Victoire F-33000 Bordeaux, France
| | - Katia M'bailara
- Laboratoire Psychologie, Univ. Bordeaux, EA 4139, 3ter place de la Victoire F-33000 Bordeaux, France; Charles Perrens Hospital, Pôle 3-4-7, 121 rue de la Bechade 33076 Bordeaux Cedex, France
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Ilg J, Jebrane A, Paquet A, Rousseau M, Dutray B, Wolgensinger L, Clément C. Evaluation of a French parent-training program in young children with autism spectrum disorder. PSYCHOLOGIE FRANCAISE 2018. [DOI: 10.1016/j.psfr.2016.12.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Azer SA, Bokhari RA, AlSaleh GS, Alabdulaaly MM, Ateeq KI, Guerrero APS, Azer S. Experience of parents of children with autism on YouTube: are there educationally useful videos? Inform Health Soc Care 2018; 43:219-233. [PMID: 29461878 DOI: 10.1080/17538157.2018.1431238] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The aims of this study were to determine the following: first, are there educationally useful videos of parents of children with autism sharing their experiences? Second, do any of the data related to videos help in identifying useful videos? And third, what do posted comments tell us? YouTube was searched for videos of parents sharing their experiences. The following parameters were collected: title, creator, URL, duration, number of viewers, likes, dislikes, comments, days on YouTube, and country. Based on agreed-upon criteria, videos were divided independently into educationally useful and non-useful categories. A critical thematic analysis of comments was conducted. A total of 180 videos were finally identified, of which 106 (59%) provided useful information, scoring 15.3 ± 0.7 (mean ± SD); 74 (41%) were determined to be not educationally useful, scoring 8.6 ± 2.1. The differences in scores were significant (p < 0.001), but there were no significant differences between the useful and non-useful groups in terms of video parameters. No correlation was found between scores and any of the videos' parameters. In conclusion, there are videos that can be used as educational resources. The videos' parameters did not differentiate between useful and non useful. Useful videos were mostly created by professional societies and by parents. The study reflects the emerging role of YouTube in sharing experiences.
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Affiliation(s)
- Samy A Azer
- a Professor of Medical Education and Chair of Curriculum Development and Research Unit , College of Medicine, King Saud University , Riyadh , Saudi Arabia
| | - Raghad A Bokhari
- b Department of Medical Education , College of Medicine, King Saud University , Riyadh , Saudi Arabia
| | - Ghadah S AlSaleh
- b Department of Medical Education , College of Medicine, King Saud University , Riyadh , Saudi Arabia
| | - May M Alabdulaaly
- b Department of Medical Education , College of Medicine, King Saud University , Riyadh , Saudi Arabia
| | - Khawlah I Ateeq
- b Department of Medical Education , College of Medicine, King Saud University , Riyadh , Saudi Arabia
| | - Anthony P S Guerrero
- c Professor of Psychiatry and Clinical Professor of Pediatrics, Department of Psychiatry , University of Hawai'i John A. Burns, School of Medicine , Honolulu , HI , USA
| | - Sarah Azer
- d Registrar, St Vincent's Hospital , University of Melbourne , Victoria , Australia
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Cappe É, Poirier N, Sankey C, Belzil A, Dionne C. Quality of life of French Canadian parents raising a child with autism spectrum disorder and effects of psychosocial factors. Qual Life Res 2017; 27:955-967. [PMID: 29204785 DOI: 10.1007/s11136-017-1757-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/29/2017] [Indexed: 11/25/2022]
Abstract
PURPOSE This study aimed to investigate the quality of life of parents of a child with autism spectrum disorder in Quebec. METHODS Seventy-seven participants completed a questionnaire with socio-biographic information and five self-assessed scales, to measure perceived stress, social support and control, coping strategies, and quality of life. RESULTS Perception of their child's autonomy level, of the severity of the disorder, of the family's income, as well as changes in their professional or familial organization influenced parents' quality of life. Perceiving their situation as a threat predicted poor quality of life, whereas satisfaction of social support predicted good quality of life. In addition, parents who used problem solving and support-seeking coping strategies had a better relationship with their child, whereas those who used more emotion-centered coping strategies struggled. Lastly, parents who felt they had the power to contribute to their child's development were more satisfied and less disturbed. CONCLUSIONS Beyond the parents' actual situation, our results underscore the importance of paying attention to their own perception of the situation in order to provide them with appropriate support.
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Affiliation(s)
- Émilie Cappe
- Laboratoire de Psychopathologie et Processus de Santé (EA 4057), Institut de Psychologie, Université Paris Descartes, Sorbonne Paris Cité, 71, avenue Edouard Vaillant, 92100, Boulogne-Billancourt, France.
| | - Nathalie Poirier
- Laboratoire de Recherche sur la Famille d'Enfant présentant un Trouble du Spectre de l'Autisme, Département de psychologie, Université du Québec à Montréal, Montréal, QC, Canada
| | - Carol Sankey
- Laboratoire de Psychopathologie et Processus de Santé (EA 4057), Institut de Psychologie, Université Paris Descartes, Sorbonne Paris Cité, Boulogne-Billancourt, France
| | - Andréa Belzil
- Laboratoire de Recherche sur la Famille d'Enfant présentant un Trouble du Spectre de l'Autisme, Département de psychologie, Université du Québec à Montréal, Montréal, QC, Canada
| | - Carmen Dionne
- Chaire de Recherche du Canada en Intervention Précoce, Département de Psychoéducation, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
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Landon J, Shepherd D, Goedeke S. Predictors of Satisfaction with Life in Parents of Children with Autism Spectrum Disorder. J Autism Dev Disord 2017; 48:1640-1650. [DOI: 10.1007/s10803-017-3423-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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[A therapeutic education program for parents of children with ASD: Preliminary results about the effectiveness of the ETAP program]. Encephale 2017; 44:421-428. [PMID: 29180054 DOI: 10.1016/j.encep.2017.07.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Revised: 07/25/2017] [Accepted: 07/26/2017] [Indexed: 11/21/2022]
Abstract
Autism Spectrum Disorders (ASD) are characterized by particularities of cognitive and socio-adaptive functioning. Daily, they require specific interventions for the disabled person as well as support for parents who often report deterioration in their physical and mental health. To this end, the latest Autism Plan 2013-2017 highlights the need "to help families to be present and active alongside their loved ones, to avoid situations of exhaustion and stress and to enable them to play their role fully in the long term". The support devices must therefore be based on an analysis of the parents' needs and propose multiple intervention modalities, which respond to the complexity of the caregiving mission. Therapeutic education (TE) seems to answer to these different elements by proposing a global approach improving the development of child-centered skills and the educational challenges (self-care skills) but also of skills centered on the projects and the fulfillment of the parent (psychosocial skills). The ETAP (Therapeutic Education Autism and Parenting) program is an initial TE offer intended for parents of children with ASD aged between 3 and 10years. It consists of seven group sessions and two semi-structured interviews, called educational diagnosis. A booster session is also proposed three months after the last session. It was developed following rigorously the guidelines on program construction, published by the High Authority of Health. In addition, it is based on an assessment of the needs of the parents, an in-depth analysis of the literature and the opinion of nine experts in this area. The objective of this study is to evaluate the effectiveness of the ETAP program on the quality of life and anxio-depressive symptoms of parents of a child with ASD. To our knowledge, the ETAP program is the first TE program in France for parents of children with an ASD that has been evaluated. Our sample is composed of 40 participants, including 30 parents who participated in the ETAP program ("ETAP Group"), compared to ten controls who did not participate, but who are on a waiting list ("Control Group"). Each participant completed a Quality of Life Questionnaire (WhoQol-Brief) and an Anxiety-Depressive Symptomatology Questionnaire (HADS) prior to the start of the program (T1) and after the session 7 (T2). Preliminary analyses show a good intergroup matching on socio-demographic and medical data. Moreover, the two groups are not significantly different at T1 over the set of dependent variables measured. Our results show an improvement in the quality of life of the depressive symptomatology in the participants. On the other hand, we did not notice any significant decrease in anxiety symptoms. However, when we consider the proportion of parents with a significant anxiety state (in terms of the clinical threshold of HADS, score ≥10), we see that it tends to decrease after the program only for the group ETAP. These data should be interpreted with caution because of their preliminary nature and the small size of our sample. However, the first steps are encouraging and confirm the value of the therapeutic education model for parents of children with ASD. The different information given during the sessions takes into account the previous representations, knowledge and skills of the parent. Thus the program promotes the upholding and the development of individual resources in parents. In addition, the psychosocial skills targeted also to make access easier to available environmental resources. Finally, in a more indirect way, the ETAP program also aims to maintain or restore a positive parenthood and individual identity and the progressive development of new ways of to interact with the environment. An adaptation of the Hobfoll resource conservation model is proposed by the authors to formulate hypotheses on the mechanisms of action of the ETAP program.
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McRae EM, Stoppelbein L, O'Kelley SE, Fite P, Greening L. Predicting Internalizing and Externalizing Symptoms in Children with ASD: Evaluation of a Contextual Model of Parental Factors. J Autism Dev Disord 2017; 48:1261-1271. [PMID: 29170935 DOI: 10.1007/s10803-017-3368-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Parental adjustment, parenting behaviors, and child routines have been linked to internalizing and externalizing child behavior. The purpose of the present study was to evaluate a comprehensive model examining relations among these variables in children with ASD and their parents. Based on Sameroff's Transactional Model of Development (Sameroff in: The transactional model of development: How children and contexts shape each other, American Psychological Association, Washington, DC, 2009), researchers hypothesized that these factors would collectively predict child behavior. Parents (n = 67) completed measures of parental adjustment, parenting behaviors, child routines, and child behavior using the Hopkins Symptom Checklist, Alabama Parenting Questionnaire, Child Routines Inventory, and Child Behavior Checklist, respectively. Results indicated that parental adjustment predicted harsh/disengaged parenting (B = 0.17, p < .01) and internalizing behavior (B = 0.32, p < .01). Harsh/disengaged parenting and warm/supportive parenting predicted externalizing behavior (B = 0.59, p < .01) and internalizing behavior (B = - 0.49 p < .01), respectively.
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Affiliation(s)
- Elizabeth M McRae
- Psychology Department, University of Alabama at Birmingham, 1401 University Boulevard, Birmingham, AL, 35233, USA
| | - Laura Stoppelbein
- Psychology Department, University of Alabama at Birmingham, 1401 University Boulevard, Birmingham, AL, 35233, USA. .,Glenwood Autism and Behavioral Health, Glenwood, Inc., 150 Glenwood Lane, Birmingham, AL, 353242, USA.
| | - Sarah E O'Kelley
- Psychology Department, University of Alabama at Birmingham, 1401 University Boulevard, Birmingham, AL, 35233, USA
| | - Paula Fite
- Dole Center for Human Development, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS, 66045, USA.,Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, USA
| | - Leilani Greening
- University of Mississippi Medical Center, 2500 N. State St., Jackson, MS, 39216, USA
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Gattegno MP, Wolff M, Ragonnet P, Pascaud R, de Fenoyl C, Adrien JL. Étude pilote de l’inclusion professionnelle en milieu ordinaire de personnes atteintes d’autisme. ANNALES MEDICO-PSYCHOLOGIQUES 2017. [DOI: 10.1016/j.amp.2016.06.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Elder JH, Kreider CM, Brasher SN, Ansell M. Clinical impact of early diagnosis of autism on the prognosis and parent-child relationships. Psychol Res Behav Manag 2017; 10:283-292. [PMID: 28883746 PMCID: PMC5576710 DOI: 10.2147/prbm.s117499] [Citation(s) in RCA: 116] [Impact Index Per Article: 16.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Autism spectrum disorder (ASD) refers to a lifelong condition that usually appears in late infancy or early childhood, and is characterized by social and communication deficits that impede optimal functioning. Despite widespread research and greater public awareness, ASD has an unclear etiology and no known cure, making it difficult to acquire accurate and timely diagnoses. In addition, once an ASD diagnosis is made, parents find it challenging to navigate the healthcare system and determine which interventions are most effective and appropriate for their child. A growing body of evidence supports the value of early diagnosis and treatment with evidence-based interventions, which can significantly improve the quality of life of individuals with ASD as well as of their carers and families. Particularly noteworthy are early interventions that occur in natural surroundings and can be modified to address age-related goals throughout the lifespan. Therefore, the purpose of this review is to: 1) provide readers with a brief background related to ASD; 2) describe commonly used screening instruments and tools for early diagnosis; 3) describe early interventions that have empirical support; and 4) discuss how the parent-child and family relationships can be affected through this process. This information can provide professionals with information they can use to assist families who make critical and potentially life-changing decisions for children with ASD.
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Affiliation(s)
| | | | - Susan N Brasher
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA
| | - Margaret Ansell
- Health Science Center Libraries, University of Florida, Gainesville, FL, USA
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Rattaz C, Michelon C, Roeyers H, Baghdadli A. Quality of Life in Parents of Young Adults with ASD: EpiTED Cohort. J Autism Dev Disord 2017. [DOI: 10.1007/s10803-017-3197-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Quality of life, psychological characteristics, and adjustment in parents of children with Attention-Deficit/Hyperactivity Disorder. Qual Life Res 2016; 26:1283-1294. [PMID: 27798755 DOI: 10.1007/s11136-016-1446-8] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2016] [Indexed: 10/20/2022]
Abstract
PURPOSE This study investigated quality of life and adjustment mechanisms in parents of children with Attention-Deficit/Hyperactivity Disorder (ADHD). METHOD Ninety parents of children with ADHD completed a sociodemographic questionnaire and self-assessment scales to measure their perceived stress, social support, sense of control, coping strategies and quality of life. RESULTS ADHD in children negatively affected parents' quality of life, especially their psychological well-being and personal fulfillment. Family and couple relationships, as well as daily life activities, were also affected. The severity of the disorder, perceiving the situation as a threat or a loss, feeling guilty and holding on to irrational beliefs were related to emotion-focused coping strategies and to a poorer quality of life. Furthermore, hyperactivity index and stress ratings relative to perceiving the situation as a threat or a loss, and adopting emotion-focused coping strategies, predicted poorer quality of life. In contrast, perceiving the situation as challenging was related to a greater sense of control and personal fulfillment. Moreover, perceiving the situation as challenging and adopting problem-focused coping strategies predicted better quality of life. CONCLUSION The findings highlight the negative effects of ADHD on parent psychological adjustment and underline the need to recommend training programs that improve parenting skills, parents' perceptions concerning their child's behavior disorder and parental functioning.
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Évaluation des effets d’un groupe d’accompagnement parental sur le stress et la qualité de vie après l’annonce du diagnostic de Trouble du Spectre Autistique (TSA) chez leur enfant. ANNALES MEDICO-PSYCHOLOGIQUES 2016. [DOI: 10.1016/j.amp.2015.10.023] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Cappe É, Poirier N, Boujut É, Nader-Grosbois N, Dionne C, Boulard A. [Autism spectrum disorder and evaluation of perceived stress parents and professionals: Study of the psychometric properties of a French adaptation of the Appraisal of Life Event Scale (ALES-vf)]. Encephale 2016; 43:321-325. [PMID: 27623118 DOI: 10.1016/j.encep.2016.08.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2015] [Accepted: 12/07/2015] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Autism and related disorders are grouped into the category of « Autism Spectrum Disorder » (ASD) in the DSM-5. This appellation reflects the idea of a dimensional representation of autism that combines symptoms and characteristics that vary in severity and intensity. Despite common characteristics, there are varying degrees in intensity and in the onset of symptoms, ranging from a disability that can be very heavy with a total lack of communication and major disorders associated with the existence of a relative autonomy associated, sometimes, with extraordinary intellectual abilities. Parents are faced with several difficult situations, such as sleep disturbances, agitation, shouting, hetero violence, self-harm, learning difficulties, stereotyping, lack of social and emotional reciprocity, inappropriate behavior, etc. They can feel helpless and may experience stress related to these developmental and behavioral difficulties. The heterogeneity of symptoms, the presence of behavioral problems, the lack of reciprocity and autonomy also represent a challenge for practitioners in institutions and teachers at school. The objective of this research is to present the validation of a French translation of the Appraisal of Life Events Scale (ALES-vf) from Ferguson, Matthex and Cox, specifically adapted to the context of ASD. ALES was originally developed to operationalize the three dimensions of perceived stress (threat, loss and challenge) described by Lazarus and Folkman. METHODOLOGY ALES-vf was initially translated into French and adapted to the situation of parents of children with ASD. It was subsequently administered to 343 parents, 150 paramedical professionals involved with people with ASD, and 155 teachers from an ordinary school environment and from specialized schools, welcoming in their classroom at least one child with ASD. RESULTS An exploratory factor analysis performed on data from 170 parents highlighted two exploratory models with four and three factors, slightly different from the original three-factor model of Ferguson and his collaborators. Confirmatory analyzes were conducted on data from 173 other parents to test two exploratory models and the original model of Ferguson. It has also been tested on data from 305 professionals (paramedical professionals and teachers) and on the whole sample (parents and professionals). The results suggest a better match of the original three-factor model. In addition, Cronbach's alpha coefficients and inter-item correlations showed a good internal consistency for these three factors. Finally, variance analysis and regressions were performed to test the effect of the nationality of the parents, the child's level of autonomy, the child's level of communication, and on the perceived stress by experienced professionals. CONCLUSION ALES-vf, after our adaptation has good psychometric properties for use not only with parents but also with professionals (teachers, educators, psychologists) working with children with ASD. Our analyses showed that the nationality of the parents does not significantly influence the subscales « threat » and « challenge » of ALES-vf, which makes it usable in other Francophone countries. Specificities in the subscales were identified based on group membership (parents and professionals). For example parents get higher average scores on subscales « loss » and « threat » and a lower average score on the subscale « challenge », compared to professionals. Finally, regarding the specifics found among professionals, the results show that the years of experience have an effect on perceived stress. Specifically, teachers and educators who have more experience perceive their work with children with ASD as a challenge. This is consistent with the results of studies showing that teachers who have had experience with children with ASD had less difficulty in their interventions.
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Affiliation(s)
- É Cappe
- Laboratoire de psychopathologie et processus de santé (LPPS - EA4057), institut de psychologie, université Paris Descartes, Sorbonne Paris Cité, Bureau 4087, 71, avenue Edouard-Vaillant, 92100 Boulogne-Billancourt, France.
| | - N Poirier
- Département de psychologie, université du Québec à Montréal, C.P. 8888 succursale Centre-ville, Montréal, Québec, H3C 3P8 Canada
| | - É Boujut
- Laboratoire de psychopathologie et processus de santé (LPPS - EA4057), institut de psychologie, université Paris Descartes, Sorbonne Paris Cité, Bureau 4087, 71, avenue Edouard-Vaillant, 92100 Boulogne-Billancourt, France
| | - N Nader-Grosbois
- Institut de recherche en sciences psychologiques, université catholique de Louvain, place de l'Université 1, 1348 Louvain, Belgique
| | - C Dionne
- Département de psychoéducation, université du Québec à Trois-Rivières, 3351, boulevard des Forges, Trois-Rivières, QC, G9A 5H7 Canada
| | - A Boulard
- Service de psychologie clinique de l'enfant et de l'adolescent, département de psychologie et cliniques des systèmes humains, université de Liège, place du 20-Août-7, 4000 Liège, Belgique
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Rayan A, Ahmad M. Effectiveness of mindfulness-based interventions on quality of life and positive reappraisal coping among parents of children with autism spectrum disorder. RESEARCH IN DEVELOPMENTAL DISABILITIES 2016; 55:185-196. [PMID: 27107368 DOI: 10.1016/j.ridd.2016.04.002] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2015] [Revised: 03/26/2016] [Accepted: 04/04/2016] [Indexed: 06/05/2023]
Abstract
BACKGROUND Previous research has supported mindfulness-based interventions (MBIs) to enhance quality of life (QOL) in different populations, but no studies have been found to examine the effectiveness of MBIs on QOL among parents of children with ASD. AIM The purpose of the current study was to examine the effectiveness of brief MBI on perceived QOL and positive stress reappraisal (PSR) among parents of children with ASD. METHODS A quasi-experimental, with nonequivalent control group design was used. One hundred and four parents of children with ASD were equally assigned to the intervention and control groups. The study groups were matched on measures of their gender and age, and level of severity of ASD in children. The intervention group participated in MBI program for 5 weeks, while the control group had not attended the program. RESULTS After the intervention program, results of paired samples t-test indicated that parents in the intervention group demonstrated significant improvements in measures of psychological health domain of QOL, social health domain of QOL, mindfulness, and positive stress reappraisal with medium to large effect size (P<0.01). The control group demonstrated improvement in measures of the dependent variables with small effect size. CONCLUSION MBI is culturally adaptable, acceptable, and effective method to improve QOL and PSR in parents of children with ASD.
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Durán M, García-Fernández M, Fernández JC, Sanjurjo B. Afrontamiento, estrés parental y calidad de vida de los cuidadores principales de personas TEA || Coping, parental stress and quality of life of primary caregivers of people with ASD. REVISTA DE ESTUDIOS E INVESTIGACIÓN EN PSICOLOGÍA Y EDUCACIÓN 2016. [DOI: 10.17979/reipe.2016.3.1.1749] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
El objetivo de este estudio ha sido analizar la calidad de vida de los cuidadores principales de personas con TEA. Para ello se contó con una muestra de 50 cuidadores de personas con TEA con edades comprendidas entre 2 y 35 años. Además de la calidad de vida, se evaluaron las estrategias de afrontamiento y el estrés parental. Los resultados mostraron que (1) el estrés parental, las estrategias de afrontamiento y la calidad de vida no se asocia significativamente con la etapa evolutiva de la persona con TEA; (2) la calidad de vida en los dominios psicológico, social y ambiental es peor en los cuidadores con niveles de estrés parental clínicamente significativos; y (3) la calidad de vida en el dominio psicológico es mejor entre quienes utilizan estrategias de afrontamiento más adaptativas, como el apoyo social o la reevaluación positiva. Por el contrario, la utilización de estrategias del tipo reacción agresiva, evitación emocional o dificultades de afrontamiento se relaciona con una peor calidad de vida en los dominios psicológico, social y ambiental.
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The Need for an Ecological Approach to Parental Stress in Autism Spectrum Disorders: The Combined Role of Individual and Environmental Factors. J Autism Dev Disord 2016; 46:1895-1905. [DOI: 10.1007/s10803-016-2719-3] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Karimi S, Jaafari A, Ghamari M, Esfandiary M, Salehi Mazandarani F, Daneshvar S, Ajami M. A Comparison of Type II Diabetic Patients With Healthy People: Coping Strategies, Hardiness, and Occupational Life Quality. INTERNATIONAL JOURNAL OF HIGH RISK BEHAVIORS & ADDICTION 2016; 5:e24169. [PMID: 27162758 PMCID: PMC4860000 DOI: 10.5812/ijhrba.24169] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 03/10/2015] [Accepted: 04/02/2015] [Indexed: 11/18/2022]
Abstract
Background Due to the epidemiologic transition and a rise in the prevalence of non-communicable diseases different coping strategies have been studied and developed. These strategies may help the affected people to conduct a normal life style. Objectives This research was conducted in Qazvin, Iran to determine the relationship between coping strategies, hardiness, and occupational life quality in Type II diabetic patients and healthy people. Patients and Methods Questionnaires such as Valton’s on “occupational life quality,” Billings and Moos’ examination of “Coping strategies,” and Kobasa’s investigation of “hardiness” were applied to collect the data needed for the present study. In this regard, 80 people were randomly selected from employees of offices in Qazvin, Iran. Results The results of this research indicated that there is a significant relationship between problem-focused strategies, emotion-focused strategies, hardiness, and occupational life quality in people suffering from Type II diabetes and healthy people (P ≤ 0.05). These results also indicated that hardiness does not predict occupational life quality of people suffering from Type II diabetes. Conclusions The results of the present study give some evidence that allows us to conclude that hardiness and coping strategies affect occupational life quality for both people suffering from Type II diabetes and healthy people. Therefore, it is proposed that people strengthen their hardiness and coping strategies, in order to improve their occupational life quality.
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Affiliation(s)
- Safdar Karimi
- Abhar Branch, Islamic Azad University, Abhar, IR Iran
| | | | | | | | | | - Sahar Daneshvar
- Faculty of Physical Education and Sports Sciences, Tehran University, Tehran, IR Iran
| | - Marjan Ajami
- Department of Food and Nutrition Policy and Planning Research, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
- Corresponding author: Marjan Ajami, Department of Food and Nutrition Policy and Planning Research, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran. Tel: +98-9126719294; +98-2188577364, Fax: +98-2188675760, +98-2188675760, E-mail:
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