Enmeshed Lives: Adult Children With Developmental Disabilities and Their Aging Mothers

The Experience of Parenting a Child With Disability in Old Age

BACKGROUND

There are growing numbers of older parents providing ongoing care for adults with disabilities. A parent's aging calls for a redefinition of parental care practices and roles in light of his or her own changing needs.

PURPOSE

The current study aims to highlight the ways in which aging parents perceive and construct their parental role to adult children with disabilities at this point in their lives.

METHODS

An interpretive phenomenological analysis perspective was used. Data collection was performed through in-depth, semistructured interviews with 20 aging parents of children with developmental disabilities, followed by a content analysis.

RESULTS

Four patterns of parental identity emerged: "Being happy is his responsibility; I did my part," embracing aging needs; "I can do part-time worrying," a gradual letting go of parental roles; "I'm worn out, but I keep going. What choice do I have?" bearing the brunt; "I'm an old woman changing diapers," full-time parents.

CONCLUSIONS

The findings enable a deeper understanding of the various ways in which parents cope with aging alongside caring for an adult child with disability. Hence, this study can serve as a framework for developing tailored and differential intervention methods for these families.

CLINICAL RELEVANCE

As the world's people experience longer life expectancy, of both individuals with disabilities and their parents, nurses' education and practice should be challenged by the double sensitivities of elder's caregiving and address the unique needs of this unique population.

Personal and social life of Israeli aging mothers to adult children with intellectual disabilities: differences related to family status and living arrangement

This study explores whether aging mothers living in two-parent families whose offspring with intellectual disabilities do better in respect to their undesired daily life events, level of social support and well-being scores than mothers of one-parent families and whether there is difference related to their living arrangement (living with their offspring at home or out-of-home)? Sample consists of 160 Israeli aging mothers of adult children with intellectual disabilities living at home or out-of-home. Core findings show that one-parent mothers do worse in respect to undesired life events than those living in two-parent ones. However, mothers of one-parent families whose adult children live at home report more engagement with family members than those of two-parent families whose children live out-of-home.

The Sources of Four Commonly Reported Cutoff Criteria

Everyone can recite methodological “urban legends” that were taught in graduate school, learned over the years through experience publishing, or perhaps just heard through the grapevine. In this article, the authors trace four widely cited and reported cutoff criteria to their (alleged) original sources to determine whether they really said what they are cited as having said about the cutoff criteria, and if not, what the original sources really said. The authors uncover partial truths in tracing the history of each cutoff criterion and in the end endorse a set of 12 specific guidelines for effective academic referencing provided by Harzing that, if adopted, should help prevent the further perpetuation of methodological urban legends.

How mothers talk about placement of their child with autism outside the home

In this article I use insights offered by the poststructural shift and linguistic turn in social scientific inquiry, specifically discourse analysis, to explore mothers' talk about the placement of their child with autism outside of the home. By viewing mothers' talk as data, I bring to light the discourses and interpretive practices that mothers drew on to organize their talk of placement. In doing so, I provide insights into how mothers gave meaning to processes of placement while also expanding on commonsensical discursive notions of "good" mothering, caregiving, and family. Implications of the findings are discussed.

The impact of caring for adults with intellectual disability on the quality of life of parents

BACKGROUND

Because of an increase in life expectancy and de-institutionalisation, many adults with intellectual disability (ID) live with and are cared for by their parents throughout their adult lives. Because of caring demands, the quality of life (QOL) of parents may be affected. The study explored the impact of caring for an adult with ID on the QOL of parents.

METHODS

Participants were 12 parents who were the full-time carers of an adult with ID. Participants were interviewed about the effect of caring on their QOL. Interviews were analysed thematically.

RESULTS

Caring had a positive impact on QOL by enabling participants to develop relationships and receive support, participate in leisure activities, achieve a sense of personal satisfaction and enable a more positive appraisal of their lives. Caring had a negative impact on participants' QOL by restricting their relationships, leisure activities and employment opportunities. Caring was also associated with financial insecurity, frustrations at the service system and fear of what the future held for their offspring.

CONCLUSIONS

Caring for an adult with ID had both positive and negative effects on parents' QOL. Improving services and service delivery, including the provision of residential services and respite, would address many of the issues that were reported to have a negative impact on parents' QOL.

Stressful life events and daily stressors affect awakening cortisol level in midlife mothers of individuals with autism spectrum disorders

OBJECTIVES

The current study examines the awakening cortisol level in midlife mothers (M = 51.4 years old, SD = 8.4) of individuals (M = 22.1 years old, SD = 7.1) with autism spectrum disorders (ASD) under stressful conditions that are not specific to their son or daughter's ASD symptoms.

METHODS

In addition to completing a set of questionnaires and in-home interviews, 82 mothers from the Adolescents and Adults with Autism Study (AAA) participated in a Daily Diary Study.

RESULTS

Findings from the multilevel models indicated that mothers who previously were exposed to no negative life events in the previous period had an increased awakening cortisol level on days following a greater number and more severe stressors, a normative stress response. In contrast, we observed a flatter cortisol level of daily stressors in mothers who experienced a greater number of negative life events in the previous period.

CONCLUSION

These findings highlight the sustained toll that global and everyday stressors have on awakening cortisol level of midlife and aging mothers of individuals with ASD.

Aging family caregivers: Policies and practices

This review examines later life family support for adults with developmental disabilities from a life course perspective that takes into account social trends and changes in service patterns and in attitudes of families. Key issues addressed include: (1) trends affecting family caregiving, (2) health and social outcomes of life-long caregiving, (3) support needs of families, (4) family support policies and practices, and (5) recommendations for a research and policy agenda. Research examining outcomes of life-long caregiving has shown that most families adapt well to having a family member with disabilities. However, some families are at risk for poorer physical and mental health outcomes. These include cultural minorities and families of adults with behavioral challenges. Caregiving does seem to have a negative impact on maternal employment and family income as mothers often give up or cut back on employment to care for a child with developmental disabilities, who is more likely to continue living in the family home throughout adulthood than other adult children. Federal and state initiatives are addressing issues of family support through both the developmental disabilities and aging service systems.

Caring for an adult child with cognitive disabilities: meeting the dual needs of an adult and child

A significant proportion of families in the United States provide care for an adult child who has a cognitive impairment. Significant issues may arise in the context of providing this care, including medical concerns, the nature of the relationship between the adult cognitively impaired child and his or her parents, safety concerns in the home, difficulties that the adult child may face in the community, and employment-related issues. We focus, as well on the need to plan for the future through the execution of powers of attorney, living wills, and accessing government benefits for the individual Caregiver stress is also a concern. We provide various alternatives for the management of these issues.