Measuring parental stress, illness perceptions, coping and quality of life in families of children newly diagnosed with autism spectrum disorder

Background A variety of psychosocial factors have been shown to affect the quality of life of families (FQoL). Aim This study aimed to assess the impact of mother's demographic characteristics, parental stress, illness perceptions about autism spectrum disorder (ASD), coping strategies, ASD s...

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Main Authors: Angelos Papadopoulos, Vassiliki Siafaka, Angeliki Tsapara, Dionysios Tafiadis, Konstantinos Kotsis, Petros Skapinakis, Meropi Tzoufi
Format: Article
Language:English
Published: Cambridge University Press 2023-05-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472423000558/type/journal_article
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author Angelos Papadopoulos
Vassiliki Siafaka
Angeliki Tsapara
Dionysios Tafiadis
Konstantinos Kotsis
Petros Skapinakis
Meropi Tzoufi
author_facet Angelos Papadopoulos
Vassiliki Siafaka
Angeliki Tsapara
Dionysios Tafiadis
Konstantinos Kotsis
Petros Skapinakis
Meropi Tzoufi
author_sort Angelos Papadopoulos
collection DOAJ
description Background A variety of psychosocial factors have been shown to affect the quality of life of families (FQoL). Aim This study aimed to assess the impact of mother's demographic characteristics, parental stress, illness perceptions about autism spectrum disorder (ASD), coping strategies, ASD severity and time since diagnosis on FQoL during the initial period following diagnosis (≤6 months). Method Fifty-three mothers of children newly diagnosed with ASD completed the Beach Center Family Quality of Life Scale, the Autism Parenting Stress Index, the Brief Illness Perception Questionnaire and the Brief Coping Orientation to Problems Experienced Inventory. A descriptive analysis was conducted on the demographic characteristics of the family. Eta coefficients and Pearson's analysis were used to determine the associations between the variables and the FQoL dimensions. Hierarchical regression was used to determine whether variables explained a statistically significant family quality of life variance. Results Pearson's analysis and eta coefficients indicated several correlations. Hierarchical regression analysis showed that higher parental stress related to core autism symptoms was associated with poorer FQoL (95% CI −0.08 to −0.02, P = 0.001), and higher perceived treatment control was associated with better FQoL (95% CI 0.04–0.16, P = 0.001). In addition, stronger perceived personal control was associated with higher physical/material well-being (95% CI 0.01–0.16, P = 0.022) and higher disability-related support (95% CI 0.30–0.61, P = 0.001). Higher family monthly income was associated with better FQoL (95% CI 0.08–0.027, P = 0.000), whereas marital status (divorced mother) was correlated with poorer FQoL (95% CI −0.68 to −0.16, P = 0.002). Conclusions Interventions should emphasise managing the disorder's characteristics and implementing psychoeducational and supportive programmes for parents, immediately after the diagnosis, to enhance FQoL.
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spelling doaj.art-69310d60212a40eb93f746ad584616f82023-05-18T02:20:40ZengCambridge University PressBJPsych Open2056-47242023-05-01910.1192/bjo.2023.55Measuring parental stress, illness perceptions, coping and quality of life in families of children newly diagnosed with autism spectrum disorderAngelos Papadopoulos0https://orcid.org/0000-0001-9988-9273Vassiliki Siafaka1https://orcid.org/0000-0002-8002-8825Angeliki Tsapara2https://orcid.org/0000-0002-2925-2709Dionysios Tafiadis3https://orcid.org/0000-0001-7317-4106Konstantinos Kotsis4https://orcid.org/0000-0001-9830-1706Petros Skapinakis5Meropi Tzoufi6Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, GreeceFaculty of Medicine of Patras, School of Health Sciences, University of Patras, Patras, GreeceDepartment of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, GreeceFaculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceFaculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceFaculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece Background A variety of psychosocial factors have been shown to affect the quality of life of families (FQoL). Aim This study aimed to assess the impact of mother's demographic characteristics, parental stress, illness perceptions about autism spectrum disorder (ASD), coping strategies, ASD severity and time since diagnosis on FQoL during the initial period following diagnosis (≤6 months). Method Fifty-three mothers of children newly diagnosed with ASD completed the Beach Center Family Quality of Life Scale, the Autism Parenting Stress Index, the Brief Illness Perception Questionnaire and the Brief Coping Orientation to Problems Experienced Inventory. A descriptive analysis was conducted on the demographic characteristics of the family. Eta coefficients and Pearson's analysis were used to determine the associations between the variables and the FQoL dimensions. Hierarchical regression was used to determine whether variables explained a statistically significant family quality of life variance. Results Pearson's analysis and eta coefficients indicated several correlations. Hierarchical regression analysis showed that higher parental stress related to core autism symptoms was associated with poorer FQoL (95% CI −0.08 to −0.02, P = 0.001), and higher perceived treatment control was associated with better FQoL (95% CI 0.04–0.16, P = 0.001). In addition, stronger perceived personal control was associated with higher physical/material well-being (95% CI 0.01–0.16, P = 0.022) and higher disability-related support (95% CI 0.30–0.61, P = 0.001). Higher family monthly income was associated with better FQoL (95% CI 0.08–0.027, P = 0.000), whereas marital status (divorced mother) was correlated with poorer FQoL (95% CI −0.68 to −0.16, P = 0.002). Conclusions Interventions should emphasise managing the disorder's characteristics and implementing psychoeducational and supportive programmes for parents, immediately after the diagnosis, to enhance FQoL. https://www.cambridge.org/core/product/identifier/S2056472423000558/type/journal_articleNewly diagnosed childrenautism spectrum disorderfamily quality of lifeparental stressillness perceptions
spellingShingle Angelos Papadopoulos
Vassiliki Siafaka
Angeliki Tsapara
Dionysios Tafiadis
Konstantinos Kotsis
Petros Skapinakis
Meropi Tzoufi
Measuring parental stress, illness perceptions, coping and quality of life in families of children newly diagnosed with autism spectrum disorder
BJPsych Open
Newly diagnosed children
autism spectrum disorder
family quality of life
parental stress
illness perceptions
title Measuring parental stress, illness perceptions, coping and quality of life in families of children newly diagnosed with autism spectrum disorder
title_full Measuring parental stress, illness perceptions, coping and quality of life in families of children newly diagnosed with autism spectrum disorder
title_fullStr Measuring parental stress, illness perceptions, coping and quality of life in families of children newly diagnosed with autism spectrum disorder
title_full_unstemmed Measuring parental stress, illness perceptions, coping and quality of life in families of children newly diagnosed with autism spectrum disorder
title_short Measuring parental stress, illness perceptions, coping and quality of life in families of children newly diagnosed with autism spectrum disorder
title_sort measuring parental stress illness perceptions coping and quality of life in families of children newly diagnosed with autism spectrum disorder
topic Newly diagnosed children
autism spectrum disorder
family quality of life
parental stress
illness perceptions
url https://www.cambridge.org/core/product/identifier/S2056472423000558/type/journal_article
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