Parental Stress, Coping Strategies and Social Support in Families of Children With a Disability

Authors
Cuzzocrea, F. Murdaca, A. M. Costa, S. Filippello, P. Larcan, R.
Publication year
2016
Citation Title
Parental stress, coping strategies and social support in families of children with a disability.
Journal Name
Child Care in Practice
Journal Volume
22
Issue Number
1
Page Numbers
19-Mar
DOI
10.1080/13575279.2015.1064357
Summary
Parents of children with developmental disabilities face many stressors and may cope in a variety of ways. This study examined the relationships between parent stress and coping strategies among parents of children with high- and low-functioning autism spectrum disorder (ASD), Down syndrome, and typically-developing children. Results suggest that some coping strategies may work best for particular parent groups, and parents of children with ASD have greater stress levels than other parent groups.
Key Findings
Parents of children with ASD reported having more overall stress compared to parents of children with Down syndrome or typically-developing children.
The most effective coping strategies for stress were turning to religion for parents of children with high-functioning ASD and problem-solving for parents of children with Down syndrome.
Avoidance coping was related to greater stress in parents with children with Down syndrome, high-functioning ASD, and typically-developing children.
Social support was an important protective factor against stress for all parents, but particularly support from family members and especially for parents of children with Down syndrome.
Implications for Military Professionals
Facilitate support groups for military families with a child with a developmental disability
Attend trainings about coping strategies in the military and among families of children with developmental disabilities to better help those families utilize healthy coping skills
Implications for Program Leaders
Educate military families with children with developmental disabilities about effective and ineffective coping skills for stress
Disseminate information to military families with children with developmental disabilities about the types of social support (e.g., family, friends) that most effectively reduce parent stress
Implications for Policy Makers
Recommend education for all providers working with military families about developmental disabilities and the associated family stress
Promote the development of programs supporting military parents of children with developmental disabilities, particularly parents with added responsibilities during deployment
Methods
Parents of children with ASD and Downs syndrome were recruited from rehabilitation centers.
Parents of typically-developing children were recruited and matched on socioeconomic status.
Only biological, two-parent families were included, and the overall response rate was 71%.
Parents completed questionnaires about stress and coping strategies, including receiving social support, and the relationships between those variables were analyzed.
Participants
Participants included 60 parents of children with developmental disabilities who had participated in a rehabilitation program and 40 parents of typically-developing children.
Mothers had an average age of 40.1 years (SD = 4.8), and fathers had an average age of 43.8 years (SD = 5.5); children were 56% male with an average age of 7.82 years (SD = 3.3).
Children included those with a diagnosis of high-functioning ASD (20%), low-functioning ASD (16%), and Down syndrome (24%), as well as typically-developing children (40%).
No data on race or ethnicity were provided.
Limitations
The sample was not thoroughly described, making conclusions about generalizability difficult.
Parents who volunteered for the study may differ from parents who did not, especially since all participating parents were help-seeking and taking their children to a rehabilitation program.
The study is cross-sectional, so implications about the direction of effects cannot be inferred.
The definition of coping via turning to religion is unclear.
Avenues for Future Research
Explore the relationship between parent stress and coping among parents of children with developmental disabilities in different family structures rather than only two-parent families
Investigate gender differences in coping among parents of children with developmental disabilities
Conduct a longitudinal study of parent coping and stress among families with a child with developmental disabilities to examine how stress and coping may change over time
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Civilian
Population Focus
Abstract
The aim of this research was to compare parental stress, coping strategies and social support perceived in families of children with low functioning autism (n = 8), high functioning autism (n = 10), Down syndrome (n = 12) and parents of typically developing children (n = 20). Specifically, the objective was to investigate which variables (coping strategies and perception of social support available) might better predict different stress outcomes in the four groups. Parents were asked to fill in three questionnaires: Parent Stress Index, Coping Orientation to Problems Experienced and Social Support Questionnaire. Significant differences among groups in all of the variables considered were found. These results suggest the advisability of fostering functional coping strategies and social support received in families of children with disabilities, and especially in those with children with low functioning autism.
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