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Published in: BMC Psychiatry 1/2012

Open Access 01-12-2012 | Research article

Quality of life of parents raising children with pervasive developmental disorders

Authors: Atsurou Yamada, Misuzu Kato, Miyoshi Suzuki, Masako Suzuki, Norio Watanabe, Tatsuo Akechi, Toshi A Furukawa

Published in: BMC Psychiatry | Issue 1/2012

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Abstract

Background

It has been reported that parents of children with pervasive developmental disorders (PDDs) face higher levels of stress. The aims of the present study were; (i) to evaluate the quality of life (QOL) of parents caring for their children with PDDs, and (ii) to explore the correlates of their QOL.

Methods

A consecutive sample of parents of children with PDDs aged 6 to 15 were approached. The MOS 36-item Short-Form Health Survey (SF-36) was used to measure the QOL of the parents by eight subscales and two summary measures. Parents’ personality and marital relationships were assessed with the NEO Five Factor Inventory and the Intimate Bond Measure, respectively. We characterized the parents’ SF-36 profiles in comparison with the national normative scores and explored variables which correlated with their summary measures.

Results

Participants were 147 mothers and 122 fathers of 158 children with PDDs. Mothers had significantly lower scores in the areas of Role Physical (RP) Social functioning (SF), General health perceptions (GH), Vitality (VT), Role emotional (RE) and Mental Health (MH) than those among the general female population. The maternal mental component summary (MCS) was also significantly lower, but maternal physical component summary (PCS) and paternal PCS and MCS scores were not lower. Maternal PCS and MCS scores were both significantly associated with the high Care and the low Control scores, but regarding fathers only the paternal PCS scores were significantly associated with the low Control scores. Maternal PCS and MCS and paternal MCS scores were significantly associated with the high Agreeableness scores and the low Neuroticism scores. Multiple regressions have shown that Neuroticism was significantly related to the low MCS scores of mothers and fathers. Next, Care was related to maternal high PCS, and Control was related to maternal low MCS and paternal low PCS.

Conclusions

The mothers of children with PDDs had lower QOL scores than those of the Japanese general population especially in mental domains. Impairment of the maternal QOL is significantly associated with the personality tendency of the parents and relationships with their partners.
Literature
1.
go back to reference Wingate M, Mulvihill B, Kirby R, Pettygrove S, Cunniff C, Meaney F, Schulz E, Miller L, Robinson C, Quintana G, et al: Prevalence of autism spectrum disorders - autism and developmental disabilities monitoring network, 14 sites, United States. MMWR Surveill Summ. 2008, 61 (3): 1-19. Wingate M, Mulvihill B, Kirby R, Pettygrove S, Cunniff C, Meaney F, Schulz E, Miller L, Robinson C, Quintana G, et al: Prevalence of autism spectrum disorders - autism and developmental disabilities monitoring network, 14 sites, United States. MMWR Surveill Summ. 2008, 61 (3): 1-19.
2.
go back to reference Konstantareas MM, Homatidis S: Assessing child symptom severity and stress in parents of autistic children. J Child Psychol Psychiatry. 1989, 30 (3): 459-470. 10.1111/j.1469-7610.1989.tb00259.x.CrossRefPubMed Konstantareas MM, Homatidis S: Assessing child symptom severity and stress in parents of autistic children. J Child Psychol Psychiatry. 1989, 30 (3): 459-470. 10.1111/j.1469-7610.1989.tb00259.x.CrossRefPubMed
3.
go back to reference Konstantareas MM, Homatidis S: Mothers’ and fathers’ self-report of involvement with autistic, mentally delayed, and normal children. Journal of Marriage and the family. 1992, 54: 153-164. 10.2307/353283.CrossRef Konstantareas MM, Homatidis S: Mothers’ and fathers’ self-report of involvement with autistic, mentally delayed, and normal children. Journal of Marriage and the family. 1992, 54: 153-164. 10.2307/353283.CrossRef
4.
go back to reference Moes D, Koegel RL, Schreibman L, Loos LM: Stress profiles for mothers and fathers of children with autism. Psychol Rep. 1992, 71 (3 Pt 2): 1272-1274.CrossRefPubMed Moes D, Koegel RL, Schreibman L, Loos LM: Stress profiles for mothers and fathers of children with autism. Psychol Rep. 1992, 71 (3 Pt 2): 1272-1274.CrossRefPubMed
5.
go back to reference Dumas JE, Wolf LC, Fisman SN, Culligan A: Parenting stress, child behavior problems, and dysphoria in parents of children with autism, Down syndrome, behavior disorders, and normal development. Exceptionality. 1991, 2: 97-110. 10.1080/09362839109524770.CrossRef Dumas JE, Wolf LC, Fisman SN, Culligan A: Parenting stress, child behavior problems, and dysphoria in parents of children with autism, Down syndrome, behavior disorders, and normal development. Exceptionality. 1991, 2: 97-110. 10.1080/09362839109524770.CrossRef
6.
go back to reference Freeman NL, Perry A, Factor DC: Child behaviours as stressors: replicating and extending the use of the CARS as a measure of stress: a research note. J Child Psychol Psychiatry. 1991, 32 (6): 1025-1030. 10.1111/j.1469-7610.1991.tb01927.x.CrossRefPubMed Freeman NL, Perry A, Factor DC: Child behaviours as stressors: replicating and extending the use of the CARS as a measure of stress: a research note. J Child Psychol Psychiatry. 1991, 32 (6): 1025-1030. 10.1111/j.1469-7610.1991.tb01927.x.CrossRefPubMed
7.
go back to reference Holroyd J: The Questionnaire on Resources and Stress: An instrument to measure family response to a handicapped family member. J Community Psychol. 1974, 2: 92-94. 10.1002/1520-6629(197401)2:1<92::AID-JCOP2290020133>3.0.CO;2-A.CrossRef Holroyd J: The Questionnaire on Resources and Stress: An instrument to measure family response to a handicapped family member. J Community Psychol. 1974, 2: 92-94. 10.1002/1520-6629(197401)2:1<92::AID-JCOP2290020133>3.0.CO;2-A.CrossRef
8.
go back to reference Wolf LC, Noh S, Fisman SN, Speechley M: Psychological effects of parenting stress on parents of autistic children. J Autism Dev Disord. 1989, 19 (1): 157-166. 10.1007/BF02212727.CrossRefPubMed Wolf LC, Noh S, Fisman SN, Speechley M: Psychological effects of parenting stress on parents of autistic children. J Autism Dev Disord. 1989, 19 (1): 157-166. 10.1007/BF02212727.CrossRefPubMed
9.
go back to reference Hastings RP: Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. J Intellect Disabil Res. 2003, 47 (Pt 4–5): 231-237.CrossRefPubMed Hastings RP: Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. J Intellect Disabil Res. 2003, 47 (Pt 4–5): 231-237.CrossRefPubMed
10.
go back to reference Hastings RP, Kovshoff H, Ward NJ, Degli Espinosa F, Brown T, Remington B: Systems analysis of stress and positive perceptions in mothers and fathers of pre-school children with autism. J Autism Dev Disord. 2005, 35 (5): 635-644. 10.1007/s10803-005-0007-8.CrossRefPubMed Hastings RP, Kovshoff H, Ward NJ, Degli Espinosa F, Brown T, Remington B: Systems analysis of stress and positive perceptions in mothers and fathers of pre-school children with autism. J Autism Dev Disord. 2005, 35 (5): 635-644. 10.1007/s10803-005-0007-8.CrossRefPubMed
11.
go back to reference Bristol MM, Gallagher JJ, Schopler E: Mothers and fathers of young developmentally disabled and nondisabled boys: adaptation and spousal support. Dev Psychol. 1988, 24: 441-451.CrossRef Bristol MM, Gallagher JJ, Schopler E: Mothers and fathers of young developmentally disabled and nondisabled boys: adaptation and spousal support. Dev Psychol. 1988, 24: 441-451.CrossRef
12.
go back to reference Olsson MB, Hwang CP: Depression in mothers and fathers of children with intellectual disability. J Intellect Disabil Res. 2001, 45 (Pt 6): 535-543.CrossRefPubMed Olsson MB, Hwang CP: Depression in mothers and fathers of children with intellectual disability. J Intellect Disabil Res. 2001, 45 (Pt 6): 535-543.CrossRefPubMed
13.
go back to reference Gray DE: Psycho-sdocial well-being among the parents of children with autism. Australia and New Zealand Journal of Developmental Disabiltities. 1992, 18 (2): 83-93. Gray DE: Psycho-sdocial well-being among the parents of children with autism. Australia and New Zealand Journal of Developmental Disabiltities. 1992, 18 (2): 83-93.
14.
go back to reference Yamada A, Suzuki M, Kato M, Suzuki M, Tanaka S, Shindo T, Taketani K, Akechi T, Furukawa TA: Emotional distress and its correlates among parents of children with pervasive developmental disorders. Psychiatry Clin Neurosci. 2007, 61 (6): 651-657. 10.1111/j.1440-1819.2007.01736.x.CrossRefPubMed Yamada A, Suzuki M, Kato M, Suzuki M, Tanaka S, Shindo T, Taketani K, Akechi T, Furukawa TA: Emotional distress and its correlates among parents of children with pervasive developmental disorders. Psychiatry Clin Neurosci. 2007, 61 (6): 651-657. 10.1111/j.1440-1819.2007.01736.x.CrossRefPubMed
15.
go back to reference Mugno D, Ruta L, D’Arrigo VG, Mazzone L: Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health and quality of life outcomes. 2007, 5: 22-10.1186/1477-7525-5-22.CrossRefPubMedPubMedCentral Mugno D, Ruta L, D’Arrigo VG, Mazzone L: Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health and quality of life outcomes. 2007, 5: 22-10.1186/1477-7525-5-22.CrossRefPubMedPubMedCentral
16.
go back to reference Allik H, Larsson JO, Smedje H: Health-related quality of life in parents of school-age children with Asperger Syndrome or High-Functioning Autism. Health and quality of life outcomes. 2006, 4: 1-10.1186/1477-7525-4-1.CrossRefPubMedPubMedCentral Allik H, Larsson JO, Smedje H: Health-related quality of life in parents of school-age children with Asperger Syndrome or High-Functioning Autism. Health and quality of life outcomes. 2006, 4: 1-10.1186/1477-7525-4-1.CrossRefPubMedPubMedCentral
17.
go back to reference Benjak T, Vuletic Mavrinac G, Pavic Simetin I: Comparative study on self-perceived health of parents of children with autism spectrum disorders and parents of non-disabled children in Croatia. Croat Med J. 2009, 50 (4): 403-409. 10.3325/cmj.2009.50.403.CrossRefPubMedPubMedCentral Benjak T, Vuletic Mavrinac G, Pavic Simetin I: Comparative study on self-perceived health of parents of children with autism spectrum disorders and parents of non-disabled children in Croatia. Croat Med J. 2009, 50 (4): 403-409. 10.3325/cmj.2009.50.403.CrossRefPubMedPubMedCentral
18.
go back to reference Koegel RL, Schreibman L, Loos LM, Dirlich-Wilhelm H, Dunlap G, Robbins FR, Plienis AJ: Consistent stress profiles in mothers of children with autism. J Autism Dev Disord. 1992, 22 (2): 205-216. 10.1007/BF01058151.CrossRefPubMed Koegel RL, Schreibman L, Loos LM, Dirlich-Wilhelm H, Dunlap G, Robbins FR, Plienis AJ: Consistent stress profiles in mothers of children with autism. J Autism Dev Disord. 1992, 22 (2): 205-216. 10.1007/BF01058151.CrossRefPubMed
19.
go back to reference Doo S, Wing YK: Sleep problems of children with pervasive developmental disorders: correlation with parental stress. Dev Med Child Neurol. 2006, 48 (8): 650-655. 10.1017/S001216220600137X.CrossRefPubMed Doo S, Wing YK: Sleep problems of children with pervasive developmental disorders: correlation with parental stress. Dev Med Child Neurol. 2006, 48 (8): 650-655. 10.1017/S001216220600137X.CrossRefPubMed
20.
go back to reference Montes G, Halterman JS: Psychological functioning and coping among mothers of children with autism: a population-based study. Pediatrics. 2007, 119 (5): e1040-e1046. 10.1542/peds.2006-2819.CrossRefPubMed Montes G, Halterman JS: Psychological functioning and coping among mothers of children with autism: a population-based study. Pediatrics. 2007, 119 (5): e1040-e1046. 10.1542/peds.2006-2819.CrossRefPubMed
21.
go back to reference Weiss SJ: Stressors experienced by family caregivers of children with pervasive developmental disorders. Child Psychiatry Hum Dev. 1991, 21 (3): 203-216. 10.1007/BF00705906.CrossRefPubMed Weiss SJ: Stressors experienced by family caregivers of children with pervasive developmental disorders. Child Psychiatry Hum Dev. 1991, 21 (3): 203-216. 10.1007/BF00705906.CrossRefPubMed
22.
go back to reference Siman-Tov A, Kaniel S: Stress and Personal Resource as Predictors of the Adjustment of Parents to Autistic Children: A Multivariate Model. J Autism Dev Disord. 2011, 41 (7): 879-890. 10.1007/s10803-010-1112-x.CrossRefPubMed Siman-Tov A, Kaniel S: Stress and Personal Resource as Predictors of the Adjustment of Parents to Autistic Children: A Multivariate Model. J Autism Dev Disord. 2011, 41 (7): 879-890. 10.1007/s10803-010-1112-x.CrossRefPubMed
23.
go back to reference Dunn ME, Burbine T, Bowers CA, Tantleff-Dunn S: Moderators of stress in parents of children with autism. Community Ment Health J. 2001, 37 (1): 39-52. 10.1023/A:1026592305436.CrossRefPubMed Dunn ME, Burbine T, Bowers CA, Tantleff-Dunn S: Moderators of stress in parents of children with autism. Community Ment Health J. 2001, 37 (1): 39-52. 10.1023/A:1026592305436.CrossRefPubMed
24.
go back to reference Gill MJ, Harris SL: Hardiness and social support as predictors of psychological discomfort in mothers of children with autism. J Autism Dev Disord. 1991, 21 (4): 407-416. 10.1007/BF02206867.CrossRefPubMed Gill MJ, Harris SL: Hardiness and social support as predictors of psychological discomfort in mothers of children with autism. J Autism Dev Disord. 1991, 21 (4): 407-416. 10.1007/BF02206867.CrossRefPubMed
25.
go back to reference Factor DC, Perry A, Freeman N: Stress, social support, and respite care use in families with autistic children. J Autism Dev Disord. 1990, 20 (1): 139-146. 10.1007/BF02206863.CrossRefPubMed Factor DC, Perry A, Freeman N: Stress, social support, and respite care use in families with autistic children. J Autism Dev Disord. 1990, 20 (1): 139-146. 10.1007/BF02206863.CrossRefPubMed
26.
go back to reference Pakenham KI, Samios C, Sofronoff K: Adjustment in mothers of children with Asperger syndrome: an application of the double ABCX model of family adjustment. Autism. 2005, 9 (2): 191-212. 10.1177/1362361305049033.CrossRefPubMed Pakenham KI, Samios C, Sofronoff K: Adjustment in mothers of children with Asperger syndrome: an application of the double ABCX model of family adjustment. Autism. 2005, 9 (2): 191-212. 10.1177/1362361305049033.CrossRefPubMed
27.
go back to reference Ekas NV, Lickenbrock DM, Whitman TL: Optimism, social support, and well-being in mothers of children with autism spectrum disorder. J Autism Dev Disord. 2010, 40 (10): 1274-1284. 10.1007/s10803-010-0986-y.CrossRefPubMed Ekas NV, Lickenbrock DM, Whitman TL: Optimism, social support, and well-being in mothers of children with autism spectrum disorder. J Autism Dev Disord. 2010, 40 (10): 1274-1284. 10.1007/s10803-010-0986-y.CrossRefPubMed
28.
go back to reference Weiss MJ: Hardiness and social support as predictors of stress in mothers of typical children, children with autism, and children with mental retardation. Autism. 2002, 6 (1): 115-130. 10.1177/1362361302006001009.CrossRefPubMed Weiss MJ: Hardiness and social support as predictors of stress in mothers of typical children, children with autism, and children with mental retardation. Autism. 2002, 6 (1): 115-130. 10.1177/1362361302006001009.CrossRefPubMed
29.
go back to reference Cappe E, Wolff M, Bobet R, Adrien JL: Quality of life: a key variable to consider in the evaluation of adjustment in parents of children with autism spectrum disorders and in the development of relevant support and assistance programmes. Qual Life Res. 2011, 20 (8): 1279-1294. 10.1007/s11136-011-9861-3.CrossRefPubMed Cappe E, Wolff M, Bobet R, Adrien JL: Quality of life: a key variable to consider in the evaluation of adjustment in parents of children with autism spectrum disorders and in the development of relevant support and assistance programmes. Qual Life Res. 2011, 20 (8): 1279-1294. 10.1007/s11136-011-9861-3.CrossRefPubMed
30.
go back to reference Shu BC, Lung FW: The effect of support group on the mental health and quality of life for mothers with autistic children. J Intellect Disabil Res. 2005, 49 (Pt 1): 47-53.CrossRefPubMed Shu BC, Lung FW: The effect of support group on the mental health and quality of life for mothers with autistic children. J Intellect Disabil Res. 2005, 49 (Pt 1): 47-53.CrossRefPubMed
31.
go back to reference Lee LC, Harrington RA, Louie BB, Newschaffer CJ: Children with autism: quality of life and parental concerns. J Autism Dev Disord. 2008, 38 (6): 1147-1160. 10.1007/s10803-007-0491-0.CrossRefPubMed Lee LC, Harrington RA, Louie BB, Newschaffer CJ: Children with autism: quality of life and parental concerns. J Autism Dev Disord. 2008, 38 (6): 1147-1160. 10.1007/s10803-007-0491-0.CrossRefPubMed
32.
go back to reference Shu BC: Quality of life of family caregivers of children with autism: The mother’s perspective. Autism. 2009, 13 (1): 81-91. 10.1177/1362361307098517.CrossRefPubMed Shu BC: Quality of life of family caregivers of children with autism: The mother’s perspective. Autism. 2009, 13 (1): 81-91. 10.1177/1362361307098517.CrossRefPubMed
33.
go back to reference American Psychiatric Asoociation: Diagnostic and statistics manual of mental disorders. 1994, Washington, DC: Author, 4 American Psychiatric Asoociation: Diagnostic and statistics manual of mental disorders. 1994, Washington, DC: Author, 4
34.
go back to reference American Psychiatric Association: Diagnostic and statistics manual of mental disorders. 1994, Washington, DC: DSM-IV, 4 American Psychiatric Association: Diagnostic and statistics manual of mental disorders. 1994, Washington, DC: DSM-IV, 4
35.
go back to reference Wechsler D: Manual for the Wechsler Intelligence Scale for Children-Third Edition. 1991, San Antonio, TX: The Pshycological Corporation Wechsler D: Manual for the Wechsler Intelligence Scale for Children-Third Edition. 1991, San Antonio, TX: The Pshycological Corporation
36.
go back to reference Wechsler D: The Japanese version of manual for the Wechsler Intelligence Scale for Children-Third Edition. 1998, Tokyo: Nihon Bunka Kagakusha Wechsler D: The Japanese version of manual for the Wechsler Intelligence Scale for Children-Third Edition. 1998, Tokyo: Nihon Bunka Kagakusha
37.
go back to reference Ikuzawa M, Matsushita H, Nakase A: the Manual for Kyoto Scale Psychological Development 2001. 2002, Kyoto: Kyoto International Social Welfare Exchange Centre Ikuzawa M, Matsushita H, Nakase A: the Manual for Kyoto Scale Psychological Development 2001. 2002, Kyoto: Kyoto International Social Welfare Exchange Centre
38.
go back to reference Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa K: Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol. 1998, 51 (11): 1037-1044. 10.1016/S0895-4356(98)00095-X.CrossRefPubMed Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa K: Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol. 1998, 51 (11): 1037-1044. 10.1016/S0895-4356(98)00095-X.CrossRefPubMed
39.
go back to reference Fukuhara S, Ware JE, Kosinski M, Wada S, Gandek B: Psychometric and clinical tests of validity of the Japanese SF-36 Health Survey. J Clin Epidemiol. 1998, 51 (11): 1045-1053. 10.1016/S0895-4356(98)00096-1.CrossRefPubMed Fukuhara S, Ware JE, Kosinski M, Wada S, Gandek B: Psychometric and clinical tests of validity of the Japanese SF-36 Health Survey. J Clin Epidemiol. 1998, 51 (11): 1045-1053. 10.1016/S0895-4356(98)00096-1.CrossRefPubMed
40.
go back to reference Wilhelm K, Parker G: The development of a measure of intimate bonds. Psychol Med. 1988, 18 (1): 225-234. 10.1017/S0033291700002051.CrossRefPubMed Wilhelm K, Parker G: The development of a measure of intimate bonds. Psychol Med. 1988, 18 (1): 225-234. 10.1017/S0033291700002051.CrossRefPubMed
41.
go back to reference Furukawa TA, Hori S, Azuma H, Nakano Y, Oshima M, Kitamura T, Ogasawara Sugiura M, Aoki K: Parents, personality or partner? Correlates of marital relationships. Soc Psychiatry Psychiatr Epidemiol. 2002, 37 (4): 164-168. 10.1007/s001270200010.CrossRefPubMed Furukawa TA, Hori S, Azuma H, Nakano Y, Oshima M, Kitamura T, Ogasawara Sugiura M, Aoki K: Parents, personality or partner? Correlates of marital relationships. Soc Psychiatry Psychiatr Epidemiol. 2002, 37 (4): 164-168. 10.1007/s001270200010.CrossRefPubMed
42.
go back to reference Yoshimura K, Ono Y, Nakamura K, Nathan JH, Suzuki K: Validation of the Japanese version of the NEO Five-Factor Inventory in a large community sample. Psychol Rep. 2001, 88 (2): 443-449. 10.2466/pr0.2001.88.2.443.CrossRefPubMed Yoshimura K, Ono Y, Nakamura K, Nathan JH, Suzuki K: Validation of the Japanese version of the NEO Five-Factor Inventory in a large community sample. Psychol Rep. 2001, 88 (2): 443-449. 10.2466/pr0.2001.88.2.443.CrossRefPubMed
43.
go back to reference Fukuhara S, Suzukamo Y: Manual of SF-36v2 Japanese version. 2004, Kyoto: Institute for Health Outcomes & Process Evaluation Research Fukuhara S, Suzukamo Y: Manual of SF-36v2 Japanese version. 2004, Kyoto: Institute for Health Outcomes & Process Evaluation Research
44.
go back to reference SPSS Inc: SPSS for Windows Version 17.0. SPSS for Windows Version 17.0 edition. 2008, Chicago, IL: SPSS Inc SPSS Inc: SPSS for Windows Version 17.0. SPSS for Windows Version 17.0 edition. 2008, Chicago, IL: SPSS Inc
45.
go back to reference Gray DE: Gender and coping: the parents of children with high functioning autism. Soc Sci Med. 2003, 56 (3): 631-642. 10.1016/S0277-9536(02)00059-X.CrossRefPubMed Gray DE: Gender and coping: the parents of children with high functioning autism. Soc Sci Med. 2003, 56 (3): 631-642. 10.1016/S0277-9536(02)00059-X.CrossRefPubMed
46.
go back to reference Little L: Differences in stress and coping for mothers and fathers of children with Asperger’s syndrome and nonverbal learning disorders. Pediatr Nurs. 2002, 28 (6): 565-570.PubMed Little L: Differences in stress and coping for mothers and fathers of children with Asperger’s syndrome and nonverbal learning disorders. Pediatr Nurs. 2002, 28 (6): 565-570.PubMed
47.
go back to reference Bristol MM: Mothers of children with autism or communication disorders: successful adaptation and the double ABCX model. J Autism Dev Disord. 1987, 17 (4): 469-486. 10.1007/BF01486964.CrossRefPubMed Bristol MM: Mothers of children with autism or communication disorders: successful adaptation and the double ABCX model. J Autism Dev Disord. 1987, 17 (4): 469-486. 10.1007/BF01486964.CrossRefPubMed
48.
go back to reference Ekas NV, Whitman TL, Shivers C: Religiosity, spirituality, and socioemotional functioning in mothers of children with autism spectrum disorder. J Autism Dev Disord. 2009, 39 (5): 706-719. 10.1007/s10803-008-0673-4.CrossRefPubMed Ekas NV, Whitman TL, Shivers C: Religiosity, spirituality, and socioemotional functioning in mothers of children with autism spectrum disorder. J Autism Dev Disord. 2009, 39 (5): 706-719. 10.1007/s10803-008-0673-4.CrossRefPubMed
49.
go back to reference van Straten A, Cuijpers P, van Zuuren FJ, Smits N, Donker M: Personality traits and health-related quality of life in patients with mood and anxiety disorders. Qual Life Res. 2007, 16 (1): 1-8. 10.1007/s11136-006-9124-x.CrossRefPubMed van Straten A, Cuijpers P, van Zuuren FJ, Smits N, Donker M: Personality traits and health-related quality of life in patients with mood and anxiety disorders. Qual Life Res. 2007, 16 (1): 1-8. 10.1007/s11136-006-9124-x.CrossRefPubMed
Metadata
Title
Quality of life of parents raising children with pervasive developmental disorders
Authors
Atsurou Yamada
Misuzu Kato
Miyoshi Suzuki
Masako Suzuki
Norio Watanabe
Tatsuo Akechi
Toshi A Furukawa
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2012
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-12-119

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