Types of Coping as a Determinant of Quality of Life of Mothers of Children with Developmental Disabilities

Abstract

Background: It is well established that caregivers of children with developmental disabilities experience greater stress than caregivers of children without developmental disabilities. However, the experience of stress is dependent on the types of coping strategies that are used to manage stress . Such stress also affects the quality of life (QoL) of parents. Thus, parents of children with disabilities have specific mental health needs which play an important role in affecting their own and their child's QoL. Aim: To study coping as a determinant of QoL of mothers of children with intellectual disability (ID) and children with autism. Methodology : The sample consisted of 100 mothers of children (between 5-12 years of age) selected with purposive sampling, having an ID (n=50) or autism (n=50), diagnosed as per ICD-10 DCR criteria. In addition, the diagnostic assessment was also based on psychometric testing. Types of coping were assessed using Ways of Coping Questionnaires. QoL of caregivers was assessed by WHOQoL-BREF. Result: Multiple regression analysis revealed that seeking social support and planful problem solving were significant determinants of all four domains of QoL. Escape avoidance was a significant determinant of physical, psychological and social domains of QoL of mothers. Positive reappraisal significantly predicted the psychological and social domains of QoL in mothers. Conclusion: Types of coping are the determinant of  QoL of mothers of children with ID and autism. Keywords: Quality of life, coping, autism