The Association between Parenting Stress, Positive Reappraisal Coping, and Quality of Life in Parents with Autism Spectrum Disorder (ASD) Children: A Systematic Review
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Parents with autism spectrum disorder (ASD) children generally suffer from poor coping and an impaired quality of life (QoL). This systematic review investigates parenting stress, positive reappraisal coping, and QoL in parents with ASD children. A literature search was carried out for publications written in English on the selected investigation topics using five databases, namely, Scopus, PubMed, Wiley, ScienceDirect Online, and EBSCO. Only studies investigating or measuring parenting stress, positive reappraisal coping, and QoL in ASD were included. Our results indicate that parents with ASD children have high stress levels. This is associated with the ineffective use of coping strategies and a low QoL. Adaptive coping strategies are related to a higher QoL, whereas maladaptive coping techniques are related to a worse QoL. Positive reappraisal coping is negatively correlated to meaningfulness, and it is used by parents to change their daily routines in order to motivate themselves towards new and evolving goals in life. Finally, we found a significant negative correlation between parenting stress, positive reappraisal coping, and the QoL of parents with ASD children. Positive reappraisal coping as a strategy helps parents adapt to stress and was found to be a potential mediatory function between parental stress and QoL.
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Increased levels of parental stress are associated with reduced parental quality of life and negatively influence the ability to raise the child.
“Increased levels of parental stress are associated with a reduced family life dimension of parental quality of life [30], parental quality of life [56], health-related quality of life of children [15], and negatively influence the ability to raise the child (i.e., care and behavior management) [9].”
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- Authors
- Ni’matuzahroh, Suen, M.-W., Ningrum, V., Widayat, Yuniardi, M. S., Hasanati, N., & Wang, J.-H.
- Affiliations
- Psychology Faculty, University of Muhammadiyah Malang, Jl. Raya Tlogo Mas No. 246, Malang 65141, Jawa Timur, Indonesia
- Asia University (TW)
- Universitas Baiturrahmah (ID)
- Department of Management, Faculty of Economics and Business, University of Muhammadiyah Malang, Jl. Raya Tlogo Mas No. 246, Malang 65141, Jawa Timur, Indonesia
- Universitas Muhammadiyah Malang (ID)
- Department of Infection, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung City 427, Taiwan
- Corresponding author
- Suen, Mein-Woei
- Wang, Jui-Hsing
- ORCID
- Venue
- Healthcare
- Publisher
- MDPI AG
- Published
- 2021-12-28
- Volume
- 10
- Issue
- 1
- Pages
- 52
- ISSN
- 2227-9032 (ISSN-L)
- PMC
- PMC8775364
- OpenAlex
- W4200621081
- Cited by
- 71
- References
- 52
- Citations by year
- 2026: 13 · 2025: 14 · 2024: 23 · 2023: 19 · 2022: 2
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Healthcare (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UMM Institutional Repository (University of Maine at Machias) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- parental stress, positive reappraisal, coping strategies, quality of life, autism spectrum disorder, parents of autistic children, adaptive coping, maladaptive coping, meaningfulness, mediation
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