Abstract
Families with children and adolescents with intellectual disability (ID) have positive perceptions that may raise levels of FQoL. However, little is known about what happens to these positive perceptions and FQoL when the family members with ID reach adulthood. Our main objective was to analyze the predictors of FQoL, incorporating demographic variables and parents’ positive perceptions before and after the family member with ID turns 18. A sample of 861 families who had a family member with ID between 1 and 70 years old completed both the Positive Contributions Scale (PCS) in order to measure their positive perceptions and the Spanish family quality of life scale for under 18-years-old or over 18-years-old in order to assess FQoL. Firstly, a bivariate analysis was conducted to study the effect of demographic variables and PCS scores on FQoL scores. Secondly, variables whose effect was found to be statistically significant in the bivariate analysis were included in a multiple linear regression model to predict FQoL scores. Results indicated that families with higher levels of positive perceptions reported higher levels of FQoL. The predictive analysis of FQoL showed that in both groups of families with a member with ID younger or older than 18 years of age, there was a significant effect from positive perceptions on the reported levels of FQoL, even when the effect of the demographic variables included in the model was eliminated. The present results provide further evidence of the importance of a positive approach toward families with a family member who have ID, reinforcing and broadening the positive perceptions in order to promote their FQoL. The practical implications of these findings are discussed, along with directions for future research.
Similar content being viewed by others
References
Aznar, A. S., & Castañón, D. G. (2005). Quality of life from the point of view of Latin American families: A participative research study. Journal of Intellectual Disability Research, 49(10), 784–788. doi:10.1111/j.1365-2788.2005.00752.x.
Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K., Edelbrock, C., & Low, C. (2003). Pre-school children with and without developmental delay: behaviour problems and parenting stress over time. Journal of Intellectual Disability Research, 47(4–5), 217–230.
Baker, B. L., Neece, C. L., Fenning, R. M., Crnic, K. A., & Blacher, J. (2010). Mental disorders in five-year-old children with or without developmental delay: Focus on ADHD. Journal of Clinical Child & Adolescent Psychology, 39(4), 492–505.
Balcells-Balcells, A., Giné, C., Guàrdia-Olmos, J., & Summers, J. A. (2011). Family quality of life: adaptation to Spanish population of several family support questionnaires. Journal of Intellectual Disability Research, 55(12), 1151–1163. doi:10.1111/j.1365-2788.2010.01350.x.
Bayat, M. (2005). How family members’ perceptions of influences and causes of autism may predict assessment of their family quality of life. Doctoral dissertation. Available from ProQuest Dissertation and Thesis database (UMI No. 3180946).
Behr, S. K., Murphy, D. L., & Summers, J. A. (1992). User’s manual: Kansas inventory of parental perceptions (KIPP). Lawrence: Beach Center on Families and Disability.
Blacher, J., & Baker, B. (2007). Positive impact of intellectual disability on families. American Journal of Mental Retardation, 112(5), 330–348.
Blacher, J., & McIntyre, L. L. (2006). Syndrome specificity and behavioural disorders in young adults with intellectual disability: Cultural differences in family impact. Journal of Intellectual Disability Research, 50(3), 184–198.
Boehm, T. L., Carter, E. W., & Taylor, J. L. (2015). Family quality of life during the transition to adulthood for individuals with intellectual disability and/or autism spectrum disorders. American Journal on Intellectual and Developmental Disabilities, 120(5), 395–411.
Brown, R. I., Hong, K., Shearer, J., Wang, M., & Wang, S. Y. (2010). Family quality of life in several countries: results and discussion of satisfaction in families where there is a child with a disability. In R. Kober (Ed.), Enhancing the quality of life of people with intellectual disabilities: From theory to practice (pp. 377–398). Dordrecht: Springer.
Brown, R. I., MacAdam–Crisp, J., Wang, M., & Iarocci, G. (2006). Family quality of life when there is a child with a developmental disability. Journal of Policy and Practice in Intellectual Disabilities, 3(4), 238–245.
Chiu, C., Kyzar, K., Zuna, N. I., Turnbull, A. P., Summers, J. A., & Aya, V. (2013). Family quality of life. In M. W. Wehmeyer (Ed.), Oxford handbook of positive psychology and disability (pp. 365–392). New York: Oxford University Press.
Chou, Y. C., Lee, Y. C., Lin, L. C., Kröger, T., & Chang, A. N. (2009). Older and younger family caregivers of adults with intellectual disability: Factors associated with future plans. Intellectual and Developmental Disabilities, 47(4), 282–294.
Cohen, J. (1988). Statistical power analysis for behavioral sciences (2nd ed.). Hillsdale: Erlbaum.
Davis, K., & Gavidia-Payne, S. (2009). The impact of child, family, and professional support characteristics on the quality of life in families of young children with disabilities. Journal of Intellectual and Developmental Disability, 34(2), 153–162.
Dunst, C. J., Bruder, M. B., & Espe-Sherwindt, M. (2014). Family capacity-building in early childhood intervention: do context and setting matter? School Community Journal, 24(1), 37–48.
Dunst, C. J., & Hamby, D. W. (2012). Guide for calculating and interpreting effect sizes and confidence intervals in intellectual and developmental disability research studies. Journal of Intellectual & Developmental Disability, 37(2), 89–99. doi:10.3109/13668250.2012.673575.
Eisenhower, A. S., Baker, B. L., & Blacher, J. (2005). Preschool children with intellectual disability: syndrome specificity, behaviour problems, and maternal well-being. Journal of Intellectual Disability Research, 49(9), 657–671.
Espe-Sherwindt, M. (2008). Family-centred practice: collaboration, competency and evidence. Support for Learning, 23(3), 136–143.
Ferrer, F., Vilaseca, R., & Bersabé, R. M. (2015). Kansas Inventory of Parental Perceptions: Spanish Adaptation of a Shortened Form. Journal of Developmental and Physical Disabilities, 27(6), 789–809. doi:10.1007/s10882-015-9456-y.
Ferrer, F., Vilaseca, R., & Guàrdia Olmos, J. (2016). Positive perceptions and perceived control in families with children with intellectual disabilities: relationship to family quality of life. Quality and Quantity, 1–16. doi:10.1007/s11135-016-0318-1.
Giné, C., Vilaseca, R., Gràcia, M., Mora, J., Orcasitas, J. R., Simón, C., et al. (2013). Spanish family quality of life scales: under and over 18 years old. Journal of Intellectual & Developmental Disability, 38(2), 1–8. doi:10.3109/13668250.2013.774324.
Giné, C., Gràcia, M., Vilaseca, R., Beltran, F. S., Balcells-Balcells, A., Dalmau, M., Adam-Alcocer, A. L., Pro, T., Simó-Pinatella, D., & Mas, J. (2015). Family Quality of Life for People With Intellectual Disabilities in Catalonia. Journal of Policy and Practice in Intellectual Disabilities, 12(4), 244–254.
Greer, F., Grey, I., & McClean, B. (2006). Coping and positive perceptions in Irish mothers of children with intellectual disabilities. Journal of Intellectual Disabilities, 10(3), 231–248.
Gupta, A., & Singhal, N. (2004). Positive perceptions in parents of children with disabilities. Asia Pacific Disability Rehabilitation Journal, 15(1), 22–35.
Hames, A., & Appleton, R. (2009). Living with a brother or sister with epilepsy: Siblings’ experiences. Seizure, 18(10), 699–701.
Hastings, R. P., & Taunt, H. M. (2002). Positive perceptions in families of children with developmental disabilities. American Journal on Mental Retardation, 107(2), 116–127.
Hastings, R. P., Allen, R., McDermott, K., & Still, D. (2002). Factors related to positive perceptions in mothers of children with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities 15(3), 269–275.
Hastings, R. P., Beck, A., & Hill, C. (2005b). Positive contributions made by children with an intellectual disability in the family. Journal of Intellectual Disabilities, 9(2), 155–165. doi:10.1177/1744629505053930.
Hastings, R. P., Kovshoff, H., Ward, N. J., Espinosa, F. D., Brown, T., & Remington, B. (2005a). Systems analysis of stress and positive perceptions in mothers and fathers of pre-school children with autism. Journal of Autism and Developmental Disorders, 35(5), 635–644.
Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(3), 629–642.
Hoffman, L., Marquis, J., Poston, D., Summers, J. A., & Turnbull, A. (2006). Assessing family outcomes: psychometric evaluation of the Beach Center Family Quality of Life Scale. Journal of Marriage and Family, 68(4), 1069–1083. doi:10.1111/j.1741-3737.2006.00314.x.
Hu, X., Summers, J. A., Turnbull, A., & Zuna, N. (2011). The quantitative measurement of family quality of life: A review of available instruments. Journal of Intellectual Disability Research, 55(12), 1098–1114.
Hu, X., Wang, M., & Fei, X. (2012). Family quality of life of Chinese families of children with intellectual disabilities. Journal of Intellectual Disability Research, 56(1), 30–44.
Isaacs, B. J., Brown, I., Brown, R. I., Baum, N., Myerscough, T., Neikrug, S., et al. (2007). The international family quality of life project: Goals and description of a survey tool. Journal of Policy and Practice in Intellectual Disabilities, 4(3), 177–185. doi:10.1111/j.1741-1130.2007.00116.x.
Kayfitz, A. D., Gragg, M. N., & Orr, R. (2010). Positive experiences of mothers and fathers of children with autism. Journal of Applied Research in Intellectual Disabilities, 23(4), 337–343. doi:10.1111/j.1468-3148.2009.00539.x.
Keller, D., & Honig, A. S. (2004). Maternal and paternal stress in families with school-aged children with disabilities. American Journal of Orthopsychiatry, 74(3), 337. doi:10.1037/0002-9432.74.3.337.
Kresak, K., Gallagher, P., & Rhodes, C. (2009). Siblings of infants and toddlers with disabilities in early intervention. Topics in Early Childhood Special Education, 29(3), 143–154.
Kuhn, J. C., & Carter, A. S. (2006). Maternal self-efficacy and associated parenting cognitions among mothers of children with autism. American Journal of Orthopsychiatry, 76(4), 564–575.
Jung, L. A., Bradley, K. D., Sampson, S. O., McWilliam, R. A., & Toland, M. D. (2015). Evaluating construct validity and internal consistency of early childhood individualized family service plans. Studies in Educational Evaluation, 45, 10–16.
Lin, J. D., Hu, J., Yen, C. F., Hsu, S. W., Lin, L. P., Loh, C. H., & Wu, J. L. (2009). Quality of life in caregivers of children and adolescents with intellectual disabilities: use of WHOQOL-BREF survey. Research in Developmental Disabilities, 30(6), 1448–1458.
McWilliam, R., & García, P. (2016). Calidad de vida familiar y prácticas profesionales en España. Comunicación presentada en el Encuentro Internacional de actualización e investigación en atención temprana y desarrollo infantil. [Family quality of life and professional practices in Spain. Paper presented at International Meeting of actualization and research in Early Intervention and childhood development]. Valencia: Universidad Católica de Valencia, 5 and 6 April 2016.
Meirsschaut, M., Roeyers, H., & Warreyn, P. (2010). Parenting in families with a child with autism spectrum disorder and a typically developing child: Mothers’ experiences and cognitions. Research in Autism Spectrum Disorders, 4(4), 661–669.
Minnes, P., Woodford, L., & Passey, J. (2007). Mediators of Well-being in Ageing Family Carers of Adults with Intellectual Disabilities. Journal of Applied Research in Intellectual Disabilities, 20(6), 539–552.
Oelofsen, N., & Richardson, P. (2006). Sense of coherence and parenting stress in mothers and fathers of preschool children with developmental disability. Journal of Intellectual and Developmental Disability, 31(1), 1–12.
Olsson, M. B., & Hwang, C. P. (2001). Depression in mothers and fathers of children with intellectual disability. Journal of Intellectual Disability Research, 45(6), 535–543.
Park, J., Hoffman, L., Marquis, J., Turnbull, A. P., Poston, D., Mannan, H., & Nelson, L. L. (2003). Toward assessing family outcomes of services delivery: Validation of a Family Quality of Life Survey. Journal of Intellectual Disability Research, 47(4/5), 367–384.
Povee, K., Roberts, L., Bourke, J., & Leonard, H. (2012). Family functioning in families with a child with Down syndrome: a mixed methods approach. Journal of Intellectual Disability Research, 56(10), 961–973.
Pozo, P., Sarria, E., & Brioso, A. (2014). Family quality of life and psychological well-being in parents of children with autism spectrum disorders: a double ABCX model. Journal of Intellectual Disability Research, 58(5), 442–458. doi:10.1111/jir.12042.
Roggman, L. A., Boyce, L. K., & Innocenti, M. S. (2008). Developmental parenting: a guide for early childhood practitioners. Brookes: Baltimore.
Rolland, J. S. (2012). Mastering family challenges in illness and disability. In F. Walsh (Ed.), Normal family processes: growing diversity and complexity (4th ed., pp. 452–482). New York: Guilford Press xv, 592.
Samuel, P. S., Rillotta, F., & Brown, I. (2012). Review: The development of family quality of life concepts and measures. Journal of Intellectual Disability Research, 56(1), 1–16.
Scallan, S., Senior, J., & Reilly, C. (2011). Williams syndrome: daily challenges and positive impact on the family. Journal of Applied Research in Intellectual Disabilities, 24(2), 181–188.
Schreiber, J. B., Nora, A., Stage, F. K., Barlow, E. A., & King, J. (2006). Reporting structural equation modeling and confirmatory factor analysis results: A review. The Journal of Educational Research, 99(6), 323–338.
Singer, G. H. (2006). Meta-analysis of comparative studies of depression in mothers of children with and without developmental disabilities. American Journal on Mental Retardation, 111(3), 155–169.
Singer, G. H. S., Powers, L. K., Blanchard, L., Divenere, N., Santelli, B., Ainbinder, J. G., & Sharp, M. (1999). A multi-site evaluation of parent to parent programs for parents of children with disabilities. Journal of Early Intervention, 22, 217–229.
Thompson, J. R., Bradley, V. J., Buntinx, W. H., Schalock, R. L., Shogren, K. A., Snell, M. E., & Gomez, S. C. (2009). Conceptualizing supports and the support needs of people with intellectual disability. Intellectual and Developmental Disabilities, 47(2), 135–146.
Treloar, L. L. (2002). Disability, spiritual beliefs and the church: the experiences of adults with disabilities and family members. Journal of Advanced Nursing, 40(5), 594–603.
Vilaseca, R., Ferrer, F., & Guàrdia-Olmos, J. (2014). Gender differences in positive perceptions, anxiety, and depression among mothers and fathers of children with intellectual disabilities: a logistic regression analysis. Quality and Quantity, 48(4), 2241–2253.
Wang, M., Mannan, H., Poston, D., Turnbull, A. P., & Summers, J. A. (2004). Parents’ perceptions of advocacy activities and their impact on family quality of life. Research and Practice for Persons with Severe Disabilities, 29(2), 144–155.
Zuna, N., Summers, J. A., Turnbull, A. P., Hu, X., & Xu, S. (2010). Theorizing about family quality of life. In R. Kober (Ed.), Enhancing the quality of life of people with intellectual disabilities: from theory to practice (pp. 241–278). Dordrecht: Springer. doi:10.1007/978-90-481-9650-0_15.
Zuniga, M. E. (2004). Families with Latino roots. In E. W. Lynch & M. J. Hanson (Eds.), Developing cross-cultural competence (pp. 179–218). Baltimore: Paul H. Brookes.
Acknowledgments
This research is funded by a grant from the Spanish Ministry of Education and Science under the National I&D&I (PSI2015-63627-R): Parenting and child’s normal development and Intellectual disability.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Approval
Ethical approval was obtained from the Ethics Committee of the Network of Ethics Committees in Universities and Public Research Centres in Spain. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Conflicts of Interest
The authors report no conflicts of interest and are solely responsible for the content and writing of this paper.
Rights and permissions
About this article
Cite this article
Ferrer, F., Vilaseca, R. & Bersabé, R.M. The Impact of Demographic Characteristics and the Positive Perceptions of Parents on Quality of Life in Families with a Member with Intellectual Disability. J Dev Phys Disabil 28, 871–888 (2016). https://doi.org/10.1007/s10882-016-9515-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10882-016-9515-z