Factors associated with the quality of life among caregivers of children with autism spectrum disorder

Authors

  • Chindanai Chaisena, M.Sc. Master of Science (Public Health Administration) Faculty of Public Health, Mahidol University, Bangkok
  • Sariyamon Tiraphat, Ph.D. Department of Public Health Administration, Faculty of Public Health, Mahidol University, Bangkok
  • Youwanuch Sattayasomboon, Ph.D. Department of Public Health Administration, Faculty of Public Health, Mahidol University, Bangkok

DOI:

https://doi.org/10.64838/jmht.2025.276750

Keywords:

autism spectrum disorder, caregiver, quality of life, social support, stress coping

Abstract

Objective: To identify factors associated with the quality of life (QoL) of caregivers of children with autism spectrum disorder (ASD).

Methods: A cross-sectional study was conducted among caregivers of children with ASD receiving services at the Rajanukul Institute. Data were collected using a series of questionnaires, including caregiver and child socio-demographic information, characteristics of ASD, comorbid conditions, the Perceived Stress Scale, the Brief COPE Inventory, a social support scale, and the WHO-Quality of Life-Brief (WHOQOL-BREF). Data were analyzed using descriptive statistics, point-biserial correlation, Spearman’s rank correlation, and eta coefficient.

Results: Among the 302 participants, 79.1% were female, and 63.9% were mothers. The severity of ASD was moderate in 53.6% of the children. Most caregivers reported moderate levels of stress, social support, overall QoL, and QoL across all four domains. The majority employed adaptive stress coping strategies more frequently than maladaptive ones. Caregiver QoL revealed statistically significant positive correlations with income, adequacy of income, and the levels of social support received from family, friends, caregiver networks, and healthcare personnel. Conversely, caregiver QoL was negatively correlated with stress levels, maladaptive stress coping, and the presence of comorbidities in the child.

Conclusion: Regular assessment of caregiver stress and quality of life is essential. Enhancing stress management skills, promoting awareness and understanding, and fostering strong family and community relationships can enhance caregiver roles and promote sustainable development in children with ASD.

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Published

2025-09-24

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Chaisena C, Tiraphat S, Sattayasomboon Y. Factors associated with the quality of life among caregivers of children with autism spectrum disorder . J Ment Health Thai [internet]. 2025 Sep. 24 [cited 2025 Dec. 12];33(3):205-17. available from: https://he01.tci-thaijo.org/index.php/jmht/article/view/276750

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