Autism & Developmental

Assessment of health-related quality of life among primary caregivers of children with autism spectrum disorders.

Khanna et al. (2011) · Journal of autism and developmental disorders 2011
★ The Verdict

Caregiver health is fragile—pair child goals with parent coping and social supports.

✓ Read this if BCBAs writing treatment plans or running parent-training groups.
✗ Skip if Clinicians who only see clients in center-based sessions without family contact.

01Research in Context

01

What this study did

Khanna et al. (2011) asked US caregivers of children with autism to fill out a health-quality-of-life survey.

They compared the scores to national norms to see how caregiver health stacks up against the general public.

02

What they found

Caregivers scored lower in both mental and physical health than typical US adults.

The drop was tied to child behavior problems, poor social support, and caregiver coping style.

03

How this fits with other research

Laugeson et al. (2014) conceptually replicated the survey in Arab families but found no gender gap, while Rahul’s US sample showed overall worse health.

Searing et al. (2015) extends the picture: New Zealand caregivers also feel low support, with spouses helping more than stretched professionals.

Salomone et al. (2022) offers a fix—Italy’s public clinics delivered free WHO caregiver training that parents liked and staff could run.

04

Why it matters

If you run parent training or write behavior plans, screen caregiver strain at intake. Add brief coping-skills modules or link families to spouse-peer groups. Small supports can lift the adult who sustains the child’s program.

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→ Action — try this Monday

Add two caregiver-strain questions to your intake form and schedule a spouse-peer support hand-off before session three.

02At a glance

Intervention
not applicable
Design
survey
Population
autism spectrum disorder
Finding
negative

03Original abstract

The impact of caring for a child with autism on caregivers' health-related quality of life (HRQOL) is not fully understood. The objective of this study was to compare the HRQOL scores of caregivers of children with autism to those of the general US population and to identify the factors that influence HRQOL. Caregivers of children with autism had lower HRQOL scores than the general population. Care recipient level of functional impairment, social support, use of maladaptive coping, and burden influenced caregiver mental HRQOL. Care recipient extent of behavioral problems and social support influenced caregiver physical HRQOL. Findings emphasize the use of multi-pronged intervention approach that incorporates components aimed at improving family functioning, increasing support services, and assisting caregivers in developing healthy coping skills.

Journal of autism and developmental disorders, 2011 · doi:10.1007/s10803-010-1140-6