Predictors of Caregiver Adaptation to Pervasive Developmental Disorders - Full Text View

Purpose

This study will explore predictors of how caregivers might adapt to children diagnosed with a pervasive developmental disorder (PDD), including autism, Asperger's syndrome, childhood disintegrative disorder, Rett's disorder or other not specified PDD. PDD presents particular challenges for caregivers because of the communication and socialization challenges of affected children and because of the uncertainty surrounding the cause, prognosis and recurrence risks.

People 18 years of age or older who are the primary caregiver for a child diagnosed with a PDD may be eligible for this study. Participants fill out a survey, either online or in hard copy, that includes information in the following categories:

How being a caregiver for a child with a PDD has impacted the caregiver.
How much control the caregiver feels that he or she or others have over certain aspects of their child's PDD.
What the caregiver thinks caused the child's PDD.
What coping techniques the caregiver uses in caring for a child with a PDD.
How uncertain the caregiver feels about his or her child's PDD.
What the caregiver feels about him- or herself as a caregiver of a child with a PDD.
General questions about the caregiver, his or her family and the child with a PDD.

Condition
Autism Asperger's Syndrome Rett's Disorder

Study Type:	Observational
Official Title:	Understanding Caregiver Adaptation to Pervasive Developmental Disorders

Resource links provided by NLM:

Genetics Home Reference related topics: Asperger syndrome MECP2 duplication syndrome PPM-X syndrome Renpenning syndrome Rett syndrome

MedlinePlus related topics: Asperger Syndrome Autism Caregivers Developmental Disabilities Rett Syndrome

U.S. FDA Resources

Further study details as provided by National Institutes of Health Clinical Center (CC):

Enrollment:	324
Study Start Date:	June 2007

Detailed Description:

This study aims to understand the predictors of adaptation among primary caregivers of children with a pervasive developmental disorder (PDD). PDD presents particular challenges for caregivers because of the communication and socialization challenges of affected children, as well as the uncertainty surrounding the cause, prognosis and recurrence risks. The literature suggests that these challenges may make the process of adapting to having a child with a PDD different than it is for other chronic conditions. This study of caregivers is based on Lazarus and Folkman's Transactional Model of Stress and Coping. A cross-sectional design will be used to investigate the relationships among causal attributions, control perceptions, coping and adaptation. Caregivers will be recruited from support groups, listservs and magazines targeted to autism and other PDDs. Participants will be asked to complete either a web-based or paper survey. The main outcome measure is psychological adaptation to caregiving a child with PDD.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

INCLUSION CRITERIA:

Must be 18 or older and the primary caregiver for a child with one of the five diagnosis categorized as a pervasive developmental disorder.

EXCLUSION CRITERIA:

May not be younger than 18 years of age.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00496210

Locations

United States, Maryland
National Human Genome Research Institute (NHGRI), 9000 Rockville Pike
Bethesda, Maryland, United States, 20892

Sponsors and Collaborators

National Human Genome Research Institute (NHGRI)

Investigators

Principal Investigator:

Barbara B Biesecker

National Human Genome Research Institute (NHGRI)

More Information

Publications:

Affleck G, Tennen H, Pfeiffer C, Fifield J. Appraisals of control and predictability in adapting to a chronic disease. J Pers Soc Psychol. 1987 Aug;53(2):273-9.

Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986 Dec;51(6):1173-82.

Aldwin CM, Revenson TA. Does coping help? A reexamination of the relation between coping and mental health. J Pers Soc Psychol. 1987 Aug;53(2):337-48.

ClinicalTrials.gov Identifier:	NCT00496210 History of Changes
Other Study ID Numbers:	999907178, 07-HG-N178
Study First Received:	July 3, 2007
Last Updated:	March 6, 2013
Health Authority:	United States: Federal Government

Keywords provided by National Institutes of Health Clinical Center (CC):

Adaptation
Pervasive Developmental Disorder
Autism Spectrum Disorders
Pervasive Developmental Disorders
Caregiver Adaptation

Additional relevant MeSH terms:

Rett Syndrome
Asperger Syndrome
Autistic Disorder
Developmental Disabilities
Child Development Disorders, Pervasive
Mental Disorders Diagnosed in Childhood
Mental Disorders
Heredodegenerative Disorders, Nervous System

Neurodegenerative Diseases
Nervous System Diseases
Mental Retardation, X-Linked
Mental Retardation
Neurobehavioral Manifestations
Neurologic Manifestations
Genetic Diseases, X-Linked
Genetic Diseases, Inborn

ClinicalTrials.gov processed this record on May 23, 2013