South African families raising children with autism spectrum disorders: relationship between family routines, cognitive appraisal and family quality of life.
The purpose of this study was to investigate the relationship between family routines, cognitive appraisal of the impact of autism spectrum disorders (ASD) on the family and family quality of life (FQOL) in families raising children with ASD in South Africa.



A sample of 180 families of young children with ASD who were receiving disability-related services in the Gauteng province of South Africa completed a self-administered survey. Structural equation modelling was used to examine the direct relationship between the regularity of family routines and FQOL, and the mediating effect of cognitive appraisal on this relationship.



The results suggested a direct, positive relationship between the regularity of family routines and families' satisfaction with their FQOL. Furthermore, cognitive appraisal of the impact of ASD on the family mediated this relationship in a partial manner.



A higher frequency of regular family routines was strongly associated with a higher satisfaction level of FQOL. Also, cognitive appraisal of the impact of ASD acted as a mechanism through which the regularity of family routines influenced FQOL. We discuss the research and clinical implications of these findings.
Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, Gauteng, South Africa.
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Schlebusch
Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, Gauteng, South Africa.|CHILD,School of Education and Communication, Jönköping University, Jönköping, Sweden.
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Samuels
Centre for Augmentative and Alternative Communication, University of Pretoria, Pretoria, Gauteng, South Africa.
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Dada
D000328:Adult; D001294:Attitude to Health; D000067877:Autism Spectrum Disorder / Q000451:nursing*; D017028:Caregivers / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology*; D013019:South Africa
autism spectrum disorder; cognitive appraisal; family quality of life; family routines