CohortJournal of intellectual disability research : JIDR2025

Parental Stress and Family Quality of Life in Families of Individuals Living With Angelman Syndrome.

Catherine Merton, Angela Gwaltney, Anna Booman and 8 others

PMID 40891560

WHAT IT FOUND

Parents of individuals with UBE3A pathogenic variants reported the highest rates of clinically significant stress, driven by parent-related factors rather than just child behaviours.

High parental stress consistently predicted lower family quality of life, particularly in emotional well-being and support satisfaction.

Key findings

01UBE3A pathogenic variants predicted higher Parent Domain and Total Stress compared to Class II deletions, with 48% of this group reporting clinically significant stress.

02Higher parental stress, especially from the Parent Domain, was associated with decreased satisfaction in all Family Quality of Life subscales.

03Maladaptive behaviours like irritability and hyperactivity predicted increased parental stress but did not significantly predict family quality of life in multivariable models.

STILL TO COME

How it was doneWhat they found

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What it does not show

The sample lacked racial and socioeconomic diversity, with only 9% non-White participants and few low-income families, limiting generalisability. Data was collected from only one primary caregiver per family, missing perspectives from other parents or siblings. The study did not use standardised objective sleep assessments, relying instead on parent interviews. Follow-up averaged only two to three time points, limiting the ability to track long-term changes in stress and quality of life. The PSI does not capture positive aspects of parenting, which may explain why child characteristics showed weaker links to family well-being than parent characteristics.

Declared interests

The authors declare no conflicts of interest.

The easy way to misread this

Do not assume that treating the child's sleep or seizure difficulties will automatically lower parental stress or improve family quality of life. The study found that medical complexity did not predict stress; instead, parent-related factors like feelings of competence and health concerns were the strongest drivers of low family well-being.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →


The study

Participants
231 participants (PSI), 214 participants (FQOL)
Certainty of evidence
Low

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    Cite

    Catherine Merton, Angela Gwaltney, Anna Booman, et al. Parental Stress and Family Quality of Life in Families of Individuals Living With Angelman Syndrome. Journal of intellectual disability research : JIDR. 2025.

    Read the original — we summarise, we never replace the paper.