Caring for Autistic Children Based on the Development of a Family Stress Coping Model


  • Hasyim Asari Departement of Nursing, Health Polytechnic of the Ministry of Health, Surabaya, Indonesia
  • Suri Ana Departement of Nursing
  • Hilmi Yumni Departement of Nursing, Health Polytechnic of the Ministry of Health, Surabaya, Indonesia



Stress assessment, Coping stress model, Behavior in caring for children, Atypical autism


BACKGROUND: The limitations of social interaction, communication, cognitive abilities, behavior patterns, and activities in autistic children are sources of stress for parents. Parents’ negative stress assessment of autistic children causes maladaptive coping and has an impact on inappropriate caring behavior.

AIM: Caring of autistic children based on the development of family stress coping models

METHODS: This research was observational research by utilizing a cross-sectional approach. Participants of parents of autistic children at the Surabaya Autism Therapy Center. The determination of the amount using the rule of thumb formula in SEM is determined by 7 x 15 parameters of 105. Data collection uses a multi-stage random technique. Test the model reliability using the Structural Equation model - Partial Least Square (SEM - PLS), the structure using R Square, and evaluate using Q-square.

RESULT: A significant influence occurred toward stress assessment against stress coping and stress coping against parental behavior in caring for children with autism.

CONCLUSION: Parents’ positive assessment of stressors and energy adequacy and good health will make parents able to control themselves and make themselves an important psychological resource in developing adaptive coping. The development of adaptive coping for parents can increase togetherness among family members, maintain and reduce physiological and psychological reactions to stressors, and manage family support and professional staff to obtain comfort, attention, or assistance in improving behavior in caring for autistic children.


Download data is not yet available.


Metrics Loading ...

Plum Analytics Artifact Widget Block


Aldwin CM, Revenson TA. Does coping help? A reexamination of the relation between coping and mental health. J Pers Soc Psychol. 1987;53(2):337-48. PMid:3625471 DOI:

Arikunto S. Research Procedure: A Practical Approach. Jakarta: Rhineka Cipta; 2006.

Central Bureau of Statistics. Data on Indonesian Autistic Children, Jakarta: Central Bureau of Statistics; 2018.

Bastaman HD. Psychological Logotherapy to find the Meaning of Life and Achieve a Meaningful Life. Jakarta: Raja Grafindo Persada; 2007.

Carver CS, Scheir MF, Wientraub JK. Assessing coping strategies: A theoretically based approach. J Pers Soc Psychol. 1989;56(2):267-83. PMid:2926629 DOI:

Chaplin JP. Kamus Lengkap Psikologi. Jakarta: Raja Grafindo Persada; 2006.

Chodijah S, Kusumasari AP. The experience of mothers caring for school age children with autism. Indones J Nurs. 2018;21(2):94-9. DOI:

Christie P, Newson E, Prevezer W, Chandler S. First Steps to Interact with Autistic Children. Jakarta: PT Gramedia Pustaka Utama and Kompas Gramedia; 2009.

Cronbach LJ. Educational Psychology. New York: Harcourt, Brace and World Inc.; 1977.

East Java Education Office. Data on Autistic Students in Special Schools in East Java. Surabaya: East Java Education Office; 2009.

Folkman S. Personal control and stress and coping processes: A theoretical analysis. J Pers Soc Psychol. 1984;46(40):839-52. PMid:6737195 DOI:

Friedman MM. Family Nursing: Research, Theory and Practice. 4th ed. Norwalk CT: Appleton and Lange; 2009.

Germer CK. The Mindful Path to Self-compassion. United States of America: The Guilford Press; 2009.

Coyne JC, Aldwin C, Lazarus RS. Depression and coping in stressful episodes. J Abnorm Psychol. 1981;90(2):439-47. PMid:7298992 DOI:

Hurlock EB. Developmental Psychology a Life-spanning Approach. Jakarta: Erlangga; 1991. p. 447.

Hidayah R, Yusuf A, Fitryasari R. Phenomenological study: Parents’ coping strategies in caring for children with autism spectrum disorder. J Keperawatan. 2017;8(2):165-74.

Milyati L, Hastuti D. Family support, mother’s knowledge and perception of ASD, and its correlation with coping strategy of mothers with autism spectrum disorder (ASD) children. Fam Sci J. 2009;2(2):137-42 DOI:

Ministry of Women’s Empowerment and Child Protection. Data Indonesian Autistic Children. Jakarta: Ministry of Women’s Empowerment and Child Protection; 2018.

Patel C. The Complete Guide to Stress Management. New York: Springer; 2013.

Paul PJ, Olson JC. Consumer Behavior Jilid II Diterjemahkan Oleh Damos Sihombing. Jakarta: Erlangga; 2000.

Pieter HZ, Janiwarti B, Saragih M. Introduction to Psychopathology for Nursing. Jakarta: Kencana Prenada Media Group; 2011.

Lazarus RS, Folkman S. Stress, Appraisal and Coping. New York: Springer Publishing Company Inc.; 1984.

Schultz DP. Growth Psychology: Models of the Healthy Personality, New York: D. Van Nostrand Company; 1977.

Peeters T. Complete Autism Guide. Jakarta: Dian Rakyat; 2009. 25. Tilton AJ. A Complete Guide for Mothers and Fathers of Autism Children. Kuala Lumpur: Starit Digital Sdn; 2014.




How to Cite

Asari H, Ana S, Yumni H. Caring for Autistic Children Based on the Development of a Family Stress Coping Model. Open Access Maced J Med Sci [Internet]. 2023 Jan. 1 [cited 2024 Jul. 21];11(G):12-5. Available from:



Nursing in Pediatrics