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Social support and maternal caregiving burden in families of children with Angelman syndrome in China

The mediating role of self-stigma

Bibliographic Data

ID15699348
AuthorsNueraili Dayimu (Zhejiang University, corresponding author), Lingli Leng (0000-0002-1941-3812, Zhejiang University), Maitixirepu Jilili (0000-0002-0906-5025, Xinjiang University of Finance and Economics)
Year2026
Volume14
Issue1
Publication date2026-03-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC Psychology (JOURNAL)
Journal identifiersISSN: 2050-7283 • E-ISSN: 2050-7283
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s40359-026-04318-7
PMID41820994
OpenAlexW7135099390
LanguageEN
References cited65

Rearing a child with Angelman syndrome (AS) poses significant maternal burden. This study examines whether social support–including family, friends, and significant other dimensions–is associated with maternal caregiving burden among primary caregivers of children with AS in mainland China, and whether caregivers’ self-stigma mediates this relationship. In the cross-sectional study, a total of 281 primary caregivers (263 mothers) of children with AS in China completed a questionnaire assessing sociodemographic factors, social support (MSPSS-12), self-stigma (ASS-22), and caregiving burden (ZBI-22). All participants were members of the Chinese Angelman Syndrome Organization. Statistical analyses, including multivariable regression and mediation models, were conducted in R 4.2.2. We employed nonparametric bootstrapping for sensitivity analyses. In the composite model, lower social support was associated with higher self-stigma, which fully mediated its effect on higher caregiving burden. In the disaggregated model, lower family-support was directly and indirectly associated with higher caregiving burden, with self-stigma serving as a partial mediator. The effect of friends-support on caregiving burden was inconclusive, while significant-others-support was not significant. This study identifies self-stigma as a significant mediator in the relationship between social support and maternal caregiving burden, with family-support emerging as the dimension most strongly associated with these outcomes. These findings highlight the potential value of interventions aimed at enhancing family-support and reducing self-stigma to improve the well-being of mothers of children with AS in China

Angelman syndrome · Caregiver burden · Down syndrome · Maternal sensitivity · Mediation · Psychological intervention · Social support · Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities · Genetic Syndromes and Imprinting · Gynecological conditions and treatments

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