Mothers of children with disabilities often face persistent caregiving demands that elevate psychological distress and may adversely affect spiritual well-being, a key psychological resource related to meaning and life purpose. Drawing on stress and coping frameworks, the present study examined coping through meaning as a longitudinal mediating mechanism linking psychological distress to spiritual well-being among mothers of children with disabilities. Using a semi-longitudinal design, data were collected at two time points separated by three months from a final sample of 343 Turkish mothers of children with disabilities (M age = 34.65, SD = 5.64). A cross-lagged panel model within a structural equation modeling framework was estimated. Psychological distress at Time 1 negatively predicted coping through meaning at Time 2 (β = −.183, p < .01, 95% CI[−.318, −.043]). Coping through meaning at Time 1 positively predicted spiritual well-being at Time 2 (β = .277, p < .01, 95% CI[.166, .386]), and psychological distress at Time 1 also showed a direct negative effect on spiritual well-being at Time 2 (β = −.129, p < .01, 95% CI[−.244, −.016]). Mediation analyses indicated a significant indirect effect of psychological distress on spiritual well-being via coping with meaning (standardized indirect effect = −.034, 95% CI [−.052, −.010]), indicating partial longitudinal mediation. These findings suggest that psychological distress undermines mothers’ ability to engage in meaning-making, which in turn contributes to reduced spiritual well-being over time. The results highlight coping through meaning as a key psychological mechanism and have implications for meaning-centered interventions in psychological counseling and family support programs.
AltunY.ÖzenM.KuloğluM. M. (2019). Psikolojik Sıkıntı Ölçeğinin Türkçe uyarlaması: Geçerlilik ve güvenirlik çalışması. Anadolu Psikiyatri Dergisi, 20(1), 23–31. https://doi.org/10.5455/apd.12801
2.
ArslanG.YıldırımM. (2021). Meaning-based coping and spirituality during the COVID-19 pandemic: Mediating effects on subjective well-being. Frontiers in Psychology, 12, Article 646572. https://doi.org/10.3389/fpsyg.2021.646572
3.
BożekA.WojtkowiakJ.Kornas-BielaM. (2020). The relationship between spirituality, health-related behavior, and psychological well-being: Exploring the role of meaning and transcendence. Frontiers in Psychology, 11, 1997. https://doi.org/10.3389/fpsyg.2020.01997
4.
BredleJ. M.SalsmanJ. M.DebbS. M.ArnoldB. J.CellaD. (2022). Spiritual well-being as a component of health-related quality of life: The functional assessment of chronic illness therapy–spiritual well-being scale (FACIT-Sp). Religions, 2(1), 77–94. https://doi.org/10.3390/rel2010077
5.
BrehautJ. C.KohenD. E.RainaP.WalterS. D.RussellD. J.SwintonM.O’DonnellM.RosenbaumP. (2004). The health of primary caregivers of children with cerebral palsy: How does it compare with that of other Canadian caregivers?Pediatrics, 114(2), e182–e191. https://doi.org/10.1542/peds.114.2.e182
6.
BrownT. L.OliffeJ. L.KealyD.RiceS. M.SeidlerZ. E.OgrodniczukJ. S. (2023). The influence of meaning in life on psychological distress among men: A serial multiple mediation model involving resilience and loneliness. Current Research in Behavioral Sciences, 4, Article 100114. https://doi.org/10.1016/j.crbeha.2023.100114
7.
BüyüköztürkŞ. (2002). Sosyal bilimler için veri analizi el kitabı: İstatistik, araştırma deseni, SPSS uygulamaları ve yorum. Pegem Akademi.
8.
ChangS.AmandaC. (2024). The impact of COVID-19 on families of children with developmental disabilities in Canada: A systematic review on parental stress and coping strategies. International Journal of Clinical Case Reports and Reviews, 21(1), 623. https://doi.org/10.31579/2690-4861/623
9.
CheraghianH.MoradianK.NouriT. (2023). Structural model of resilience based on parental support: The mediating role of hope and active coping. BMC Psychiatry, 23(1), 260. https://doi.org/10.1186/s12888-023-04678-z
10.
ColeD. A.MaxwellS. E. (2003). Testing mediational models with longitudinal data: Questions and tips in the use of structural equation modeling. Journal of Abnormal Psychology, 112(4), 558–577. https://doi.org/10.1037/0021-843X.112.4.558
11.
DabrowskaA.PisulaE. (2010). Parenting stress and coping styles in mothers and fathers of pre-school children with autism and Down syndrome. Journal of Intellectual Disability Research, 54(3), 266–280. https://doi.org/10.1111/j.1365-2788.2010.01258.x
12.
DuranM. E. (2024). Manevi içerikli gelişim destek programının otizm spektrum bozukluğu olan çocuk sahibi ebeveynlerin umutsuzluk, dini başa çıkma ve psikolojik iyi oluş düzeylerine etkisinin incelenmesi. Eskiyeni, 52, 133–159. https://doi.org/10.37697/eskiyeni.1408716
13.
EisenbeckN.CarrenoD. F.WongP. T.HicksJ. A.GarcíaA. M. R. R.PugaJ. L.GrevilleJTestoniI.BiancalaniG.LópezA. C. C.VillarealS.EneaV.Schulz-QuachC.JansenJ.Sanchez-RuizM. J.YıldırımM.ArslanG.CruzJ. F. A.SofiaR. M.García-MontesJ. M. (2022). An international study on psychological coping during COVID-19: Towards a meaning-centered coping style. International Journal of Clinical and Health Psychology, 22(1), 100256. https://doi.org/10.1016/j.ijchp.2021.100256
14.
EmersonE. (2003). Mothers of children and adolescents with intellectual disability: Social and economic situation, mental health status, and the self-assessed social and psychological impact of the child’s difficulties. Journal of Intellectual Disability Research, 47(4–5), 385–399. https://doi.org/10.1046/j.1365-2788.2003.00498.x
FornellC.LarckerD. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50. https://doi.org/10.1177/002224378101800104
18.
FranklV. E. (1963). Man’s search for meaning. Beacon Press.
19.
GravetterF. J.ForzanoL. B. (2012). Research methods for the behavioral sciences (4th ed.). Wadsworth, Cengage Learning.
20.
HairJ. F.HultG. T. M.RingleC. M.SarstedtM. (2019). A primer on partial least squares structural equation modeling (PLS-SEM) (2nd ed.). Sage Publications.
21.
HamakerE. L.KuiperR. M.GrasmanR. P. (2015). A critique of the cross-lagged panel model. Psychological Methods, 20(1), 102–116. https://doi.org/10.1037/a0038889
22.
HayesS. A.WatsonS. L. (2013). The impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(3), 629–642. https://doi.org/10.1007/s10803-012-1604-y
23.
HenselerJ.RingleC. M.SarstedtM. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–135. https://doi.org/10.1007/s11747-014-0403-8
24.
HooperD.CoughlanJ.MullenM. R. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53–60.
25.
HuL. T.BentlerP. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
26.
KaragözS. (2020). Manevi içerikli grup rehberliğinin özel gereksinimli çocuk sahibi annelerin dini başa çıkma düzeylerine etkisinin incelenmesi. Dergiabant, 8(1), 298–317. https://doi.org/10.33931/abuifd.699943
27.
KesslerR. C.AndrewsG.ColpeL. J.HiripiE.MroczekD. K.NormandS. L. T.WaltersE. E.ZaslavskyA. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976. https://doi.org/10.1017/S0033291702006074
28.
KlineR. B. (2016). Principles and practice of structural equation modeling (4th ed.). Guilford Press.
29.
KoenigH. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012, Article 278730. https://doi.org/10.5402/2012/278730
30.
LazarusR. S.FolkmanS. (1984). Stress, appraisal, and coping. Springer.
31.
LightseyO. R.SweeneyJ. (2008). Meaning in life, emotion-oriented coping, generalized self-efficacy, and family cohesion as predictors of family satisfaction among mothers of children with disabilities. The Family Journal, 16(3), 212–221. https://doi.org/10.1177/1066480708317503
32.
LittleT. D. (2013). Longitudinal structural equation modeling. Guilford Press.
33.
LovibondP. F.LovibondS. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
34.
McConnellD.SavageA. (2015). Stress and resilience among families caring for children with intellectual disability: Expanding the research agenda. Current Developmental Disorders Reports, 2(2), 100–109. https://doi.org/10.1007/s40474-015-0040-z
35.
MenardS. (2002). Longitudinal research (2nd ed.). Sage Publications.
36.
MirowskyJ.RossC. E. (2002). Measurement for a human science. Journal of Health and Social Behavior, 43(2), 152–170. https://doi.org/10.2307/3090198
PargamentK. I. (2007). Spiritually integrated psychotherapy: Understanding and addressing the sacred. Guilford Press.
39.
ParkC. L. (2010). Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin, 136(2), 257–301. https://doi.org/10.1037/a0018301
40.
PlantK. M.SandersM. R. (2007). Predictors of caregiver stress in families of preschool-aged children with developmental disabilities. Journal of Intellectual Disability Research, 51(2), 109–124. https://doi.org/10.1111/j.1365-2788.2006.00829.x
PreacherK. J.HayesA. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/BRM.40.3.879
43.
PreacherK. J.KelleyK. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 16(2), 93–115. https://doi.org/10.1037/a0022658
44.
Republic of Türkiye Ministry of Family and Social Services. (2019). Regulation on disability assessment for adults (Erişkinler İçin Engellilik Değerlendirmesi Hakkında Yönetmelik). Official Gazette of the Republic of Türkiye. https://www.resmigazete.gov.tr/eskiler/2019/02/20190220-2.htm
SeligJ. P.LittleT. D. (2012). Autoregressive and cross-lagged panel analysis for longitudinal data. In LaursenB.LittleT. D.CardN. A. (Eds.), Handbook of developmental research methods (pp. 265–278). Guilford Press.
47.
SeligJ. P.PreacherK. J. (2009). Mediation models for longitudinal data in developmental research. Research in Human Development, 6(2–3), 144–164. https://doi.org/10.1080/15427600902911247
48.
SenH. E.WasowiczW.MertalaP.MoltrechtB.BidzanM. (2022). Religion, positive coping, and mental health of caregivers during the COVID-19 pandemic. Frontiers in Psychology, 13, Article 805019. https://doi.org/10.3389/fpsyg.2022.805019
49.
StegerM. F.FrazierP.OishiS.KalerM. (2006). The Meaning in Life Questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93. https://doi.org/10.1037/0022-0167.53.1.80
TabachnickB. G.FidellL. S. (2013). Using multivariate statistics (6th ed.). Pearson.
52.
TuncayS.SarmanA. (2024). The relationship of spiritual orientation and caregiver burden of caregiver mothers with a child with cerebral palsy in Turkey. Child: Care, Health and Development, 50(1), Article e13141. https://doi.org/10.1111/cch.13141
53.
VandenbergR. J.LanceC. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3(1), 4–70. https://doi.org/10.1177/109442810031002
54.
VithanaK. V. G. S. G.AsurakkodyT. A. (2025). Spiritual practices as coping with mothers of children with attention-deficit hyperactivity disorder: A qualitative explorative study. BMC Psychology, 13(1), 3. https://doi.org/10.1186/s40359-024-02331-2
