Psychosocial adjustment: Quality of life
This study applies 13 items of the German version of the Child Health Questionnaire Parent Form (CHQ) to assess the impact of the child’s health on the parental quality of life across several domains. On a 5-point scale, the emotional impact is assessed with 3 items (e.g., “How much emotional worry or concern did each of the following cause for you: your child’s physical health?“), the impact on the family with 6 items (e.g., “How often has your child’s health or behavior limited the types of activities you could do as a family?“), and family cohesion with one item (e.g., “In general, how would you rate your family’s ability to get along with one another?“). On a 4-point Likert scale, 3 items measure the impact of the child’s health on the leisure time (e.g., “Were you limited in the amount of time you had for your own needs because of your child’s emotional well-being?“). The German version of the CHQ reports an internal consistency of Cronbach’s α = .76 for parental emotional impact, and α = .81 for parental time impact. For the family impact subscale, an internal consistency of Cronbach’s α = .83 has been reported [