{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:51:16Z","timestamp":1789559476613,"version":"build-2803163510"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>\u201cParental Burnout\u201d is a specific syndrome resulting from an imbalance between continuous exposure to chronic parenting stress and available protective resources. Mothers of children with special needs have an increased risk of Parental Burnout due to dealing with various difficulties from carrying out long-term childcare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To examine difficulties, coping strategies, and PB (risk factors and protective resources), among ultra-Orthodox and non-Orthodox Jewish mothers of children with special needs with high or low levels of Parental Burnout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study. Twelve mothers of children with special needs identified with high or low Parental Burnout via a quantitative study were interviewed. The constant-comparative analysis method was used to analyze the findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Three themes and twelve categories emerged: 1. Difficulties involved in motherhood with six categories: (a) caregiver burden, (b) task overload, (c) physical and mental self-neglect, (d) environmental, couple-hood, family and social neglect, (e) recognizing the gap between their child with special needs and other children of the same age, (f) the environment\u2019s contradictory expectations from the mother; 2. Coping strategies with four categories: (a) practical, (b) spiritual, (c) social and (d) emotional; and 3. Parental Burnout, consequences and coping with two categories: (a) personal and environmental risk factors (e.g., fear of the future, difficulty in trusting others in taking care of their child), and (b) personal and environmental protective resources (e.g., sharing similar circumstances with other mothers, a belief in God).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and implications<\/jats:title><jats:p>The findings contribute to understanding the unique difficulties, coping strategies and differences in risk factors and protective resources of Parental Burnout among ultra-Orthodox and non-Orthodox Jewish mothers of children with special needs. In order to alleviate the difficulties experienced by mothers and thus also reduce Parental Burnout risk factors and provide effective protective resources, it is recommended to develop empirically based professional guidance for policymakers, child development specialists, nurses, physiotherapists, and informal caregivers.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2023.1259670","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T04:59:32Z","timestamp":1701752372000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["\u201cGod gave you a special child because you are special\u201d: difficulties, coping strategies, and parental burnout of Jewish mothers \u2013 a qualitative study"],"prefix":"10.3389","volume":"14","author":[{"given":"Yifat","family":"Findling","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sivia","family":"Barnoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Itzhaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1037\/rel0000039","article-title":"Religious coping as a moderator of the relationship between stress and depressive symptoms","volume":"8","author":"Ahles","year":"2016","journal-title":"Psychol. Relig. Spiritual."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1286","DOI":"10.5958\/0976-5506.2018.00908.7","article-title":"Family stress and its coping strategies related to children with cerebral palsy at azadi teaching hospital in Kirkuk City","volume":"9","author":"Ahmed","year":"2018","journal-title":"Ind. J. Public Health Res. Dev."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1080\/2159676X.2019.1704846","article-title":"To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales","volume":"13","author":"Braun","year":"2019","journal-title":"Qual. Res. Sport Exerc. Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2558","DOI":"10.1111\/jocn.14360","article-title":"The rural mother's experience of caring for a child with a chronic health condition: an integrative review","volume":"27","author":"Bristow","year":"2018","journal-title":"J. Clin. Nurs."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1111\/j.1365-2214.2010.01198.x","article-title":"Expectations of and reactions to disability and normality experienced by parents of children with intellectual disability in Sweden","volume":"37","author":"Broberg","year":"2011","journal-title":"Childcare Health Dev."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10826-015-0193-8","article-title":"Mindfulness, stress and well-being in parents of children with autism spectrum disorder: a systematic review","volume":"25","author":"Cachia","year":"2016","journal-title":"J. Child Fam. Stud."},{"key":"ref7","volume-title":"Shnaton hahevra haOrthodoxt be'Israel [the statistical report on ultra-orthodox (orthodox) sector in Israel]","author":"Cahaner","year":"2021"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1037\/14192-000","volume-title":"Families of children with developmental disabilities: Understanding stress and opportunities for growth","author":"Carroll","year":"2013"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1177\/1468794116686650","article-title":"A comparative method for themes saturation (CoMeTS) in qualitative interviews","volume":"17","author":"Constantinou","year":"2017","journal-title":"Qual. Res."},{"key":"ref10","volume-title":"Qualitative inquiry and research design: Choosing among five approaches","author":"Creswell","year":"2018"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1080\/19315864.2020.1822962","article-title":"Raising a child with autism spectrum disorder: a systematic review of the literature investigating parenting stress","volume":"13","author":"Enea","year":"2020","journal-title":"J. Ment. Health Res. Intellect. Disabil."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"19273","DOI":"10.1007\/s12144-022-03074-2","article-title":"Burden of treatment, emotion work and PB of mothers to children with or without special needs: a pilot study","volume":"42","author":"Findling","year":"2022","journal-title":"Curr. Psychol."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.46743\/2160-3715\/2013.1569","article-title":"The constant comparative analysis method outside of grounded theory","volume":"18","author":"Fram","year":"2013","journal-title":"Qual. Rep."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1080\/13645579.2015.1005453","article-title":"Supporting thinking on sample sizes for thematic analyses: a quantitative tool","volume":"18","author":"Fugard","year":"2015","journal-title":"Int. J. Soc. Res. Methodol."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"19","DOI":"10.5590\/JOSC.2018.10.1.02","article-title":"Denzin\u2019s paradigm shift: revisiting triangulation in qualitative research","volume":"10","author":"Fusch","year":"2018","journal-title":"J. Sustain. Soc. Change"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"884","DOI":"10.3389\/fpsyg.2018.00884","article-title":"Does informal caregiving lead to PB? Comparing parents having (or not) children with mental and physical issues","volume":"9","author":"G\u00e9rain","year":"2018","journal-title":"Front. Psychol."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"473","DOI":"10.3109\/13668250.2017.1293236","article-title":"Career adaptability, resilience, and life satisfaction: a mediational analysis in a sample of parents of children with mild intellectual disability","volume":"43","author":"Ginevra","year":"2018","journal-title":"J. Intellect. Develop. Disabil."},{"key":"ref18","volume-title":"Discovery of grounded theory: Strategies for qualitative research","author":"Glaser","year":"1967"},{"key":"ref19","article-title":"Ultra-orthodox women. The center for the study of the ultra-orthodox society","author":"Gonen","year":"2016"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1016\/j.socscimed.2006.08.025","article-title":"\"We\u2019re tired, not sad\": benefits and burdens of mothering a child with a disability","volume":"64","author":"Green","year":"2007","journal-title":"Soc. Sci. Med."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1527","DOI":"10.1016\/j.socscimed.2011.03.007","article-title":"God-sent ordeals and their discontents: ultra-orthodox Jewish women negotiate prenatal testing","volume":"72","author":"Ivry","year":"2011","journal-title":"Soc. Sci. Med."},{"key":"ref22","volume-title":"Differentiated integration: Ultra-orthodox academics in the Israeli economy, policy research 115","author":"Kalaji","year":"2017"},{"key":"ref23","article-title":"The attitudes of the ultra-orthodox sector towards different children","volume-title":"And your brother lives with you: The attitude towards people with unique needs and their integration into society","author":"Kandel","year":"2010"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"970","DOI":"10.3389\/fpsyg.2018.00970","article-title":"Preliminary validation of Japanese version of the PB inventory and its relationship with perfectionism","volume":"9","author":"Kawamoto","year":"2018","journal-title":"Front. Psychol."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1177\/10901981187950","article-title":"Study design and use of inquiry frameworks in qualitative research","volume":"46","author":"Kegler","year":"2019","journal-title":"Health Educ. Behav."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"887","DOI":"10.3389\/fpsyg.2018.00887","article-title":"Differences in parental burnout: influence of demographic factors and personality of parents and children","volume":"9","author":"Le Vigouroux","year":"2018","journal-title":"Front. Psychol."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1016\/j.paid.2017.07.023","article-title":"The big five personality traits and PB: protective and risk factors","volume":"119","author":"Le Vigouroux","year":"2017","journal-title":"Personal. Individ. Differ."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"885","DOI":"10.3389\/fpsyg.2018.00885","article-title":"Maternal burnout syndrome: contextual and psychological associated factors","volume":"9","author":"Lebert-Charron","year":"2018","journal-title":"Front. Psychol."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1080\/01494929.2021.1986766","article-title":"Does perceived partner support have an impact on mothers\u2019 mental health and PB?","volume":"58","author":"Lebert-Charron","year":"2022","journal-title":"Marriage Fam. Rev."},{"key":"ref30","doi-asserted-by":"crossref","DOI":"10.1016\/0147-1767(85)90062-8","volume-title":"Naturalistic inquiry","author":"Lincoln","year":"1985"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1111\/j.1651-2227.2009.01586.x","article-title":"Increased prevalence of burnout symptoms in parents of chronically ill children","volume":"99","author":"Lindstr\u00f6m","year":"2010","journal-title":"Acta Paediatr."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1111\/j.1651-2227.2011.02198.x","article-title":"Parental burnout in relation to sociodemographic, psychosocial and personality factors as well as disease duration and glycaemic control in children with type 1 diabetes mellitus","volume":"100","author":"Lindstr\u00f6m","year":"2011","journal-title":"Acta Paediatr."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.ijnss.2020.07.012","article-title":"Caregiver burden: a concept analysis","volume":"7","author":"Liu","year":"2020","journal-title":"Int. J. Nurs. Sci."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"957","DOI":"10.1111\/j.1365-2788.2009.01206.x","article-title":"Hope as a psychological resilience factor in mothers and fathers of children with intellectual disabilities","volume":"53","author":"Lloyd","year":"2009","journal-title":"J. Intellect. Disabil. Res."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1007\/s10995-020-02896-5","article-title":"The caregiver health effects of caring for young children with developmental disabilities: a meta-analysis","volume":"24","author":"Masefield","year":"2020","journal-title":"Matern. Child Health J."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.chiabu.2018.03.025","article-title":"Consequences of PB: its specific effect on child neglect and violence","volume":"80","author":"Mikolajczak","year":"","journal-title":"Child Abuse Negl."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1007\/s10826-017-0892-4","article-title":"Exhausted parents: sociodemographic, child-related, parent-related, parenting and family-functioning correlates of PB","volume":"27","author":"Mikolajczak","year":"","journal-title":"J. Child Fam. Stud."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.ridd.2019.03.001","article-title":"Stigma experienced by families of individuals with intellectual disabilities and autism: a systematic review","volume":"89","author":"Mitter","year":"2019","journal-title":"Res. Dev. Disabil."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1080\/10522158.2011.571539","article-title":"Parenting a child with an autism spectrum disorder: public perceptions and parental conceptualizations","volume":"14","author":"Neely-Barnes","year":"2011","journal-title":"J. Fam. Soc. Work."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"846","DOI":"10.1037\/a0035444","article-title":"The pains and pleasures of parenting: when, why, and how is parenthood associated with more or less well-being?","volume":"140","author":"Nelson","year":"2014","journal-title":"Psychol. Bull."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"100014","DOI":"10.1016\/j.pecinn.2021.100014","article-title":"Hearing parents' voices: a priority-setting workshop to inform a suite of psychological resources for parents of children with rare genetic epilepsies","volume":"1","author":"Nevin","year":"2022","journal-title":"PEC Innov."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1136\/ebnurs-2019-103145","article-title":"Triangulation in research, with examples","volume":"22","author":"Noble","year":"2019","journal-title":"Evid. Based Nurs."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1111\/jomf.12646","article-title":"Parenthood and well-being: a decade in review","volume":"82","author":"Nomaguchi","year":"2020","journal-title":"J. Marriage Fam."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1501","DOI":"10.3109\/09638288.2011.650313","article-title":"\"It\u2019s not what you were expecting, but it\u2019s still a beautiful journey\": the experience of mothers of children with down syndrome","volume":"34","author":"Pillay","year":"2012","journal-title":"Disabil. Rehabil."},{"key":"ref45","doi-asserted-by":"crossref","DOI":"10.5772\/18507","article-title":"Parenting stress in mothers and fathers of children with autism spectrum disorders","volume-title":"A comprehensive book on autism Spectrum disorders","author":"Pisula","year":"2011"},{"key":"ref46","article-title":"The role of learned resourcefulness in the self-control of health behavior","volume-title":"Learned resourcefulness: On coping skills, self-control, and adaptive behavior","author":"Rosenbaum","year":"1990"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"758","DOI":"10.3389\/fpsyg.2018.00758","article-title":"Step forward in the conceptualization and measurement of parental burnout: the parental burnout assessment (PBA)","volume":"9","author":"Roskam","year":"2018","journal-title":"Front. Psychol."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"163","DOI":"10.3389\/fpsyg.2017.00163","article-title":"Exhausted parents: development and preliminary validation of the parental burnout inventory","volume":"8","author":"Roskam","year":"2017","journal-title":"Front. Psychol."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11013-006-9006-2","article-title":"Grappling with affliction: autism in the Jewish ultra-orthodox community in Israel","volume":"30","author":"Shaked","year":"2006","journal-title":"Cult. Med. Psychiatry"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.ijedudev.2016.05.010","article-title":"Schooling children with disabilities: parental perceptions and experiences","volume":"50","author":"Singal","year":"2016","journal-title":"Int. J. Educ. Dev."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1177\/108835760101600408","article-title":"Religious coping in families of children with autism","volume":"16","author":"Tarakeshwar","year":"2001","journal-title":"Focus Autis. Other Dev. Disabil."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"348","DOI":"10.3109\/13668250.2016.1228859","article-title":"What support resources contribute to family quality of life among religious and secular Jewish families of children with developmental disability?","volume":"41","author":"Taub","year":"2016","journal-title":"J. Intellect. Develop. Disabil."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1037\/0022-006X.66.2.411","article-title":"The use of religious coping during stressful life events: Main effects, moderation, and mediation","volume":"66","author":"Tix","year":"1998","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"2315","DOI":"10.7314\/APJCP.2016.17.4.2315","article-title":"Influence of religious beliefs on the health of cancer patients","volume":"17","author":"Tsai","year":"2016","journal-title":"Asian Pac. J. Cancer Prev."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1177\/10664807221079284","article-title":"Parental perceptions of cerebral palsy and expectations of the operation outcomes in Greece and in Italy","volume":"30","author":"Tsibidaki","year":"2022","journal-title":"Fam. J."},{"key":"ref57","doi-asserted-by":"publisher","first-page":"697","DOI":"10.3389\/fpsyg.2018.00697","article-title":"Validity of the PB inventory among Dutch employees","volume":"9","author":"Van Bakel","year":"2018","journal-title":"Front. Psychol."},{"key":"ref58","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1080\/10522158.2016.1218399","article-title":"Characterizing the systems of support for families of children with disabilities: a review of the literature","volume":"19","author":"Vanegas","year":"2016","journal-title":"J. Fam. Soc. Work."},{"key":"ref59","doi-asserted-by":"publisher","first-page":"1395","DOI":"10.3389\/fpsyg.2020.01395","article-title":"Social desirability in environmental psychology research: three meta-analyses","volume":"11","author":"Vesely","year":"2020","journal-title":"Front. Psychol."},{"key":"ref60","doi-asserted-by":"publisher","first-page":"102","DOI":"10.25215\/0402.112","article-title":"Relationship of PB with parental stress and personality among parents of neonates with hyperbilirubinemia","volume":"4","author":"Vinayak","year":"2017","journal-title":"Int. J. Indian Psychol."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2023.1259670\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T04:59:37Z","timestamp":1701752377000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2023.1259670\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,5]]},"references-count":60,"alternative-id":["10.3389\/fpsyg.2023.1259670"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2023.1259670","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,5]]},"article-number":"1259670"}}