parents of the children with heart disease expressed that caring load reduced their time/opportunity to unwind, interfered with family activities and family cohesion, as well as recreation and socialization activities which in turn may have negatively affected their QOL. Parents of children with developmental disabilities showed that parenting these children is associated with impaired mental health, higher levels of stress, and also impaired physical functioning [21, 22, 23, 24]. These parents accommodated to their child's needs early on by restricting their social life and making changes in family routines