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Impacts of Autistic Behaviors, Emotional and Behavioral Problems on Parenting Stress in Caregivers of Children with Autism

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Abstract

This study examined the effects of autistic behaviors and individual emotional and behavioral problems on parenting stress in caregivers of children with autism. Caregivers were interviewed with the Childhood Autism Rating Scale and completed the Strength and Difficulties Questionnaire and the Parenting Stress Index Short Form. Results revealed that caregivers of children with mild/moderate autistic behavior problems perceived lower parenting stress than did those of children with no or severe problems. In addition, prosocial behaviors and conduct problems respectively predicted stress in the parent–child relationship and child-related stress. The findings can provide guidance in evaluations and interventions with a focus on mitigating parenting stress in caregivers of children with autism.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders. Arlington: DSM-IV-TR: American Psychiatric Publishing Inc.

    Google Scholar 

  • Chlebowski, C., Green, J. A., Barton, M. L., & Fein, D. (2010). Using the childhood autism rating scale to diagnose autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(7), 787–799.

    Article  PubMed Central  PubMed  Google Scholar 

  • Davis, N. O., & Carter, A. S. (2008). Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: associations with child characteristics. Journal of Autism and Developmental Disorders, 38(7), 1278–1291. doi:10.1007/s10803-007-0512-z.

    Article  PubMed  Google Scholar 

  • DiLalla, D. L., & Rogers, S. J. (1994). Domains of the Childhood Autism Rating Scale: Relevance for diagnosis and treatment. Journal of Autism and Developmental Disorders, 24(2), 115–128.

    Article  PubMed  Google Scholar 

  • Du, Y., Kou, J., & Coghill, D. (2008). The validity, reliability and normative scores of the parent, teacher and self report versions of the Strengths and Difficulties Questionnaire in China. Child and Adolescent Psychiatry and Mental Health, 2(1), 8.

    Google Scholar 

  • Dumas, J. E., Wolf, L. C., Fisman, S. N., & Culligan, A. (1991). Parenting stress, child behavior problems, and dysphoria in parents of children with autism, Down syndrome, behavior disorders, and normal development. Exceptionality: A Special. Education Journal, 2(2), 97–110.

    Google Scholar 

  • Eaves, R. C., & Milner, B. (1993). The criterion-related validity of the childhood autism rating scale and the autism behavior checklist. Journal of Abnormal Child Psychology, 21(5), 481–491.

    Article  PubMed  Google Scholar 

  • Estes, A., Munson, J., Dawson, G., Koehler, E., Zhou, X. H., & Abbott, R. (2009). Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism, 13(4), 375–387. doi:10.1177/1362361309105658.

    Article  PubMed  Google Scholar 

  • Estes, A., Olson, E., Sullivan, K., Greenson, J., Winter, J., Dawson, G., et al. (2013). Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders. Brain and Development, 35(2), 133–138. doi:10.1016/j.braindev.2012.10.004.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hastings, R. P. (2003). Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. Journal of Intellectual Disability Research, 47(4–5), 231–237.

    Article  PubMed  Google Scholar 

  • Hastings, R. P., & Brown, T. (2002). Behavior problems of children with autism, parental self-efficacy, and mental health. Journal Information, 107(3).

  • Hastings, R. P., Kovshoff, H., Ward, N. J., degli Espinosa, F., Brown, T., & Remington, B. (2005). Systems analysis of stress and positive perceptions in mothers and fathers of pre-school children with autism. Journal of Autism and Developmental Disorders, 35(5), 635–644. doi:10.1007/s10803-005-0007-8.

    Article  PubMed  Google Scholar 

  • King, G., McDougall, J., DeWit, D., Hong, S., Miller, L., Offord, D., et al. (2005). Pathways to children’s academic performance and prosocial behaviour: Roles of physical health status, environmental, family, and child factors. International Journal of Disability, Development and Education, 52(4), 313–344.

    Article  Google Scholar 

  • Konstantareas, M. M., & Homatidis, S. (2006). Assessing child symptom severity and stress in parents of autistic children. Journal of Child Psychology and Psychiatry, 30(3), 459–470.

    Google Scholar 

  • Lecavalier, L., Leone, S., & Wiltz, J. (2005). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(3), 172–183.

    Google Scholar 

  • Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(3), 172–183.

    Article  PubMed  Google Scholar 

  • Mayes, S. D., Calhoun, S. L., Murray, M. J., Morrow, J. D., Yurich, K. K., Cothren, S., et al. (2012). Use of the Childhood Autism Rating Scale (CARS) for children with high functioning autism or asperger syndrome. Focus on Autism and Other Developmental Disabilities, 27(1), 31–38.

    Article  Google Scholar 

  • Mayes, S. D., Calhoun, S. L., Murray, M. J., Morrow, J. D., Yurich, K. K., Mahr, F., et al. (2009). Comparison of scores on the checklist for Autism Spectrum disorder, Childhood Autism Rating Scale, and Gilliam Asperger’s Disorder Scale for children with low functioning autism, high functioning autism, Asperger’s disorder, ADHD, and typical development. Journal of Autism and Developmental Disorders, 39(12), 1682–1693.

    Article  PubMed  Google Scholar 

  • McMahon, R. J., Wells, K. C., & Kotler, J. S. (1998). Conduct problems. New York: Guilford.

  • Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2008). Parenting stress reduces the effectiveness of early teaching interventions for autistic spectrum disorders. Journal of Autism and Developmental Disorders, 38(6), 1092–1103.

    Article  PubMed  Google Scholar 

  • Phetrasuwan, S., & Shandor Miles, M. (2009). Parenting stress in mothers of children with autism spectrum disorders. Journal for Specialists in Pediatric Nursing, 14(3), 157–165.

    Article  PubMed  Google Scholar 

  • Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). Journal of Autism and Developmental Disorders, 10(1), 91–103.

    Article  PubMed  Google Scholar 

  • Schopler, E., Reichler, R. J., & Renner, B. R. (1988). The childhood autism rating scale. Los Angeles: Western Psychological Services.

  • Walsh, C. E., Mulder, E., & Tudor, M. E. (2013). Predictors of parent stress in a sample of children with ASD: Pain, problem behavior, and parental coping. Research in Autism Spectrum Disorders, 7(2), 256–264. doi:10.1016/j.rasd.2012.08.010.

    Article  Google Scholar 

  • Wang, J., Hu, Y., Wang, Y., Qin, X., Xia, W., Sun, C., et al. (2012). Parenting stress in Chinese mothers of children with autism spectrum disorders. Social Psychiatry and Psychiatric Epidemiology. doi:10.1007/s00127-012-0569-7.

    Google Scholar 

  • Wen, B. (2003). Parenting Stress Index–Chinese Version. Taiwan: Psychological Publishing Corp.

    Google Scholar 

  • Windle, M., & Windle, R. C. (1996). Coping strategies, drinking motives, and stressful life events among middle adolescents: Associations with emotional and behavioral problems and with academic functioning. Journal of Abnormal Psychology, 105(4), 551.

    Article  PubMed  Google Scholar 

  • World Health Organization. (1992). International statistical classification of diseases and related health problems 10th revision. Geneva: World Health Organization.

  • Yeh, C. H., Chen, M. L., Li, W., & Chuang, H. L. (2001). The Chinese version of the parenting stress index: A psychometric study. Acta Paediatrica, 90(12), 1470–1477.

    Article  PubMed  Google Scholar 

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Acknowledgments

We especially appreciate the occupational therapists of Country Hospital, Department of Physical Medicine and Rehabilitation, and De Shang Clinic, the social worker and the director of the St. Raphael Opportunity Center, and Yong Cheng Rehabilitation Clinic for their assistance with recruiting participants. We also thank all the caregivers and children for participating in the study. This study was supported by a grant awarded to the corresponding author from the National Science Council of Taiwan (100-2410-H-006-103-MY3).

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Correspondence to Kuan-Lin Chen.

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Huang, CY., Yen, HC., Tseng, MH. et al. Impacts of Autistic Behaviors, Emotional and Behavioral Problems on Parenting Stress in Caregivers of Children with Autism. J Autism Dev Disord 44, 1383–1390 (2014). https://doi.org/10.1007/s10803-013-2000-y

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