Abstract
To assess the impact of their child’s symptoms of Autism Spectrum Disorder upon parents’ anxiety and depression, 68 mothers of boys aged 10 to 15 years (M = 12.6 years, SD = 1.6 years) completed the ASD Behaviour Checklist, the GAD7 and the PHQ9 at a single setting. Results indicated that the boys’ restricted and repetitive behaviours had the strongest relationship with their mothers’ anxiety and depression, followed by communication difficulties, but the latter set of behaviours did not significantly add to the variance predicted by restricted and repetitive behaviours. Their sons’ intense reactions to stressors was the most powerful ASD-related contributor to the anxiety and depression experienced by these mothers. Several suggestions for enhancing parental coping with this aspect of their child’s ASD behavioural symptomatology are discussed.
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References
APA. (2000). Diagnostic and statistical manual of mental disorders (4th ed, text revision). Washington, DC: American Psychiatric Association.
APA. (2013). Diagnostic and statistical manual of mental disorders-5. Washington, DC: American Psychiatric Association.
Bebko, J. M., Konstantareas, M. M., & Springer, J. (1987). Parent and professional evaluations of family stress associated with characteristics of autism. Journal of Autism and Developmental Disorders, 17, 565–576.
Bellini, S. (2004). Social skills deficits and anxiety in high-functioning adolescents with autism spectrum disorder. Focus on Autism and Other Developmental Disabilities, 19, 78–88.
Bellini, S. (2006). The development of social anxiety in adolescents with autism spectrum disorders. Focus on autism and other developmental disorders, 21, 138–145.
Bitsika, V. (2000). The autism Spectrum disorder behaviour checklist (ASDBC). Coolangatta: Behaviour Analysis and Consulting Services.
Bitsika, V., Sharpley, C., & Orapeleng, S. (2008). Using cognitive, adaptive and behavioral indices for cluster analysis of ASD subgroups. Journal of Intellectual Disability Research, 52, 973–985.
Bolling, M., Kohlenberg, R., & Parker, C. (1999). Behavior analysis and depression. In M. J. Dougher (Ed.), Clinical behavior analysis (pp. 127–153). Reno: Context Press.
Bosma, H., Marmot, M., Hemingway, H., Nicholson, A., Brunner, E., & Stansfeld, S. (1997). Low job control and risk of coronary heart disease in Whitehall II (prospective cohort) study. British Medical Journal, 317, 558–565.
Bouma, R., & Schweitzer, R. (1990). The impact of chronic childhood illness on family stress: a comparison between autism and cystic fibrosis. Journal of Clinical Psychology, 46, 722–730.
Cohen, J. (1988). Statistical power for the behavioural sciences. Hillsdale: Erlbaun.
Cohen, S., Tyrrell, D., & Smith, A. (1991). Psychological stress and susceptibility to the common cold. New England Journal of Medicine, 325, 606–612.
Compas, B., Howell, D., Phares, V., Williams, R., & Giunta, C. (1989). Risk factors for emotional/behavioral problems in young adolescents: a prospective analysis of adolescent and parental stress and symptoms. Journal of Consulting and Clinical Psychology, 57, 732–740.
Corbett, B., Mendoza, S., Abdullah, M., Wegelin, J., & Levine, S. (2006). Cortisol circadian rhythms and response to stress in children with autism. Psychoneuroendocrinology, 31, 59–66.
D'Cruz, A.-M., Ragozzino, M., Mosconi, M., Shrestha, S., Cook, E., & Sweeney, J. (2013). Reduced behavioral flexibility in autism spectrum disorders. Neuropsychology, 27, 152–160.
Da Paz, N., & Wallander, J. (2017). Interventions that target improvements in mental health for parents of children with autism spectrum disorders: a narrative review. Clinical Psychology Review, 51, 1–14. doi:10.1016/j.cpr.2016.10.006.
Davis, N., & Carter, A. (2008). Parenting stress in mothers and fathers of toddlers with autism Spectrum disorders: associations with child characteristics. Journal of Autism and Developmental Disabilities, 38, 1278–1291.
Dougher, M. J., & Hackbert, L. (1994). A behavior-analytic account of depression and a case report using acceptance-based procedures. The Behavior Analyst, 17(2), 321–334.
Fabbri-Destro, M., Cattaneo, L., Boria, S., & Rizzolatti, G. (2009). Planning actions in autism. Experimental Brain Research, 192(3), 521–525. doi:10.1007/s00221-008-1578-3.
Ferster, C. B. (1973). A functional analysis of depression. American Psychologist, 28, 857–870.
Fries, E., Hesse, J., Hellhammer, J., & Hellhammer, D. (2005). A new view on hypocortisolism. Psychoneuroendocrinology, 30, 1010–1016.
Harper, A., Dyches, T., Harper, J., Roper, S., & South, M. (2013). Respite care, marital quality, and stress in parents of children with autism Spectrum disorders. Journal of Autism and Developmental Disorders, 43(11), 2604–2616. doi:10.1007/s10803-013-1812-0.
Hayes, S., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. doi:10.1016/j.brat.2005.06.006.
Hayes, S., & Watson, S. (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 Disabilities, 43, 629–642.
Kanter, J., Callaghan, G., Landes, S., Busch, A., & Brown, K. (2004). Behavior analytic conceptualization and treatment of depression: traditional models and recent advances. The Behavior Analyst Today, 5(3), 255–274.
Kroenke, K., Spitzer, R., & Williams, J. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.
Langa, K. M., Valenstein, M. A., Fendrick, A. M., Kabeto, M. U., & Vijan, S. (2004). Extent cost of informal caregiving for older Americans with symptoms of depression. American Journal of Psychiatry, 161, 857–863.
Langewitz, W., & Ruddell, H. (1989). Spectral analysis of heart rate variability under mental stress. Journal of Hypertension, 7, 32–33.
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. doi:10.1111/j.1365-2788.2005.00732.x.
Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule, second edition (ADOS-2). Los Angeles: Western Psychological Services.
Loyd, B., & Abidin, R. (1985). Revision of the parenting stress index. Journal of Pediatric Psychology, 10(2), 169–177. doi:10.1093/jpepsy/10.2.169.
Malone, K., Haas, G., Sweeney, J., & Mann, J. (1995). Major depression and the risk of attempted suicide. Journal of Affective Disorders, 34(3), 173–185. doi:10.1016/0165-0327(95)00015-F.
Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health; results from the world health surveys. Lancet, 370, 851–858.
Mugno, D., Ruta, L., D'Arrigo, V., & Mazzone, L. (2007). Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health and Quality of Life Outcomes, 5, 22.
Muris, P., Merckelbach, H., Schmidt, H., Gadet, B., & Bogie, N. (2001). Anxiety and depression as correlates of self-reported behavioural inhibition in normal adolescents. Behaviour Research and Therapy, 39(9), 1051–1061. doi:10.1016/s0005-7967(00)00081-4.
Mykletun, A., Bjerkeset, O., Øverland, S., Prince, M., Dewey, M., & Stewart, R. (2009). Levels of anxiety and depression as predictors of mortality: the HUNT study. British Journal of Psychiatry, 195, 118–125.
Nutt, D. (2004). Anxiety and depression: individual entities or two sides of the same coin? International Journal of Psychiatry in Clinical Practice, 8, 19–24.
Pallant, J. (2007). SPSS Survival Manual (3rd ed.). Melbourne: Allen & Unwin.
Rivard, M., Terroux, A., Parent-Boursier, C., & Mercier, C. (2014). Determinants of stress in parents of children with autism Spectrum disorders. Journal of Autism and Developmental Disabilities, 44, 1609–1620.
Schopler, E., Reichler, R., & Renner, B. (1999). The childhood autism rating scale (CARS) for diagnostic screening and classification of autism. Western Psychological Services: Irvington.
Sharpley, C., & Bitsika, V. (2010). Joining the dots: Neurobiological links in a Functional analysis of depression Behavioral and Brain Functions, 6, 73. doi:10.1186/1744-9081-6-73.
Sharpley, C., Bitsika, V., & Efremidis, B. (1997). Influence of gender, parental health and perceived expertise of assistance upon stress, anxiety and depression among parents of children with autism. Journal of Intellectual and Developmental Disability, 22, 19–28.
Spitzer, R., Kroenke, K., Williams, J., & Group, P. H. Q. P. C. S. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Journal of the American Medical Association, 282(18), 1737–1744. doi:10.1001/jama.282.18.1737.
Spitzer, R., Kroenke, K., Williams, J., & Lowe, B. (2006). A brief measure for assessing generalised anxiety disorder. Archives of Internal Medicine, 166, 1092–1097.
Sturmey, P. (1996). Functional analysis in clinical psychology. New York: John Wiley & Sons.
Swoboda, J., Dowd, E., & Wise, S. (1990). Reframing and restraining directives in the treatment of clinical depression. Journal of Counseling Psychology, 37, 254–260.
Tabachnik, B., & Fidell, L. (2013). Using multivariate statistics (6th ed.). Boston: Pearson Education.
Teti, M., Cheak-Zamora, N., Lolli, B., & Maurer-Batjer, A. (2016). Reframing autism: young adults with autism share their strengths through photo-stories. Journal of Pediatric Nursing, 31(6), 619–629. doi:10.1016/j.pedn.2016.07.002.
Ustun, T. B., Ayuso-Mateos, J. L., Chatterji, S., Mathers, C., & Murray, C. J. L. (2004). Global burden of depressive disorders in the year 2000. British Journal of Psychiatry, 184, 386–392.
Walker, E., McGee, R., & Druss, B. (2015). Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry, 72, 334–341.
Zimmerman, M., McDermut, W., & Mattia, J. (2000). Frequency of anxiety disorders in psychiatric patients with major depressive disorder. American Journal of Psychiatry, 157, 1337–1340.
Zinbarg, R. E., Barlow, D. H., Liebowitz, M., Street, L., Broadhead, E., Katon, W., et al. (1994). The DSM-IV field trial for mixed anxiety-depression. The American Journal of Psychiatry, 151(8), 1153–1162.
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Authors Vicki Bitsika and Christopher F. Sharpley share senior authorship.
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Bitsika, V., Sharpley, C.F. The Association between Autism Spectrum Disorder Symptoms in High-Functioning Male Adolescents and their Mothers’ Anxiety and Depression. J Dev Phys Disabil 29, 461–473 (2017). https://doi.org/10.1007/s10882-017-9537-1
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DOI: https://doi.org/10.1007/s10882-017-9537-1