Abstract
Parental tolerance reflects the degree that parents tend to be bothered by childhood behavior. Parental tolerance of childhood disruptive behaviors is an important factor in shaping discipline practices employed by parents in reaction to childhood disruptive behavior. Numerous factors are hypothesized to influence parental tolerance, such as child gender and the presence of developmental delays or other psychiatric conditions. However, little research has explored the variations in parental tolerance across families of children with and without developmental delays. The current study sought to replicate previous findings on gender differences within parental tolerance in a neurotypical sample, as well as assess differences in parental tolerance in families of children with autism spectrum disorder (ASD). MANOVA results revealed that parental tolerance of childhood misbehaviors significantly differed based on ASD status. Results demonstrated that parents of children with ASD were more tolerant overall of childhood disruptive behaviors compared to children without ASD. The findings from the study reveal important factors that could potentially affect parental tolerance.
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References
Abidin, R. R. (1990). Introduction to the special issue: The stresses of parenting. Journal of Clinical Child Psychology, 19, 298–301. https://doi.org/10.1207/s15374424jccp1904_1
Agazzi, H., Tan, R., & Tan, S. Y. (2013). A case study of parent–child interaction therapy for the treatment of autism spectrum disorder. Clinical Case Studies, 12(6), 428–442. https://doi.org/10.1177/1534650113500067
Aman, M. G., Mcdougle, C. J., Scahill, L., Handen, B., Arnold, L. E., Johnson, C., Stigler, K., Bearss, K., Butter, E., Swiezy, N. B., Sukhodolsky, D. D., Ramadan, Y., Pozdol, S. L., Niolov, R., Lecavalier, L., Kohn, A., Koenig, K., Hollway, J., Korzekwa, P., Gavaletz, A., Mulick, J. A., Hall, K. L., Dzuira, J., Ritz, L., Trollinger, S., Yu, S., & Vitiello, B. (2009). Medication and parent training in children with pervasive developmental disorders and serious behavior problems: Results from a randomized clinical trial. Journal of the American Academy of Child & Adolescent Psychiatry, 48(12), 1143–1154. https://doi.org/10.1097/CHI.0b013e3181bfd669
Axberg, U. L. F., Johansson Hanse, J. A. N., & Broberg, A. G. (2008). Parents’ description of conduct problems in their children–a test of the Eyberg child behavior inventory (ECBI) in a Swedish sample aged 3–10. Scandinavian Journal of Psychology, 49(6), 497–505. https://doi.org/10.1111/j.1467-9450.2008.00670.x
Bagner, D. M., & Eyberg, S. M. (2003). Father involvement in parent training: When does it matter? Journal of Clinical Child and Adolescent Psychology, 32, 599–605. https://doi.org/10.1207/S15374424JCCP3204_13
Baker, B. L., Blacher, J., Crnic, K. A., & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal of Mental Retardation, 107(6). https://doi.org/10.1352/0895-8017(2002)107<0433:BPAPSI>2.0.CO;2
Bearss, K., Johnson, C., Handen, B., Smith, T., & Scahill, L. (2013). A pilot study of parent training in young children with autism spectrum disorders and disruptive behavior. Journal of Autism and Developmental Disorders, 43(4), 829–840. https://doi.org/10.1007/s10803-012-1624-7
Bessey, M., Coulombe, J. A., Smith, I. M., & Corkum, P. (2013). Assessing parental sleep attitudes and beliefs in typically developing children and children with ADHD and ASD. Children's Health Care, 42(2), 116–133. https://doi.org/10.1080/02739615.2013.766096
Boggs, S. R., Eyberg, S., & Reynolds, L. A. (1990). Concurrent validity of the Eyberg child behavior inventory. Journal of Clinical Child Psychology, 19, 75–78. https://doi.org/10.1207/s15374424jccp1901_9
Brobst, J. B., Clopton, J. R., & Hendrick, S. S. (2009). Parenting children with autism spectrum disorders: The couple's relationship. Focus on Autism and Other Developmental Disabilities, 24(1), 38–49. https://doi.org/10.1177/1088357608323699
Brestan, E. V., Eyberg, S. M., Algina, J., Johnson, S. B., & Boggs, S. R. (2003). How annoying is it? Defining parental tolerance for child misbehavior. Child & Family Behavior Therapy, 25, 1–15. https://doi.org/10.1300/J019v25n02_01
Burns, G. L., & Patterson, D. R. (1991). Factor structure of the Eyberg child behavior inventory: Unidimensional or multidimensional measure of disruptive behavior? Journal of Clinical Child Psychology, 20, 439–444. https://doi.org/10.1207/s15374424jccp2004_13
Burns, G. L., & Patterson, D. R. (2000). Factor structure of the Eyberg child behavior inventory: A parent rating scale of oppositional defiant behavior toward adults, inattentive behavior, and conduct problem behavior. Journal of Clinical Child Psychology, 29, 569–577. https://doi.org/10.1207/S15374424JCCP2904_9
Butler, A. M., Brestan, E. V., & Eyberg, S. M. (2008). Examination of the Eyberg child behavior inventory discrepancy hypothesis. Child & Family Behavior Therapy, 30(3), 257–262. https://doi.org/10.1080/07317100802275637
Colvin, A., Eyberg, S. M., & Adams, C. D. (1999). Restandardization of the Eyberg Child Behavior Inventory. Retrieved Oct 21, 2015, from http://pcit.phhp.ufl.edu/Measures.htm.
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. https://doi.org/10.1007/s10803-007-0512-z
Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., Donaldson, A., & Varley, J. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The early start Denver model. Pediatrics, 125(1), e17–e23.
Dix, T. H., Ruble, D. N., Grusec, J. E., & Nixon, S. (1986). Social cognition in parents: Inferential and affective reactions to children of three age levels. Child Development, 57, 879–894. https://doi.org/10.2307/1130365
Dodge, K. A., Pettit, G. S., & Bates, J. E. (1994). Socialization mediators of the relation between socioeconomic status and child conduct problems. Child Development, 65, 649–665. https://doi.org/10.1111/j.1467-8624.1994.tb00774.x
DuPaul, G. J., McGoey, K. E., Eckert, T. L., & VanBrakle, J. (2001). Preschool children with attention-deficit/hyperactivity disorder: Impairments in behavioral, social, and school functioning. Journal of the American Academy of Child & Adolescent Psychiatry, 40(5), 508–515. https://doi.org/10.1097/00004583-200105000-00009
Eyberg, S., & Funderburk, B. (2011). Parent-child interaction therapy protocol. PCIT International.
Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter- Eyberg student behavior inventory: Professional manual. Odessa, FL: Psychological Assessment Resources.
Gadow, K. D., DeVincent, C. J., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-aged children with PDD versus clinic and community samples. Autism: The International Journal of Research and Practice, 9(4), 392–415. https://doi.org/10.1177/1362361305056079
Hackett, L., & Hackett, R. (1993). Parental ideas of normal and deviant child behaviour: A comparison of two ethnic groups. British Journal of Psychiatry, 162, 353–357. https://doi.org/10.1192/bjp.162.3.353
Hastings, R. P., & Brown, T. (2002). Behavior problems of children with autism, parental self-efficacy, and mental health. American Journal on Mental Retardation, 107(3), 222–232. https://doi.org/10.1352/0895-8017(2002)107<0222:BPOCWA>2.0.CO;2
Hartley, S. L., Sikora, D. M., & McCoy, R. (2008). Prevalence and risk factors of maladaptive behaviour in young children with autistic disorder. Journal of Intellectual Disability Research, 52(10), 819–829. https://doi.org/10.1111/j.1365-2788.2008.01065.x
Hayes, S. A., & Watson, S. L. (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 Disorders, 43(3), 629–642. https://doi.org/10.1007/s10803-012-1604-y
Herring, S., Gray, K., Taffe, J., Tonge, B., Sweeney, D., & Einfeld, S. (2006). Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: Associations with parental mental health and family functioning. Journal of Intellectual Disability Research, 50(12), 874–882. https://doi.org/10.1111/j.1365-2788.2006.00904.x
Howlin, P., Goode, S., Hutton, J., & Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45(2), 212–229. https://doi.org/10.1111/j.1469-7610.2004.00215.x
Howlin, P., Magiati, I., & Charman, T. (2009). Systematic review of early intensive behavioral interventions for children with autism. American Journal on Intellectual and Developmental Disabilities, 114(1), 23–41.
Hutton, A. M., & Caron, S. L. (2005). Experiences of families with children with autism in rural new england. Focus on Autism and Other Developmental Disabilities, 20(3), 180–189. https://doi.org/10.1177/10883576050200030601
Jeter, K., Zlomke, K., Shawler, P., & Sullivan, M. (2017). Comprehensive psychometric analysis of the Eyberg child behavior inventory in children with autism Spectrum disorder. Journal of Autism and Developmental Disorders, 47(5), 1354–1368. https://doi.org/10.1007/s10803-017-3048-x
Johnson, C., Handen, B., Butter, E., Wagner, A., Mulick, J., Sukhodolsky, D., Williams, S., Swiezy, N., Arnold, L., Aman, M., Scahill, L., Stigler, K., McDougle, C., Vitiello, B., & Smith, T. (2007). Development of a parent training program for children with pervasive developmental disorders. Behavioral Interventions, 22(3), 201–221. https://doi.org/10.1002/bin.237
Johnston, C., & Patenaude, R. (1994). Parent attributions for inattentive-overactive and oppositional-defiant child behaviors. Cognitive Therapy and Research, 18, 261–275. https://doi.org/10.1007/BF02357779
Kazdin, A. E. (1997). Parent management training: Evidence, outcomes, and issues. Journal of the American Academy of Child & Adolescent Psychiatry, 36(10), 1349–1356. https://doi.org/10.1097/00004583-199710000-00016
Kazdin, A. E. (2017). Parent management training and problem-solving skills training for child and adolescent conduct problems. Evidence-Based Psychotherapies for Children and Adolescents, 142.
Kendziora, K.T., & O’Leary, S.G. (1993). Dysfunctional parenting as a focus for prevention and treatment of child behavior problems. In T.H Ollendick & R.J Prinz, Advance in Clinical and Child Psychology. (Vol. 15, pp175–206). New York: Plenum Press.
Koegel, L. K., Koegel, R. L., Ashbaugh, K., & Bradshaw, J. (2014). The importance of early identification and intervention for children with or at risk for autism spectrum disorders. International Journal of Speech-Language Pathology, 16(1), 50–56. https://doi.org/10.3109/17549507.2013.861511
Lecavalier, L. (2006). Behavioral and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism Developmental Disorders, 36, 1101–1114. https://doi.org/10.1007/s10803-006-0147-5
Lesack, R., Bearss, K., Celano, M., & Sharp, W. G. (2014). Parent–child interaction therapy and autism spectrum disorder: Adaptations with a child with severe developmental delays. Clinical Practice in Pediatric Psychology, 2(1), 68. https://doi.org/10.1037/cpp0000047
Loper, A. B., & Tuerk, E. H. (2006). Parenting programs for incarcerated parents: Current research and future directions. Criminal Justice Policy Review, 17(4), 407–427. https://doi.org/10.1177/0887403406292692
Masse, J. J., McNeil, C. B., Wagner, S. M., & Chorney, D. B. (2007). Parent-child interaction therapy and high functioning autism: A conceptual overview. Journal of Early and Intensive Behavior Intervention, 4(4), 714. https://doi.org/10.1037/h0100402
Mohajeri, A. S., Pouretemad, H. R., & Shokri, O. (2012). P-310-parent-child interaction therapy for children with high functioning autism: A single-subject report. European Psychiatry, 27, 1. https://doi.org/10.1016/S0924-9338(12)74477-2
Montes, G., & Halterman, J. S. (2007). Psychological functioning and coping among mothers of children with autism: A population-based study. Pediatrics, 119(5), e1040–e1046. https://doi.org/10.1542/peds.2006-2819
Murrell, A. R., & Scherbarth, A. J. (2006). State of the research & literature address: ACT with children, adolescents and parents. International Journal of Behavioral Consultation and Therapy, 2(4), 531. https://doi.org/10.1037/h0101005
Nolan, E. E., Gadow, K. D., & Sprafkin, J. (2001). Teacher reports of DSM-IV ADHD, ODD, and CD symptoms in schoolchildren. Journal of the American Academy of Child & Adolescent Psychiatry, 40(2), 241–249. https://doi.org/10.1097/00004583-200102000-00020
O’Leary, S. G. (1995). Parental discipline mistakes. Current Directions in Psychological Science, 4(1), 11–13.
Pakenham, K. I., Samios, C., & Sofronoff, K. (2005). Adjustment in mothers of children with Asperger syndrome: An application of the double ABCX model of family adjustment. Autism, 9(2), 191–212. https://doi.org/10.1177/1362361305049033
Patterson, G. R. (1976). The aggressive child: Victim and architect of a coercive system. In E. J. Mash, L. A. Hamerlynck, & L. C. Handy (Eds.), Behavior Modification and Families (pp. 32-50). New York: Brunner/Mazel.
Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia.
Pottie, C. G., Cohen, J., & Ingram, K. M. (2008). Parenting a child with autism: Contextual factors associated with enhanced daily parental mood. Journal of Pediatric Psychology, 34(4), 419–429. https://doi.org/10.1093/jpepsy/jsn094
Querido, J. G., Eyberg, S. M., & Boggs, S. R. (in press). Revisiting the accuracy hypothesis in families of young children with conduct problems. Journal of Clinical Child Psychology. https://doi.org/10.1207/S15374424JCCP3002_12
Rao, P. A., & Beidel, D. C. (2009). The impact of children with high-functioning autism on parental stress, sibling adjustment, and family functioning. Behavior Modification, 33(4), 437–451. https://doi.org/10.1177/0145445509336427
Ross, C. N., Blanc, H. M., & McNeil, C. B. (1998). Parenting stress in mothers of young children with oppositional defiant disorder and other severe behavior problems. Child Study Journal, 28, 93–110.
Rollins, P. R., Campbell, M., Hoffman, R. T., & Self, K. (2016). A community-based early intervention program for toddlers with autism spectrum disorders. Autism, 20(2), 219–232. https://doi.org/10.1177/1362361315577217
Schieve, L. A., Blumberg, S. J., Rice, C., Visser, S. N., & Boyle, C. (2007). The relationship between autism and parenting stress. Pediatrics, 119(supplement), S114-S121. https://doi.org/10.1542/peds.2006-2089Q
Seltzer, M. M., Shattuck, P., Abbeduto, L., & Greenberg, J. S. (2004). Trajectory of development in adolescents and adults with autism. Mental Retardation & Developmental Disabilities Research Reviews, 10(4), 234–247. https://doi.org/10.1002/mrdd.20038
Smith, J. D., Dishion, T. J., Shaw, D. S., Wilson, M. N., Winter, C. C., & Patterson, G. R. (2014). Coercive family process and early-onset conduct problems from age 2 to school entry. Development and Psychopathology, 26(4), 917–932. https://doi.org/10.1017/S0954579414000169
Sofronoff, K., & Farbotko, M. (2002). The effectiveness of parent management training to increase self-efficacy in parents of children with Asperger syndrome. Autism, 6(3), 271–286. https://doi.org/10.1177/1362361302006003005
Sofronoff, K., Dark, E., & Stone, V. (2011). Social vulnerability and bullying in children with Asperger syndrome. Autism, 15(3), 355–372. https://doi.org/10.1177/1362361310365070
Solomon, M., Ono, M., Timmer, S., & Goodlin-Jones, B. (2008). The effectiveness of parent–child interaction therapy for families of children on the autism spectrum. Journal of Autism and Developmental Disorders, 38(9), 1767–1776. https://doi.org/10.1007/s10803-008-0567-5
Susman, E. J., Trickett, P. K., Iannotti, R. J., Hollenbeck, B. E., & Zahn-Waxler, C. (1985). Child-rearing patterns in depressed, abusive, and normal mothers. American Journal of Orthopsychiatry, 55, 237–251. https://doi.org/10.1111/j.1939-0025.1985.tb03438.x
Tabachnick, B. G., & Fidell, L. S. (2007). Multivariate analysis of variance and covariance. Using Multivariate Statistics, 3, 402–407.
Twoy, R., Connolly, P. M., & Novak, J. M. (2007). Coping strategies used by parents of children with autism. Journal of the American Academy of Nurse Practitioners, 19(5), 251–260. https://doi.org/10.1111/j.1745-7599.2007.00222.x
Valicenti-McDermott, M., Lawson, K., Hottinger, K., Seijo, R., Schechtman, M., Shulman, L., & Shinnar, S. (2015). Parental stress in families of children with autism and other developmental disabilities. Journal of Child Neurology, 30(13), 1728–1735. https://doi.org/10.1177/0883073815579705
Weiss, J. A., Cappadocia, M. C., MacMullin, J. A., Viecili, M., & Lunsky, Y. (2012). The impact of child problem behaviors of children with ASD on parent mental health: The mediating role of acceptance and empowerment. Autism, 16(3), 261–274. https://doi.org/10.1177/1362361311422708
Weis, R., Lovejoy, M. C., & Lundahl, B. W. (2005). Factor structure and discriminative validity of the Eyberg child behavior inventory with young children. Journal of Psychopathology and Behavioral Assessment, 27(4), 269–278. https://doi.org/10.1007/s10862-005-2407-7
Weisz, J. R., Suwanlert, S., Chaiyasit, W., Weiss, B., Walter, B. R., & Anderson, W. W. (1988). Thai and American perspectives on over- and undercontrolled child behavior problems: Exploring the threshold model among parents, teachers, and psychologists. Journal of Consulting and Clinical Psychology, 56, 601–609. https://doi.org/10.1037/0022-006X.56.4.601
Wright, A. W., Parent, J., Forehand, R., Edwards, M. C., Conners-Burrow, N. A., & Long, N. (2013). The relation of parent and child gender to parental tolerance of child disruptive behaviors. Journal of Child and Family Studies, 22(6), 779–785. https://doi.org/10.1007/s10826-012-9632-y
Zisser, A., & Eyberg, S. M. (2010). Parent-child interaction therapy and the treatment of disruptive behavior disorders. Evidence-Based Psychotherapies for Children and Adolescents, 2, 179–193.
Zlomke, K. R., Jeter, K., & Murphy, J. (2017). Open-trial pilot of parent-child interaction therapy for children with autism spectrum disorder. Child & Family Behavior Therapy, 39(1), 1–18.
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JLV was responsible for analyzing the data and writing/editing the study. GSE collaborated in writing and editing the study. KMZ collaborated with the design, execution, and editing of the study. KBP and EBK collaborated with the design and execution of the study and editing of the initial manuscript.
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VanOrmer, J.L., Edwards, G.S., Zlomke, K.R. et al. Examination of Parental Tolerance Among Parents of Young Children with and without ASD. Adv Neurodev Disord 2, 169–178 (2018). https://doi.org/10.1007/s41252-018-0054-8
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DOI: https://doi.org/10.1007/s41252-018-0054-8