Feeling Good, Feeling Bad: Influences of Maternal Perceptions of the Child and Marital Adjustment on Well-being in Mothers of Children with an Autism Spectrum Disorder

  • Diane M. Lickenbrock
  • Naomi V. Ekas
  • Thomas L. Whitman
Original Paper


Mothers of children with an autism spectrum disorder (n = 49) participated in a 30-day diary study which examined associations between mothers’ positive and negative perceptions of their children, marital adjustment, and maternal well-being. Hierarchical linear modeling results revealed that marital adjustment mediated associations between positive perceptions and maternal well-being. Mothers who reported higher levels of positive perceptions of the child were higher in marital adjustment and well-being. Results also revealed that marital adjustment moderated the relation between negative perceptions and negative maternal affect. Mothers low in marital adjustment had a positive association between negative maternal perceptions of the child and negative maternal affect. These findings highlight the dynamic roles that mothers’ perceptions and marital adjustment play in determining maternal psychological outcomes.


Autism Daily experiences Marital adjustment Maternal well-being Multilevel modeling Negative and positive maternal perceptions of the child 


  1. Abbeduto, L., Selzter, M. M., Shattuck, P., Krauss, M. W., Orsmond, G., & Murphy, M. M. (2004). Psychological well-being and coping in mothers of youths with autism, down syndrome, or fragile x syndrome. American Journal on Mental Retardation, 109, 237–254.PubMedCrossRefGoogle Scholar
  2. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.Google Scholar
  3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
  4. Bauer, D. J., Preacher, K. J., & Gil, K. M. (2006). Conceptualizing and testing random indirect effects and moderated mediation in multilevel models: New procedures and recommendations. Psychological Methods, 11, 143–163.CrossRefGoogle Scholar
  5. Belsky, J., Youngblade, L., Rovine, M., & Volling, B. (1991). Patterns of marital change and parent-child interaction. Journal of Marriage and the Family, 53, 487–498.CrossRefGoogle Scholar
  6. Benson, P. R., & Karlof, K. L. (2009). Anger, stress proliferation, and depressed mood among parents with ASD: A longitudinal replication. Journal of Autism and Developmental Disorders, 39, 350–362.PubMedCrossRefGoogle Scholar
  7. Bishop, S. L., Richler, J., Cain, A. C., & Lord, C. (2007). Predictors of perceived negative impact in mothers of children with autism spectrum disorder. American Journal on Mental Retardation, 112, 450–461.PubMedCrossRefGoogle Scholar
  8. Bolger, N., Davis, A., & Rafaeli, E. (2003). Diary methods: Capturing life as it is lived. Annual Review of Psychology, 54, 579–616.PubMedCrossRefGoogle Scholar
  9. Bristol, M. A. (1987). Mothers of children with autism or communication disorders: Successful adaptation and the double ABCX model. Journal of Autism and Developmental Disorders, 17, 469–486.PubMedCrossRefGoogle Scholar
  10. Cohan, C. L., & Bradbury, T. N. (1997). Negative life events, marital interaction, and the longitudinal course of newlywed marriage. Journal of Personality and Social Psychology, 73, 114–128.PubMedCrossRefGoogle Scholar
  11. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.PubMedCrossRefGoogle Scholar
  12. Cohen, L. H., Gunthert, K. C., Butler, A. C., O’Neill, S. C., & Toplin, L. H. (2005). Daily affective reactivity as a prospective predictor of depressive symptoms. Journal of Personality, 73, 1687–1713.PubMedCrossRefGoogle Scholar
  13. Crane, D., Allgood, S. M., Larson, J. H., & Griffin, W. (1990). Assessing marital quality with distressed and nondistressed couples: A comparison and equivalency table for three frequently used measures. Journal of Marriage and the Family, 52, 87–93.CrossRefGoogle Scholar
  14. Cummings, E. M., Davies, P. T., & Campbell, S. B. (2000). Developmental psychopathology and family process: Theory, research, and clinical implications. New York, NY: The Guilford Press.Google Scholar
  15. Cummings, E. M., Faircloth, W. B., Mitchell, P. M., Cummings, J. S., & Schermerhorn, A. C. (2008). Evaluating a brief prevention program for improving marital conflict in community families. Journal of Family Psychology, 22, 193–202.PubMedCrossRefGoogle Scholar
  16. Ekas, N. V., & Whitman, T. L. (2010). Autism symptom topography and maternal socioemotional functioning. American Journal of Intellectual and Developmental Disabilities, 115, 234–249.CrossRefGoogle Scholar
  17. Ekas, N. V., Whitman, T. L., & Shivers, C. (2009). Religiosity, spirituality, and socioemotional functioning in mothers of children with autism spectrum disorder. Journal of Autism and Development Disorders, 39, 706–719.CrossRefGoogle Scholar
  18. Fisman, S., & Wolf, L. (1991). The handicapped child: Psychological effects of parental, marital, and sibling relationships. Psychiatric Clinics of North America, 14, 199–217.PubMedGoogle Scholar
  19. Fisman, S., Wolf, L., Ellison, D., & Freeman, T. (2000). A longitudinal study of siblings of children with chronic disabilities. The Canadian Journal of Psychiatry, 45, 369–375.Google Scholar
  20. Gerstein, E. D., Crnic, K. A., Blacher, J., & Baker, B. L. (2009). Resilience and the course of daily parenting stress in families of young children with intellectual disabilities. Journal of Intellectual Disability Research, 53, 981–997.PubMedCrossRefGoogle Scholar
  21. Hastings, R. P., & Brown, T. (2002). Behavioural problems of children with autism, parental self-efficacy, and mental health. American Journal of Mental Retardation, 107, 222–232.PubMedCrossRefGoogle Scholar
  22. Hastings, R. P., & Taunt, H. M. (2002). Positive perceptions in families of children with developmental disabilities. American Journal on Mental Retardation, 107, 116–127.PubMedCrossRefGoogle Scholar
  23. 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, 635–644.PubMedCrossRefGoogle Scholar
  24. Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408–420.CrossRefGoogle Scholar
  25. Hetherington, E. M. (2003). Intimate pathways: Changing patterns in close personal relationships over time. Family Relations, 52, 318–331.CrossRefGoogle Scholar
  26. Higgins, D. J., Bailey, S. R., & Pierce, J. C. (2005). Factors associated with functioning style and coping strategies of families with a child with an autism spectrum disorder. Autism, 9, 125–137.PubMedCrossRefGoogle Scholar
  27. Koegel, R. L., Schreibman, L., Loos, L. L., Dirlich-Wilhelm, H., Dunlap, G., Robbins, F. R., et al. (1992). Consistent stress profiles in mothers of children with autism. Journal of Autism and Developmental Disorders, 22, 205–216.PubMedCrossRefGoogle Scholar
  28. Kogan, M. D., Blumberg, S. J., Schieve, L. A., Boyle, C. A., Perrin, J. M., Ghandour, R. M., et al. (2009). Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007. Pediatrics, 124, 1–9. doi: 10.1542/peds.2009-1522.CrossRefGoogle Scholar
  29. Lee, G. K. (2009). Parents of children with high functioning autism: How well do they cope and adjust? Journal of Developmental and Physical Disabilities, 21, 93–114.CrossRefGoogle Scholar
  30. Locke, H. J., & Wallace, K. M. (1959). Short marital-adjustment and prediction tests: Their reliability and validity. Marrriage and Family Living, 21, 251–255.CrossRefGoogle Scholar
  31. MacKinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding, and suppression effect. Prevention Science, 1, 173–181.PubMedCrossRefGoogle Scholar
  32. Nesselroade, J. R. (1991). Interindividual differences in intraindividual change. In L. M. Collins & J. L. Horn (Eds.), Best methods for the analysis of change: Recent advances, unanswered questions, future directions (pp. 92–105). Washington, DC: American Psychological Association.Google Scholar
  33. Olsson, M. B., & Hwang, C. P. (2001). Depression in mothers and fathers of children with intellectual disability. Journal of Intellectual Disability Research, 45, 535–545.PubMedCrossRefGoogle Scholar
  34. Ong, A. D., Bergeman, C. S., Bisconti, T. L., & Wallace, K. A. (2006). Psychological Resilience, positive emotions, and successful adaptation to stress in later life. Journal of Personality and Social Psychology, 91, 730–749.PubMedCrossRefGoogle Scholar
  35. Osborne, L., & Reed, P. (2010). Stress and self-perceived parenting behaviors of parents of children with autism spectrum conditions. Research in Autism Spectrum Disorders, 4, 405–414.CrossRefGoogle Scholar
  36. Phelps, K., McCammon, S., Wuensch, K., & Golden, J. (2009). Enrichment, stress, and growth from caring for an individual with an autism spectrum disorder. Journal of Intellectual and Developmental Disability, 34, 133–141.PubMedCrossRefGoogle Scholar
  37. Pottie, C. G., & Ingram, K. M. (2008). Daily stress, coping, and well-being in parents of children with autism: A multilevel modeling approach. Journal of Family Psychology, 22, 855–864.PubMedCrossRefGoogle Scholar
  38. Pottie, C. G., Cohen, J., & Ingram, K. M. (2009). Parenting a child with autism: Contextual factors associated with enhanced daily parental mood. Journal of Pediatric Psychology, 34, 419–429.PubMedCrossRefGoogle Scholar
  39. Raundenbush, S. W., & Bryk, A. S. (2002). Hierarchical Linear Models: Applications and Data Analysis Methods. Thousand Oaks: Sage Publications.Google Scholar
  40. Risdal, D., & Singer, G. H. S. (2004). Marital adjustment in parents of children with disabilities: A historical review and meta-analysis. Research & Practice for Persons with Severe Disabilities, 29, 95–103.CrossRefGoogle Scholar
  41. Smith, L. E., Hong, J., Seltzer, M. M., Greenberg, J. S., Almeida, D. M., & Bishop, S. L. (2010). Daily experiences among mothers of adolescents and adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 40, 167–178.PubMedCrossRefGoogle Scholar
  42. Tehee, E., Honan, R., & Hevey, D. (2009). Factors contributing to stress in parents of individuals with autistic spectrum disorders. Journal of Applied Research in Intellectual Disabilities, 22, 34–42.CrossRefGoogle Scholar
  43. Towbin, K. E., Mauk, J. E., & Batshaw, M. L. (2002). Pervasive developmental disorders. In M. L. Batshaw (Ed.), Children with disabilities (5th ed., pp. 365–387). Baltimore, MD: Brooks.Google Scholar
  44. Trute, B., & Hierbert-Murphy, D. (2002). Family adjustment to childhood developmental disability: A measure of parent appraisal of family impacts. Journal of Pediatric Psychology, 27, 271–280.PubMedCrossRefGoogle Scholar
  45. Watson, D., & Clark, L. A. (1997). Measurement and mismeasurement of mood: Recurrent and emergent issues. Journal of Personality Assessment, 68, 267–296.PubMedCrossRefGoogle Scholar
  46. Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scale. Journal of Personality and Social Psychology, 54, 1063–1070.PubMedCrossRefGoogle Scholar
  47. Whitman, T. L. (2004). The development of autism: A self-regulatory perspective. London: Jessica Kingsley.Google Scholar
  48. Williams, K. (2003). Has the future of marriage arrived? A contemporary examination of gender, marriage, and psychological well-being. Journal of Health and Social Behavior, 44, 470–487.PubMedCrossRefGoogle Scholar
  49. Zatura, A. J., Guarenaccia, C. A., & Dohrenwend, B. P. (1986). Measuring small life events. American Journal of Community Psychology, 14, 629–655.CrossRefGoogle Scholar
  50. Zatura, A. J., & Reich, J. W. (1983). Life events and perceptions of life quality: Developments in a two-factor approach. Journal of Community Psychology, 11, 121–132.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Diane M. Lickenbrock
    • 1
    • 3
  • Naomi V. Ekas
    • 2
  • Thomas L. Whitman
    • 1
  1. 1.University of Notre DameSouth BendUSA
  2. 2.University of MiamiCoral GablesUSA
  3. 3.Department of Human Development and Family StudiesThe Pennsylvania State UniversityUniversity ParkUSA

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