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Journal of Autism and Developmental Disorders

, Volume 44, Issue 8, pp 1908–1917 | Cite as

Examination of Bidirectional Relationships Between Parent Stress and Two Types of Problem Behavior in Children with Autism Spectrum Disorder

  • Anat Zaidman-Zait
  • Pat Mirenda
  • Eric Duku
  • Peter Szatmari
  • Stelios Georgiades
  • Joanne Volden
  • Lonnie Zwaigenbaum
  • Tracy Vaillancourt
  • Susan Bryson
  • Isabel Smith
  • Eric Fombonne
  • Wendy Roberts
  • Charlotte Waddell
  • Ann Thompson
  • the Pathways in ASD Study Team
Original Paper

Abstract

Path analysis within a structural equation modeling framework was employed to examine the relationships between two types of parent stress and children’s externalizing and internalizing behaviors over a 4-year period, in a sample of 184 mothers of young children with autism spectrum disorder. Parent stress was measured with the Parenting Stress Index-Short Form and child behavior was measured with Child Behavior Checklist/1.5–5. Across all time points, parent general distress predicted both types of child behaviors, but not vice versa. In addition, there was modest evidence of a bidirectional relationship between parenting distress and both types of child behaviors from 12 months post-diagnosis to age 6. Results are compared to previous work in this area, with implications for early intervention.

Keywords

Autism spectrum disorder Parenting stress Externalizing behavior Internalizing behavior 

Notes

Acknowledgments

This study was funded by the Canadian Institutes of Health Research, Autism Speaks, the Government of British Columbia, the Alberta Innovates—Health Solutions, and the Sinneave Family Foundation. The authors thank all the families who participated in the Pathways in ASD study. The authors also acknowledge the past and current members of the Pathways in ASD Study Team, who made equal contributions to the study.

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

10803_2014_2064_MOESM1_ESM.docx (496 kb)
Supplementary material 1 (DOCX 496 kb)
10803_2014_2064_MOESM2_ESM.docx (540 kb)
Supplementary material 2 (DOCX 540 kb)

References

  1. Abidin, R. R. (1995). Parenting Stress Index (3rd ed.). Odessa, FL: Psychological Assessment Resource.Google Scholar
  2. Achenbach, T. M., & Rescorla, L. A. (2000). Manual for ASEBA preschool forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.Google Scholar
  3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  4. Baker, B., McIntyre, L., Blacher, J., Crnic, K., Edelbrock, C., & Low, C. (2003). Pre-school children with and without developmental delay: Behavior problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217–230.PubMedCrossRefGoogle Scholar
  5. Baker, J., Smith, L. E., Greenberg, J., Seltzer, M. M., & Taylor, J. L. (2011). Change in maternal criticism and behavior problems in adolescents and adults with autism across a 7-year period. Journal of Abnormal Psychology, 120, 465–475.PubMedCentralPubMedCrossRefGoogle Scholar
  6. Bauminger, N., Solomon, M., & Rogers, S. (2010). Externalizing and internalizing behaviors in ASD. Autism Research, 3, 101–112.PubMedCrossRefGoogle Scholar
  7. Bennett, T., Boyle, M., Georgiades, K., Georgiades, S., Thompson, A., Duku, E., et al. (2012). Influences of reporting effects on the association between maternal depression and child autism spectrum disorder behaviors. Journal of Child Psychology and Psychiatry, 53, 89–96.PubMedCrossRefGoogle Scholar
  8. Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford.Google Scholar
  9. Bryan, A., Schmiege, S. J., & Broaddus, M. R. (2007). Mediational analysis in HIV/AIDS research: Estimating multivariate path analytic models in a structural equation modeling framework. AIDS and Behavior, 11, 365–383.PubMedCrossRefGoogle Scholar
  10. Constantino, J. N., & Gruber, C. P. (2005). Social Responsiveness Scale. Los Angeles: Western Psychological Services.Google Scholar
  11. Crnic, K., Gaze, C., & Hoffman, C. (2005). Cumulative parenting stress across the preschool period: Relations to maternal parenting and child behavior at age 5. Infant and Child Development, 14, 117–132.CrossRefGoogle Scholar
  12. Deater-Deckard, K. (1998). Parenting stress and child adjustment: Some old hypotheses and new questions. Clinical Psychology: Science and Practice, 5, 314–332.Google Scholar
  13. Derogatis, L. R. (1994). SCL-90-R: Administration, scoring, and procedures manual (3rd ed.). Minneapolis: National Computer Systems.Google Scholar
  14. Durand, V. M. (2011). Optimistic parenting: Hope and help for you and your challenging child. Baltimore, MD: Paul H. Brookes.Google Scholar
  15. Durand, V. M., Hieneman, M., Clarke, S., Wang, M., & Rinaldi, M. (2013). Positive Family Intervention for challenging behavior I: A multisite randomized clinical trial. Journal of Positive Behavior Interventions, 15, 133–143.CrossRefGoogle Scholar
  16. Embry, L., & Dawson, G. (2002). Disruptions in parenting behavior related to maternal depression: Influences on children’s behavioral and psychobiological development. In J. G. Borkowski & S. L. Ramey (Eds.), Parenting and the child’s world: Influences on academic, intellectual, and social-emotional development (pp. 203–212). Mahwah, NJ: Lawrence Erlbaum Associates Inc.Google Scholar
  17. Estes, A., Munson, J., Dawson, G., Koehler, E., Xiao-Hua, Z., & Abbott, R. (2009). Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism, 13, 375–387.PubMedCrossRefGoogle Scholar
  18. 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 & Development, 35, 133–138.CrossRefGoogle Scholar
  19. Goodman, S., Rouse, M., Connell, A., Broth, M. R., Hall, C., & Heyward, D. (2011). Maternal depression and child psychopathology: A meta-analytic review. Clinical Child and Family Psychology Review, 14, 1–27.PubMedCrossRefGoogle Scholar
  20. Hall, H., & Graff, J. C. (2012). Maladaptive behaviors of children with autism: Parent support, stress, and coping. Issues in Comprehensive Pediatric Nursing, 35, 194–214.PubMedCrossRefGoogle Scholar
  21. Haskett, M., Ahern, L., Ward, C., & Allaire, J. (2006). Factor structure and validity of the Parenting Stress Index-Short Form. Journal of Clinical Child and Adolescent Psychology, 35, 302–312.PubMedCrossRefGoogle Scholar
  22. Hastings, R. P. (2002). Parental stress and behavior problems of children with developmental disability. Journal of Intellectual & Developmental Disability, 27, 149–160.CrossRefGoogle Scholar
  23. Hastings, R. P., Daley, D., Burns, C., & Beck, A. (2006). Maternal distress and expressed emotion: Cross-sectional and longitudinal relationships with behavior problems of children with intellectual disabilities. American Journal on Mental Retardation, 111, 48–61.PubMedCrossRefGoogle Scholar
  24. 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 Disorders, 43, 629–642.PubMedCrossRefGoogle Scholar
  25. Herring, S., Gray, K., Taffe, J., Tonge, B., Sweeney, D., & Einfeld, S. (2006). Behavior 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, 874–882.PubMedCrossRefGoogle Scholar
  26. Hoffman, C., Crnic, K. A., & Baker, J. K. (2006). Maternal depression and parenting Implications for children’s emergent emotion regulation and behavioral functioning. Parenting Science and Practice, 6, 271–295.CrossRefGoogle Scholar
  27. Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599–610.PubMedCrossRefGoogle Scholar
  28. Hoyle, R. H. (Ed.). (1995). Structural equation modeling. Thousand Oaks, CA: Sage Publications.Google Scholar
  29. Karst, J., & Van Hecke, A. V. (2012). Parent and family impact of autism spectrum disorders: A review and proposed model for intervention education. Clinical Child and Family Psychology Review, 15, 247–277.PubMedCrossRefGoogle Scholar
  30. Kline, R. B. (2011). Principles and practice of structural equation modeling. New York: Guilford Press.Google Scholar
  31. Kuhn, J., & Carter, A. (2006). Maternal self-efficacy and associated parenting cognitions among caregivers of children with autism. American Journal of Orthopsychiatry, 76, 564–575.PubMedCrossRefGoogle Scholar
  32. Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behavior problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50, 172–183.PubMedCrossRefGoogle Scholar
  33. Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). The Autism Diagnostic Observation Scale (ADOS). Los Angeles, CA: Western Psychological Services.Google Scholar
  34. Lucyshyn, J., Binnendyk, L., Fossett, B., Cheremshynksi, C., Lohrmann, S., & Miller, L. (2011). Toward and ecological unit of analysis in behavioral assessment and intervention with families of children with developmental disabilities. In W. Sailor, G. Dunlap, G. Sugai, & R. Horner (Eds.), Handbook of positive behavior support (pp. 73–106). New York: Springer.Google Scholar
  35. Lucyshyn, J., Dunlap, G., & Albin, R. W. (Eds.). (2002). Families and positive behavior support: Addressing problem behavior in family contexts. Baltimore: Paul H. Brookes.Google Scholar
  36. Lucyshyn, J., Irvin, L., Blumberg, E. R., Laverty, R., Horner, R. H., & Sprague, J. (2004). Validating the construct of coercion in family routines: Expanding the unit of analysis in behavioral assessment with families of children with developmental disabilities. Research and Practice for Persons with Severe Disabilities, 29, 104–121.CrossRefGoogle Scholar
  37. McStay, R., Dissanayake, C., Scheeren, A., Koot, J., & Begeer, S. (2013). Parenting stress and autism: The role of age, autism severity, quality of life, and problem behavior of children an d adolescent with autism. Autism. doi: 10.1177/1362361313485163.PubMedGoogle Scholar
  38. Muthén, L. K., & Muthén, B. O. (2012). M-plus User’s Guide (6th ed.). Los Angeles, CA: Muthén & Muthén.Google Scholar
  39. Orsmond, G., Seltzer, M. M., Krauss, M. W., & Hong, J. (2003). Behavior problems in adults with mental retardation and maternal well-being: Examination of the direction of effects. American Journal on Mental Retardation, 108, 257–271.PubMedCrossRefGoogle Scholar
  40. 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, 1092–1103.PubMedCrossRefGoogle Scholar
  41. Osborne, L., & Reed, P. (2010a). The relationship between parenting stress and behavior problems of children with autism spectrum disorders. Exceptional Children, 76, 54–73.Google Scholar
  42. Osborne, L., & Reed, P. (2010b). Stress and self-perceived parenting behaviors of parents of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 4, 405–414.CrossRefGoogle Scholar
  43. Pandolfi, V., Magyar, C. I., & Dill, C. A. (2009). Confirmatory factor analysis of the Child Behavior Checklist 1.5-5 in a sample of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 986–995.PubMedCentralPubMedCrossRefGoogle Scholar
  44. Roid, G., & Sampers, J. (2004). Merrill-Palmer-Revised Scales of development. Wood Dale, IL: Stoelting Co.Google Scholar
  45. Rutter, M., LeCouteur, A., & Lord, C. (2003). The Autism Diagnostic Interview-Revised (ADI-R). Los Angeles, CA: Western Psychological Services.Google Scholar
  46. Sanders, M., Mazzucchelli, T., & Studman, L. (2004). Stepping Stones Triple P: The theoretical basis and development of an evidence-based positive parenting program for families with a child who has a disability. Journal of Intellectual & Developmental Disability, 29, 265–283.CrossRefGoogle Scholar
  47. Shine, R., & Perry, A. (2010). The relationship between parental stress and intervention outcome of children with autism. Journal on Developmental Disabilities, 16, 64–66.Google Scholar
  48. Silva, L. M., & Schalock, M. (2012). Autism parenting stress index: Initial psychometric evidence. Journal of Autism and Developmental Disorders, 42, 566–574.PubMedCrossRefGoogle Scholar
  49. Smith, I. M., Koegel, R. L., Koegel, L. K., Openden, D., Fossum, K. L., & Bryson, S. E. (2010). Effectiveness of a novel community-based early intervention model for children with autistic spectrum disorder. American Journal on Intellectual and Developmental Disabilities, 115, 504–523.PubMedCrossRefGoogle Scholar
  50. Solish, A., & Perry, A. (2008). Parents’ involvement in their children’s behavioral intervention programs: Parent and therapist perspectives. Research in Autism Spectrum Disorders, 2, 728–738.CrossRefGoogle Scholar
  51. Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland Adaptive Behavior Scales: Second Edition, Survey Interview Form/Caregiver Rating Form. Livonia, MN: Pearson Assessments.Google Scholar
  52. Steiner, A., Koegel, L., Koegel, R., & Ence, W. (2012). Issues and theoretical constructs regarding parent education for autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 1218–1227.PubMedCrossRefGoogle Scholar
  53. Stock, R., Mirenda, P., & Smith, I. (2013). Comparison of community-based verbal behavior and pivotal response treatment programs for young children with autism. Research in Autism Spectrum Disorders, 7, 1168–1181.CrossRefGoogle Scholar
  54. Strauss, K., Vicari, S., Valeri, G., D’Elia, L., Arima, S., & Fava, L. (2012). Parent inclusion in Early Intensive Behavioral Intervention: The influence of parental stress, parents treatment fidelity, and parent-mediated generalization of behavior targets on child outcomes. Research in Developmental Disabilities, 33, 688–703.PubMedCrossRefGoogle Scholar
  55. Theule, J., Wiener, J., Rogers, M., & Marton, I. (2011). Predicting parenting stress in families of children with ADHD: Parent and contextual factors. Journal of Child and Family Studies, 20, 640–647.CrossRefGoogle Scholar
  56. Tomanik, S., Harris, G. E., & Hawkins, J. (2004). The relationship between behaviors exhibited by children with autism and maternal stress. Journal of Intellectual and Developmental Disability, 29, 16–26.CrossRefGoogle Scholar
  57. Volden, J., Georgiades, S., Alexander, M., Bennett, T. A., Colli, L., MacLeod, K., et al., (2012, May). Canadian services for young children with autism spectrum disorder: A preliminary overview. In Abstracts of the International Meeting for Autism Research (p. 312). Toronto, ON: International Society for Autism Research.Google Scholar
  58. Westland, J. C. (2010). Lower bounds on sample size in structural equation modeling. Electronic Commerce Research and Applications, 9, 476–487.CrossRefGoogle Scholar
  59. Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. (2009). Stepping Stones Triple P: An RCT of a parenting program with parents of a child diagnosed with an autism spectrum disorder. Journal of Abnormal Child Psychology, 37, 469–480.PubMedCrossRefGoogle Scholar
  60. Wright, C. A., George, T. P., Burke, R., Gelfand, D. M., & Teti, D. M. (2000). Early maternal depression and children’s adjustment to school. Child Study Journal, 30, 153–168.Google Scholar
  61. Zaidman-Zait, A., Mirenda, P., Szatmari, P., Bryson, S. E., Fombonne, E., Smith, I. M., et al. (2013). Child, parental, and contextual factors that predict parenting stress in families of young children with ASD over a 2-year period after diagnosis. San Sebastian, Spain: Paper presented at the International Meeting for Autism Research.Google Scholar
  62. Zaidman-Zait, A., Mirenda, P., Zumbo, B., Georgiades, S., Szatmari, P., Bryson, S., et al. (2011). Factor analysis of the Parenting Stress Index-Short Form with parents of young children with autism spectrum disorders. Autism Research, 4, 336–346.PubMedCrossRefGoogle Scholar
  63. Zaidman-Zait, A., Mirenda, P., Zumbo, B. D., Wellington, S., Dua, V., & Kalynchuk, K. (2010). An item response theory analysis of the Parenting Stress Index-Short Form with parents of children with autism spectrum disorders. Journal of Child Psychology and Psychiatry, 51, 1269–1277.PubMedCrossRefGoogle Scholar
  64. Zimmerman, I. L., Steiner, V. G., & Pond, R. E. (2002). Preschool Language Scale (4th ed.). San Antonio TX: Psychological Corporation.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Anat Zaidman-Zait
    • 1
    • 2
  • Pat Mirenda
    • 2
  • Eric Duku
    • 3
  • Peter Szatmari
    • 4
    • 11
  • Stelios Georgiades
    • 3
  • Joanne Volden
    • 5
  • Lonnie Zwaigenbaum
    • 5
  • Tracy Vaillancourt
    • 6
  • Susan Bryson
    • 7
  • Isabel Smith
    • 7
  • Eric Fombonne
    • 8
    • 12
  • Wendy Roberts
    • 9
  • Charlotte Waddell
    • 10
  • Ann Thompson
    • 3
  • the Pathways in ASD Study Team
  1. 1.School of EducationTel Aviv UniversityTel AvivIsrael
  2. 2.University of British ColumbiaVancouverCanada
  3. 3.McMaster UniversityHamiltonCanada
  4. 4.University of TorontoTorontoCanada
  5. 5.University of AlbertaEdmontonCanada
  6. 6.University of OttawaOttawaCanada
  7. 7.IWK Health Sciences Centre/Dalhousie UniversityHalifaxCanada
  8. 8.Oregon Health Sciences UniversityPortlandUSA
  9. 9.The Hospital for Sick Children/University of TorontoTorontoCanada
  10. 10.Simon Fraser UniversityBurnabyCanada
  11. 11.Offord Centre for Child StudiesMcMaster UniversityHamiltonCanada
  12. 12.McGill UniversityMontrealCanada

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