Journal of Autism and Developmental Disorders

, Volume 44, Issue 11, pp 2820–2831 | Cite as

A Longitudinal Examination of the Relation Between Parental Expressed Emotion and Externalizing Behaviors in Children and Adolescents with Autism Spectrum Disorder

  • Stephanie H. BaderEmail author
  • Tammy D. Barry
Original Paper


The current study explored the longitudinal relation between parental expressed emotion, a well-established predictor of symptom relapse in various other disorders (e.g., schizophrenia) with externalizing behaviors in 84 children, ages 8–18 (at Time 2), with autism spectrum disorder (ASD). It was found that parental expressed emotion, specifically criticism/hostility at Time 1, significantly related to a change in externalizing behaviors from Time 1 to Time 2, even after controlling for Time 1 family income, ASD symptom severity, parental distress, and parenting practices. That is, higher levels of parental criticism/hostility at Time 1 predicted higher levels of child externalizing behaviors at Time 2. However, the reverse was not found. This finding of a unidirectional relation has important clinical implications.


Autism spectrum disorder Expressed emotion Criticism Hostility Emotional overinvolvement Externalizing behaviors Parenting 


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Westchester Institute for Human DevelopmentValhallaUSA
  2. 2.The University of Southern MississippiHattiesburgUSA

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