Collateral Effects of Youth Disruptive Behavior Disorders on Mothers’ Psychological Distress: Adolescents with Autism Spectrum Disorder, Intellectual Disability, or Typical Development
Disruptive behavior disorders were assessed in 160 youth aged 13 years, with Autism Spectrum Disorder (ASD, n = 48), intellectual disability (ID, n = 28), or typical development (TD, n = 84). Mothers’ reported collateral effects on their psychological adjustment were related to both youth disability status and clinical level behavior disorders. More youth with ASD or ID had clinical level behavior disorders than their TD peers, and their mothers reported significantly higher personal stress and psychological symptoms, as well as lower positive impact of the youth on the family. The youth’s clinical level behavior disorders accounted for these differences more than the diagnostic status. Mothers high in dispositional optimism reported the lowest stress and psychological symptoms in relationship to youth behavior challenges.
KeywordsAutism spectrum disorder Intellectual disability Adolescence Behavior disorders Mother stress and well-being Optimism
This paper was based on the activities of the Collaborative Family Study, a two-site longitudinal study supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (Grant Number 34879-1459). This work was done in collaboration with The Help Group-UCLA Autism Research Alliance and Dr. Elizabeth Laugeson, and with partial support from the SEARCH Family Autism Center at UC Riverside and the UCR Vice Chancellor for Research. We appreciate the efforts of our doctoral students, staff, colleague Dr. Keith Crnic and participating families.
JB conceptualized the study. BLB conducted the analyses and both JB and BLB interpreted the findings. JB and BLB drafted the manuscript and conducted manuscript editing. Both BLB and JB directed the conduct of study, interviews with families, etc. BLB was P.I. of the grant which funded in, and JB was co-P.I.
Funding for this study was obtained from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (Grant Number 34879-1459).
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in this study.
- Abidin, R. R. (1990). Parenting stress index manual (3rd ed.). Charlottesville, VA: Pediatric Psychology Press.Google Scholar
- Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Youth, and Families: University of Vermont.Google Scholar
- Baker, B. L., & Blacher, J. (2015). Disruptive behavior disorders in adolescents with ASD: Comparisons to youth with intellectual disability or typical cognitive development. Journal of Mental Health Research in Intellectual Disabilities, 8, 98–116. doi: 10.1080/19315864.2015.1018395.CrossRefGoogle Scholar
- Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K., Edelbrock, C., & Low, C. (2003). Preschool children with and without developmental delay: Behavior problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217–230. doi: 10.1046/j.1365-2788.2003.00484.x.CrossRefPubMedGoogle Scholar
- Baker, B. L., Neece, C., Fenning, R. M., Crnic, K. A., & Blacher, J. (2010). Mental disorders in five-year-old children with or without developmental delay: Focus on ADHD. Journal of Clinical Child and Adolescent Psychology, 39, 492–505. doi: 10.1080/15374416.2010.486321.CrossRefPubMedPubMedCentralGoogle Scholar
- Blacher, J., Baker, B. L., & Berkovits, L. D. (2013). Family perspectives on child intellectual disability: Views from the sunny side of the street. In M. L. Wehmeyer (Ed.), Handbook of positive psychology (pp. 166–181). New York: Oxford University Press. doi: 10.1093/oxfordhb/9780195398786.013.013.0013.Google Scholar
- Braet, C., Callens, J., Schittekatte, M., Soyez, V., Druart, C., & Roeyers, H. (2011). Assessing emotional and behavioural problems with the Child Behavior Checklist: Exploring the relevance of adjusting the norms for the Flemish community. Psychologica Belgica, 51, 213–235. doi: 10.5334/pb-51-3-4-213.CrossRefGoogle Scholar
- Casey, L. B., Zanksas, S., Meindl, J. N., Parra, G. R., Cogdal, P., & Powell, K. (2012). Parental symptoms of posttraumatic stress following a child’s diagnosis of autism spectrum disorder: A pilot study. Research in Autism Spectrum Disorders, 6, 1186–1193. doi: 10.1016/j.rasd.2012.03.008.CrossRefGoogle Scholar
- Derogatis, L. R., & Coons, H. L. (1993). Self-report measures of stress. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress: Theoretical and clinical aspects (2nd ed., pp. 200–233). New York: Free Press.Google Scholar
- Friman, P. C., Handwerk, M. L., Smith, G. L., Larzelere, R. E., Lucas, C. P., & Shaffer, D. M. (2000). External validity of conduct and oppositional defiant disorders determined by the NIMH diagnostic interview schedule for children. Journal of Abnormal Child Psychology, 28, 277–286. doi: 10.1023/A:1005148404980.CrossRefPubMedGoogle Scholar
- 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. doi: 10.1111/j.1365-2788.2009.01220.x.CrossRefPubMedPubMedCentralGoogle Scholar
- Gjevik, E., Sandstad, B., Andreassen, O. A., Myhre, A. M., & Sponheim, E. (2015). Exploring the agreement between questionnaire information and DSM-IV diagnoses of comorbid psychopathology in children with autism spectrum disorders. Autism: The International Journal of Research and Practice, 19, 433–442. doi: 10.1177/1362361314526003.CrossRefGoogle Scholar
- Hansson, S. L., Svanstrom Rojavall, A., Rastam, M., Gillberg, C., & Anckarsater, H. (2005). Psychiatric telephone interview with parents for screening of childhood autism, tics, attention-deficit hyperactivity disorder, and other comorbidities (A-TAC): Preliminary reliability and validity. British Journal of Psychiatry, 187, 262–267. doi: 10.1192/bjp.187.3.262.CrossRefPubMedGoogle Scholar
- 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, 629–642. doi: 10.1007/s10803-012-1604-y.CrossRefPubMedGoogle Scholar
- Hepburn, S. L., Blakeley-Smith, A., Wolff, B., & Reaven, J. A. (2016). Telehealth delivery of cognitive-behavioral intervention to youth with autism spectrum disorder and anxiety: A pilot study. Autism: The International Journal of Research and Practice, 20, 207–218. doi: 10.1177/1362361315575164.CrossRefGoogle Scholar
- Lundstrom, S., Reichenberg, A., Melke, J., Rastam, M., Kerekes, N., Luchtenstein, P., … Anckarsater, H. (2015). Autism spectrum disorders and coexisting disorders in a nationwide Swedish twin study. Journal of Child Psychology and Psychiatry, 56, 702–710. doi: 10.1111/jcpp.12329.CrossRefPubMedGoogle Scholar
- Maljaars, J., Boonen, H., Lambrechts, G., Van Leeuwen, K., & Noens, I. (2014). Maternal parenting behavior and child behavior problems in families of children and adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44, 501–512. doi: 10.1007/s10803-013-1894-8.CrossRefPubMedGoogle Scholar
- Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2012). Cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: A randomized trial. Journal of Child Psychology & Psychiatry, 53, 410–419. doi: 10.1111/j.1469-7610.2011.02486.x.CrossRefGoogle Scholar
- Sattler, J. M., & Dumont, R. (2004). Assessment of children: WISC-IV and WPPSI-III supplement. LaMesa, CA: Jerome M Sattler Publisher Inc.Google Scholar
- Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A re-evaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063–1078. doi: 10.1037/0022-35188.8.131.523.CrossRefPubMedGoogle Scholar
- Shaffer, D., Fisher, P., Lucas, C., & Comer, J. (2006). Scoring manual: diagnostic interview schedule for children (DISC-IV). New York: Columbia University.Google Scholar
- Shaffer, D., Schwab-Stone, M., Fisher, P., & Cohen, P. (1993). The diagnostic interview schedule for children-revised version (DISC-R): I. Preparation, field testing, inter-rater reliability, and acceptability. Journal of the American Academy of Child & Adolescent Psychiatry, 32(3), 643–650. doi: 10.1097/00004583-199305000-00023.CrossRefGoogle Scholar
- Sikora, D., Moran, E., Orlich, F., Hall, T. H., Kovacs, E. A., Delahaye, J., … Kuhlthau, K. (2013). The relationship between family functioning and behavior problems in children with autism spectrum disorders. Research in Autism Spectrum Disorders, 7(2), 302–315. doi: 10.1016/j.rasd.2012.09.006.CrossRefGoogle Scholar
- Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, R., & Baird, B. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929. doi: 10.1097/CHI.0b013e318179964f.CrossRefPubMedGoogle Scholar
- Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B. T., Myers, R. E. … Singh, J. (2014). Mindfulness-based positive behavior support (MBPBS) for mothers of adolescents with autism spectrum disorder: Effects on adolescents’ behavior and parental stress. Mindfulness, 5, 646–657. doi: 10.1007/s12671-014-0321-3.CrossRefGoogle Scholar
- Sparrow, S. S., Cicchetti, D. V., & Balla, B. A. (2005). Vineland scales of adaptive behavior, (2nd ed.). Circle Pine, MN: American Guidance Service.Google Scholar
- Taylor, Z. E., Widaman, K. F., Robins, R. W., Jochem, R., Early, D. R., & Conger, R. D. (2011). Dispositional optimism: A psychological resource for Mexican-origin mothers experiencing economic stress. Journal of Family Psychology, 26, 133–139. doi: 10.1037/a0026755.CrossRefPubMedPubMedCentralGoogle Scholar
- Totsika, V., Hastings, R. P., Emerson, E., Lancaster, G. A., & Berridge, D. M. (2011). A population-based investigation of behavioural and emotional problems and maternal mental health: Associations with autism spectrum disorder and intellectual disability. Journal of Child Psychology and Psychiatry, 52, 91–99. doi: 10.1111/j.1469-7610.2010.02295.x.CrossRefPubMedGoogle Scholar
- Van Steijn, J. D., Oerlemans, A. M., Van Aken, M. A. G., Buitelaar, J. K., & Rommelse, N. N. J. (2014). The reciprocal relationship of ASD, ADHD, depressive symptoms, and stress in parents of children with ASD and/or ADHD. Journal of Autism and Developmental Disorders, 44, 1064–1076. doi: 10.1007/s10803-013-1958-9.CrossRefPubMedGoogle Scholar
- Wechsler, D. (2003). Wechsler intelligence scale for children (4th ed.). San Antonio, TX: Harcourt Assessments.Google Scholar
- Weiss, J. A., Robinson, S., Fung, S., Tint, A., Chalmers, P., & Lunsky, Y. (2013). Family hardiness, social support, and self-efficacy in mothers of individuals with autism spectrum disorders. Research in Autism Spectrum Disorders, 7(11), 1310–1317. doi: 10.1016/j.rasd.2013.07.016.CrossRefGoogle Scholar
- Willis, K., Timmons, L., Pruitt, M., Schneider, H. L., Alessandri, M., & Ekas, N. V. (2016). The relationship between optimism, coping, and depressive symptoms in Hispanic mothers and fathers of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 46(7), 2427–2440. doi: 10.1007/s10803-016-2776-7.CrossRefPubMedGoogle Scholar