Skip to main content
Log in

Parenting Stress and Child Behavior Problems in Young Children with Autism Spectrum Disorder: Transactional Relations Across Time

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

This longitudinal study examined the transactional relations between parenting stress and both internalizing and externalizing behavioral problems in young children with autism spectrum disorder (ASD) over 1.5 years using a cross-lagged panel analysis. Participants included 75 young children with ASD (Time 1; mean age = 25.68 months) and their parents. Parenting stress that was related to parent’s perceptions on child characteristics was found to predict externalizing behavioral problems in young children with ASD across two time points. However, behavioral problems in young children with ASD did not predict parenting stress. These findings provide implications for early intervention and family services for young children with ASD and their families.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  • Abidin, R. R. (1990). Parenting stress index (3rd ed.). Charlottesville, VA: Pediatric Psychology Press.

    Google Scholar 

  • Abidin, R. R. (1995). Parenting stress index: Professional Manual (3rd ed.). Odessa, FL: Psychological Assessment Resource.

    Google Scholar 

  • Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms and profiles: An integrated system of multi-informant assessment. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Arbuckle, J. L. (2012). IBM SPSS AMOS (Version 21.0) [Computer Program]. Chicago: IBM.

    Google Scholar 

  • Bauminger, N., Solomon, M., & Rogers, S. J. (2010). Externalizing and internalizing behaviors in ASD. Autism Research, 3(3), 101–112.

    PubMed  PubMed Central  Google Scholar 

  • Benson, P. R. (2010). Coping, distress, and well-being in mothers of children with autism. Research in Autism Spectrum Disorders, 4(2), 217–228.

    Google Scholar 

  • Benson, P. R., & Kersh, J. (2011). Marital quality and psychological adjustment among mothers of children with ASD: Cross-sectional and longitudinal relationships. Journal of Autism and Developmental Disorders, 41(12), 1675–1685.

    PubMed  Google Scholar 

  • Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., et al. (2015). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trial. The Journal of the American Medical Association, 313(15), 1524–1533.

    PubMed  Google Scholar 

  • Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford.

    Google Scholar 

  • Byrne, B. (2010). Structural equation modeling with AMOS (2nd ed.). New York: Routledge.

    Google Scholar 

  • Chao, K. Y., Chang, H. L., Chin, W. C., Li, H. M., & Chen, S. H. (2018). How Taiwanese parents of children with autism spectrum disorder experience the process of obtaining a diagnosis: A descriptive phenomenological analysis. Autism, 22(4), 388–400.

    PubMed  Google Scholar 

  • Chen, S. J., & Wu, C. C. (2017). The mediation of coping behaviors in the relationships between parenting stress and depression, hopelessness, and quality of life among mothers of preschool children with autism spectrum disorders. Journal of Education & Psychology, 40(4), 63–90. in Chinese.

    Google Scholar 

  • Craig, F., Operto, F. F., De Giacomo, A., Margari, L., Frolli, A., Conson, M., et al. (2016). Parenting stress among parents of children with neurodevelopmental disorders. Psychiatry Research, 242, 121–129.

    PubMed  Google Scholar 

  • 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), 1278–1291.

    PubMed  Google Scholar 

  • Estes, A., Munson, J., Dawson, G., Koehler, E., Zhou, X. H., & Abbott, R. (2009). Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism, 13(4), 375–387.

    PubMed  Google Scholar 

  • 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 and Development, 35(2), 133–138.

    PubMed  Google Scholar 

  • Falk, N. H., Norris, K., & Quinn, M. G. (2014). The factors predicting stress, anxiety and depression in the parents of children with autism. Journal of Autism and Developmental Disorders, 44(12), 3185–3203.

    PubMed  Google Scholar 

  • Gau, S. S. F., Chou, M. C., Lee, J. C., Wong, C. C., Chou, W. J., Chen, M. F., et al. (2010). Behavioral problems and parenting style among Taiwanese children with autism and their siblings. Psychiatry and Clinical Neurosciences, 64(1), 70–78.

    PubMed  Google Scholar 

  • Giovagnoli, G., Postorino, V., Fatta, L. M., Sanges, V., De Peppo, L., Vassena, L., et al. (2015). Behavioral and emotional profile and parental stress in preschool children with autism spectrum disorder. Research in Developmental Disabilities, 45–46, 411–421.

    PubMed  Google 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(3), 629–642.

    PubMed  Google Scholar 

  • Hou, Y. M., Stewart, L., Iao, L. S., & Wu, C. C. (2018). Parenting stress and depressive symptoms in Taiwanese mothers of young children with autism spectrum disorder: Association with children’s behavioural problems. Journal of Applied Research in Intellectual Disabilities, 31(6), 1113–1121.

    PubMed  Google Scholar 

  • Hsiao, Y. J. (2016). Pathways to mental health-related quality of life for parents of children with autism spectrum disorder: Roles of parental stress, children’s performance, medical support, and neighbor support. Research in Autism Spectrum Disorders, 23, 122–130.

    Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.

    Google Scholar 

  • Huang, C. Y., Yen, H. C., Tseng, M. H., Tung, L. C., Chen, Y. D., & Chen, K. L. (2014). Impacts of autistic behaviors, emotional and behavioral problems on parenting stress in caregivers of children with autism. Journal of Autism and Developmental Disorders, 44(6), 1383–1390.

    PubMed  Google Scholar 

  • Keen, D., Couzens, D., Muspratt, S., & Rodger, S. (2010). The effects of a parent-focused intervention for children with a recent diagnosis of autism spectrum disorder on parenting stress and competence. Research in Autism Spectrum Disorders, 4(2), 229–241.

    Google Scholar 

  • Kline, R. B. (2010). Principles and practices of structural equation modeling (3rd ed.). New York: Guilford Press.

    Google Scholar 

  • Lazarus, R. S. (1993). From psychological stress to the emotions: A history of changing outlooks. Annual Review of Psychology, 44(1), 1–22.

    PubMed  Google Scholar 

  • 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(3), 172–183.

    PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (1999). Autism diagnostic observation schedule (ADOS). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Lovell, B., & Wetherell, M. A. (2016). Behaviour problems of children with ASD and perceived stress in their caregivers: The moderating role of trait emotional intelligence? Research in Autism Spectrum Disorders, 28, 1–6.

    Google Scholar 

  • Mansell, W., & Morris, K. (2004). A survey of parents’ reactions to the diagnosis of an autistic spectrum disorder by a local service: Access to information and use of services. Autism, 8(4), 387–407.

    PubMed  Google Scholar 

  • Matson, J. L., & Nebel-Schwalm, M. S. (2007). Comorbid psychopathology with autism spectrum disorder in children: An overview. Research in Developmental Disabilities, 28(4), 341–352.

    PubMed  Google Scholar 

  • Osborne, L. A., & Reed, P. (2009). The relationship between parenting stress and behavior problems of children with autistic spectrum disorders. Exceptional Children, 76(1), 54–73.

    Google Scholar 

  • Peters-Scheffer, N., Didden, R., & Korzilius, H. (2012). Maternal stress predicted by characteristics of children with autism spectrum disorder and intellectual disability. Research in Autism Spectrum Disorders, 6(2), 696–706.

    Google Scholar 

  • Phetrasuwan, S., & Shandor Miles, M. (2009). Parenting stress in mothers of children with autism spectrum disorders. Journal for Specialists in Pediatric Nursing, 14(3), 157–165.

    PubMed  Google Scholar 

  • Rodriguez, G., Hartley, S. L., & Bolt, D. (2019). Transactional relations between parenting stress and child autism symptoms and behavior problems. Journal of Autism and Developmental Disorders, 49(5), 1887–1898.

    PubMed  PubMed Central  Google Scholar 

  • Schiltz, H. K., McVey, A. J., Magnus, B., Dolan, B. K., Willar, K. S., Pleiss, S., et al. (2018). Examining the links between challenging behaviors in youth with ASD and parental stress, mental health, and involvement: Applying an adaptation of the family stress model to families of youth with ASD. Journal of Autism and Developmental Disorders, 48(4), 1169–1180.

    PubMed  Google Scholar 

  • Shawler, P. M., & Sullivan, M. A. (2017). Parental stress, discipline strategies, and child behavior problems in families with young children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 32(2), 142–151.

    Google Scholar 

  • Sim, A., Cordier, R., Vaz, S., & Falkmer, T. (2016). Relationship satisfaction in couples raising a child with autism spectrum disorder: A systematic review of the literature. Research in Autism Spectrum Disorders, 31, 30–52.

    Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Needham Heights, MA: Allyn & Bacon.

    Google Scholar 

  • Totsika, V., Hastings, R. P., Emerson, E., Lancaster, G. A., Berridge, D. M., & Vagenas, D. (2013). Is there a bidirectional relationship between maternal well-being and child behavior problems in autism spectrum disorders? Longitudinal analysis of a population-defined sample of young children. Autism Research, 6(3), 201–211.

    PubMed  Google Scholar 

  • Weng, B. H. (2003). Parenting stress Index manual. Taipei City: Psychological. in Chinese.

    Google Scholar 

  • Weitlauf, A. S., Vehorn, A. C., Taylor, J. L., & Warren, Z. E. (2014). Relationship satisfaction, parenting stress, and depression in mothers of children with autism. Autism, 18(2), 194–198.

    PubMed  Google Scholar 

  • Wheeler, A. C., Skinner, D. G., & Bailey, D. B. (2008). Perceived quality of life in mothers of children with fragile X syndrome. American Journal on Mental Retardation, 113(3), 159–177.

    PubMed  Google Scholar 

  • Wu, Y. T., Chen, W. J., Hsieh, W. S., Chen, P. C., Liao, H. F., Su, Y. N., et al. (2012). Maternal-reported behavioral and emotional problems in Taiwanese preschool children. Research in Developmental Disabilities, 33(3), 866–873.

    PubMed  Google Scholar 

  • Zaidman-Zait, A., Mirenda, P., Zumbo, B. D., 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(5), 336–346.

    PubMed  Google Scholar 

  • Zaidman-Zait, A., Mirenda, P., Duku, E., Szatmari, P., Georgiades, S., Volden, J., et al. (2014). Examination of bidirectional relationships between parent stress and two types of problem behavior in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(8), 1908–1917.

    PubMed  Google Scholar 

  • Zaidman-Zait, A., Mirenda, P., Duku, E., Vaillancourt, T., Smith, I. M., Szatmari, P., et al. (2017). Impact of personal and social resources on parenting stress in mothers of children with autism spectrum disorder. Autism, 21(2), 155–166.

    PubMed  Google Scholar 

Download references

Acknowledgments

We are grateful to the parents and children who generously donated their time to this project.

Funding

This study was supported by the Ministry of Science and Technology (MOST-103-2628-H-037-001-MY2, MOST-105-2410-H-037-001-MY3).

Author information

Authors and Affiliations

Authors

Contributions

YNL and CCW conceived of the presented idea and contributed to analysis and interpretation of data. YNL and CCW also wrote the manuscript with support from LSI. Data collection were performed by YNL, YHL, and CCW. All authors discussed the results and contributed to the final manuscript.

Corresponding author

Correspondence to Chin-Chin Wu.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in this study 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. This study was approved by the Ditmanson Medical Foundation Chia-Yi Christian Hospital Research Ethics Committee (CYCH-IRB102045).

Informed Consent

Informed consent was obtained from all individual participants included in this study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lin, YN., Iao, LS., Lee, YH. et al. Parenting Stress and Child Behavior Problems in Young Children with Autism Spectrum Disorder: Transactional Relations Across Time. J Autism Dev Disord 51, 2381–2391 (2021). https://doi.org/10.1007/s10803-020-04720-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-020-04720-z

Keywords

Navigation