Abstract
Parents of children with autism spectrum disorder (ASD) experience elevated stress, yet parent-specific interventions are sparse. Thirty-five parents of children with ASD were randomized to the novel 8-week AMOR (Acceptance, Mindfulness, Optimism, Resilience) Method parent group or waitlist control group. Significant gains in resilience were reported by AMOR parents only (d = 1.42, p < 0.001, 95% CI [2.152, 10.083]). AMOR parents exhibited significant gains in stress management and reductions in mental health symptoms, along with parent-reported improvements in martial, family, and child functioning. AMOR group follow-up data showed some maintenance of treatment gains. Findings demonstrate promise for resilience interventions in parents of children with ASD. The trial was registered (clinicaltrials.gov; NCT03513419; May 1, 2018) and approved by the Stanford University Institutional Review Board.
This is a preview of subscription content, access via your institution.


References
Abidin, R. R. (2012). Parenting Stress Index: PSI-4; Professional Manual. PAR.
Agaibi, C. E., & Wilson, J. P. (2005). Trauma, PTSD, and resilience: A review of the literature. Trauma, Violence, & Abuse. https://doi.org/10.1177/1524838005277438
Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985). The aberrant behavior checklist: a behavior rating scale for the assessment of treatment effects. American journal of mental deficiency.
American Psychiatric Association. (2013). DSM-5 diagnostic classification. In Diagnostic and statistical manual of mental disorders. https://doi.org/10.1176/appi.books.9780890425596.x00diagnosticclassification.
Ashworth, M., Palikara, O., & Van Herwegen, J. (2019). Comparing parental stress of children with neurodevelopmental disorders: The case of Williams syndrome, Down syndrome and autism spectrum disorders. Journal of Applied Research in Intellectual Disabilities. https://doi.org/10.1111/jar.12594
Baron Nelson, M., Riley, K., & Arellano, K. (2018). Adding a parent to the brain tumor team: Evaluating a peer support intervention for parents of children with brain tumors. Journal of Pediatric Oncology Nursing. https://doi.org/10.1177/1043454218762797
Bates, K., Bolker, B., Walker, S., Christiensen, R. H., Singmann, H., Dai, B., & Scheipl, F. (2020). Ime4. Package ‘lme4’.
Beaudoin, A. J., Sébire, G., & Couture, M. (2014). Parent training interventions for toddlers with autism spectrum disorder. Autism Research and Treatment. https://doi.org/10.1155/2014/839890
Beck, A. T. (1970). Cognitive therapy: Nature and relation to behavior therapy. Behavior Therapy. https://doi.org/10.1016/S0005-7894(70)80030-2
Benn, R., Akiva, T., Arel, S., & Roeser, R. W. (2012). Mindfulness training effects for parents and educators of children with special needs. Developmental Psychology. https://doi.org/10.1037/a0027537
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. https://doi.org/10.1352/0895-8017(2007)112[450:POPNII]2.0.CO;2
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., ... & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior therapy, 42(4), 676–688.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of personality and social psychology, 84(4), 822–831.
Cachia, R. L., Anderson, A., & Moore, D. W. (2016). Mindfulness, stress and well-being in parents of children with autism spectrum disorder: A systematic review. Journal of Child and Family Studies. https://doi.org/10.1007/s10826-015-0193-8
Campbell, N. B. (2003). Emotional disclosure through writing: An intervention to facilitate adjustment to having a child with autism. In Dissertation Abstracts International: Section B: The Sciences and Engineering.
Cassidy, S. (2015). Resilience building in students: The role of academic self-efficacy. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2015.01781
Cohen, J. (1992). Statistical power analysis. Current directions in psychological science, 1(3), 98–101.
Cohrs, A. C., & Leslie, D. L. (2017). Depression in parents of children diagnosed with autism spectrum disorder: A claims-based analysis. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-017-3063-y
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new Resilience scale: The Connor-Davidson Resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
Constantino, J. (2012). Social Responsiveness Scale (SRS-2). Western Psychological Services. https://doi.org/10.1007/978-1-4419-1698-3_296
Constantino, J. N., & Gruber, C. P. (2012). Social responsiveness scale: SRS-2. Torrance, CA: Western Psychological Services.
Craig, F., Operto, F. F., De Giacomo, A., Margari, L., Frolli, A., Conson, M., Ivagnes, S., Monaco, M., & Margari, F. (2016). Parenting stress among parents of children with Neurodevelopmental Disorders. Psychiatry Research. https://doi.org/10.1016/j.psychres.2016.05.016
Da Paz, N. S., & Wallander, J. L. (2017). Interventions that target improvements in mental health for parents of children with autism spectrum disorders: A narrative review. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2016.10.006
Dabrowska, A., & Pisula, E. (2010). Parenting stress and coping styles in mothers and fathers of pre-school children with autism and Down syndrome. Journal of Intellectual Disability Research. https://doi.org/10.1111/j.1365-2788.2010.01258.x
Duca, D. S. (2015). Family resilience and parental stress: the effects on marital relationship in the context of a child diagnosed with an autism spectrum disorder. Analele Ştiinţifice ale Universităţii» Alexandru Ioan Cuza «din Iaşi. Psihologie, (1), 71–90.
Dykens, E. M. (2015). Family adjustment and interventions in neurodevelopmental disorders. Current Opinion in Psychiatry. https://doi.org/10.1097/YCO.0000000000000129
Dykens, E. M., & Lambert, W. (2013). Trajectories of diurnal cortisol in mothers of children with autism and other developmental disabilities: Relations to health and mental health. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-013-1791-1
Dykens, E. M., Fisher, M. H., Taylor, J. L., Lambert, W., & Miodrag, N. (2014). Reducing distress in mothers of children with autism and other disabilities: A randomized trial. Pediatrics. https://doi.org/10.1542/peds.2013-3164
Ekas, N. V., Lickenbrock, D. M., & Whitman, T. L. (2010). Optimism, social support, and well-being in mothers of children with autism spectrum disorder. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-010-0986-y
Estes, A., Vismara, L., Mercado, C., Fitzpatrick, A., Elder, L., Greenson, J., Lord, C., Munson, J., Winter, J., Young, G., Dawson, G., & Rogers, S. (2014). The impact of parent-delivered intervention on parents of very young children with autism. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-013-1874-z
Farmer, C., Lecavalier, L., Yu, S., Arnold, L. E., McDougle, C. J., Scahill, L., Handen, B., Johnson, C. R., Stigler, K. A., Bearss, K., Swiezy, N. B., & Aman, M. G. (2012). Predictors and moderators of parent training efficacy in a sample of children with autism spectrum disorders and serious behavioral problems. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-011-1338-2
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior research methods, 41(4), 1149–1160.
Feinberg, E., Augustyn, M., Fitzgerald, E., Sandler, J., Suarez, Z. F. C., Chen, N., Cabral, H., Beardslee, W., & Silverstein, M. (2014). Improving maternal mental health after a child’s diagnosis of autism spectrum disorder: Results from a randomized clinical trial. JAMA Pediatrics. https://doi.org/10.1001/jamapediatrics.2013.3445
Ferraioli, S. J., & Harris, S. L. (2013). Comparative effects of mindfulness and skills-based parent training programs for parents of children with autism: Feasibility and preliminary outcome data. Mindfulness. https://doi.org/10.1007/s12671-012-0099-0
Ganellen, R. J., & Blaney, P. H. (1984). Hardiness and social support as moderators of the effects of life stress. Journal of Personality and Social Psychology, 47(1), 156–163. https://doi.org/10.1037/0022-3514.47.1.156
Gau, S. S. F., Chou, M. C., Chiang, H. L., Lee, J. C., Wong, C. C., Chou, W. J., & Wu, Y. Y. (2012). Parental adjustment, marital relationship, and family function in families of children with autism. Research in Autism Spectrum Disorders, 6(1), 263–270. https://doi.org/10.1016/j.rasd.2011.05.007
Goodman, R., Ford, T., Simmons, H., Gatward, R., & Meltzer, H. (2000). Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. The British journal of psychiatry, 177(6), 534–539.
Gould, E. R., Tarbox, J., & Coyne, L. (2018). Evaluating the effects of Acceptance and Commitment Training on the overt behavior of parents of children with autism. Journal of Contextual Behavioral Science. https://doi.org/10.1016/j.jcbs.2017.06.003
Gouveia, M. J., Carona, C., Canavarro, M. C., & Moreira, H. (2016). Self-compassion and dispositional mindfulness are associated with parenting styles and parenting stress: The mediating role of mindful parenting. Mindfulness. https://doi.org/10.1007/s12671-016-0507-y
Griffith, G. M., Hastings, R. P., Nash, S., & Hill, C. (2010). Using matched groups to explore child behavior problems and maternal well-being in children with Down syndrome and autism. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-009-0906-1
Halstead, E., Ekas, N., Hastings, R. P., & Griffith, G. M. (2018). Associations between resilience and the well-being of mothers of children with autism spectrum disorder and other developmental disabilities. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-017-3447-z
Hartley, S., Barker, E., Seltzer, M., Floyd, F. J., Greenberg, J. S., Orsmond, G., & Bolt, D. (2010). The relative risk and timing of divorce in families of children with an autism spectrum disorder. Journal of Family Psychology, 24(4), 449–457. https://doi.org/10.1037/a0019847.The
Hartley, S. L., Seltzer, M. M., Head, L., & Abbeduto, L. (2012). Psychological well-being in fathers of adolescents and young adults with down syndrome, fragile X syndrome, and autism. Family Relations. https://doi.org/10.1111/j.1741-3729.2011.00693.x
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
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. https://doi.org/10.1007/s10803-012-1604-y
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes and outcomes. In Behaviour research and therapy (Vol. 44, Issue 1, pp. 1–25). https://doi.org/10.1016/j.brat.2005.06.006
Hilliard, M. E., McQuaid, E. L., Nabors, L., & Hood, K. K. (2014). Resilience in youth and families living with pediatric health and developmental conditions: Introduction to the special issue on resilience. Journal of Pediatric Psychology. https://doi.org/10.1093/jpepsy/jsv072
Jones, L., Hastings, R. P., Totsika, V., Keane, L., & Rhule, N. (2014). Child behavior problems and parental well-being in families of children with autism: The mediating role of mindfulness and acceptance. American Journal on Intellectual and Developmental Disabilities. https://doi.org/10.1352/1944-7558-119.2.171
Kent, M., Davis, M. C., Stark, S. L., & Stewart, L. A. (2011). A resilience-oriented treatment for posttraumatic stress disorder: Results of a preliminary randomized clinical trial. Journal of Traumatic Stress. https://doi.org/10.1002/jts.20685
Kobasa, S. C. (1979). Stressful life events, personality, and health: An inquiry into hardiness. Journal of Personality and Social Psychology, 37(1), 1–11. https://doi.org/10.1037//0022-3514.37.1.1
Koegel, R. L., O’Dell, M. C., & Koegel, L. K. (1987). A natural language teaching paradigm for nonverbal autistic children. Journal of Autism and Developmental Disorders, 17(2), 187–200. https://doi.org/10.1007/BF01495055
Kowalkowski, J. D. (2012). The Impact of a Group-Based Acceptance and Commitment Therapy Intervention on Parents of Children Diagnosed with an Autism Spectrum Disorder. ProQuest Dissertations and Theses.
Kuhlthau, K. A., Luberto, C. M., Traeger, L., Millstein, R. A., Perez, G. K., Lindly, O. J., Chad-Friedman, E., Proszynski, J., & Park, E. R. (2019). A virtual resiliency intervention for parents of children with autism: A randomized pilot trial. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-019-03976-4
Kuhn, J. C., & Carter, A. S. (2006). Maternal self-efficacy and associated parenting cognitions among mothers of children with autism. American Journal of Orthopsychiatry, 76(4), 564–575. https://doi.org/10.1037/0002-9432.76.4.564
LaPlante, A. M. (2013). The effectiveness of a positive psychology intervention with parents of children with autism spectrum disorders (Doctoral dissertation, University of La Verne).
Lai, M. C., & Szatmari, P. (2019). Resilience in autism: Research and practice prospects. Autism. https://doi.org/10.1177/1362361319842964
Lai, W. W., Goh, T. J., Oei, T. P. S., & Sung, M. (2015). Coping and well-being in parents of children with autism spectrum disorders (ASD). Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-015-2430-9
Lane, B. R., Paynter, J., & Sharman, R. (2013). Parent and teacher ratings of adaptive and challenging behaviours in young children with autism spectrum disorders. Research in Autism Spectrum Disorders. https://doi.org/10.1016/j.rasd.2013.07.011
Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism Diagnostic Observation Schedule (2nd ed.). Western Psychological Services.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Psychology Foundation of Australia. https://doi.org/10.1016/0005-7967(94)00075-U
Lyons, A. M., Leon, S. C., Phelps, C. E. R., & Dunleavy, A. M. (2010). The impact of child symptom severity on stress among parents of children with asd: The moderating role of coping styles. Journal of Child and Family Studies. https://doi.org/10.1007/s10826-009-9323-5
McGuire, A. P., Mota, N. P., Sippel, L. M., Connolly, K. M., & Lyons, J. A. (2018). Increased resilience is associated with positive treatment outcomes for veterans with comorbid PTSD and substance use disorders. Journal of Dual Diagnosis. https://doi.org/10.1080/15504263.2018.1464237
Minjarez, M. B., Mercier, E. M., Williams, S. E., & Hardan, A. Y. (2013). Impact of pivotal response training group therapy on stress and empowerment in parents of children with autism. Journal of Positive Behavior Interventions, 15(2), 71–78.
Nabors, L. A., Kichler, J. C., Brassell, A., Thakkar, S., Bartz, J., Pangallo, J., Van Wassenhove, B., & Lundy, H. (2013). Factors related to caregiver state anxiety and coping with a child’s chronic illness. Families, Systems and Health. https://doi.org/10.1037/a0031240
Neece, C. L. (2014). Mindfulness-based stress reduction for parents of young children with developmental delays: Implications for parental mental health and child behavior problems. Journal of Applied Research in Intellectual Disabilities. https://doi.org/10.1111/jar.12064
Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity. https://doi.org/10.1080/15298860309032
Neff, K. D., & Faso, D. J. (2015). Self-compassion and well-being in parents of children with autism. Mindfulness. https://doi.org/10.1007/s12671-014-0359-2
Norton, R. (1983). Measuring marital quality: A critical look at the dependent variable. Journal of Marriage and the Family, 141–151.
Oken, B. S., Chamine, I., & Wakeland, W. (2015). A systems approach to stress, stressors and resilience in humans. Behavioural Brain Research. https://doi.org/10.1016/j.bbr.2014.12.047
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(6), 1092–1103. https://doi.org/10.1007/s10803-007-0497-7
Park, E. R., Traeger, L., Vranceanu, A. M., Scult, M., Lerner, J. A., Benson, H., Denninger, J., & Fricchione, G. L. (2013). The development of a patient-centered program based on the relaxation response: The Relaxation Response Resiliency Program (3RP). Psychosomatics. https://doi.org/10.1016/j.psym.2012.09.001
Peer, J. W., & Hillman, S. B. (2014). Stress and resilience for parents of children with intellectual and developmental disabilities: A review of key factors and recommendations for practitioners. Journal of Policy and Practice in Intellectual Disabilities. https://doi.org/10.1111/jppi.12072
Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self‐compassion scale. Clinical psychology & psychotherapy, 18(3), 250–255.
Rayan, A., & Ahmad, M. (2017). Effectiveness of mindfulness-based intervention on perceived stress, anxiety, and depression among parents of children with autism spectrum disorder. Mindfulness. https://doi.org/10.1007/s12671-016-0595-8
Rea-Amaya, A., Acle-Tomasini, G., & Ordaz-Villegas, G. (2017). Resilience potential of autistic children’s parents and its relationship to family functioning and acceptance of disability. British Journal of Education, Society & Behavioural Science. https://doi.org/10.9734/bjesbs/2017/32522
Reed, P., & Osborne, L. A. (2013). The role of parenting stress in discrepancies between parent and teacher ratings of behavior problems in young children with autism spectrum disorder. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-012-1594-9
Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., Guo, M., & Dawson, G. (2012). Effects of a brief early start Denver model (ESDM)-based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51(10), 1052–1065. https://doi.org/10.1016/j.jaac.2012.08.003
Ruiz-Robledillo, N., De Andrés-García, S., Pérez-Blasco, J., González-Bono, E., & Moya-Albiol, L. (2014). Highly resilient coping entails better perceived health, high social support and low morning cortisol levels in parents of children with autism spectrum disorder. Research in Developmental Disabilities, 35(3), 686–695. https://doi.org/10.1016/j.ridd.2013.12.007
Salmon, P. G., Sephton, S. E., & Dreeben, S. J. (2012). Mindfulness-based stress reduction. In Acceptance and mindfulness in cognitive behavior therapy: Understanding and applying the new therapies. https://doi.org/10.1002/9781118001851.ch6.
Santamaria, F., Cuzzocrea, F., Gugliandolo, M. C., & Larcan, R. (2012). Marital satisfaction and attribution style in parents of children with Autism Spectrum Disorder, Down Syndrome and non-disabled children. Life Span and Disability, 15, 19–37.
Sapolsky, R. M. (2007). Stress, Stress-Related Disease, and Emotional Regulation. I: JJ Gross (red.): Handbook of emotion regulation (s. 606–615). New York, NY, US: Guilford Press, xvii, 654.
Sawilowsky, S. S. (2009). New effect size rules of thumb. Journal of Modern Applied Statistical Methods. https://doi.org/10.22237/jmasm/1257035100
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. Journal of personality and social psychology, 67(6), 1063.
Schreibman, L., Dufek, S., & Cunningham, A. B. (2011). Identifying moderators of treatment outcome for children with autism. International Handbook of Autism and Pervasive Developmental Disorders. https://doi.org/10.1007/978-1-4419-8065-6_18
Schwarzer, R., & Jerusalem, M. (1995). Generalized self-efficacy scale. Measures in health psychology: A user’s portfolio. Causal and control beliefs, 1(1), 35–37.
Schwarzer, R., & Warner, L. M. (2013). Perceived self-efficacy and its relationship to resilience. https://doi.org/10.1007/978-1-4614-4939-3_10.
Schwartzman, J. M., Hardan, A. Y., & Gengoux, G. W. (2021). Parenting stress in autism spectrum disorder may account for discrepancies in parent and clinician ratings of child functioning. Autism, 1362361321998560
Seligman, M. (2011). Building resilience. Harvard Business Review, 89(4), 100–106, 138. https://doi.org/10.7748/ns2012.04.26.32.16.p8073.
Seltzer, M. M., Greenberg, J. S., Hong, J., Smith, L. E., Almeida, D. M., Coe, C., & Stawski, R. S. (2010). Maternal cortisol levels and behavior problems in adolescents and adults with asd. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-009-0887-0
Sharpley, C. F., Bitsika, V., Jesulola, E., Fitzpatrick, K., & Agnew, L. L. (2016). The association between aspects of psychological resilience and subtypes of depression: Implications for focussed clinical treatment models. International Journal of Psychiatry in Clinical Practice. https://doi.org/10.1080/13651501.2016.1199810
Siman-Tov, A., & Kaniel, S. (2011). Stress and personal resource as predictors of the adjustment of parents to autistic children: A multivariate model. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-010-1112-x
Singh, N. N., Curtis, W. J., Ellis, C. R., Nicholson, M. W., Villani, T. M., & Wechsler, H. A. (1995). Psychometric analysis of the Family Empowerment Scale. Journal of Emotional and Behavioral Disorders. https://doi.org/10.1177/106342669500300203
Sood, A., Prasad, K., Schroeder, D., & Varkey, P. (2011). Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. Journal of general internal medicine, 26(8), 858–861.
Tan-Kristanto, S., & Kiropoulos, L. A. (2015). Resilience, self-efficacy, coping styles and depressive and anxiety symptoms in those newly diagnosed with multiple sclerosis. Psychology, Health and Medicine. https://doi.org/10.1080/13548506.2014.999810
Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress. https://doi.org/10.1002/jts.2490090305
Van Steijn, D. J., 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. https://doi.org/10.1007/s10803-013-1958-9
Weiss, J. A., MacMullin, J. A., & Lunsky, Y. (2015). Empowerment and parent gain as mediators and moderators of distress in mothers of children with autism spectrum disorders. Journal of Child and Family Studies, 24(7), 2038–2045. https://doi.org/10.1007/s10826-014-0004-7
Whitney, R. V., & Smith, G. (2015). Emotional disclosure through journal writing: Telehealth intervention for maternal stress and mother–child relationships. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-014-2332-2
Woodman, A. C., Mawdsley, H. P., & Hauser-Cram, P. (2015). Parenting stress and child behavior problems within families of children with developmental disabilities: Transactional relations across 15 years. Research in Developmental Disabilities. https://doi.org/10.1016/j.ridd.2014.10.011
Yi-Frazier, J. P., Fladeboe, K., Klein, V., Eaton, L., Wharton, C., McCauley, E., & Rosenberg, A. R. (2017). Promoting resilience in stress management for parents (PRISM-P): An intervention for caregivers of youth with serious illness. Families, Systems and Health. https://doi.org/10.1037/fsh0000281
Acknowledgments
This project was funded by grants from the Stanford Maternal & Child Health Research Institute and the Stanford Autism Research Working Group. The authors would like to thank all the participating parents for their generous contributions to this study. We also gratefully acknowledge the contributions of Dr. Jennifer Phillips, Julia Rossi, Dr. Antonio Hardan, and other members of the research team at the Stanford Autism and Developmental Disorders Research Program (ADDRP).
Funding
This project was funded by grants from the Stanford Maternal & Child Health Research Institute and the Stanford Autism Research Working Group.
Author information
Authors and Affiliations
Contributions
JMS contributed to the study conception and design under the guidance of GWG. Material preparation and data collection were performed by JMS and MEM. Data analysis and manuscript contributions were conducted by MU. The first draft of the manuscript was written by JMS. All authors commented on previous versions of the manuscript and all authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Approval
All procedures performed in the 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. The study was approved by the Stanford University Institutional Review Board (IRB #45774).
Consent to Participate
Informed consent was obtained from all individual participants included in the study.
Consent to Publish
The authors affirm that human research participants provided informed consent for publication of study results from de-identified data in the manuscript, tables, and figures.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Schwartzman, J.M., Millan, M.E., Uljarevic, M. et al. Resilience Intervention for Parents of Children with Autism: Findings from a Randomized Controlled Trial of the AMOR Method. J Autism Dev Disord 52, 738–757 (2022). https://doi.org/10.1007/s10803-021-04977-y
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-021-04977-y