We examined the impact of autism severity and parental coping strategies on stress in parents of children with ASD. Children’s autism symptoms and parental coping strategies (task-oriented, emotion-oriented, social diversion, and distraction) were evaluated as predictors of four types of parental stress (parent and family problems, pessimism, child characteristics, and physical incapacity). In order to examine potential buffering effects of coping strategies on stress associated with the child’s symptom severity, the interactive effects of autism symptoms with coping strategies were also examined. Participants included 77 primary caregivers of a child with ASD. Using multiple regression analyses, emotion-oriented coping scores were associated with more parent and family problems, and task-oriented coping was associated with lower physical incapacity scores. The child’s autism severity was the strongest and most consistent predictor of stress. Further, emotion-oriented coping moderated the relationship between pessimism stress and autism symptomatology, and distraction coping was a moderator between parent and family stress and autism symptoms. Results indicate that increasing our knowledge of the coping strategies that are more or less effective and under what conditions some coping strategies may be either beneficial or harmful for this population of parents has direct implications for treatment and parent education efforts.
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Abbeduto, L., Seltzer, M. M., Shattuck, P., Krauss, M. W., Orsmond, G., & Murphy, M. M. (2004). Psychological well-being and coping in mothers of youths with autism, Down Syndrome, or Fragile X Syndrome. American Journal on Mental Retardation, 109, 237–254.
Allik, H., Larsson, J.-O., & Smedje, H. (2006). Health-related quality of life in parents of school-age children with Asperger syndrome or high-functioning autism. Health and Quality of Life Outcomes, 4, 1–8.
Anderson, G. (1996). The benefits of optimism: A meta-analytic review of the life orientation test. Personality and Individual Differences, 21, 719–725.
American Psychiatric Association. (2000). Diagnostic and statistical manual of disorders (4th ed.). Washington, DC: American Psychiatric Association. (Text Revision).
Austenfeld, J. L., & Stanton, A. L. (2004). Coping through emotional approach: A new look at emotion, coping, and health-related outcomes. Journal of Personality, 72, 1335–1363.
Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., et al. (2006). Prevalence of disorders on the autism spectrum in a population cohort of children in South Thames: The special needs and autism project (SNAP). Lancet, 369, 210–215.
Baker-Ericzen, M. J., Brookman-Frazee, L., & Stahmer, A. (2005). Stress levels and adaptability in parents of toddlers with and without autism spectrum disorders. Research and Practice for Persons with Severe Disabilities, 30, 194–204.
Bebko, J. M., Konstantareas, M. M., & Springer, J. (1987). Parent and professional evaluations of family stress associated with characteristics of autism. Journal of Autism and Developmental Disorders, 17, 565–576.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.
Bromley, J., Hare, D. J., Davison, K., & Emerson, E. (2004). Mothers supporting children with autistic spectrum disorders: Social support, mental health status, and satisfaction with services. Autism, 8, 409–423.
Centers for Disease Control and Prevention. (2004). Autism spectrum disorders overview. Retrieved February 15, 2009 from http://www.cdc.gov/ncbddd/autism/overview.htm.
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 Disabilities, 38, 1278–1291.
Duarte, C. S., Bordin, I. A., Yazigi, L., & Mooney, J. (2005). Factors associated with stress in mothers of children with autism. Autism, 9, 416–427.
Dunn, M. E., Burbine, T., Bowers, C. A., & Tantleff-Dunn, S. (2001). Moderators of stress in parents of children with autism. Community Mental Health Journal, 37, 39–52.
Endler, N. S., & Parker, J. D. A. (1990). Coping Inventory for Stressful Situations (CISS): Manual. Toronto, Canada: Multi-Health Systems.
Endler, N. S., Parker, J. D., & Butcher, J. N. (1993). A factor analytic study of coping styles and the MMPI-2 content scales. Journal of Clinical Psychology, 49, 523–527.
Erguner-Tekinalp, B., & Akkok, F. (2004). The effects of a coping skills training program on the coping skills, hopelessness, and stress levels of mothers of children with autism. International Journal for the Advancement of Counseling, 26, 257–269.
Essex, E. L., Seltzer, M. M., & Krauss, M. W. (1999). Differences in coping effectiveness and well-being among aging mothers and fathers of adults with mental retardation. American Journal on Mental Retardation, 104, 545–563.
Folkman, S., & Lazarus, R. S. (1988). Coping as a mediator of emotion. Journal of Personality & Social Psychology, 54, 466–475.
Friedrich, W. N., Greenberg, M. T., & Crnic, K. (1983). A short-form of the questionnaire on resources and stress. American Journal of Mental Deficiency, 88, 41–48.
Hastings, R. P. (2003). Child behavior problems and partner mental health as correlates of stress in mothers and fathers of children with autism. Journal of Intellectual Disability Research, 47, 231–237.
Hastings, R. P., & Johnson, E. (2001). Stress in UK families conducting intensive home-based behavioral intervention for their young child with autism. Journal of Autism and Developmental Disorders, 31, 327–336.
Hastings, R. P., Kovshoff, H., Brown, T., Ward, N. J., Espinosa, F. D., & Remington, B. (2005a). Coping strategies in mothers and fathers of preschool and school-age children with autism. Autism, 9, 377–391.
Hastings, R. P., Kovshoff, H., Ward, N. J., Degli Espinosa, F., & Remington, B. (2005b). Systems analysis of stress and positive perceptions in mothers and fathers of preschool children with autism. Journal of Autism and Developmental Disorders, 35, 635–644.
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.
Higgins, D. J., Bailey, S. R., & Pearce, J. C. (2005). Factors associated with functioning style and coping strategies of families with a child with an autism spectrum disorder. Autism, 9, 125–137.
Higgins, D. J., & Endler, N. S. (1995). Coping, life stress, and psychological and somatic distress. European Journal of Personality, 9, 253–270.
Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524.
Holmbeck, G. N. (2002). Post-hoc probing of significant moderational and mediational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.
Jose, P. E. (2008). ModGraph-I: A programme to compute cell means for the graphical display of moderational analyses: The internet version, Version 2.0. Victoria University of Wellington, Wellington, New Zealand. Retrieved June 25th from http://www.victoria.ac.nz/psyc/staff/paul-jose-files/modgraph/modgraph.php.
Kasari, C., & Sigman, M. (1997). Linking parental perceptions of interactions in young children with autism. Journal of Autism and Developmental Disorders, 27, 39–57.
Klein, L. C., & Corwin, E. J. (2002). Seeing the unexpected: How sex differences in stress responses may provide a new perspective on the manifestation of psychiatric disorders. Current Psychiatric Reports, 4, 441–448.
Konstantareas, M. M., & Papageorgiou, V. (2006). Effects of temperament, symptom severity and level of functioning on maternal stress in Greek children and youth with ASD. Autism, 10, 593–607.
Lazarus, R. S., & Folkman, S. (1984). Coping and adaptations. In W. D. Gentry (Ed.), Handbook of behavioral medicine (pp. 282–325). New York: The Guildford Press.
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.
Lightsey, O. R., & Sweeney, J. (2008). Meaning in life, emotion-oriented coping, generalized self-efficacy, and family cohesion as predictors of family satisfaction among mothers of children with disabilities. The Family Journal, 16, 212–221.
McWilliams, L. A., Cox, B. J., & Enns, M. W. (2003). Use of the coping inventory for stressful situations in a clinically depressed sample: Factor structure, personality correlates, and prediction of distress. Journal of Clinical Psychology, 59, 1371–1385.
Perry, A., Harris, K., & Minnes, P. (2005). Family environments and family harmony: An exploration across severity, age, and type of DD. Journal on Developmental Disabilities, 11, 17–29.
Pottie, C. G., & Ingram, K. M. (2008). Daily stress, coping, and well-being in parents of children with autism: A multilevel modeling approach. Journal of Family Psychology, 22, 855–864.
Sanders, J. L., & Morgan, S. B. (1997). Family stress and adjustment as perceived by parents of children with autism or down syndrome: Implications for intervention. Child & Family Behavior Therapy, 19, 15–32.
Scheier, M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical updates. Cognitive Therapy & Research, 16, 201–228.
Schopler, E., Reichler, R. J., DeVellis R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). Journal of Autism and Developmental Disorders, 10, 91–103.
Seltzer, M. M., Greenberg, J. S., & Krauss, M. W. (1995). A comparison of coping strategies of aging mothers of adults with mental illness or mental retardation. Psychology and Aging, 10, 64–75.
Smith, L. E., Seltzer, M. M., Tager-Flusberg, H., Greenberg, J. S., & Carter, A. S. (2008). A comparative analysis of well-being and coping among mothers of toddlers and mothers of adolescents with ASD. Journal of Autism and Developmental Disorders, 38, 876–889.
Weiss, M. J. (2002). Hardiness and social support as predictors of stress in mothers of typical children, children with autism, and children with mental retardation. Autism, 6, 115–130.
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Lyons, A.M., Leon, S.C., Roecker Phelps, C.E. et al. The Impact of Child Symptom Severity on Stress Among Parents of Children with ASD: The Moderating Role of Coping Styles. J Child Fam Stud 19, 516–524 (2010). https://doi.org/10.1007/s10826-009-9323-5
- Symptom severity