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Using the Double ABCX Model to Integrate Services for Families of Children with ASD

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Abstract

This conceptual paper reviews the need for a family-focused service delivery model within the autism spectrum disorder (ASD) field and suggests that the Double ABCX Model of Stress and Adaptation is a way to address this need. Within the ASD field, there is an absence of service delivery models that are able to address the needs of the family as a unit, rather than the individual child with ASD. This gap is striking given the reciprocal relationship between parent and child outcomes within the ASD field. To support our argument that the Double ABCX model could be used to integrate parent and child-focused interventions within the ASD field, this paper starts by reviewing the mental health outcomes often associated with having a child with ASD. We next provide a historical overview of the Double ABCX model and review a body of ASD intervention literature within the context of the Double ABCX model framework. Doing so shows that a number of child and parent focused interventions within the ASD field can be fit within the Double ABCX framework. However, a handful of methodological and sampling limitations prevent the Double ABCX model from being fully supported as a model that could be applied in a variety of settings. Taken together, this review highlights that the Double ABCX model is a promising strategy to integrate child and parent-focused interventions within the ASD field, but highlights that specific areas of future research are needed in order to build continued support for this argument.

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References

  • Aldred, C., Green, J., & Adams, C. (2004). A new social communication intervention for children with autism: Pilot randomised controlled treatment study suggesting effectiveness. Journal of Child Psychology and Psychiatry, 45, 1420–1430.

    Article  PubMed  Google Scholar 

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

    Book  Google Scholar 

  • Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K., Edelbrock, C., & Low, C. (2003). Pre‐school children with and without developmental delay: Behaviour problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217–230.

    Article  PubMed  Google Scholar 

  • Banach, M., Iudice, J., Conway, L., & Leslie, J. (2010). Family support and empowerment: Post autism diagnosis support group for parents. Social Work with Groups, 33, 69–83.

    Article  Google Scholar 

  • Bearss, K., et al. (2015). Effect of parent training vs. parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trial. Journal of the American Medical Association, 313, 1524–1533.

    Article  PubMed  Google Scholar 

  • Bearss, K., Johnson, C., Handen, B., Smith, T., & Scahill, L. (2013). A pilot study of parent training in young children with autism spectrum disorders and disruptive behavior. Journal of Autism and Developmental Disorders, 43, 829–840.

    Article  PubMed  Google Scholar 

  • Benn, R., Akiva, T., Arel, S., & Roeser, R. W. (2012). Mindfulness training effects for parents and educators of children with special needs. Developmental Psychology, 48, 1476–1487.

    Article  PubMed  Google Scholar 

  • Benson, P. R. (2012). Network characteristics, perceived social support, and psychological adjustment in mothers of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 42, 2597–2610.

    Article  PubMed  Google Scholar 

  • Benson, P. R., & Karlof, K. L. (2009). Anger, stress proliferation, and depressed mood among parents of children with ASD: A longitudinal replication. Journal of Autism and Developmental Disorders, 39, 350–362.

    Article  PubMed  Google Scholar 

  • Bluth, K., Roberson, P. N. E., Billen, R. M., & Sams, J. M. (2013). A stress model for couples parenting children with autism spectrum disorders and the introduction of a mindfulness intervention. Journal of Family Theory Review, 5, 194–213.

    Article  PubMed  PubMed Central  Google Scholar 

  • Boyd, B. A. (2002). Examining the relationship between stress and lack of social support in mothers of children with autism. Focus on Autism and Other Developmental Disabilities, 17, 208–215.

    Article  Google Scholar 

  • Bristol, M. M. (1987). Mothers of children with autism or communication disorders: Successful adaptation and the double ABCX model. Journal of Autism and Developmental Disorders, 17, 469–486.

    Article  PubMed  Google Scholar 

  • Carter, I. (2009). Positive and negative experiences of parents involved in online self-help groups for autism. Journal on Developmental Disabilities, 15, 44–52.

    Google Scholar 

  • Carr, E. G., & Durand, V. M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chan, J. B., & Sigafoos, J. (2001). Does respite care reduce parental stress in families with developmentally disabled children? Child and Youth Care Forum, 30, 253–263. October.

    Article  Google Scholar 

  • Chesney, M. A., Chambers, D. B., Taylor, J. M., Johnson, L. M., & Folkman, S. (2003). Coping effectiveness training for men living with HIV: Results from a randomized clinical trial testing a group-based intervention. Psychosomatic Medicine, 65, 1038–1046.

    Article  PubMed  Google Scholar 

  • Coolican, J., Smith, I. M., & Bryson, S. E. (2010). Brief parent training in pivotal response treatment for preschoolers with autism. Journal of Child Psychology and Psychiatry, 51, 1321–1330.

    Article  PubMed  Google Scholar 

  • Cowen, P. S., & Reed, D. A. (2002). Effects of respite care for children with developmental disabilities: Evaluation of an intervention for at risk families. Public Health Nursing, 19, 272–283.

    Article  PubMed  Google Scholar 

  • 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, 54, 266–280.

    Article  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, 1278–1291.

    Article  PubMed  Google Scholar 

  • Dawson, G., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The early start Denver model. Pediatrics, 125, e17–e23.

    Article  PubMed  Google Scholar 

  • Dempsey, I., & Keen, D. (2008). A review of processes and outcome in family-centered services for children with a disability. Topic in Early Childhood Special Education, 28, 42–52.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Dunst, C. J., & Trivette, C. M. (2009). Capacity-building family-systems intervention practices. Journal of Family Social Work, 12, 119–143.

    Article  Google Scholar 

  • Dunst, C. J., Trivette, C. M., & Cross, A. H. (1986). Mediating influences of social support: Personal, family, and child outcomes. American Journal of Mental Deficiency, 90, 403–417.

    PubMed  Google Scholar 

  • Dunst, C. J., Trivette, C. M., & Hamby, D. W. (2007). Meta-analysis of family-centered helpgiving practices research. Mental Retardation and Developmental Disabilities, 13, 370–378.

    Article  Google Scholar 

  • 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, 134, e454–e463.

    Article  PubMed  PubMed Central  Google Scholar 

  • Eikeseth, S., Klintwall, L., Hayward, D., & Gale, C. (2015). Stress in parents of children with autism participating in early and intensive behavioral intervention. European Journal of Behavior Analysis, 16, 112–120.

    Article  Google Scholar 

  • Estes, A., Vismara, L., Mercado, C., Fitzpatrick, A., Elder, L., & Greenson, J., et al. (2014). The impact of parent-delivered intervention on parents of very young children with autism. Journal of Autism and Developmental Disorders, 44, 353–365.

    Article  PubMed  PubMed Central  Google Scholar 

  • Factor, D. C., Perry, A., & Freeman, N. (1990). Brief report: Stress, social support, and respite care use in families with autistic children. Journal of Autism and Developmental Disorders, 20, 139–146.

    Article  PubMed  Google Scholar 

  • 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, 4, 89–101.

    Article  Google Scholar 

  • Gabovitch, E. M., & Curtin, C. (2009). Family-centered care for children with autism spectrum disorders: A review. Marriage & Family Review, 45, 469–498.

    Article  Google Scholar 

  • Green, J., et al. (2010). Parent-mediated communication-focused treatment in children with autism (PACT) a randomised controlled trial. Lancet, 375, 2152–2160.

    Article  PubMed  PubMed Central  Google Scholar 

  • Grindle, C. F., Kovshoff, H., Hastings, R. P., & Remington, B. (2009). Parents’ experiences of home-based applied behavior analysis programs for young children with autism. Journal of Autism and Developmental Disorders, 39, 42–56.

    Article  PubMed  Google Scholar 

  • Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, 35–43.

    Article  PubMed  Google Scholar 

  • Hall, H. R., & Graff, J. C. (2011). The relationships among adaptive behaviors of children with autism, family support, parenting stress, and coping. Issues in Comprehensive Pediatric Nursing, 34, 4–25.

    Article  PubMed  Google Scholar 

  • Harper, A., Dyches, T. T., Harper, J., Roper, S. O., & South, M. (2013). Respite care, marital quality, and stress in parents of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43, 2604–2616.

    Article  PubMed  Google Scholar 

  • Hastings, R. P., & Brown, T. (2002). Behavior problems of children with autism, parental self-efficacy, and mental health. American Journal on Mental Retardation, 107, 222–232.

    Article  PubMed  Google Scholar 

  • Hastings, R. P., Kovshoff, H., Ward, N. J., Degli Espinosa, F., Brown, T., & Remington, B. (2005). Systems analysis of stress and positive perceptions in mothers and fathers of pre-school children with autism. Journal of Autism and Developmental Disorders, 35, 635–644.

    Article  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 Disability, 43, 629–642.

    Article  Google Scholar 

  • Hill, R. (1949). Families under stress: Adjustment to crisis of war, separation and reunion. New York, NY: Harper and Brothers.

    Google Scholar 

  • Hogan, B. E., Linden, W., & Najarian, B. (2002). Social support interventions: Do they work? Clinical Psychology Review, 22, 381–440.

    Article  Google Scholar 

  • Ingersoll, B., & Wainer, A. (2013). Initial efficacy of project ImPACT: A parent-mediated social communication intervention for young children with autism. Journal of Autism and Developmental Disorders, 43, 2943–2952.

    Article  PubMed  Google Scholar 

  • Ingersoll, B., Wainer, A. L., Berger, N. I., Pickard, K. E., & Bonter, N. (2016). Comparison of a self-directed and therapist-assisted telehealth parent-mediated intervention for children with ASD: A pilot RCT. Journal of Autism and Developmental Disorders, 46, 2275–2284.

    Article  PubMed  Google Scholar 

  • Jeans, L.M. (2013). Family empowerment: The use of online parent discussion groups following diagnosis of ASD in young children. Unpublished dissertation, University of Illinois at Urbana-Champaign.

  • Jordan, C. J. (2010). Evolution of autism support and understanding via the world wide web. Intellectual and Developmental Disabilities, 48, 220–227.

    Article  PubMed  Google Scholar 

  • Kaiser, A. P., & Roberts, M. Y. (2013). Parent-implemented enhanced milieu teaching with preschool children who have intellectual disabilities. Journal of Speech, Language, and Hearing Research, 56, 295–309.

    Article  PubMed  Google Scholar 

  • Karst, J. S., & Van Hecke, A. (2012). Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation. Clinical Child and Family Psychology Review, 15, 247–277.

    Article  PubMed  Google Scholar 

  • Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40, 1045–1056.

    Article  PubMed  PubMed Central  Google Scholar 

  • Khanna, R., Madhavan, S. S., Smith, M. J., Patrick, J. H., Tworek, C., & Becker-Cottrill, B. (2011). Assessment of health-related quality of life amongst caregivers of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 41, 1214–1227.

    Article  PubMed  Google Scholar 

  • King, G., King, S., Rosenbaum, P., & Goffin, R. (1999). Family-centered caregiving and well-being of parents of children with disabilities: Linking process with outcome. Journal of Pediatric Psychology, 24, 41–53.

    Article  Google Scholar 

  • King, S., Teplicky, R., King, G., & Rosenbaum, P. (2004). Family-centered service for children with cerebral palsy and their families: A review of the literature. Seminars in Pediatric Neurology, 11, 78–86.

    Article  PubMed  Google Scholar 

  • Koegel, R. L., Schreibman, L., Loos, L. M., Dirlich-Wilhelm, H., Dunlap, G., Robbins, F. R., & Plienis, A. J. (1992). Consistent stress profiles in mothers of children with autism. Journal of Autism and Developmental Disorders, 22, 205–216.

    Article  PubMed  Google Scholar 

  • 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, 564–575.

    Article  PubMed  Google Scholar 

  • Kuo, D. Z., Houtrow, A. J., Arango, P., Kuhlthau, K. A., Simmons, J. M., & Neff, J. M. (2012). Family-centered care: Current applications and future directions in pediatric health care. Maternal and Child Health Journal, 16, 297–305.

    Article  PubMed  Google Scholar 

  • Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50, 172–183.

    Article  PubMed  Google Scholar 

  • Lee, G. K., Lopata, C., Volker, M. A., Thomeer, M. L., Nida, R. E., Toomey, J. A., Chow, S. Y., & Smerbeck, A. M. (2009). Health-related quality of life of parents of children with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 24, 227–239.

    Article  Google Scholar 

  • Leigh, J. P., & Du, J. (2015). Brief report: Forecasting the economic burden of autism in 2015 and 2025 in the United States. Journal of Autism and Developmental Disorders, 45, 4135–4139.

    Article  PubMed  Google Scholar 

  • Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.

    Article  PubMed  Google Scholar 

  • Mancil, G. R. (2006). Functional communication training: A review of the literature related to children with autism. Education and Training in Developmental Disabilities, 41, 213–224.

  • Mancil, G. R., Boyd, B. A., & Bedesem, P. (2009). Parental stress and autism: Are there useful coping strategies?. Education and Training in Developmental Disabilities, 44, 523–537.

    Google Scholar 

  • Manning, M. M., Wainwright, L., & Bennett, J. (2011). The double ABCX model of adaptation in racially diverse families with a school-age child with autism. Journal of Autism and Developmental Disorders, 41, 320–331.

    Article  PubMed  Google Scholar 

  • McCubbin, H. I., & Patterson, J. M. (1983). The family stress process: The double ABCX model of adjustment and adaptation. Marriage & Family Review, 6, 7–37.

    Article  Google Scholar 

  • McStay, R. L., Trembath, D., & Dissanayake, C. (2014). Stress and family quality of life in parents of children with autism spectrum disorder: Parent gender and the double ABCX model. Journal of Autism and Developmental Disorders, 44, 3101–3118.

    Article  PubMed  Google Scholar 

  • McStay, R., Trembath, D., & Dissanayake, C. (2015). Raising a child with autism: A developmental perspective on family adaptation. Current Developmental Disorders Reports, 2, 65–83.

    Article  Google Scholar 

  • Moes, D., Koegel, R. L., Schreibman, L., & Loos, L. M. (1992). Stress profiles for mothers and fathers of children with autism. Psychological Reports, 71, 1272–1274.

    Article  PubMed  Google Scholar 

  • Odom, S. L., Collet-Klingenberg, L., Rogers, S. L., & Hatton, D. D. (2010). Evidence-based practices in interventions for children and youth with autism spectrum disorders. Preventing School Failure, 54, 275–282.

    Article  Google Scholar 

  • Oosterling, I., et al. (2010). Randomized controlled trial of the focus parent training for toddlers with autism: 1-year outcome. Journal of Autism and Developmental Disorders, 40, 1447–1458.

    Article  PubMed  PubMed Central  Google Scholar 

  • Osborne, L. A., & Reed, P. (2008). Parents’ perceptions of communication with professionals during the diagnosis of autism. Autism, 12, 309–324.

    Article  PubMed  Google Scholar 

  • Ozturk, Y., Vivanti, G., Uljarevic, M., & Dissanayake, C., Victorian ASELCC Team. (2016). Treatment-related changes in children’s communication impact on maternal satisfaction and psychological distress. Research in Developmental Disabilities, 56, 128–138.

    Article  PubMed  Google Scholar 

  • Pakenham, K. I., Samios, C., & Sofronoff, K. (2005). Adjustment in mothers of children with asperger syndrome: An application of the double ABCX model of family adjustment. Autism, 9, 191–212.

    Article  PubMed  Google Scholar 

  • Paynter, J., Riley, E., Beamish, W., Davies, M., & Milford, T. (2013). The double ABCX model of family adaptation in families of a child with an autism spectrum disorder attending an Australian early intervention service. Research in Autism Spectrum Disorders, 7, 1183–1195.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Pozo, P., Sarriá, E., & Brioso, A. (2014). Family quality of life and psychological well‐being in parents of children with autism spectrum disorders: A double ABCX model. Journal of Intellectual Disability Research, 58, 442–458.

    Article  PubMed  Google Scholar 

  • Rogers, S. J., & Vismara, L. A. (2008). Evidence-based comprehensive treatments for children with autism. Journal of Clinical Child & Adolescent Psychology, 37, 8–38.

    Article  Google Scholar 

  • Rogers, S. J., Vismara, L., Wagner, A. L., McCormick, C., Young, G., & Ozonoff, S. (2014). Autism treatment in the first year of life: A pilot study of infant start, a parent-implemented intervention for symptomatic infants. Journal of Autism and Developmental Disorders, 44, 2981–2995.

    Article  PubMed  PubMed Central  Google Scholar 

  • Saloviita, T., Itälinna, M., & Leinonen, E. (2003). Explaining the parental stress of fathers and mothers caring for a child with intellectual disability: A double ABCX model. Journal of Intellectual Disability Research, 47, 300–312.

    Article  PubMed  Google Scholar 

  • Samadi, S. A., McConkey, R., & Kelly, G. (2013). Enhancing parental well-being and coping through a family centered short course for Iranian parents of children with an autism spectrum disorder. Autism, 17, 27–43.

    Article  PubMed  Google Scholar 

  • Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., & McGee, G. G., et al. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 2411–2428.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stahmer, A. C. (1995). Teaching symbolic play skills to children with autism using pivotal response training. Journal of Autism and Developmental Disorders, 25, 123–141.

    Article  PubMed  Google Scholar 

  • Strauss, K., Vicari, S., Valeri, G., D’Elia, L., Arima, S., & Fava, L. (2012). Parent inclusion in early intensive behavioral intervention: The influence of parental stress, parent treatment fidelity and parent-mediated generalization of behavior targets on child outcomes. Research in Developmental Disabilities, 33, 688–703.

    Article  PubMed  Google Scholar 

  • Tonge, B., Brereton, A., Kiomall, M., Mackinnon, A., King, N., & Rinehart, N. (2006). Effects on parental mental health of an education and skills training program for parents of young children with autism: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 561–569.

    Article  Google Scholar 

  • Virués-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta regressions and dose-response meta-analysis of multiple outcomes. Clinical Psychology Review, 30, 387–399.

    Article  PubMed  Google Scholar 

  • Vismara, L. A., & Rogers, S. J. (2010). Behavioral treatments in autism spectrum disorder: What do we know?. Annual Review of Clinical Psychology, 6, 447–468.

    Article  PubMed  Google Scholar 

  • Wachtel, K., & Carter, A. S. (2008). Reaction to diagnosis and parenting styles among mothers of young children with ASD. Autism, 12, 575–594.

    Article  PubMed  Google Scholar 

  • Weber, J. G. (2011). The ABCX formula and the double ABCX model. In J. Weber (Ed.), Individual and family stress and crises (pp. 82–96). Thousand Oaks, CA: SAGE.

    Google Scholar 

  • Wetherby, A. M., Guthrie, W., Woods, J., Schatschneider, C., Holland, R., Morgan, L., & Lord, C. (2014). Parent implemented social intervention for toddlers with autism: An RCT. Pediatrics, 134, 1084–1093.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, S., Brock, M. E., Plavnick, J. B., Fleury, V. P., Schultz, T. R. (2015). Evidence-Based Practices for Children, Youth, and Young Adults with Autism Spectrum Disorder: A Comprehensive Review. Journal of Autism and Developmental Disorders 45(7):1951–1966.

    Article  PubMed  Google Scholar 

  • Xu, Y. (2007). Empowering culturally diverse families of young children with disabilities: The double ABCX model. Early Childhood Education Journal, 34, 431–437.

    Article  Google Scholar 

  • Zablotsky, B., Black, L. I., Maenner, M. J., Schieve, L. A., & Blumberg, S. J. (2015). Estimated prevalence of autism and other developmental disabilities following questionnaire changes in the 2014 national health interview survey. National Health Statistics Reports, 87, 1–21.

    Google Scholar 

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  1. Department of Psychology, Michigan State University, 316 Physics Road, East Lansing, MI, 48824, USA

    Katherine E. Pickard & Brooke R. Ingersoll

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  1. Katherine E. Pickard
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Correspondence to Katherine E. Pickard or Brooke R. Ingersoll.

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Pickard, K.E., Ingersoll, B.R. Using the Double ABCX Model to Integrate Services for Families of Children with ASD. J Child Fam Stud 26, 810–823 (2017). https://doi.org/10.1007/s10826-016-0605-4

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