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Depression in Parents of Children Diagnosed with Autism Spectrum Disorder: A Claims-Based Analysis

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Abstract

Previous studies showing that Autism Spectrum Disorder (ASD) in children can have secondary effects on the child’s parents are limited by small sample sizes and parent self-report. We examined the odds of depression in parents of children with ASD compared to parents of children without ASD using a large national claims database. Mothers (OR 2.95, 95% CI 2.81–3.09) and fathers (OR 2.41, 95% CI 2.25–2.58) of children with ASD were more likely to have a diagnosis of depression than parents of children without ASD. Odds of depression also increased when there was more than one child with ASD in the family and with child age. Study results reinforce the benefits of support and education for parents of children with ASD.

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References

  • Baghdadli, A., Pry, R., Michelon, C., & Rattaz, C. (2014). Impact of autism in adolescents on parental quality of life. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 23(6), 1859–1868. doi:10.1007/s11136-014-0635-6.

    Article  Google Scholar 

  • Baker, J. K., Seltzer, M. M., & Greenberg, J. S. (2011). Longitudinal effects of adaptability on behavior problems and maternal depression in families of adolescents with autism. Journal of Family Psychology: Journal of the Division of Family Psychology of the American Psychological Association (Division), 25(4), 601–609. doi:10.1037/a0024409.

    Article  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(2), 350–362. doi:10.1007/s10803-008-0632-0.

    Article  PubMed  Google Scholar 

  • Burke, J. P., Jain, A., Yang, W., Kelly, J. P., Kaiser, M., Becker, L., et al. (2014). Does a claims diagnosis of autism mean a true case? Autism: The International Journal of Research and Practice, 18(3), 321–330. doi:10.1177/1362361312467709.

    Article  Google Scholar 

  • Carter, A. S., de Martinez-Pedraza, F. L., & Gray, S. A. (2009). Stability and individual change in depressive symptoms among mothers raising young children with ASD: Maternal and child correlates. Journal of Clinical Psychology, 65(12), 1270–1280. doi:10.1002/jclp.20634.

    Article  PubMed  Google Scholar 

  • Christensen, D. L., Baio, J., Braun, K. V., Bilder, D., Charles, J., Constantino, J. N., et al. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2012. MMWR Surveillance Summaries, 65(3), 1–23.

    Article  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. doi:10.1007/s10803-007-0512-z.

    Article  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: The International Journal of Research and Practice, 13(4), 375–387. doi:10.1177/1362361309105658.

    Article  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. doi:10.1016/j.braindev.2012.10.004.

    Article  PubMed  Google Scholar 

  • Fiest, K. M., Jette, N., Quan, H., St. Germaine-Smith, C., Metcalfe, A., Patten, S. B., et al. (2014). Systematic review and assessment of validated case definitions for depression in administrative data. BMC Psychiatry, 14(1), 289. doi:10.1186/s12888-014-0289-5.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gallagher, S., Phillips, A. C., Oliver, C., & Carroll, D. (2008). Predictors of psychological morbidity in parents of children with intellectual disabilities. Journal of Pediatric Psychology, 33(10), 1129–1136. doi:10.1093/jpepsy/jsn040.

    Article  PubMed  Google Scholar 

  • Gatzoyia, D., Kotsis, K., Koullourou, I., Goulia, P., Carvalho, A. F., Soulis, S., et al. (2014). The association of illness perceptions with depressive symptoms and general psychological distress in parents of an offspring with autism spectrum disorder. Disability and Health Journal, 7(2), 173–180. doi:10.1016/j.dhjo.2013.10.008.

    Article  PubMed  Google Scholar 

  • 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, 61(2), 327–342. doi:10.1111/j.1741-3729.2011.00693.x.

    Article  PubMed  PubMed Central  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(5), 635–644. doi:10.1007/s10803-005-0007-8.

    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 Disorders, 43(3), 629–642. doi:10.1007/s10803-012-1604-y.

    Article  PubMed  Google Scholar 

  • Kuusikko-Gauffin, S., Pollock-Wurman, R., Mattila, M. L., Jussila, K., Ebeling, H., Pauls, D., et al. (2013). Social anxiety in parents of high-functioning children with autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 43(3), 521–529. doi:10.1007/s10803-012-1581-1.

    Article  PubMed  Google Scholar 

  • Lai, W. W., Goh, T. J., Oei, T. P., & Sung, M. (2015). Coping and well-being in parents of children with autism spectrum disorders (ASD). Journal of Autism and Developmental Disorders. doi:10.1007/s10803-015-2430-9.

    Google Scholar 

  • Lounds, J., Seltzer, M. M., Greenberg, J. S., & Shattuck, P. T. (2007). Transition and change in adolescents and young adults with autism: Longitudinal effects on maternal well-being. American Journal on Mental Retardation, 112(6), 401–417. doi:10.1352/0895-8017(2007)112[401:TACIAA]2.0.CO;2.

    Article  PubMed  Google Scholar 

  • McStay, R. L., Trembath, D., & Dissanayake, C. (2014). Maternal stress and family quality of life in response to raising a child with autism: From preschool to adolescence. Research in Developmental Disabilities, 35(11), 3119–3130. doi:10.1016/j.ridd.2014.07.043.

    Article  PubMed  Google Scholar 

  • Olsson, M. B., & Hwang, C. P. (2001). Depression in mothers and fathers of children with intellectual disability. Journal of Intellectual Disability Research, 45(Pt 6), 535–543.

    Article  PubMed  Google Scholar 

  • Ozturk, Y., Riccadonna, S., & Venuti, P. (2014). Parenting dimensions in mothers and fathers of children with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 8(10), 1295–1306. doi:10.1016/j.rasd.2014.07.001.

    Article  Google Scholar 

  • Singer, G. H. (2006). Meta-analysis of comparative studies of depression in mothers of children with and without developmental disabilities. American Journal of Mental Retardation, 111(3), 155–169. doi:10.1352/0895-8017(2006)111[155:MOCSOD]2.0.CO;2.

    Article  PubMed  Google Scholar 

  • Taylor, J. L., & Warren, Z. E. (2012). Maternal depressive symptoms following autism spectrum diagnosis. Journal of Autism and Developmental Disorders, 42(7), 1411–1418. doi:10.1007/s10803-011-1375-x.

    Article  PubMed  Google Scholar 

  • Yirmiya, N., & Shaked, M. (2005). Psychiatric disorders in parents of children with autism: A meta-analysis. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 46(1), 69–83. doi:10.1111/j.1469-7610.2004.00334.x.

    Article  PubMed  Google Scholar 

  • Zablotsky, B., Bradshaw, C., & Stuart, E. (2013). The association between mental health, stress, and coping supports in mothers of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(6), 1380–1393. doi:10.1007/s10803-012-1693-7.

    Article  PubMed  Google Scholar 

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Acknowledgments

There were no grants or other financial supports for this study.​

Author Contributions

AC participated in the design and coordination of the study, performed the statistical analysis and interpretation of the data, and drafted the manuscript; DL conceived of the study, participated in its design and coordination, assisted with the statistical analysis and interpretation of the data, and helped to draft the manuscript. All authors read and approved the final manuscript.

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Correspondence to Austin C. Cohrs.

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Cohrs, A.C., Leslie, D.L. Depression in Parents of Children Diagnosed with Autism Spectrum Disorder: A Claims-Based Analysis. J Autism Dev Disord 47, 1416–1422 (2017). https://doi.org/10.1007/s10803-017-3063-y

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  • DOI: https://doi.org/10.1007/s10803-017-3063-y

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