Maternal And Paternal Differences in Parental Stress and Children's Autistic Features Among Parents of Preschool Autistic Children.
James Rufus John, Anna Chua, Valsamma Eapen
PMID 41885163WHAT IT FOUND
Child behaviour problems went with higher stress for both mothers and fathers of autistic preschoolers.
Mothers' stress also went with social communication, repetitive behaviour and adaptive difficulties; fathers' did not. Mothers from culturally and linguistically diverse backgrounds, and more educated mothers, reported less stress.
Key findings
01Children's internalising and externalising behaviour problems were linked to higher parental stress in every domain, for both mothers and fathers.
02Mothers' stress was linked to more of the child's characteristics than fathers': poorer social communication and more repetitive behaviours went with higher stress across all domains for mothers, while neither was linked to fathers' total stress.
03Mothers from culturally and linguistically diverse backgrounds reported lower stress and mothers with lower levels of education reported higher stress; for fathers, culturally and linguistically diverse background was linked only to lower parental distress.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs
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What it does not show
All measures were taken at one point in time, so the study cannot show whether children's difficulties drive parental stress or the other way round. Every family was already using formal early intervention services at one of six autism-specific centres, so these parents may not be like parents who are not in services. Stress, behaviour and quality of life all came from parent-report questionnaires, which can be shaped by how a parent feels or by what they think they should say; the authors note this could work differently for mothers and fathers. Many more mothers than fathers took part (465 versus 216), and the repetitive behaviour questionnaire was completed for only 123 of the 516 children, so some comparisons rest on much less data. The stress questionnaire performed well in this sample, but the authors note it may still measure stress differently for parents from different cultural backgrounds.
Declared interests
The work was funded by the Cooperative Research Centre for Living with Autism (Autism CRC), established and supported under the Australian Government's Cooperative Research Centres Program, which supported the larger Autism subtyping project the data came from. The authors declared no competing interests.
The easy way to misread this
Do not read these links as cause and effect. Everything was measured at one time point, so a child's behaviour problems may add to a parent's stress, a stressed parent may report more behaviour problems, or both may move together for other reasons. The study cannot tell these apart.
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