SLPOtherJournal of autism and developmental disorders2024

Parent-Child Interactions May Help to Explain Relations Between Parent Characteristics and Clinically Observed Child Autistic Behaviours.

Antonina Loncarevic, Murray T Maybery, Josephine Barbaro and 9 others

PMID 37209200

WHAT IT FOUND

In infants with early autism signs, maternal distress was linked to lower child attentiveness and maternal aloofness was linked to more child negative affect during play; both child patterns were linked to more autistic behaviours.

These links cannot show cause.

Key findings

01Maternal pragmatic language difficulties were associated with more child atypical behaviours and weaker social relatedness.

02Higher maternal psychological distress was associated with lower child attentiveness and had a significant indirect link to child autistic behaviours through child attentiveness.

03Higher maternal aloofness was associated with more child negative affect and had a significant indirect link to child autistic behaviours through child negative affect.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study measured associations at one time point, so it cannot show whether parent characteristics shaped child behaviour or child behaviour shaped parent interaction. The work was exploratory and did not adjust for multiple comparisons, so some significant correlations need replication. Only mothers were analysed. Three families were excluded because the father took part in the interaction while the mother completed questionnaires. The sample was made up of two-parent families, so it does not represent all families of children with early autism signs. Parent psychological distress was measured in a non-clinical sample with relatively low levels, so it may not show what happens in clinically depressed or anxious parents. Parent broader autism traits were measured by self-report only, not by behavioural assessment. Some child outcomes were parent-reported, so the same parent completed both parent and child questionnaires, which may inflate some correlations. Missing data reduced the mediation analyses to 93 families for Model A and 97 families for Model B.

Declared interests

The paper lists the University of Western Australia as the funder. No other conflict-of-interest or author disclosure information is provided in the supplied text.

The easy way to misread this

Do not read the mediated links as parents causing autistic behaviours. The study measured associations at one time point, had no significant direct effect from parent traits or distress to child outcomes, and the authors say child atypicalities may also drive parent directiveness and child attentiveness.

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