OTSLPOtherJournal of autism and developmental disorders2026

Psychometric Properties of the Chinese Version of the Psy-Flex Among Parents of Children with Autism Spectrum Disorder.

Si Ni Li, Wai Tong Chien, Stanley Kam Ki Lam and 2 others

PMID 39463213

WHAT IT FOUND

The Chinese Psy-Flex reliably measures psychological flexibility in parents of children with autism.

It takes about 5 minutes to complete and accurately distinguishes parents with high stress from those without, offering a brief tool for tracking mental health in this group.

Key findings

01The Chinese version of the Psy-Flex showed good internal consistency (Cronbach’s α = 0.84) and excellent stability over two weeks (weighted kappa = 0.88).

02The tool successfully differentiated between parents with high parenting stress and those without, confirming its known-group validity.

03The questionnaire is brief, taking an average of 4.56 minutes to complete, making it suitable for parents with heavy caregiving demands.

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

Participants were recruited via convenience sampling from special education schools in three provinces, which limits how far these findings apply to other populations or regions. The study did not include bilingual parents for the semantic equivalence test, relying instead on expert panels. The sample was predominantly female (81%) and married (94%), so findings may not fully represent fathers or single parents. Test-retest reliability was assessed in only 50 of the 248 participants.

Declared interests

No specific funding source or conflict of interest declaration is provided in the text.

The easy way to misread this

Do not interpret the Psy-Flex-C as a measure of parenting skill or child outcome. It measures the parent's psychological flexibility, which is associated with lower stress, but it does not directly assess how the parent interacts with the child or the child's developmental progress.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →