OTSurveyJournal of autism and developmental disorders2019

The Mediating Role of Parenting Stress in the Relations Between Parental Emotion Regulation and Parenting Behaviors in Chinese Families of Children with Autism Spectrum Disorders: A Dyadic Analysis.

Xiaoyi Hu, Zhuo Rachel Han, Liu Bai and 1 others

PMID 31197635

WHAT IT FOUND

In Chinese families of children with autism, parents' own difficulty managing emotions was linked to their own higher stress and less warm, more controlling parenting.

The analysis of couples did not find links to the other parent's stress or parenting, and no intervention was tested.

Key findings

01In the couple-level models, parents' own difficulty managing emotions was linked to their own higher parenting stress and lower optimal parenting, while links to the other parent were not significant.

02In the couple-level models, higher parenting stress was linked to lower optimal bonding, and the indirect path through a parent's own stress was significant for both mothers and fathers.

03Child daily living skills and academic performance were associated with parenting stress and overprotective parenting.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study was cross-sectional, so it cannot show that emotion regulation difficulties cause parenting stress or that stress causes parenting behavior changes. All key variables were parent self-reports, including the child's daily living skills and academic performance, so social desirability or response bias may affect the results. The paper did not have child IQ information, so intellectual ability may be an unmeasured confounder. Some mediated effects were only marginal, especially for care and overprotection, so the mediation evidence is not strong. Missing data was common for some father stress reports, with 17.5% missing on the Parenting Stress Inventory for fathers. The sample came from special education schools in China and may not apply to families in other settings or countries. The paper reports 211 couples in the methods, N = 221 in one table, and N = 192 in another table, so the exact analytic sample is not fully clear.

Declared interests

Funding was provided by the National Social Science Fund of China and the National Natural Science Foundation of China. The supplied text does not report author conflicts of interest or commercial sponsorship.

The easy way to misread this

Do not conclude that emotion regulation training will lower parenting stress or improve parenting in families of children with autism. This was a one-time questionnaire study of parents' own reports, and it did not test any training, therapy, or school program.

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