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Journal of Autism and Developmental Disorders

Gepubliceerd in:

25-07-2022 | Original Paper

Child Behavior Problems and Parenting Stress in Underserved Families of Children with ASD: Investigation of Family Resources and Parenting Self-efficacy

Auteurs: Kevin G. Stephenson, Rachel M. Fenning, Eric A. Macklin, Frances Lu, Megan Norris, Robin Steinberg-Epstein, Eric M. Butter

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 10/2023

Abstract

Behavior problems in children with autism spectrum disorder (ASD) may exacerbate parenting stress. Parenting self-efficacy and family resources may influence this association. We examined cross-sectional statistical mediation effects of parenting self-efficacy on the relationship between child behavior problems and parenting stress and hypothesized that family-level resources moderated this indirect effect. Participants included 132 underserved (Medicaid-eligible) children with ASD (ages 3–13) with racial/ethnic diversity; many (63%) had intellectual disability. Greater externalizing problems were linked with lower parenting self-efficacy, which in turn was associated with increased parenting stress. A larger mediation effect was observed for families with fewer resources. A plausible alternative model (parenting stress mediating parenting self-efficacy) exhibited poorer fit. Implications for family supports and benefits of longitudinal follow-up are discussed.

vorige artikel Sexual Knowledge, Experiences, and Pragmatic Language in Adults With and Without Autism: Implications for Sex Education

volgende artikel Obtaining a First Diagnosis of Autism Spectrum Disorder: Descriptions of the Diagnostic Process and Correlates of Parent Satisfaction from a National Sample

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To control for these variables, exogenous variables were correlated with covariates in the model and endogenous variables were regressed onto covariates. Covariates were also allowed to correlate with each other.

Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms and profiles. University of Vermont.

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. University of Vermont.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.CrossRef

Baker, B. L., Heller, T. L., & Henker, B. (2000). Expressed emotion, parenting stress, and adjustment in mothers of young children with behavior problems. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 41(7), 907–915. https://doi.org/10.1111/1469-7610.00678CrossRefPubMed

Barroso, N. E., Mendez, L., Graziano, P. A., & Bagner, D. M. (2018). Parenting stress through the lens of different clinical groups: A systematic review & meta-analysis. Journal of Abnormal Child Psychology, 46(3), 449–461. https://doi.org/10.1007/s10802-017-0313-6CrossRefPubMedPubMedCentral

Benson, P. R. (2006). The impact of child symptom severity on depressed mood among parents of children with ASD: The mediating role of stress proliferation. Journal of Autism and Developmental Disorders, 36(5), 685–695. https://doi.org/10.1007/s10803-006-0112-3CrossRefPubMed

Blacher, J., & McIntyre, L. L. (2006). Syndrome specificity and behavioural disorders in young adults with intellectual disability: Cultural differences in family impact. Journal of Intellectual Disability Research: JIDR, 50(Pt 3), 184–198. https://doi.org/10.1111/j.1365-2788.2005.00768.xCrossRefPubMed

Bristol, M. M. (1987). Mothers of children with autism or communication disorders: Successful adaptation and the double ABCX model. Journal of Autism and Developmental Disorders, 17(4), 469–486. https://doi.org/10.1007/BF01486964CrossRefPubMed

Constantino, J. N., Abbacchi, A. M., Saulnier, C., Klaiman, C., Mandell, D. S., Zhang, Y., Hawks, Z., Bates, J., Klin, A., Shattuck, P., Molholm, S., Fitzgerald, R., Roux, A., Lowe, J. K., & Geschwind, D. H. (2020). Timing of the diagnosis of autism in African American Children. Pediatrics. https://doi.org/10.1542/peds.2019-3629CrossRefPubMed

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. https://doi.org/10.1007/s10803-007-0512-zCrossRefPubMed

Donenberg, G., & Baker, B. L. (1993). The impact of young children with externalizing behaviors on their families. Journal of Abnormal Child Psychology, 21(2), 179–198. https://doi.org/10.1007/BF00911315CrossRefPubMed

Durkin, M. S., Maenner, M. J., Baio, J., Christensen, D., Daniels, J., Fitzgerald, R., Imm, P., Lee, L.-C., Schieve, L. A., Van Naarden Braun, K., Wingate, M. S., & Yeargin-Allsopp, M. (2017). Autism Spectrum Disorder among US children (2002–2010): Socioeconomic, racial, and ethnic disparities. American Journal of Public Health, 107(11), 1818–1826. https://doi.org/10.2105/AJPH.2017.304032CrossRefPubMedPubMedCentral

Estes, A., Vismara, L., Mercado, C., Fitzpatrick, A., Elder, L., Greenson, J., Lord, C., Munson, J., Winter, J., Young, G., Dawson, G., & Rogers, S. (2014). The impact of parent-delivered intervention on parents of very young children with autism. Journal of Autism and Developmental Disorders, 44(2), 353–365. https://doi.org/10.1007/s10803-013-1874-zCrossRefPubMedPubMedCentral

Farmer, J. E., Clark, M. J., Mayfield, W. A., Cheak-Zamora, N., Marvin, A. R., Law, J. K., & Law, P. A. (2014). The relationship between the medical home and unmet needs for children with autism spectrum disorders. Maternal and Child Health Journal, 18(3), 672–680. https://doi.org/10.1007/s10995-013-1292-zCrossRefPubMed

Fenning, R. M., & Butter, E. M. (2019). Promoting parent engagement in parent training for children with autism spectrum disorder. In C. R. Johnson, E. M. Butter, & L. Scahill (Eds.), Parent training for autism spectrum disorder: improving the quality of life for children and their families (pp. 61–84). American Psychological Association.CrossRef

Fenning, R. M., Butter, E. M., Macklin, E. A., Norris, M., Hammersmith, K. J., McKinnon-Bermingham, K., et al. (2022). Parent training for dental care in underserved children with autism: A randomized controlled trial. Pediatrics, 149(5), e2021050691. https://doi.org/10.1542/peds.2021-050691

Hastings, R. P. (2002). Parental stress and behaviour problems of children with developmental disability. Journal of Intellectual & Developmental Disability, 27(3), 149–160. https://doi.org/10.1080/1366825021000008657CrossRef

Hastings, R. P., & Brown, T. (2002). Behavior problems of children with autism, parental self-efficacy, and mental health. American Journal on Mental Retardation, 107(3), 222–232. https://doi.org/10.1352/0895-8017(2002)107%3c0222:BPOCWA%3e2.0.CO;2CrossRefPubMed

Hayes, A. F. (2015). An index and test of linear moderated mediation. Multivariate Behavioral Research, 50(1), 1–22. https://doi.org/10.1080/00273171.2014.962683CrossRefPubMed

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. https://doi.org/10.1007/s10803-012-1604-yCrossRefPubMed

Heath, C. L., Curtis, D. F., Fan, W., & McPherson, R. (2015). The association between parenting stress, parenting self-efficacy, and the clinical significance of child ADHD symptom change following behavior therapy. Child Psychiatry & Human Development, 46(1), 118–129. https://doi.org/10.1007/s10578-014-0458-2CrossRef

Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6, 53–60.

Horlin, C., Falkmer, M., Parsons, R., Albrecht, M. A., & Falkmer, T. (2014). The cost of autism spectrum disorders. PLoS ONE. https://doi.org/10.1371/journal.pone.0106552CrossRefPubMedPubMedCentral

Hyman, S. L., & Johnson, J. K. (2012). Autism and pediatric practice: Toward a medical home. Journal of Autism and Developmental Disorders, 42(6), 1156–1164. https://doi.org/10.1007/s10803-012-1474-3CrossRefPubMed

Iadarola, S., Levato, L., Harrison, B., Smith, T., Lecavalier, L., Johnson, C., Swiezy, N., Bearss, K., & Scahill, L. (2018). Teaching parents behavioral strategies for autism spectrum disorder (ASD): Effects on stress, strain, and competence. Journal of Autism and Developmental Disorders, 48(4), 1031–1040. https://doi.org/10.1007/s10803-017-3339-2CrossRefPubMed

Johnston, C., & Mash, E. J. (1989). A measure of parenting satisfaction and efficacy. Journal of Clinical Child Psychology, 18(2), 167–175.CrossRef

Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical Psychology Review, 25(3), 341–363. https://doi.org/10.1016/j.cpr.2004.12.004CrossRefPubMed

Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford Press.

Kurzrok, J., McBride, E., & Grossman, R. B. (2021). Autism-specific parenting self-efficacy: An examination of the role of parent-reported intervention involvement, satisfaction with intervention-related training, and caregiver burden. Autism: the International Journal of Research and Practice, 25(5), 1395–1408. https://doi.org/10.1177/1362361321990931CrossRefPubMed

Lavelle, T. A., Weinstein, M. C., Newhouse, J. P., Munir, K., Kuhlthau, K. A., & Prosser, L. A. (2014). Economic burden of childhood Autism Spectrum Disorders. Pediatrics, 133(3), e520–e529. https://doi.org/10.1542/peds.2013-0763CrossRefPubMed

Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(3), 172–183. https://doi.org/10.1111/j.1365-2788.2005.00732.xCrossRefPubMed

Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule second edition (ADOS-2) manual (part 1): Modules 1–4. Western Psychological Services.

Magaña, S., Parish, S. L., Rose, R. A., Timberlake, M., & Swaine, J. G. (2012). Racial and ethnic disparities in quality of health care among children with autism and other developmental disabilities. Intellectual and Developmental Disabilities, 50(4), 287–299. https://doi.org/10.1352/1934-9556-50.4.287CrossRefPubMed

Manning, M. M., Wainwright, L., & Bennett, J. (2011). The double ABCX model of adaptation in racially diverse families with a school-age child with autism. Journal of Autism and Developmental Disorders, 41(3), 320–331. https://doi.org/10.1007/s10803-010-1056-1CrossRefPubMed

Maskey, M., Warnell, F., Parr, J. R., Le Couteur, A., & McConachie, H. (2013). Emotional and behavioural problems in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(4), 851–859. https://doi.org/10.1007/s10803-012-1622-9CrossRefPubMed

Matthews, N. L., Pollard, E., Ober-Reynolds, S., Kirwan, J., Malligo, A., & Smith, C. J. (2015). Revisiting cognitive and adaptive functioning in children and adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(1), 138–156. https://doi.org/10.1007/s10803-014-2200-0CrossRefPubMed

McCubbin, H. I., & Patterson, J. M. (1983). The family stress process: The double ABCX model of adjustment and adaptation. Marriage & Family Review, 6(1–2), 7–37. https://doi.org/10.1300/J002v06n01_02CrossRef

Myers, B. J., Mackintosh, V. H., & Goin-Kochel, R. P. (2009). “My greatest joy and my greatest heart ache:” Parents’ own words on how having a child in the autism spectrum has affected their lives and their families’ lives. Research in Autism Spectrum Disorders, 3(3), 670–684. https://doi.org/10.1016/j.rasd.2009.01.004CrossRef

Ohan, J. L., Leung, D. W., & Johnston, C. (2000). The parenting sense of competence scale: Evidence of a stable factor structure and validity. Canadian Journal of Behavioural Science, 32(4), 251–261. https://doi.org/10.1037/h0087122CrossRef

Osborne, L. A., & Reed, P. (2009). The relationship between parenting stress and behavior problems of children with autistic spectrum disorders. Exceptional Children, 76(1), 54–73. https://doi.org/10.1177/001440290907600103CrossRef

Pandolfi, V., Magyar, C. I., & Dill, C. A. (2009). Confirmatory factor analysis of the child behavior checklist 1.5–5 in a sample of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(7), 986–995. https://doi.org/10.1007/s10803-009-0716-5CrossRefPubMedPubMedCentral

Pandolfi, V., Magyar, C. I., & Dill, C. A. (2012). An initial psychometric evaluation of the CBCL 6–18 in a sample of youth with autism spectrum disorders. Research in Autism Spectrum Disorders, 6(1), 96–108. https://doi.org/10.1016/j.rasd.2011.03.009CrossRefPubMedPubMedCentral

Paynter, J., Riley, E., Beamish, W., Davies, M., & Milford, T. (2013). The double ABCX model of family adaptation in families of a child with an autism spectrum disorder attending an Australian early intervention service. Research in Autism Spectrum Disorders, 7(10), 1183–1195. https://doi.org/10.1016/j.rasd.2013.07.006CrossRef

Pisterman, S., Firestone, P., McGrath, P., Goodman, J. T., Webster, I., Mallory, R., & Coffin, B. (1992). The effects of parent training on parenting stress and sense of competence. Canadian Journal of Behavioural Science/revue Canadienne Des Sciences Du Comportement, 24(1), 41–58. https://doi.org/10.1037/h0078699CrossRef

Randall, M., Egberts, K. J., Samtani, A., Scholten, R. J., Hooft, L., Livingstone, N., Sterling-Levis, K., Woolfenden, S., & Williams, K. (2018). Diagnostic tests for autism spectrum disorder (ASD) in preschool children. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009044.pub2CrossRefPubMedPubMedCentral

Rezendes, D. L., & Scarpa, A. (2011). Associations between parental anxiety/depression and child behavior problems related to autism spectrum disorders: The roles of parenting stress and parenting self-efficacy. Autism Research and Treatment. https://doi.org/10.1155/2011/395190CrossRefPubMedPubMedCentral

Rodriguez, G., Hartley, S. L., & Bolt, D. (2019). Transactional relations between parenting stress and child autism symptoms and behavior problems. Journal of Autism and Developmental Disorders, 49(5), 1887–1898. https://doi.org/10.1007/s10803-018-3845-xCrossRefPubMedPubMedCentral

Roid, G. H. (2003). Stanford-Binet intelligence scales (SB:V) (5th ed.). Riverside Publishing.

Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36.CrossRef

Salazar, F., Baird, G., Chandler, S., Tseng, E., O’sullivan, T., Howlin, P., Pickles, A., & Simonoff, E. (2015). Co-occurring psychiatric disorders in preschool and elementary school-aged children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2283–2294. https://doi.org/10.1007/s10803-015-2361-5CrossRefPubMed

Santiago, C. D., Wadsworth, M. E., & Stump, J. (2011). Socioeconomic status, neighborhood disadvantage, and poverty-related stress: Prospective effects on psychological syndromes among diverse low-income families. Journal of Economic Psychology, 32(2), 218–230. https://doi.org/10.1016/j.joep.2009.10.008CrossRef

Sofronoff, K., & Farbotko, M. (2002). The effectiveness of parent management training to increase self-efficacy in parents of children with Asperger Syndrome. Autism, 6(3), 271–286. https://doi.org/10.1177/1362361302006003005CrossRefPubMed

Sparrow, S., Cicchetti, D., & Saulnier, C. (2016). Vineland adaptive behavior scales (Vineland-3) (3rd ed.). Pearson.

Thomas, P., Zahorodny, W., Peng, B., Kim, S., Jani, N., Halperin, W., & Brimacombe, M. (2012). The association of autism diagnosis with socioeconomic status. Autism, 16(2), 201–213. https://doi.org/10.1177/1362361311413397CrossRefPubMed

Twomey, C., O’Connell, H., Lillis, M., Tarpey, S. L., & O’Reilly, G. (2018). Utility of an abbreviated version of the Stanford-Binet intelligence scales in estimating ‘full scale’ IQ for young children with autism spectrum disorder. Autism Research, 11(3), 503–508. https://doi.org/10.1002/aur.1911CrossRefPubMed

Van Horn, M. L., Bellis, J. M., & Snyder, S. W. (2001). Family resource scale-revised: Psychometrics and validation of a measure of family resources in a sample of low-income families. Journal of Psychoeducational Assessment, 19(1), 54–68. https://doi.org/10.1177/073428290101900104CrossRef

Vogan, V., Lake, J. K., Weiss, J. A., Robinson, S., Tint, A., & Lunsky, Y. (2014). Factors associated with caregiver burden among parents of individuals with ASD: Differences across intellectual functioning. Family Relations, 63(4), 554–567. https://doi.org/10.1111/fare.12081CrossRef

Warren, J. S., Brown, C. R., Layne, C. M., & Nelson, P. L. (2011). Parenting self-efficacy as a predictor of child psychotherapy outcomes in usual care: A multi-dimensional approach. Psychotherapy Research, 21(1), 112–123. https://doi.org/10.1080/10503307.2010.531405CrossRefPubMed

Woodman, A. C., Mawdsley, H. P., & Hauser-Cram, P. (2015). Parenting stress and child behavior problems within families of children with developmental disabilities: Transactional relations across 15 years. Research in Developmental Disabilities, 36, 264–276. https://doi.org/10.1016/j.ridd.2014.10.011CrossRef

Yingling, M. E., Bell, B. A., & Hock, R. M. (2019). Treatment utilization trajectories among children with autism spectrum disorder: Differences by race-ethnicity and neighborhood. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-019-03896-3CrossRefPubMed

Yorke, I., White, P., Weston, A., Rafla, M., Charman, T., & Simonoff, E. (2018). The association between emotional and behavioral problems in children with autism spectrum disorder and psychological distress in their parents: A systematic review and meta-analysis. Journal of Autism and Developmental Disorders, 48(10), 3393–3415. https://doi.org/10.1007/s10803-018-3605-yCrossRefPubMedPubMedCentral

Zaidman-Zait, A., Mirenda, P., Duku, E., Szatmari, P., Georgiades, S., Volden, J., Zwaigenbaum, L., Vaillancourt, T., Bryson, S., Smith, I., Fombonne, E., Roberts, W., Waddell, C., Thompson, A., The Pathways in ASD Study Team. (2014). Examination of bidirectional relationships between parent stress and two types of problem behavior in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(8), 1908–1917. https://doi.org/10.1007/s10803-014-2064-3CrossRefPubMed

Zaidman-Zait, A., Mirenda, P., Duku, E., Vaillancourt, T., Smith, I. M., Szatmari, P., Bryson, S., Fombonne, E., Volden, J., Waddell, C., Zwaigenbaum, L., Georgiades, S., Bennett, T., Elsabaggh, M., & Thompson, A. (2017). Impact of personal and social resources on parenting stress in mothers of children with autism spectrum disorder. Autism, 21(2), 155–166. https://doi.org/10.1177/1362361316633033CrossRefPubMed

Ziring, P. R., Brazdziunas, D., Cooley, W. C., Kastner, T. A., Kummer, M. E., de Gonzalez Pijem, L., Quint, R. D., Ruppert, E. S., Sandler, A. D., Anderson, W. C., Arango, P., Burgan, P., Garner, C., McPherson, M., Michaud, L., Yeargin-Allsopp, M., Johnson, C. P., Wheeler, L. S., Nackashi, J., & Perrin, J. M. (1999). American academy of pediatrics: Committee on children with disabilities: Care coordination: Integrating health and related systems of care for children with special health care needs. Pediatrics, 104(4), 978–981.CrossRefPubMed

Titel: Child Behavior Problems and Parenting Stress in Underserved Families of Children with ASD: Investigation of Family Resources and Parenting Self-efficacy
Auteurs: Kevin G. Stephenson
Rachel M. Fenning
Eric A. Macklin
Frances Lu
Megan Norris
Robin Steinberg-Epstein
Eric M. Butter
Publicatiedatum: 25-07-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 10/2023
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-022-05681-1

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