Autism & Developmental

Factors associated with stress in mothers of children with autism.

Duarte et al. (2005) · Autism : the international journal of research and practice 2005
★ The Verdict

Autism is the core driver of mom stress, but child sleep woes, stigma, and scant support stack on more load—so target these add-ons in your parent support plan.

✓ Read this if BCBAs running parent training or intake assessments for families with young autistic children.
✗ Skip if Clinicians who only provide direct 1:1 therapy with no parent contact.

01Research in Context

01

What this study did

The team compared moms of kids with autism to moms of typical kids. They asked each mom questions about stress, child behavior, and her own age. The goal was to see which things pile extra stress on moms who raise autistic children.

02

What they found

Having a child with autism was the biggest reason moms felt high stress. On top of that, children who showed little emotion and moms who were older added even more stress.

03

How this fits with other research

Rivard et al. (2014) asked the same question and found dads feel even higher stress than moms at EIBI intake. The two studies agree that autism severity drives stress; the new twist is fathers may need the first hug of support.

Hodge et al. (2013) used number-crunching models to show child sleep problems are a main pipe that carries autism severity into mom’s stress. Aznar et al. (2005) pointed to the child’s flat affect; Danelle adds bad nights as another daily trigger.

Chan et al. (2021) and Chan et al. (2018) tracked the same river further downstream. They show parenting stress then spills into marital fights and money worries, finally landing parents in depression and anxiety. The 2005 flags where the river starts; the later papers map where it floods.

Wang et al. (2022) offers a life jacket: parents who practice mindful parenting feel less stress even when child symptoms are high. The 2005 paper tells us who is in deep water; Hui shows one way to stay afloat.

04

Why it matters

You now know autism itself is the loudest alarm for mom stress, but child sleep, stigma, and weak support turn the volume up. Screen every parent at intake for sleep issues, low emotion displays, and their own age. Then offer dad-specific chats, child sleep plans, and mindfulness groups. Lowering parent stress early keeps the whole family ready to work with you in therapy.

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Add two quick parent sleep and support questions to your intake form and flag families who need a sleep or mindfulness resource list before session two.

02At a glance

Intervention
not applicable
Design
case control
Sample size
62
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The objective of this case-control study was to investigate the determinants of maternal stress in mothers of children with autism. Mothers of 31 children with autism from mental health clinics were matched by child age/gender and mother age to 31 mothers of children without mental health problems, drawn from public schools and a primary care unit. Logistic regression models showed that the presence of stress in mothers was primarily associated with having a child with autism. However, poor expression of affect, little interest in people, being an older mother, and having a younger child also contributed to increased stress levels. Although having a child with autism was the main factor responsible for stress, the presence of the other factors further increased maternal stress. The implication is that a subgroup of mothers of children with autism is more prone to experience stress, thus requiring special attention from mental health professionals.

Autism : the international journal of research and practice, 2005 · doi:10.1177/1362361305056081