Family Accommodation in Autism Spectrum Disorder.
Most parents quietly rearrange their lives around their child's repetitive behaviors, and this hidden work increases with symptom severity.
01Research in Context
What this study did
Researchers asked 80 parents of kids with autism about their daily routines.
They wanted to know how often parents change their own behavior to avoid upsetting their child's repetitive actions.
Parents filled out a simple survey about things like lining up toys or hand-flapping.
What they found
Four out of five parents said they accommodate these behaviors at least once a month.
The more severe the repetitive behaviors, the more parents reported changing their own routines.
This means parents aren't just noticing the behaviors - they're actively working around them.
How this fits with other research
Shepherd et al. (2018) found that advocacy tasks stress parents more than daily care.
This study shows daily care actually involves lots of hidden work - parents are constantly adjusting to avoid meltdowns.
Sim et al. (2017) found that couples who cope well together have less stress.
These accommodating behaviors might be one way parents try to reduce stress, even if it creates more work.
Dai et al. (2025) showed parent-coached DTT can reduce stress.
Understanding these accommodation patterns could help design better parent training programs.
Why it matters
When you see a parent 'giving in' to repetitive behaviors, you're watching accommodation in action.
Track these patterns during parent interviews - they reveal both stress levels and intervention opportunities.
Start conversations about which accommodations help versus which ones might maintain problem behaviors.
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02At a glance
03Original abstract
Family accommodation occurs frequently among families of children with OCD and anxiety disorders, with higher levels of accommodation repeatedly associated with greater symptom severity, lower functioning, and poorer treatment outcomes for children. This is the first examination of family accommodation of restricted and repetitive behaviors (RRBs) in children with autism spectrum disorder (ASD). Parents of children with ASD (N = 86) completed questionnaires assessing their children's RRBs and parental accommodation of these symptoms. Most participants (80%) reported engaging in accommodation at least once a month and family accommodation was significantly positively correlated with RRB severity. These results suggest accommodation of RRBs follows a pattern similar to that reported in obsessive compulsive and anxiety disorders, and highlight avenues for potential parent-based interventions.
Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04078-x