Autism & Developmental

Fatigue, wellbeing and parental self-efficacy in mothers of children with an autism spectrum disorder.

Giallo et al. (2013) · Autism : the international journal of research and practice 2013
★ The Verdict

Mom fatigue is high in autism families and cuts parenting confidence—ask about it and offer real relief.

✓ Read this if BCBAs serving preschoolers with autism in clinic or home programs.
✗ Skip if Practitioners working only with older youth or non-parent caregivers.

01Research in Context

01

What this study did

Giallo et al. (2013) compared moms of preschoolers with autism to moms of typically developing kids. They asked about tiredness, mood, and how capable the moms felt as parents.

The study used surveys and rating scales. It looked at children aged two to five years old.

02

What they found

Mothers of children with autism reported more fatigue than the other moms. Higher fatigue went hand in hand with lower parenting confidence and poorer well-being.

The link was clear: when moms felt worn out, they also felt less able to parent well.

03

How this fits with other research

Kurzrok et al. (2021) built on this idea. They showed that when parents are more involved in intervention and happy with training, their autism-specific confidence rises. Caregiver burden still drags it down.

Lee et al. (2022) pulled together 37 parent-training studies. They found small gains in confidence and mental health, but no change in stress or burden. This seems to clash with Rebecca’s call to tackle fatigue. The gap is method: the meta looked at short classes, not day-to-day energy help.

Shepherd et al. (2021) stepped further. They showed parenting stress, not child symptoms, drives mental health problems. This extends Rebecca’s fatigue link by naming stress as the active pathway.

04

Why it matters

You already screen child progress. Add one quick fatigue question for parents at intake and each review. If moms report high tiredness, link them to respite, sleep tools, or stress-management groups. Small energy gains can protect parenting confidence and well-being, boosting overall program success.

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Add one fatigue rating to your parent questionnaire and plan a respite referral if the score is high.

02At a glance

Intervention
not applicable
Design
case control
Sample size
50
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Raising a child with an Autism Spectrum Disorder (ASD) presents significant challenges for parents that potentially have a impact on their health and wellbeing. The current study examined the extent to which parents experience fatigue and its relationship to other aspects of wellbeing and parenting. Fifty mothers of children with an ASD aged 2-5 years participated in the study. Compared with mothers of typically developing children, mothers of children with an ASD reported significantly higher fatigue, with overall scores in the moderate range. Factors associated with high levels of fatigue were poor maternal sleep quality, a high need for social support and poor quality of physical activity. Fatigue was also significantly related to other aspects of wellbeing, including stress, anxiety and depression, and lower parenting efficacy and satisfaction. The need for interventions to specifically target parental fatigue and its impact on families affected by ASDs both in the short and long term is clearly indicated.

Autism : the international journal of research and practice, 2013 · doi:10.1177/1362361311416830