Autism & Developmental

Feeling good, feeling bad: influences of maternal perceptions of the child and marital adjustment on well-being in mothers of children with an autism spectrum disorder.

Lickenbrock et al. (2011) · Journal of autism and developmental disorders 2011
★ The Verdict

For moms of kids with ASD, boosting positive views of the child and strengthening the marriage together protect maternal mental health.

✓ Read this if BCBAs running parent-training or support groups for mothers of children with autism.
✗ Skip if Practitioners focused solely on child skill acquisition without parent well-being components.

01Research in Context

01

What this study did

Researchers asked moms of kids with autism to keep a 30-day diary. They wrote down how they felt each day and how they saw their child and their marriage.

The team then tested a simple chain: Do happier thoughts about the child lead to better marriage vibes, which then lead to better mom mood?

02

What they found

When moms noticed more good things about their child, they also reported better marriage adjustment. That better marriage adjustment then predicted more daily positive feelings.

The flip side hit harder: when marriage adjustment was low, even small negative views of the child made mom’s bad mood worse.

03

How this fits with other research

Turk et al. (2010) found the same chain but swapped in family support and optimism. Both studies show positive mind-sets travel through social paths to protect mom well-being.

Nahar et al. (2022) looks like bad news—moms of kids with ASD scored worse on mental-health checks than moms of kids with dyslexia. The studies don’t clash; Shakira shows the baseline risk, while Amore et al. (2011) shows what can buffer that risk.

Benson (2018) followed moms for 12 years and saw their self-rated health drop. The short-term diary in Amore et al. (2011) captures the daily engine behind that long slide—low marital quality magnifies daily stress.

04

Why it matters

You already teach parents to track behavior. Add two quick daily positives: have mom jot one thing she liked about her child and one thing she appreciated about her partner. These micro-entries can lift marital tone and, in turn, mom’s mood—no extra clinic time needed.

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→ Action — try this Monday

Start each parent meeting by asking mom to share one recent positive moment with her child and one with her partner—write them on an index card to review next week.

02At a glance

Intervention
not applicable
Design
other
Sample size
49
Population
autism spectrum disorder
Finding
positive

03Original abstract

Mothers of children with an autism spectrum disorder (n = 49) participated in a 30-day diary study which examined associations between mothers' positive and negative perceptions of their children, marital adjustment, and maternal well-being. Hierarchical linear modeling results revealed that marital adjustment mediated associations between positive perceptions and maternal well-being. Mothers who reported higher levels of positive perceptions of the child were higher in marital adjustment and well-being. Results also revealed that marital adjustment moderated the relation between negative perceptions and negative maternal affect. Mothers low in marital adjustment had a positive association between negative maternal perceptions of the child and negative maternal affect. These findings highlight the dynamic roles that mothers' perceptions and marital adjustment play in determining maternal psychological outcomes.

Journal of autism and developmental disorders, 2011 · doi:10.1007/s10803-010-1105-9