Autism & Developmental

Maternal Interactive Behaviours in Parenting Children with Williams Syndrome and Autism Spectrum Disorder: Relations with Emotional/Behavioural Problems.

Baptista et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Among preschoolers with ASD or Williams syndrome, lower maternal responsiveness is common and tied to developmental age rather than behavior problems.

✓ Read this if BCBAs running parent-training sessions in early-intervention clinics.
✗ Skip if Practitioners who work only with school-age fluency or vocational goals.

01Research in Context

01

What this study did

Baptista et al. (2019) watched 39 mothers play with their preschoolers. Some kids had autism. Others had Williams syndrome. The team coded how often moms followed the child’s lead, shared emotion, and labeled toys.

They also scored each child’s behavior problems and developmental age. The goal was to see if moms of different diagnostic groups acted differently, and if parenting style linked to problem behaviors.

02

What they found

Moms of kids with autism and moms of kids with Williams syndrome looked the same on responsiveness. Both groups showed lower scores than typical samples from other studies.

Lower responsiveness did not predict more tantrums or anxiety. Instead, it tracked with the child’s developmental age. Slower development, not behavior problems, went hand-in-hand with less responsive parenting.

03

How this fits with other research

Maljaars et al. (2014) surveyed a wider age range and found that mothers of children with ASD reported more positive, adaptive parenting and less discipline than moms of typical kids. That picture seems rosier than the live coding in Baptista et al. (2019). The difference is method: surveys capture what moms think they do; video captures what they actually do.

Green et al. (2020) showed that autistic preschoolers without intellectual disability fall behind in math, and low verbal IQ predicts the slide. Joana’s team adds that low developmental age also predicts lower maternal responsiveness. Together, the papers flag verbal or developmental level, not diagnosis alone, as the key variable to watch.

Sievers et al. (2020) found that prematurity raises autism odds. Joana shifts the focus from birth risk to day-to-day parenting risk, reminding us that the child’s current developmental level shapes mom’s behavior as much as mom’s behavior shapes the child.

04

Why it matters

When you see low maternal responsiveness, pause before writing “needs parent training.” The driver may be the child’s developmental age. Start by teaching the child stronger play and language skills; responsiveness often rises as the child can give clearer cues. Share this data with families to reduce blame and target joint engagement strategies that fit the child’s current level.

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Score the child’s developmental age first, then model play routines that match that level before asking mom to increase responsiveness.

02At a glance

Intervention
not applicable
Design
case series
Sample size
59
Population
autism spectrum disorder, other
Finding
null

03Original abstract

This study compared maternal responsiveness to children with two neurodevelopmental disorders sharing different but, in some cases, overlapping social phenotypes-Williams syndrome (WS) and autism spectrum disorder (ASD)-and explored the relations between maternal responsiveness and child emotional/behavioural problems (EBP). The sample included 16 pre-schoolers with WS and 43 with ASD, and their mothers. Responsiveness was assessed during a mother-child interaction task. Mothers completed the CBCL 1½-5, providing a measure of EBP. No significant differences emerged between groups, and most dyads were characterized by less responsive behaviours. Maternal responsiveness proved related to child developmental age, but not with EBP. These results provide further insight into the rearing environment of children with neurodevelopmental disorders, highlighting the need for early relationship-based interventions.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3715-6