Autism & Developmental

Mental Health and Coping in Parents of Children with Autism Spectrum Disorder (ASD) in Singapore: An Examination of Gender Role in Caring.

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

Fathers of kids with autism slide toward depression when stress rises, but active-avoidance coping softens the fall for both parents.

✓ Read this if BCBAs who coach parents of autistic children in any setting.
✗ Skip if Clinicians working only with child skill acquisition and never with caregivers.

01Research in Context

01

What this study did

Ang et al. (2019) asked moms and dads of kids with autism in Singapore to fill out a survey. They wanted to know who feels more stress and how different ways of coping change the link between stress and depression.

02

What they found

Mothers said they were more stressed than fathers. For fathers, higher stress led to higher depression. For both parents, using active-avoidance coping made the stress–depression link weaker.

03

How this fits with other research

Hagopian et al. (2005) mapped four coping styles in ASD parents years earlier; Ping’s work shows one of those styles can protect mental health.

Brillet et al. (2023) went further and found Mom’s emotion-focused coping lifts Dad’s quality of life too—evidence that helping one parent helps the pair.

Wang et al. (2025) tracked parents over six months and saw active coping boost both social support and resilience, giving a time-lagged proof for Ping’s snapshot result.

04

Why it matters

When you meet an ASD family, check how each parent copes. Teach fathers concrete active-coping moves first; their mood sinks faster when stress climbs. Offer joint sessions so Mom’s new skills also shield Dad. One quick step: add a five-minute coping plan to every parent training you run.

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Open your next parent meeting with, ‘What’s one thing you do to dodge stress?’ Then pick one active-avoidance tactic to practice together before you leave.

02At a glance

Intervention
not applicable
Design
survey
Sample size
203
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Research has supported the notion that gender plays a significant role in coping and mental health outcome among parents of children with ASD. The current study aims to examine gender role in the relationship between mental health outcome and coping in parents of children with ASD in Singapore. This study involved 97 fathers and 106 mothers of children with ASD completing self-report questionnaires. MANOVA revealed mothers experienced significantly higher stress levels than fathers. Stress was a significant predictor of depression for fathers but not for mothers. Regression analyses found use of active avoidance coping moderated the relationship between stress and depression in both parents. Implications of these findings on intervention are discussed.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-03900-w