Autism & Developmental

Mothers of adolescents and adults with autism: parenting multiple children with disabilities.

Orsmond et al. (2007) · Intellectual and developmental disabilities 2007
★ The Verdict

When another child in the home also has a disability, moms of teens or adults with ASD carry markedly higher stress—so screen these families for extra mental-health support.

✓ Read this if BCBAs doing intake or family training with adolescent or adult ASD clients.
✗ Skip if Clinicians who only see single-child families or early-intervention cases.

01Research in Context

01

What this study did

The team sent surveys to moms who had a teen or adult child with autism. They asked about mood, family closeness, and whether any other child in the home also had a disability.

The mothers were split into two groups: one group had only the autistic child with a disability, the other group had at least one extra child with a disability.

02

What they found

Moms who were raising more than one child with a disability reported more depression and anxiety.

These same moms also said their families felt less flexible and less close.

03

How this fits with other research

Kuhn et al. (2018) asked similar moms the same questions and got the same grim numbers. Their work shows the stress link is real and repeats across years.

Williams et al. (2010) looked at moms of younger autistic kids and still saw high stress. They add that even preschool moms feel the squeeze, so the risk starts early.

Giesbers et al. (2020) counted each extra diagnosis in the house like adding weights to a scale. More labels equal more parent pain, matching the pattern Cohn et al. (2007) found.

04

Why it matters

If you serve a family with an older autistic client, ask one quick question: “Any other kids with special needs?” A yes answer is a red flag for mom’s mental health. Offer extra screening, respite referrals, or a support-group list right then. Five minutes can save years of hidden strain.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add a checkbox for “additional disabled siblings” to your intake form and flag those cases for caregiver-support resources.

02At a glance

Intervention
not applicable
Design
survey
Population
autism spectrum disorder
Finding
negative

03Original abstract

We examined types of disabilities in siblings from a large sample of families of adolescents and adults with autism spectrum disorders (ASD) and the impact of another child with a disability on maternal and family well-being. The most frequent disabilities in siblings were attention and hyperactivity (4.6%) and autism spectrum (2.4%) disorders and psychiatric (2.1%) and learning (2.0%) disabilities. Mothers parenting another child with a disability (in addition to the child with ASD) had higher levels of depressive symptoms and anxiety and lower family adaptability and cohesion compared with mothers whose only child with a disability had ASD (matched on child age and family size). Findings are discussed with respect to understanding the needs of such families, including service provision.

Intellectual and developmental disabilities, 2007 · doi:10.1352/1934-9556(2007)45[257:MOAAAW]2.0.CO;2