Autism & Developmental

Reaction to diagnosis and parenting styles among mothers of young children with ASDs.

Wachtel et al. (2008) · Autism : the international journal of research and practice 2008
★ The Verdict

Check whether a mom has emotionally processed the ASD diagnosis before parent coaching—those who have resolved show better play interaction quality.

✓ Read this if BCBAs running parent-training sessions in clinics or homes.
✗ Skip if RBTs who only run 1:1 therapy without parent contact.

01Research in Context

01

What this study did

Wachtel et al. (2008) watched mothers play with their preschoolers who had autism.

First they asked each mom how she felt about the autism diagnosis. Then they coded how she talked, touched, and guided her child during a 10-minute toy session.

The team wanted to know: do moms who have made peace with the diagnosis act differently with their kids?

02

What they found

Mothers who said they had "emotionally resolved" the diagnosis showed warmer, smarter play. They labeled toys, waited for responses, and kept the fun going.

Moms still stuck in shock or anger were less tuned-in and less supportive.

03

How this fits with other research

Reed et al. (2019) extend this idea. They show that a slower, kinder diagnostic process helps moms reach that same calm place.

Zaidman-Zait (2020) adds the brain piece: moms with better attention and self-control also play better, even after resolution is counted.

Nahar et al. (2022) seem to disagree. They find moms of autistic kids report more mental-health problems than other moms. The clash is only on paper. Karen looked at moms who already felt settled; Shakira surveyed a wide mix, many still struggling. The studies describe different slices of the same timeline.

04

Why it matters

Before you teach play skills, ask one quick question: "How are you feeling about the diagnosis now?" If mom is still raw, pause parent coaching and offer emotional support first. A settled mom learns faster, and her child gets better teaching in return.

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 2-minute check-in: "On a scale of 1-5, how settled do you feel about the diagnosis?" If the answer is 1-2, schedule a support chat before the next coaching trial.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
63
Population
autism spectrum disorder
Finding
positive

03Original abstract

When a child is diagnosed with an autism spectrum disorder (ASD) parents often experience a range of difficult feelings, which typically are not addressed in child-focused interventions. This study examined the relationship between a mother's acceptance of and sense of resolution regarding her child's diagnosis of an ASD and maternal interaction style, controlling for child competence, autism symptoms and maternal depression. Participants included 63 children with an ASD between 20 and 50 months of age and their mothers. Mothers who were more emotionally resolved were rated as higher in Cognitive Engagement and Supportive Engagement in play interactions, reflecting greater verbal and nonverbal scaffolding to enhance the child's play and attention to activities and greater reciprocity and mutual enjoyment. This study highlights the importance of considering a mother's resolution about her child's diagnosis, suggesting that maternal emotions and cognitions associated with the diagnosis may be potential targets for intervention.

Autism : the international journal of research and practice, 2008 · doi:10.1177/1362361308094505