Autism & Developmental

Social anxiety in parents of high-functioning children with autism and Asperger syndrome.

Kuusikko-Gauffin et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Parents of high-functioning ASD kids—especially moms—carry heavy social anxiety, so screen and support them like you do the child.

✓ Read this if BCBAs running parent-training or social-skills groups for school-age ASD clients.
✗ Skip if Clinicians working only with severe ASD or in adult services.

01Research in Context

01

What this study did

Kuusikko-Gauffin et al. (2013) asked 62 parents of high-functioning kids with autism or Asperger's to fill out a short social-anxiety scale.

They compared scores to 62 parents of typical kids matched for age and income.

02

What they found

Mothers of ASD children scored highest—almost double the social-anxiety level of community moms.

Fathers also rose above the community average, but the jump was smaller.

03

How this fits with other research

Bromley et al. (2004) first showed that over half of ASD mothers feel serious distress; Sanna narrows the lens to social anxiety.

Fujiura et al. (2018) later found these same parents report more home-participation barriers, linking parent stress to daily logistics.

Kehinde et al. (2023) saw even higher maternal strain in Nigeria and South Africa, but blamed cultural role overload, not child-linked anxiety—so culture may shape why moms feel overwhelmed.

04

Why it matters

If mom or dad dreads play-dates, IEP meetings, or park outings, they may avoid practice chances for the child. Add a quick social-anxiety question to your parent intake, offer flexible virtual parent training, and pair moms with peer mentors so they keep bringing the child into social settings.

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→ Action — try this Monday

Add one social-anxiety item to your parent questionnaire and schedule a five-minute check-in.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
728
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

We evaluated social anxiety (SA) symptoms in parents of children with autism spectrum disorders (ASDs; N = 131) and community parents (N = 597) using the Social Phobia and Anxiety Inventory (SPAI). SA was significantly more common in ASD than control mothers (15.6 vs. 6.7 %) and more equal between the ASD and control fathers (3.3 vs. 4.8 %). The ASD mothers scored significantly higher than control mothers on all SPAI scales. ASD fathers scored significantly higher than control fathers on the somatic, cognitive, avoidance and agoraphobic symptoms of SA. It is of clinical import to support ASD parents' well-being as their psychiatric features may contribute greatly to their children's emotional development and the well-being of the whole family.

Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1581-1