Autism & Developmental

The longitudinal relationship between behavior and emotional disturbance in young people with intellectual disability and maternal mental health.

Gray et al. (2011) · Research in developmental disabilities 2011
★ The Verdict

In youth with ID, worsening social relating problems forecast rising maternal depression—track both child and parent over time.

✓ Read this if BCBAs working with school-age or teen clients with ID in family homes or clinics.
✗ Skip if Practitioners serving only ASD without ID or adults without behavior plans.

01Research in Context

01

What this study did

Amore et al. (2011) followed families of youth with intellectual disability for 11 years. They tracked changes in child social relating problems and in maternal depression and anxiety.

The team wanted to see if child behavior could predict later parent mental health.

02

What they found

Mothers’ mental health stayed fairly flat across the study. Yet when a child’s social relating problems got worse, mom’s depression and anxiety rose soon after.

The link held even after other factors were taken into account.

03

How this fits with other research

McIntyre et al. (2002) showed that behavior problems in young adults with severe ID push mothers toward out-of-home placement plans. Amore et al. (2011) extend that snapshot by showing the same stress pathway unfolds slowly over a decade.

Kuenzel et al. (2021) add a twist: they find child behavior plus money worries predict maternal depression. Amore et al. (2011) did not measure finances, so the new study suggests poverty may be part of the chain.

Adams et al. (2018) seem to disagree: in rare genetic syndromes, chronic challenging behavior raised stress but not depression. The gap likely comes from sample choice—rare-syndrome moms may use different coping styles than ID moms.

04

Why it matters

If you serve youth with ID, watch social relating slips closely. A small uptick in withdrawal or peer refusal can signal rising mom distress. Pair your behavior plan with a quick mental-health screen for parents and share respite or counseling options. Early action on both sides can stop a slow stress spiral.

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→ Action — try this Monday

Add a two-question parent mood check to every session note; if score rises, refer to counseling or parent training.

02At a glance

Intervention
not applicable
Design
other
Sample size
238
Population
intellectual disability
Finding
not reported

03Original abstract

Although elevated rates of parent psychosocial distress have been associated with child behavior and emotional problems, little is known about the nature of this relationship over time. This study followed an epidemiological cohort of children and adolescents over 11 years with 4 waves of data collection. Within this cohort, complete data were available on 238 mothers and their children. Behavior and emotional problems were assessed using the DBC, maternal mental health with the GHQ. Multivariate growth curve modelling was used to evaluate the commonality of individual change patterns. High levels of mental health problems were reported, which were stable over time. Higher scores on the DBC were associated with higher rates of mental health problems. Increases in child social relating problems were associated with increases mental health symptoms, particularly depression and anxiety.

Research in developmental disabilities, 2011 · doi:10.1016/j.ridd.2010.12.044