Service Delivery

Brief Report: Parent's Assessments of Their Care-Related Stress and Child's ASD Symptoms in Relation to Their child's Intervention History.

Shepherd et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

Parent stress and symptom ratings shift with service history, so screen caregiver stress whenever you adjust a child's program.

✓ Read this if BCBAs writing or reviewing treatment plans for children with autism.
✗ Skip if Clinicians who only work with adults or in school-only models without parent contact.

01Research in Context

01

What this study did

Shepherd et al. (2018) asked 570 parents about their stress and their child's autism symptoms.

They grouped families by the child's past services, like ABA or speech therapy.

Parents filled out online surveys at one point in time.

02

What they found

Parents who used different services gave different stress and symptom ratings.

The study did not say which service caused the change or if it helped.

03

How this fits with other research

Yorke et al. (2018) pooled many surveys and found that extra behavior problems in kids with autism clearly raise parent stress. Daniel's survey fits this pattern.

Schlink et al. (2022) ran a parent-training trial and saw stress drop over time. Their data show that active training can lower stress, while Daniel's snapshot only links service history to stress levels.

Reid et al. (2019) showed that parents who feel anxious or depressed see smaller child gains in social-emotional programs. This warns that high parent stress can blunt treatment success.

Argumedes et al. (2018) tested family-centered support and cut stress more than parent education alone. Their result gives a concrete way to act on the stress patterns Daniel found.

04

Why it matters

You already check child progress. Now check parent stress at intake and each review. If stress is high, add brief caregiver support or refer to respite before starting new child goals. This small step can protect both the parent and the treatment plan.

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 one parent stress question to your intake form and revisit it every six months.

02At a glance

Intervention
not applicable
Design
survey
Sample size
570
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Parenting a child with autism spectrum disorder (ASD) can be stressful. Understanding parent's perceptions of their stress and their child's ASD-related symptoms is important for both the well-being of parent and child and for other reasons, such as intervention adherence and diagnostic accuracy. We report parent (N = 570) ratings of both their ASD Care-Related Stress scores and their child's symptoms in relation to the child's exposure to five mainstream ASD interventions. Differences across intervention history in the way parents perceive their child's symptoms and rate the stressfulness of performing ASD-related parenting duties were found.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-018-3543-8