Service Delivery

Mediating Effects of Social Support on Quality of Life for Parents of Adults with Autism.

Marsack et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Close friends and relatives—not paid services—buffer the toll of caregiving for aging parents of adults with autism.

✓ Read this if BCBAs serving adults with autism whose parents are 60-plus.
✗ Skip if Clinicians focused only on child-skills interventions.

01Research in Context

01

What this study did

The team asked 320 older parents of adults with autism to fill out surveys. They wanted to know if social support changes the link between caregiver burden and quality of life.

They looked at two kinds of support: informal (friends, family, neighbors) and formal (paid services). Then they ran numbers to see which kind softened the burden most.

02

What they found

Only informal support acted like a cushion. It partly explained why high burden lowers life quality.

Formal services did not show the same buffering effect. More friends, not more agencies, predicted better parent mood.

03

How this fits with other research

Reyes et al. (2019) later asked the same parents the same questions. They found developmental and money burdens hurt quality of life the most. Together the two papers tell one story: burden hurts, but informal support softens the blow.

Werner et al. (2013) and Lemons et al. (2015) looked at stigma instead of burden. They also showed that social support and self-esteem protect parent well-being. The pattern repeats across different stressors.

Shawler et al. (2021) widened the lens to all IDD parents. They saw that joining clubs or groups boosts well-being, especially when stress is high. The message is consistent: real people, not programs, lift parents up.

04

Why it matters

You can’t erase caregiver burden, but you can grow the informal circle. Ask parents who they chat with, pray with, or share coffee with. Add goals that build this circle—like inviting a neighbor to respite walks or joining a grandparent support group. One new friend may do more for parent morale than another hour of therapy.

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

Map each parent’s informal network in the ISP and add one peer-connection goal.

02At a glance

Intervention
not applicable
Design
other
Sample size
320
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The aim of this study was to examine the mediating effect of formal and informal social support on the relationship of caregiver burden and quality of life (QOL), using a sample of 320 parents (aged 50 or older) of adult children with autism spectrum disorder (ASD). Multiple linear regression and mediation analyses indicated that caregiver burden had a negative impact on QOL and that informal social support partially mediated the relationship between caregiver burden and parents' QOL. Formal social support did not mediate the relationship between caregiver burden and QOL. The findings underscored the need to support aging parents of adult children with ASD through enhancing their informal social support networks.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3157-6