Service Delivery

Mothers and fathers of children and adolescents with Down syndrome experience parenting stress differently: Analysis on associated factors.

Fucà et al. (2025) · Research in developmental disabilities 2025
★ The Verdict

Moms of kids with Down syndrome stress over daily-living gaps, dads over behavior spikes—so split your parent coaching targets.

✓ Read this if BCBAs running home or clinic programs for school-age kids with Down syndrome.
✗ Skip if Practitioners who only treat typically-developing children.

01Research in Context

01

What this study did

The team asked 120 moms and 120 dads of kids with Down syndrome to fill out a stress survey.

They also recorded each child’s daily-living skills and behavior problems.

Then they ran separate stats for moms and dads to see which child traits predicted each parent’s stress.

02

What they found

Mothers scored higher on total parenting stress than fathers.

For moms, low adaptive skills in the child was the big stress driver.

For dads, child behavior problems carried the stress.

03

How this fits with other research

Takahashi et al. (2023) also used surveys with moms of kids with ID and found stress shaped parenting style.

Higgins et al. (2021) showed high stress makes parents over-rate behavior problems in autism.

That paper seems to clash with Fucà et al. (2025), but the difference is viewpoint: M et al. looked at how stress bends parent reports, while Elisa et al. asked what child traits bend stress.

Capio et al. (2013) tracked moms’ stress hormones and found two clear stress paths, backing the idea that moms carry heavy, measurable loads.

04

Why it matters

You can now tailor parent coaching from day one.

Give moms step-by-step adaptive-skills teaching (toileting, dressing, chores).

Give dads brief behavior-management scripts (praise, redirection, token boards).

Splitting the focus this way should drop each parent’s top stress source faster than one-size-fits-all parent training.

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

Open the child’s current program, tag each goal as ‘adaptive’ or ‘behavior,’ and assign adaptive targets to mom and behavior targets to dad for the next two weeks.

02At a glance

Intervention
not applicable
Design
other
Sample size
158
Population
down syndrome
Finding
not reported

03Original abstract

BACKGROUND: Caregivers of children and adolescents with intellectual disability, including Down syndrome (DS), experience higher levels of parental stress in comparison with caregivers of typically developing youths. However, existing research primarily focuses on maternal stress, with limited exploration of potential differences between mothers and fathers and the factors associated with their parental stress experience. AIMS: The current study had two aims: (i) to explore whether there are differences in parental stress levels between fathers and mothers of school-aged children with DS; (ii) to explore possible differences between mothers and fathers in the patterns of association between parenting stress reports and the child's clinical features. METHODS AND PROCEDURES: This retrospective chart review involved a group of 79 couple of parents of children and adolescents with DS that underwent a neuropsychological evaluation, whereas parents completed parent-report measures. The clinical examination included the evaluation of child's cognitive and linguistic abilities and parent-report measures to investigate parenting stress by the Parenting Stress Index - Short Form (PSI), and child's behavioural and adaptive functioning. OUTCOMES AND RESULTS: Mothers exhibited higher levels of parenting stress, particularly for the Parenting Distress and Difficult Child subscales of the PSI. Moreover, only paternal, but not maternal parenting stress, was associated with child's IQ. Conversely, the levels of maternal, but not paternal parenting stress were associated with child's adaptive functioning. Differential patterns of association between parenting stress also emerged for child's emotional and behavioural issues. Finally, we found that only maternal stress was associated with linguistic abilities. The regression model revealed that maternal parenting stress levels were significantly predicted by child's adaptive skills, whereas paternal parenting stress levels were significantly predicted by child's maladaptive behaviours. CONCLUSIONS AND IMPLICATIONS: Mothers and fathers of children with DS experience parenting stress differently. Recognizing these differences between parents, treatment providers, especially those who provide parent-training or parent-mediated interventions, can tailor their approach as needed.

Research in developmental disabilities, 2025 · doi:10.1016/j.ridd.2025.104979