Service Delivery

Parenting stress and positive mental health among parents of children with special needs: A moderated serial mediation model.

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

Parenting stress eats away at mental health, but feeding family support, resilience, and optimism can stop the slide.

✓ Read this if BCBAs running parent training or family guidance in clinics or schools.
✗ Skip if Practitioners who work only with typically developing kids and never meet parents.

01Research in Context

01

What this study did

Shuman and colleagues asked parents of children with special needs to fill out surveys. They wanted to see how parenting stress affects positive mental health.

The team tested a chain reaction: stress → family support → resilience → mental health. They also checked if optimism makes the chain stronger.

02

What they found

High parenting stress dragged down positive mental health. The damage traveled through two steps: less family support, then lower resilience.

When parents felt more family support, their resilience grew. Optimism acted like a booster rocket, making support even more powerful.

03

How this fits with other research

Freeman et al. (2015) pooled data and showed parents like these also have worse physical health. The new study adds the good-news half: boosting support and resilience can protect mental health.

Benson (2016) tracked moms of kids with ASD for seven years. She found bigger support networks lifted mood by raising parenting confidence. Shuman keeps the network idea but swaps confidence for resilience and adds optimism as the turbo-charge.

Petrovic et al. (2016) showed one stressed parent can sink the whole family’s cohesion. Shuman zooms in on the same ripple effect, but follows it inside the parent’s own mind: stress → support drop → resilience drop → lower well-being.

04

Why it matters

You already screen for child progress. Add two quick parent questions: "Who helps you?" and "What lifts your hope?" When support is low, link families to parent groups, respite nights, or brief optimism coaching. Small boosts here can brake the stress slide and keep caregivers in the game.

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Ask each caregiver to name one person who helps them this week; if none, provide a local parent-support contact before you leave the room.

02At a glance

Intervention
not applicable
Design
survey
Sample size
372
Population
mixed clinical
Finding
not reported

03Original abstract

OBJECTIVES: To explore the impact of parenting stress on the mental health of parents of children with special needs, and to analyze the mediating role of family support and resilience, as well as the moderated role of optimism. METHODS: This study utilized the Parenting Stress Index-Short Form, Family Support Scale, Resilience Scale, Subjective Well-being Scale, and Symptom Checklist-90 to survey 372 parents of children with special needs in Guangdong Province, China. RESULTS: (1) Parenting stress significantly affected positive mental health (γ = 0.70,p < 0.001). When family support and resilience were included, the direct effect of parenting stress on positive mental health remained significant (γ = 0.45, p < 0.001). (2) Family support and resilience significantly mediated the relationship between parenting stress and positive mental health in a serial manner. (Direct effect =65.35 %, mediating effect =34.65 %). (3) Optimism significantly moderated the mediating effect of family support on positive mental health (γ = 0.13, p < 0.01). CONCLUSIONS: The study results reveal the mechanisms through which parenting stress impacts the positive mental health of parents of children with special needs, as well as the protective roles of family support, resilience, and optimism. These findings have certain implications for promoting the mental health of parents and families of children with special needs.

Research in developmental disabilities, 2025 · doi:10.1016/j.ridd.2025.105022