Service Delivery

Predicting well-being longitudinally for mothers rearing offspring with intellectual and developmental disabilities.

Grein et al. (2015) · Journal of intellectual disability research : JIDR 2015
★ The Verdict

Family peace and steady emotions when the child is 7 forecast mom’s well-being two decades later.

✓ Read this if BCBAs serving adults with IDD whose parents still provide care.
✗ Skip if Clinicians working only with typically developing children.

01Research in Context

01

What this study did

The team followed moms of kids with intellectual or developmental disabilities. They measured family harmony and mom’s emotional stability when the child was 7. Nineteen years later they checked mom’s well-being again.

No therapy was given; the study simply watched what happened over time.

02

What they found

Family accord and low maternal neuroticism at age 7 explained up to one-third of later well-being. The exact share changed with the measure used, but the pattern stayed strong.

Early family peace and steady emotions acted like a weather forecast for mom’s future mental health.

03

How this fits with other research

Gaynor et al. (2008) saw the same group three years out and found mom’s acceptance, not family accord, predicted lower stress. The two studies differ in follow-up length and focus, so they complement rather than clash.

Jackson et al. (2025) later tested the Family Stress Model in ID families and showed economic strain hurts kids mainly through poor parent-child ties. Their work extends the target by naming money stress as a pathway.

Eapen et al. (2024) moved the lens to autism and fragile-X carriers. Child behavior still traveled through mom’s executive problems to later depression, echoing the long reach of early risk seen here.

04

Why it matters

You can’t change the past, but you can screen for family conflict and high neuroticism today. When both show up, link the family to counseling, respite, or parent-support groups early. Reducing household tension and boosting emotional coping now may protect mom’s mental health for decades, keeping the whole family stronger.

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02At a glance

Intervention
not applicable
Design
other
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

BACKGROUND: Well-being outcomes for parents of children with intellectual and developmental disabilities (IDD) may vary from positive to negative at different times and for different measures of well-being. Predicting and explaining this variability has been a major focus of family research for reasons that have both theoretical and applied implications. METHODS: The current study used data from a 23-year longitudinal investigation of adoptive and birth parents of children with IDD to determine which early child, mother and family characteristics would predict the variance in maternal outcomes 20 years after their original measurement. Using hierarchical regression analyses, we tested the predictive power of variables measured when children were 7 years old on outcomes of maternal well-being when children were 26 years old. Outcome variables included maternal self-report measures of depression and well-being. RESULTS: Final models of well-being accounted for 20% to 34% of variance. For most outcomes, Family Accord and/or the personality variable of Neuroticism (emotional stability/instability) were significant predictors, but some variables demonstrated a different pattern. CONCLUSIONS: These findings confirm that (1) characteristics of the child, mother and family during childhood can predict outcomes of maternal well-being 20 years later; and (2) different predictor-outcome relationships can vary substantially, highlighting the importance of using multiple measures to gain a more comprehensive understanding of maternal well-being. These results have implications for refining prognoses for parents and for tailoring service delivery to individual child, parent and family characteristics.

Journal of intellectual disability research : JIDR, 2015 · doi:10.1177/1744629512472618