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Gender Differences When Parenting Children with Autism Spectrum Disorders: A Multilevel Modeling Approach
Abstract
Parenting a child with autism may differentially affect mothers and fathers. Existing studies of mother-father differences often ignore the interdependence of data within families. We investigated gender differences within-families using multilevel linear modeling. Mothers and fathers of children with autism (161 couples) reported on their own well-being, and their child's functioning. Mothers reported higher levels of distress compared with fathers, and child behavior problems predicted psychological distress for both mothers and fathers. We found little evidence of child functioning variables affecting mothers and fathers differently. Gender differences in the impact of child autism on parents appear to be robust. More family systems research is required to fully understand these gender differences and the implications for family support.
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“As suggested by Jones et al. [54], to face this kind of neurodevelopmental disorder, emotional support to the couple may become the most important protective factor for maintaining adequate levels of psychological well-being.”
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Stress and Parents of Children with Autism: A Review of Literature
Bonis, S. (2016) · Issues in Mental Health Nursing · doi:10.3109/01612840.2015.1116030 · Cited by 404
“Parents of higher functioning children are concerned for their child’s future independence and safety (Dabrowska & Pisula, 2010; Hill-Chapman, Herzog, & Madura, 2013; Ingersoll & Hambrick, 2011; Jones et al., 2013), and parents of lower functioning children are concerned about who will care for their child in the futu…”
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Pisula, E., & Porębowicz-Dörsmann, A. (2017) · PLoS ONE · doi:10.1371/journal.pone.0186536 · Cited by 285
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Heasman, B., & Gillespie, A. (2018) · Autism · doi:10.1177/1362361317708287 · Cited by 163
“…relationships involved mother–son relationships, and thus the findings may not account for gender differences when parenting children with autism (Jones et al., 2013), such as daughters who are sometimes perceived to have greater impairments as a result of higher parental expectations (Holtmann…”
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Family wellbeing of individuals with autism spectrum disorder: A scoping review
Tint, A., & Weiss, J. A. (2015) · Autism · doi:10.1177/1362361315580442 · Cited by 141
“Interestingly, in contrast to mothers of individuals with ASD, fathers’ ratings of wellbeing do not appear related to child behavior problems (Allik et al., 2006; Hastings et al., 2005b; Jones et al., 2013).”
BackgroundInfluentialHastings, R. P., & Petalas, M. A. (2014) · Child Care Health and Development · doi:10.1111/cch.12131 · Cited by 114
Benson, P. R. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2079-9 · Cited by 124
“That the sample was restricted exclusively to mothers is yet another important study limitation since prior research indicates that mothers and fathers often display different patterns of stress, coping, and adaptation to parenting a child with ASD (Hastings et al. 2005; Jones et al. 2013; Pottie and Ingram 2008).”
ResultHalstead, E. J., Ekas, N. V., Hastings, R. P., & Griffith, G. M. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3447-z · Cited by 113
Social support and coping strategies of parents raising a child with autism spectrum disorder
Pepperell, T. A., Paynter, J. M., & Gilmore, L. (2016) · Early Child Development and Care · doi:10.1080/03004430.2016.1261338 · Cited by 107
“…role and greater daily care of their children with ASD and associated responsibilities has been reported both by mothers themselves (Gray, 2003; Hastings, 2003; Hastings et al., 2005a; Jones et al., 2013) and by fathers describing their partner’s roles (Paynter, Davies, & Beamish, in press).”
BackgroundResultInfluentialMindfulness-based stress reduction for parents implementing early intervention for Autism: An RCT
Weitlauf, A. S., Broderick, N., Stainbrook, J. A., Taylor, J. L., Herrington, C. G., Nicholson, A. G., Santulli, M., Dykens, E. M., Juárez, A. P., & Warren, Z. E. (2020) · Pediatrics · doi:10.1542/peds.2019-1895k · Cited by 83
Jellett, R., Wood, C., Giallo, R., & Seymour, M. (2014) · Clinical Psychologist · doi:10.1111/cp.12047 · Cited by 83
“Furthermore, it has been suggested that despite differences in the magnitude of difficulty reported by mothers and fathers, similar overall patterns predict parental wellbeing across both genders (Jones et al., 2013).”
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Parental wellbeing of Iranian families with children who have developmental disabilities
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Goedeke, S., Shepherd, D., Landon, J., & Taylor, S. (2019) · Research in Autism · doi:10.1016/j.rasd.2019.01.005 · Cited by 82
Ede, M. O., Anyanwu, J. I., Onuigbo, L. N., Ifelunni, C. O., Albi-Oparaocha, F. C., Okenyi, E. C., Agu, M. A., Ugwuanyi, L. T., Ugwuanyi, C. S., Eseadi, C., et al. (2020) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-020-00342-7 · Cited by 79
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“Of concern, Kamaralzaman et al. (2018) identified in a sample of 245 Malaysian parents that the total cost of financing a child with ASD is approximately RM35,366 a year, a large and burdensome amount in Malaysia.”
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“However, although mothers were generally identified as primary carers, consistent with previous literature (e.g., Jones et al., 2013), fathers also identified more flexible supportive roles.”
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“Both family SES and caregiver sex have been found to be associated with caregiver stress in parents of a child with ASD (Baker-Ericzn et al. 2005; Dabrowska and Pisula 2010; Jones et al. 2013; McStay et al. 2014a, b).”
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Rudelli, N., Straccia, C., & Petitpierre, G. (2021) · Research in Autism · doi:10.1016/j.rasd.2021.101744 · Cited by 53
Daulay, N. (2021) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2021.103954 · Cited by 64
Bi, X.-B., He, H.-Z., Lin, H., & Fan, X.-Z. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.835110 · Cited by 61
“, 2007; Kuru and Piyal, 2018), especially the mothers (Beer et al., 2013; Jones et al., 2013; Hartley et al., 2018).”
BackgroundParents’ experiences of living with an adolescent diagnosed with an autism spectrum disorder
Mount, N., & Dillon, G. (2014) · Educational and Child Psychology · doi:10.53841/bpsecp.2014.31.4.72 · Cited by 54
Caregiver burden among caregivers of children with autism spectrum disorder
van Niekerk, K., Stancheva, V. P., & Smith, C. (2023) · South African Journal of Psychiatry · doi:10.4102/sajpsychiatry.v29i0.2079 · Cited by 48
“33,43 The current study supported previous findings, with 72.7 % of the caregivers being female, of which 64.5 % were mothers of the children with ASD.”
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“Several studies have suggested that mothers perceived a higher impact of children disabilities than fathers [3, 4, 16, 21, 22], but the findings have been inconsistent due to methodological issues [16, 23], especially as the samples have been mainly composed of mothers.”
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Langley, E., Totsika, V., & Hastings, R. P. (2017) · Autism Research · doi:10.1002/aur.1773 · Cited by 46
“Previous studies have found gender differences in depression levels with mothers of children with ASD reporting higher levels of depression [Jones et al., 2013; Lee, 2009].”
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“[54], to face this kind of neurodevelopmental disorder, emotional support to the couple may become the most important protective factor for maintaining adequate levels of psychological well-being.”
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“Therefore, women integrate this role socially assigned to them and take the responsibility of caregiving as a part of their nature [39].”
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Benson, P. R. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2699-3 · Cited by 45
Renzo, M. D., Guerriero, V., Petrillo, M., & di Castelbianco, F. B. (2021) · Journal of Family Issues · doi:10.1177/0192513x211030735 · Cited by 47
Gabellone, A., Marzulli, L., Matera, E., Petruzzelli, M. G., Margari, A., Giannico, O. V., & Margari, L. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11123294 · Cited by 37
Parenting Stress of Children with Autistic Disorder
Al-Oran, H. M., & AL‐Sagarat, A. Y. (2016) · OALib · doi:10.4236/oalib.1102791 · Cited by 37
“Overall, a review of the literature revealed that mothers showed significantly higher level of stress than fathers [11] [12] [20] [21].”
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Raising a Child with Autism: A Developmental Perspective on Family Adaptation
McStay, R. L., Trembath, D. L., & Dissanayake, C. (2015) · Current Developmental Disorders Reports · doi:10.1007/s40474-014-0037-z · Cited by 35
Miniarikova, E., Vernhet, C., Périés, M., Loubersac, J., Picot, M., Münir, K., & Baghdadli, A. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.11.022 · Cited by 39
“A performance IQ was calculated if a standardized test could be administered (Wechsler scales (Wechsler, 2002, 2003, 2014a, b) or K-ABC II (Kaufman and Kaufman, 2013)).”
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“When parents experience great stress and challenges, they may find it difficult to keep physical and psychic energy to perform parental responsibilities (Hutchison et al., 2016; Jones et al., 2013).”
Benson, P. R. (2017) · Autism · doi:10.1177/1362361317697656 · Cited by 36
“…was restricted to mothers is another important study limitation, given that previous research suggests that the mental and physical health of mothers and fathers may be impacted differently by the demands of parenting a child with ASD (Allik et al., 2006; Foody et al., 2015; Jones et al., 2013).”
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Vagenas, D., & Totsika, V. (2018) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2018.04.010 · Cited by 28
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From ‘Refrigerator Mothers’ to Empowered Advocates: The Evolution of the Autism Parent
Cleary, M. L., West, S., & McLean, L. (2022) · Issues in Mental Health Nursing · doi:10.1080/01612840.2022.2115594 · Cited by 27
“Parents with children on the autism spectrum record higher levels of stress, anxiety and depression (Jones et al., 2013; Lai et al., 2015; Silva & Schalock, 2012; Zablotsky et al., 2013), and even suicidal ideation (Shtayermman & Zhang, 2021) than their counterparts with neurotypical children.”
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Greenlee, J. L., Hickey, E., Stelter, C. R., Huynh, T., & Hartley, S. L. (2023) · Autism · doi:10.1177/13623613221147399 · Cited by 31
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“Jones et al. have suggested that parental anxiety might be higher when a child has ASD with a higher level of adaptive functioning since that child is likely to live more independently than a child with ASD with a lower level of functioning, exposing them to dangers (Jones et al. 2013).”
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Mindfulness and Stress Among Parents of Children with Autism Spectrum Disorder in China
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“This leads to these mothers faring worse on a variety of outcomes: stress (Dabrowska and Pisula 2010), psychological distress (Gray 2003; Hastings 2008; Jones et al. 2013), depression (Hastings et al.”
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“Previous reviews discovered that mothers experience more stress in caregiving than fathers (Dabrowska & Pisula, 2010; García-López et al., 2016; Jones et al., 2013; Tehee et al., 2009).”
Coping Strategies and the Marital Relationship Among Parents Raising Children with ASD
Brien-Bérard, M., & Rivières‐Pigeon, C. D. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02332-y · Cited by 20
“Not only have two studies shown that mothers have higher levels of parental stress (Gau et al. 2012; Jones et al. 2013), but other research has suggested that mothers and fathers have distinct needs in terms of spousal support (Gray 2003) and coping with the stress of family life (Gray 2003; McStay…”
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“Employment by the parent can be disrupted by the child’s nonattendance at school, affecting career progression, financial security, and employment stability (Jones et al., 2013; Martin-Denham, 2022; Nealy et al., 2012).”
Sense of Competence as Mediator on Parenting Stress
Daulay, N., Ramdhani, N., & Hadjam, N. R. (2018) · The Open Psychology Journal · doi:10.2174/1874350101811010198 · Cited by 15
“Mothers’ parenting role is more intensive than that of fathers so that they get more tired physically and psychologically [9], and parenting stress experienced by mothers is stronger than that by fathers [10, 11].”
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“…including depression, anxiety and stress-related symptoms, compared to parents of children with typical development (Ingersoll & Hambrick, 2011; Jones et al., 2013; Lau et al., 2014; Silva & Schalock, 2012; Zablotsky et al., 2013), with Down syndrome (Dabrowska & Pisula, 2010) or other…”
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“1,17,18 This paper draws data of mothers of children diagnosed with ASD who had participated in a cross-sectional study on parental stress and coping in Kerala, India.”
Hamama, L. (2022) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2022.104295 · Cited by 8
A critical feminist study of mothers raising a child on the autism spectrum in Iran
Khougar, A., Ahadi, P., & Ahadi, M. (2024) · npj Women s Health · doi:10.1038/s44294-024-00025-z · Cited by 6
Peran yang Terlupakan: Pengasuhan Ayah pada Keluarga dengan Anak Berkebutuhan Khusus di Indonesia
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“Jones et al. (2013) suggested that behavioral problems and adaptive difficulties in autistic children are more strongly associated with maternal anxiety than paternal anxiety.”
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“Failure to effectively cope with and alleviate parenting stress can result in long-term exposure to stress, eventually leading to the emergence of parenting burnout [30].”
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Dukmak, S. J., Mousa, A., & Gharaibeh, M. (2022) · Journal of Mental Health Research in Intellectual Disabilities · doi:10.1080/19315864.2022.2098434 · Cited by 4
“…with disabilities suffer greater stress and anxiety than those whose children achieve normal developmental milestones (Hattangadi et al., 2020; Jones et al., 2013; Khajehei, 2015; Samadi et al., 2014), because children with DDs/IDs characteristically require more parental care and attention…”
BackgroundExamining the Factors Influencing the Stress Levels in Families of Children with Autism
Arslan, K., & Tuncay, T. (2023) · Uluslararası İnsan Çalışmaları Dergisi · doi:10.35235/uicd.1318620 · Cited by 4
Being a “Lay Expert”: A Choice for Chinese Parents of Young Autistic Children
Zhang, Y., Chen, J., & Li, X. (2025) · Intellectual and developmental disabilities · doi:10.1352/1934-9556-63.1.1 · Cited by 3
Lovell, B., Newman, A., & Wetherell, M. A. (2022) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2022.104396 · Cited by 4
Bogavac, I., Jeličić, L., Đorđević, J., Veselinović, I., Marisavljević, M., & Subotić, M. (2023) · Children · doi:10.3390/children10081292 · Cited by 3
“Past studies have reported that mothers of children with developmental disabilities had higher anxiety and stress levels than fathers [42,43] and pointed to a positive link with maternal anxiety [44].”
BackgroundMindfulness as a Potential Moderator Between Child Behavior Problems and Maternal Well-Being.
Griffith, G., Saville, C., Halstead, E., & Hastings, R. (2023) · American Journal on Intellectual and Developmental Disabilities · doi:10.1352/1944-7558-128.6.411 · Cited by 3
İnan, B. (2024) · Buca eğitim fakültesi dergisi (Online)/Buca Eğitim Fakültesi dergisi · doi:10.53444/deubefd.1400524 · Cited by 3
Halstead, E. J., Hastings, R. P., & Griffith, G. M. (2018) · Advances in Neurodevelopmental Disorders · doi:10.1007/s41252-018-0065-5 · Cited by 3
“The fathers who participated in the survey were excluded from this analysis due to the differences seen in previous IDD research between mothers and fathers (e.g., Jones et al. 2013).”
ResultCan Autistic Traits Severity Predict Autism Parenting Stress?
Ibrahim, R. K., & Al-Juboori, A. K. (2023) · Journal of Contemporary Medical Sciences · doi:10.22317/jcms.v9i4.1392 · Cited by 3
Emotional Availability in Autism Intervention: A Mother–Father Comparative Analysis
Perzolli, S., Bertamini, G., Venuti, P., & Bentenuto, A. (2025) · Brain Sciences · doi:10.3390/brainsci15020133 · Cited by 5
Hamama, L. (2025) · Research in Autism · doi:10.1016/j.reia.2025.202654 · Cited by 2
Li, X., Peng, Y., Lu, Y., & Zhang, Y. (2023) · Autism Research · doi:10.1002/aur.3052 · Cited by 2
“As mothers tend to be more involved in the care of children with special needs (Jones et al., 2013), we included mothers in the study only for the sake of consistency.”
BackgroundLee, A. R., & Hong, S. W. (2015) · Child Health Nursing Research · doi:10.4094/chnr.2015.21.4.331 · Cited by 2
Shin, G. E., & Park, J. H. (2015) · Korean Journal of Child Studies · doi:10.5723/kjcs.2015.36.5.189 · Cited by 2
“또한 대 부분의 경우 자폐스펙트럼장애 자녀를 주로 양 육하는 부모는 어머니이고 스트레스 수준에 있 어서도 아버지에 비해 더 높은 스트레스 수준을 보인다고 보고되고 있는 점을(Jones et al., 2013) 고려하여 어머니만을 대상으로 하고자 한다.”
Pereira, A. I. L., Fernandes, O. M., & Relva, I. C. (2018) · Análise Psicológica · doi:10.14417/ap.1371 · Cited by 2
Whitehead, A. L. (2016) · SocArXiv (OSF Preprints) · doi:10.31235/osf.io/w4tbd · Cited by 3
Metadata
- Authors
- Jones, L., Totsika, V., Hastings, R. P., & Petalas, M. A.
- Affiliations
- Bangor University (GB)
- Corresponding author
- Jones, Leah
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2013-01-10
- Volume
- 43
- Issue
- 9
- Pages
- 2090-2098
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2090116207
- Cited by
- 116
- References
- 64
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 10 · 2023: 14 · 2022: 11 · 2021: 11 · 2020: 5 · 2019: 7 · 2018: 7 · 2017: 11 · 2016: 12 · 2015: 9 · 2014: 9
- FWCI
- 11.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Demography › Family Dynamics and Relationships
- Keywords
- autism spectrum disorder, parenting, gender differences, mothers, fathers, parental psychological distress, child behavior problems, family systems, parental well-being, child functioning
- MeSH terms
- Adult, Child, Child Behavior Disorders, Child Development Disorders, Pervasive, Female, Humans, Male, Middle Aged, Parents, Sex Characteristics, Stress, Psychological, Parenting
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