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Teaching Parents Behavioral Strategies for Autism Spectrum Disorder (ASD): Effects on Stress, Strain, and Competence
Abstract
We report on parent outcomes from a randomized clinical trial of parent training (PT) versus psychoeducation (PEP) in 180 children with autism spectrum disorder (ASD) and disruptive behavior. We compare the impact of PT and PEP on parent outcomes: Parenting Stress Index (PSI), Parent Sense of Competence (PSOC), and Caregiver Strain Questionnaire (CGSQ). Mixed-effects linear models evaluated differences at weeks 12 and 24, controlling for baseline scores. Parents in PT reported greater improvement than PEP on the PSOC (ES = 0.34), CGSQ (ES = 0.50), and difficult child subdomain of the PSI (ES = 0.44). This is the largest trial assessing PT in ASD on parent outcomes. PT reduces disruptive behavior in children, and improves parental competence while reducing parental stress and parental strain.
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“While this finding is inconsistent with studies showing a reduction in parental stress via therapist-led parent-training programs for parents of children with ASD (63–65) or IDD (66, 67), as well as self-directed interventions for parents of children displaying CB (68, 69)”
In the citing paper
“This result is in line with previous research on parent training programs for parents of children with ASD (63, 64, 71) or IDD (66, 67, 74), which consistently revealed a reduction in CB after the intervention.”
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Factor, R. S., Rea, H. M., Dahiya, A. V., Laugeson, E. A., & Scarpa, A. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02441-8 · Cited by 9
Gaines, R., Korneluk, Y. G., Quigley, D., Chiasson, V., Delehanty, A. D., & Jacobson, S. (2022) · Autism & Developmental Language Impairments · doi:10.1177/23969415221138699 · Cited by 4
Anderson, C. M., Hochheimer, S., Warren, Z. E., Butter, E. M., Hyman, S. L., Wang, H., Wallace, L., Levato, L., Martin, R., Stephenson, K. G., et al. (2024) · Autism Research · doi:10.1002/aur.3240 · Cited by 5
Self-citationLü, J., Wei, H., Zhang, Y., Fan, F., Huang, H.-Y., Dong, Q.-J., Chen, J., Ao, D.-Q., Chen, L., Li, T., et al. (2024) · World Journal of Psychiatry · doi:10.5498/wjp.v14.i12.1892 · Cited by 4
Levato, L., Hochheimer, S., Wang, H., Wallace, L., Hyman, S. L., Anderson, C. M., Warren, Z. E., Butter, E. M., Martin, R., Lee, E., et al. (2025) · Autism Research · doi:10.1002/aur.70013 · Cited by 4
Self-citationPilot Implementation of School-Based Behavioral Parent Training: Outcomes and Acceptability
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Perlman, J., & Howe, N. (2022) · Canadian Journal of Family and Youth / Le Journal Canadien de Famille et de la Jeunesse · doi:10.29173/cjfy29789 · Cited by 4
Metadata
- Authors
- Iadarola, S., Levato, L., Harrison, B., Smith, T., Lecavalier, L., Johnson, C., Swiezy, N., Bearss, K., & Scahill, L.
- Affiliations
- University of Rochester Medicine (US)
- The Ohio State University (US)
- University of Florida (US)
- Indiana University Indianapolis (US)
- University of Washington (US)
- Emory University (US)
- Corresponding author
- Iadarola, Suzannah
- ORCID
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2017-10-07
- Volume
- 48
- Issue
- 4
- Pages
- 1031-1040
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2761514107
- Cited by
- 170
- References
- 52
- Citations by year
- 2026: 12 · 2025: 21 · 2024: 21 · 2023: 19 · 2022: 31 · 2021: 29 · 2020: 19 · 2019: 13 · 2018: 3 · 2017: 2
- FWCI
- 12.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH081148, MH081105, MH081221, MH080906, MH080965)
- National Center for Advancing Translational Sciences (UL1 TR000454, UL1TR000042, UL1 RR024139)
- Marcus Foundation
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- autism spectrum disorder, parent training, psychoeducation, parental stress, parenting skills, caregiver burden, disruptive behavior, parent outcomes
- MeSH terms
- Problem Behavior, Autism Spectrum Disorder, Adult, Behavior Therapy, Child, Child, Preschool, Female, Humans, Male, Parents, Surveys and Questionnaires, Stress, Psychological, Caregivers
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