Behavioral and emotional profile and parental stress in preschool children with autism spectrum disorder
Open accessAbstract
Parents of children with autism spectrum disorder (ASD) were shown to experience more stress than parents of typically developing peers, although little is known about risk factors predicting stress in this population. The aim of this study was to evaluate parental stress levels and behavioral and emotional problems in a sample of preschool children with ASD as compared to typically developing (TD) peers and to investigate the role of several factors, including the severity of autistic symptoms, adaptive skills, cognitive abilities and behavioral and emotional problems, on parental stress. Results confirmed that parents of children with ASD experience higher stress levels than parents of TD and that children with ASD show more behavioral and emotional problems than controls. Moreover, our results showed that behavioral and emotional problems are strong predictors of parental stress, while stress related to a parent-child dysfunctional relationship was associated with daily living and communication skills as well as cognitive abilities. Findings revealed different behavioral and emotional problems affecting parental stress in ASD and TD samples. No association between the severity of autism symptoms and parental stress was detected. These results suggest that dysfunctional behaviors in preschool children with ASD have a strong impact on parental stress, profoundly affecting the well-being of the entire family. Therefore, strategies aimed at the early detection and management of these behavioral and emotional problems are crucial in order to prevent parental stress and to develop the most appropriate treatment interventions.
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Numerous studies have reported positive associations between the extent of challenging behaviour and caregiver variables such as parental stress, depressive symptoms, and anxiety in families of children with autism spectrum disorder and/or intellectual and developmental disabilities.
“Numerous studies have reported positive associations between the extent of CB and caregiver variables such as parental stress, depressive symptoms, and anxiety in families of children with ASD and/or IDD (17–21).”
From ProVIA-Kids - outcomes of an uncontrolled study on smartphone-based behaviour analysis for challenging behaviour in children with intellectual and developmental disabilities or autism spectrum disorder (2024) · cites this paper as [21]
The Results (§4.2; page not provided) report positive correlations between children’s behavioral and emotional problems and parental stress in the ASD sample. The Discussion (§5; page not provided) also describes similar findings in earlier studies, but the paper does not establish the claimed associations specifically with caregiver depressive symptoms or anxiety. (LLM, conf=0.88)
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- Authors
- Giovagnoli, G., Postorino, V., Fatta, L. M., Sanges, V., De Peppo, L., Vassena, L., Rose, P. D., Vicari, S., & Mazzone, L.
- Affiliations
- Libera Università Maria SS. Assunta (IT)
- Bambino Gesù Children's Hospital (IT)
- Corresponding author
- Mazzone, Luigi
- ORCID
- Venue
- Research in Developmental Disabilities
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 45-46
- Pages
- 411-421
- ISSN
- 0891-4222 (ISSN-L)
- OpenAlex
- W1256561723
- Cited by
- 190
- References
- 58
- Citations by year
- 2026: 7 · 2025: 30 · 2024: 30 · 2023: 20 · 2022: 23 · 2021: 29 · 2020: 13 · 2019: 19 · 2018: 7 · 2017: 7 · 2016: 3 · 2015: 2
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Research in Developmental Disabilities (publishedVersion)
- PubMed (publishedVersion)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, parental stress, preschool children, behavioral problems, emotional problems, parent-child relationship, adaptive skills, cognitive ability, autism severity, typically developing children, family well-being
- MeSH terms
- Problem Behavior, Autism Spectrum Disorder, Adult, Child, Preschool, Emotions, Female, Humans, Male, Middle Aged, Parent-Child Relations, Parents, Severity of Illness Index, Stress, Psychological, Case-Control Studies
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