Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: Associations with parental mental health and family functioning
Abstract
BACKGROUND: Behavioural and emotional problems occur at a high rate in children and adolescents with intellectual disability, often from a young age. Some studies have indicated that children and adolescents with autism present with even higher rates. Less is known about the presentation, development and family impact of these difficulties in young children with autism. This study aimed to explore these issues in toddlers with pervasive developmental disorders (PDDs), those with delay without a PDD, and their families. METHODS: Participants were 123 children aged 20-51 months, referred to a developmental assessment clinic. Parents completed a checklist on child behavioural and emotional problems, and individual questionnaires on family functioning, their own mental health, and stress in relation to parenting their child. The child's language and cognitive skills, adaptive functioning and behaviour were assessed by standardized measures. Measures were repeated 1 year postdiagnosis. Behavioural and emotional problems in young children with a PDD were compared with those in children with developmental delay without a PDD, and their impact on parental outcomes explored over time. RESULTS: Initial and follow-up measures of child behaviour and emotional problems, parent mental health problems, parent stress and family functioning were significantly correlated, providing some evidence of stability over time. Child emotional and behavioural problems contributed significantly more to mother stress, parent mental health problems, and perceived family dysfunction than child diagnosis (PDD/non-PDD), delay or gender. Compared with mothers, all fathers reported significantly less stress in relation to parenting their child. CONCLUSION: Results highlighted the importance of addressing emotional and behavioural problems in very young children with autism and/or developmental delay. The need for early support and intervention for mothers, fathers and families in this context was also evidenced. As research has shown that behavioural and emotional problems persist into adolescence and young adulthood, understanding of these issues in very young children and their parents has important implications for intervention and long-term outcomes.
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There is evidence to indicate that child behavior problems function as a risk factor for parental negative outcomes.
“Given the longitudinal design of some studies (e.g. Herring et al., 2006; Lecavalier et al., 2006), there is evidence to indicate that child behavior problems function as a risk factor for parental negative outcomes.”
From Child behavior problems and parental well-being in families of children with autism: The mediating role of mindfulness and acceptance (2014) · cites this paper as Herring et al., 2006
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- Authors
- Herring, S., Gray, K., Taffe, J., Tonge, B., Sweeney, D., & Einfeld, S.
- Affiliations
- Monash University (AU)
- UNSW Sydney (AU)
- Corresponding author
- Gray, K.
- Venue
- Journal of Intellectual Disability Research
- Publisher
- Wiley
- Published
- 2006-11-07
- Volume
- 50
- Issue
- 12
- Pages
- 874-882
- ISSN
- 0964-2633 (ISSN-L)
- 1365-2788
- OpenAlex
- W2095531578
- Cited by
- 588
- References
- 43
- Citations by year
- 2026: 11 · 2025: 17 · 2024: 18 · 2023: 29 · 2022: 28 · 2021: 26 · 2020: 36 · 2019: 35 · 2018: 30 · 2017: 36 · 2016: 49 · 2015: 39 · 2014: 53 · 2013: 38 · 2012: 28
- FWCI
- 16.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Intellectual Disability Research (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Funders
- Australian Research Council
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- pervasive developmental disorders, autism spectrum disorder, toddlers, developmental delay, child behavior problems, child emotional problems, parental mental health, parental stress, family functioning, family dysfunction, gender differences, early intervention, longitudinal stability
- MeSH terms
- Adult, Developmental Disabilities, Child Development Disorders, Pervasive, Child, Preschool, Depression, Family, Female, Humans, Male, Parents, Psychological Tests, Surveys and Questionnaires, Severity of Illness Index, Stress, Psychological, Wechsler Scales, Cost of Illness, Mood Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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