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Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay
Open accessAbstract
Parents of children with developmental disabilities, particularly autism spectrum disorders (ASDs), are at risk for high levels of distress. The factors contributing to this are unclear. This study investigated how child characteristics influence maternal parenting stress and psychological distress. Participants consisted of mothers and developmental-age matched preschool-aged children with ASD (N = 51) and developmental delay without autism (DD) ( N = 22). Evidence for higher levels of parenting stress and psychological distress was found in mothers in the ASD group compared to the DD group. Children's problem behavior was associated with increased parenting stress and psychological distress in mothers in the ASD and DD groups. This relationship was stronger in the DD group. Daily living skills were not related to parenting stress or psychological distress. Results suggest clinical services aiming to support parents should include a focus on reducing problem behaviors in children with developmental disabilities.
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“It has been widely demonstrated that raising a child with autism involves chronic challenges consistently associated with high levels of psychological distress [3,4,5,6].”
From The effect of acceptance and commitment therapy for improving psychological well‐being in parents of individuals with autism spectrum disorders: A randomized controlled trial (2021) · cites this paper as [4]
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BackgroundResultFairthorne, J., de Klerk, N. H., & Leonard, H. (2015) · Medical Research Archives · doi:10.18103/mra.v0i3.204 · Cited by 40
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“Not surprisingly, total scores for maternal stress are consistent with previous studies that looked the relationship between maternal stress and children with socially disruptive behaviors (Estes et al. 2009; Lee et al. 2009).”
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Encyclopedia of Autism Spectrum Disorders
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BackgroundPsychological effects of parenting children with autism prospective study in Kuwait
Fido, A. A., & Al-Saad, S. (2013) · Open Journal of Psychiatry · doi:10.4236/ojpsych.2013.32a002 · Cited by 40
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“Stress levels are noted to be even greater in the population of parents rearing children with ASD (Boyd, 2002; Estes et al., 2009; Gray, 2003).”
BackgroundInfluentialMaughan, A. L., Lunsky, Y., Lake, J., Mills, J. S., Fung, K., Steel, L., & Weiss, J. A. (2024) · Autism · doi:10.1177/13623613231172241 · Cited by 37
“…levels of stress, anxiety, and depression compared to parents of children who do not have a disability, and their levels of chronic stress have been shown to surpass levels experienced by parents of children with other developmental disabilities (Bitsika & Sharpley, 2004; Estes et al., 2009).”
BackgroundAdams, D., Dargue, N., & Paynter, J. M. (2023) · Clinical Psychology Review · doi:10.1016/j.cpr.2023.102320 · Cited by 37
Yesilkaya, M., & Magallón-Neri, E. M. (2024) · SAGE Open · doi:10.1177/21582440241235033 · Cited by 54
“…of children with autism spectrum disorder experience a higher level of parenting stress than parents of children without any developmental disabilities (DD) and parents of children with other types of developmental disabilities (Estes et al., 2009; Hayes & Watson, 2013; Rodriguez et al., 2019).”
Houser, L., McCarthy, M. J., Shea, L., & Mandell, D. S. (2014) · Journal of Social Service Research · doi:10.1080/01488376.2014.930944 · Cited by 49
“…of children with ASD have elevated levels of parenting and family stress, both relative to parents of children with other chronic illnesses and developmental disabilities and relative to parents of typically developing children (Davis & Carter, 2008; Estes et al., 2009; Koegel et al., 1992).”
BackgroundMothers of Autistic Children. How do They Feel?
Oprea, C. E., & Stan, A. (2012) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2012.06.224 · Cited by 37
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Ekas, N. V., Ghilain, C. S., Pruitt, M. M., Çelimli, Ş., Gutierrez, A., & Alessandri, M. (2015) · Research in Autism · doi:10.1016/j.rasd.2015.09.002 · Cited by 39
Nam, S. H., & Chun, J. (2013) · Children and Youth Services Review · doi:10.1016/j.childyouth.2013.11.008 · Cited by 37
“Although most parents experience some degree of parental stress, research indicates that parents of childrenwho have or are at risk of developmental delay are more likely to have higher levels of parenting stress (Davis & Carter, 2008; Estes et al., 2009).”
BackgroundDennis, M. L., Neece, C. L., & Fenning, R. M. (2018) · Advances in Neurodevelopmental Disorders · doi:10.1007/s41252-017-0044-2 · Cited by 36
“It has beenwell documented that parents of children affected by developmental delays (DD) report considerably more parenting stress than parents of typically developing (TD) children (Baker et al. 2003; Emerson 2003; Estes et al. 2009; Gerstein et al. 2009; Hauser-Cram et al. 2001; Oelofsen and Richardson 2006).”
BackgroundDevelopmental disabilities across the world: A scientometric review from 1936 to 2020
Carollo, A., Bonassi, A., Lim, M., Gabrieli, G., Setoh, P., Dimitriou, D., Aryadoust, V., & Esposito, G. (2021) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2021.104031 · Cited by 35
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“…of behaviour problems than children with other developmental disabilities (Blacher & McIntyre 2006; Griffith et al. 2010), and numerous studies on children with behaviour problems indicate that such problems result in parenting challenges (Hastings 2002; Abbeduto et al. 2004; Estes et al. 2009).”
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Chong, W. H., & Kua, S. M. (2016) · American Journal of Orthopsychiatry · doi:10.1037/ort0000169 · Cited by 40
“A body of research has documented the significant con-tributions of positive parenting practices to a range ofdevelopmental and growth trajectories of children (Ang, 2006; Darling & Steinberg, 1993; Estes et al., 2009; Sung, 2010; Wang, Pomerantz, & Chen, 2007).”
BackgroundCaregiver and family quality of life for children with fetal alcohol spectrum disorder
Reid, N., & Moritz, K. M. (2019) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2019.103478 · Cited by 34
Parental Stress and Disability in Offspring: A Snapshot during the COVID-19 Pandemic
Siracusano, M., Riccioni, A., Gialloreti, L. E., Segatori, E., Arturi, L., Vasta, M., Porfirio, M. C., Terribili, M., Galasso, C., & Mazzone, L. (2021) · Brain Sciences · doi:10.3390/brainsci11081040 · Cited by 40
“This is in line with previous studies, reporting children’s problematic behavior as a predictor of parental stress within ASD children [4,6,32].”
BackgroundResultLogrieco, M. G., Casula, L., Ciuffreda, G. N., Novello, R. L., Spinelli, M., Lionetti, F., Nicolì, I., Fasolo, M., Valeri, G., & Vicari, S. (2021) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2021.104130 · Cited by 39
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Chamberlain, A., Cordier, R., Vaz, S. M. A., Netto, J., & Falkmer, T. (2015) · Developmental Neurorehabilitation · doi:10.3109/17518423.2015.1069414 · Cited by 42
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
Shepherd, D., Landon, J., & Goedeke, S. (2017) · Autism · doi:10.1177/1362361316688869 · Cited by 41
“…and anger than other parents (e.g. Duarte et al., 2005; Hoffman et al., 2009; Ingersoll et al., 2011; Ingersoll and Hambrick, 2011; Lutz et al., 2012; Rao and Beidel, 2009), including parents of children with other developmental disabilities (e.g. Estes et al., 2009; Schieve et al., 2011).”
BackgroundDababnah, S., Habayeb, S., Bear, B., & Hussein, D. (2018) · Autism · doi:10.1177/1362361318805368 · Cited by 32
“…spectrum disorder (ASD) have significant impacts on parents and other caregivers, including elevated stress, more depressive symptoms, and lower levels of well-being, compared to those raising children without ASD (Estes et al., 2009; Phetrasuwan and Shandor Miles, 2009; Schieve et al., 2007).”
BackgroundSalinas, C. M., Edgar, V. B., Berrios-Siervo, G. M., & Bender, H. A. (2020) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acaa101 · Cited by 32
Hermaszewska, S., & Sin, J. (2021) · Autism · doi:10.1177/1362361320984895 · Cited by 32
“…functioning (Hall & Graff, 2011), comorbid mental and physical health conditions (ValicentiMcDermott et al, 2015) and increased levels of problem behaviours, such as aggression and hyper-activity in autistic children (Estes et al., 2009), are positively associated with increased parent stress.”
BackgroundPorter, N., Loveland, K. A., Saroukhani, S., Posey, Y., Morimoto, K., & Rahbar, M. H. (2022) · Autism Research and Treatment · doi:10.1155/2022/7089053 · Cited by 31
“Although researchers seem to agree on a positive association between parenting stress and children’s problem behavior (child’s internalizing and externalizing problem behaviors) [2, 4, 14, 26, 27], the findings related to the association between child autistic symptom severity and parenting stress have been inconsiste…”
BackgroundResultA Systematic Review of Parental Self-Efficacy in Parents of Autistic Children
Brennan, J., Ward, O. F., Tomeny, T. S., & Davis, T. E. (2024) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-024-00495-2 · Cited by 37
“Parents of autistic children are also at an additional risk for decreased PSE as they experience increased levels of stress (Brobst et al., 2009; Estes et al., 2009; Hayes & Watson, 2013; Hoffman et al., 2009; Lai et al., 2015; Rao & Beidel, 2009; for review, see Bonis, 2016), increased mental…”
Benson, P. R. (2014) · Research in Autism · doi:10.1016/j.rasd.2014.11.011 · Cited by 39
Fathering a Child with Autism Spectrum Disorder: An Interpretative Phenomenological Analysis
Martins, C. D., Walker, S. P., & Fouché, P. J. P. (2013) · Indo-Pacific Journal of Phenomenology · doi:10.2989/ipjp.2013.13.1.5.1171 · Cited by 34
“This finding is in keeping with literature highlighting elevated levels of stress in the parents of children with ASD (e.g., Estes et al., 2009; Higgins et al., 2005; Kuhn & Carter, 2006; Meirsschaut et al., 2010; Osborne & Reed, 2010; Weiss, 2002).”
ResultInfluentialLloyd, S., Osborne, L. A., & Reed, P. (2019) · Research in Autism · doi:10.1016/j.rasd.2019.03.009 · Cited by 34
Yirmiya, N., Seidman, I., Koren‐Karie, N., Oppenheim, D., & Dolev, S. (2015) · Development and Psychopathology · doi:10.1017/s095457941500067x · Cited by 31
“Estes et al. (2009) found that problem behaviors in children with ASD were associated with elevated levels of parenting stress and psychological distress in mothers.”
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Lane, J. D., Ledford, J. R., Shepley, C., Mataras, T. K., Ayres, K. M., & Davis, A. B. (2016) · Journal of Early Intervention · doi:10.1177/1053815116663178 · Cited by 31
“These challenges are especially prevalent for parents of young children with autism spectrum disorder (ASD), who often report increased levels of stress, especially related to adequately addressing the needs of their children (Benson & Karlof, 2009; Estes et al., 2009; Hayes & Watson, 2013).”
BackgroundNeece, C. L., Fenning, R. M., Morrell, H. E., & Benjamin, L. R. (2024) · Autism · doi:10.1177/13623613231191558 · Cited by 30
Parental Stress and Quality of Life in Parents of Young Children with Autism
Neijs, L. D.-D., Boeke, D. B., van Berckelaer‐Onnes, I. A., Swaab, H., & Ester, W. A. (2024) · Child Psychiatry & Human Development · doi:10.1007/s10578-024-01693-3 · Cited by 54
“Therefore, more attention is needed to explore the mechanisms inducing stress [17–19, 23 ].”
Mindful parenting: future directions and challenges
Cowling, C., & Gordon, W. V. (2021) · International Journal of Spa and Wellness · doi:10.1080/24721735.2021.1961114 · Cited by 34
“For example, Estes et al. (2009) found that child problem behaviour increased parenting stress and psychological distress, but that neither the child’s ASD diagnosis nor impairment in daily functioning contributed to parenting stress.”
BackgroundBader, S. H., Barry, T. D., & Hann, J. A. H. (2014) · Focus on Autism and Other Developmental Disabilities · doi:10.1177/1088357614523065 · Cited by 31
Raising a Child with Autism: A Developmental Perspective on Family Adaptation
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Strauß, K., Servadio, M., Valeri, G., Casula, L., Vicari, S., & Fava, L. (2022) · International Journal of Developmental Disabilities · doi:10.1080/20473869.2022.2052417 · Cited by 35
“…stress is consistently reported on significantly higher levels in parents of children with ASD than those with typical development (Davis and Carter 2008, Estes et al. 2009, Giovagnoli et al. 2015) or with other neurodevelopmental disorders (Craig et al. 2016, Estes et al. 2009, Hou et al. 2018).”
BackgroundQuality of life in mothers of preschoolers with high‐functioning pervasive developmental disorders
Suzumura, S. (2014) · Pediatrics International · doi:10.1111/ped.12560 · Cited by 33
Reaven, J., Washington, L., Moody, E. J., Stern, J. A., Hepburn, S., & Blakeley‐Smith, A. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2410-0 · Cited by 33
“Several studies have implicated the presence of maladaptive behavior as greatly contributing to caregiver stress (Estes et al. 2009; Lecavalier et al. 2006).”
BackgroundBar, M. A., Shelef, L., & Bart, O. (2016) · Research in Autism · doi:10.1016/j.rasd.2016.01.002 · Cited by 33
Bontinck, C., Warreyn, P., Meirsschaut, M., & Roeyers, H. (2017) · Journal of Child and Family Studies · doi:10.1007/s10826-017-0877-3 · Cited by 33
“Parents of children with ASD report higher levels of stress and psychological distress (depression and anxiety) and lower feelings of selfefficacy and competency as a parent (Davis and Carter 2008; Estes et al. 2009; Meirsschaut et al. 2010).”
BackgroundInfluentialLeblanc, L. A., Lazo, J. F., Pollard, J. S., & Unumb, L. S. (2020) · Behavior Analysis in Practice · doi:10.1007/s40617-020-00446-7 · Cited by 30
Autism Spectrum Disorders, Risk Communication, and the Problem of Inadvertent Harm
Rossi, J. P., Newschaffer, C. J., & Yudell, M. (2013) · Kennedy Institute of Ethics journal · doi:10.1353/ken.2013.0006 · Cited by 28
Shortened telomeres in families with a propensity to autism
Nelson, C. A., Varcin, K. J., Coman, N. K., DeVivo, I., & Tager-Flusberg, H. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2015.04.006 · Cited by 27
What Is Autism Spectrum Disorder?
Rea, H. M., LaMotte, K., & Burrell, T. L. (2018) · Springer eBooks · doi:10.1007/978-3-030-03213-5_1 · Cited by 30
Kautz‐Turnbull, C., Parr, J., & Petrenko, C. L. M. (2020) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2020.103578 · Cited by 28
Carmona-Serrano, N., Moreno-Guerrero, A.-J., Marín, J. A. M., & López-Belmonte, J. (2021) · Brain Sciences · doi:10.3390/brainsci11010074 · Cited by 31
“9 months [61], to the higher stress in families with students with ASD than other families with children with other symptoms [62], to the level of well-being in families with students with ASD, where it is higher in relation to disabilities such as Down’s or Fragile X syndrome [63], or that those families with student…”
BackgroundKishimoto, T., Liu, S., Zhang, L., & Li, S. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.956637 · Cited by 36
“These findings are consistent with previous research on the correlation of children’s symptom severity with family dysfunction and parental stress (Hastings and Johnson, 2001; Kogan et al., 2008; Estes et al., 2013).”
ResultTalbott, M. R., Nelson, C. A., & Tager-Flusberg, H. B. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-015-2383-z · Cited by 33
“The severity of children’s autism symptoms and problem behaviors are positively associated with levels of parenting stress and depression amongst mothers of children with ASD (Estes et al. 2009; Ingersoll and Hambrick 2011).”
Davis, A. L., & Neece, C. L. (2017) · Journal of Mental Health Research in Intellectual Disabilities · doi:10.1080/19315864.2016.1276988 · Cited by 32
“Among children with delays, those with PDD, specifically autism or autistic disorder, generally display higher levels of behavior problems than children with other developmental disorders, including those with Down syndrome and undifferentiated developmental delays (Eisenhower et al., 2005; Estes et al., 2009; Kozlows…”
BackgroundShivers, C. M., Krizova, K., & Lee, G. K. (2017) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2017.07.003 · Cited by 29
“…report high levels of stress and strain, even compared to family members of individuals with other intellectual and developmental disabilities (e.g. Estes et al., 2009; Jellett, Wood, Giallo, & Seymour, 2015; Lee et al., 2009; Lee et al., 2012; Montes & Halterman, 2007; Schieve, Blumberg, Rice,…”
BackgroundMothers’ Reactions to Their Child’s ASD Diagnosis: Predictors That Discriminate Grief from Distress
Wayment, H. A., & Brookshire, K. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3266-2 · Cited by 37
“Our study focused on mothers of children with ASD because they experience the highest levels of stress (Estes et al. 2009; Ooi et al. 2016; Seymour et al. 2013) and have reported higher levels of depression (Olsson and Hwang 2001; Willis et al.”
BackgroundResultEstes, A. M., Yoder, P. J., McEachin, J. J., Hellemann, G., MUNSON, J. A., Greenson, J., Rocha, M., Gardner, E., & Rogers, S. J. (2021) · Autism · doi:10.1177/13623613211005613 · Cited by 32
“We know parents of young children with ASD as a group have higher levels of stress (Estes et al., 2009, 2013), but does the initial level of parent stress moderate the effects of intervention intensity and style on parent sense of efficacy?”
BackgroundMethodInforming Developmental Milestone Achievement for Children With Autism: Machine Learning Approach
Haque, M. M., Rabbani, M., Dipal, D. D., Zarif, M., Iqbal, A., Schwichtenberg, A., Bansal, N., Soron, T., Ahmed, S. I., & Ahamed, S. (2021) · JMIR Medical Informatics · doi:10.2196/29242 · Cited by 24
“This parental stress and psychological stress definitely impact the mental development of children with ASD, especially “daily living skills” [46-48].”
BackgroundMothers' appreciation of chromosomal microarray analysis for autism spectrum disorder
Giarelli, E., & Reiff, M. (2015) · Journal for Specialists in Pediatric Nursing · doi:10.1111/jspn.12121 · Cited by 29
The Stress of Parenting Children with Developmental Disabilities
Neece, C. L., & Chan, N. (2017) · Springer eBooks · doi:10.1007/978-3-319-55376-4_5 · Cited by 28
Najmi, B., Heidari, Z., Feizi, A., Hovsepian, S., Momeni, F., & Azhar, S. M. M. (2017) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2017.12.004 · Cited by 27
Gardiner, E., Miller, A. R., & Lach, L. (2018) · Journal of Intellectual Disability Research · doi:10.1111/jir.12547 · Cited by 28
Pruitt, M. M., Willis, K. D., Timmons, L., & Ekas, N. V. (2016) · Autism · doi:10.1177/1362361315620409 · Cited by 38
“Parents of a child with ASD are at an elevated risk for experiencing increased depressive symptoms and negative affect (Ekas and Whitman, 2011; Estes et al., 2009).”
BackgroundStress and quality of life in parents of children with phenylketonuria.
Irannejad, F., Dehghan, M., & Rabori, R. M. (2018) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/jcap.12207 · Cited by 24
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Marquis, S., McGrail, K. M., & Hayes, M. V. (2019) · Disability and health journal · doi:10.1016/j.dhjo.2019.100874 · Cited by 30
Pijl, M., Bontinck, C., Rommelse, N. N. J., Ali, J. B., Cauvet, É., Niedźwiecka, A., Falck‐Ytter, T., Jones, E. J. H., van den Boomen, C., Bölte, S., et al. (2020) · Infant Behavior and Development · doi:10.1016/j.infbeh.2020.101521 · Cited by 33
Aydın, A. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05455-9 · Cited by 37
Jiang, Y., Dang, W., Hong, N., Kong, X., Jiang, Z., & Guo, J. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1238973 · Cited by 30
Health Utility Assessment Using EQ-5D among Caregivers of Children with Autism
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O’Nions, E., Ceulemans, E., Happe, F. G. E., Benson, P. R., Evers, K., & Noens, I. L. J. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-04219-2 · Cited by 26
Wagner, D. V., Borduin, C. M., Kanne, S. M., Mazurek, M. O., Farmer, J. E., & BROWN, R. M. A. (2013) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12012 · Cited by 28
Parenting Stress and Sensory Processing: Children with Fetal Alcohol Spectrum Disorders
Jirikowic, T., Olson, H. C., & Astley, S. J. (2012) · OTJR Occupational Therapy Journal of Research · doi:10.3928/15394492-20120203-01 · Cited by 26
“It is well established that caregivers raising children with many types of neurodevelopmental disabilities report elevated levels of parenting stress (Estes et al., 2009; Hauser-Cram et al., 2001; Johnston et al., 2003; Webster, Majnemer, Platt, & Shevell, 2008).”
BackgroundSocioemotional Consequences of Illness and Disability
Crnic, K. A., & Neece, C. L. (2015) · Wiley eBooks · doi:10.1002/9781118963418.childpsy308 · Cited by 27
Dovgan, K., & Mazurek, M. O. (2019) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12590 · Cited by 24
Dababnah, S., & Parish, S. (2016) · Journal of Evidence-Informed Social Work · doi:10.1080/23761407.2015.1052909 · Cited by 24
“Furthermore, parenting stress and psychological distress are higher among mothers of preschool children with ASD compared with mothers of children with other developmental disabilities (Estes et al., 2009).”
BackgroundFung, S., Lunsky, Y., & Weiss, J. A. (2015) · Journal of Mental Health Research in Intellectual Disabilities · doi:10.1080/19315864.2015.1017892 · Cited by 25
Head Impact Severity Measures for Small Social Robots Thrown During Meltdown in Autism
Alhaddad, A. Y., Cabibihan, J., & Bonarini, A. (2018) · International Journal of Social Robotics · doi:10.1007/s12369-018-0494-3 · Cited by 25
Tsermentseli, S. K., & Kouklari, E.-C. (2019) · Early Child Development and Care · doi:10.1080/03004430.2019.1658090 · Cited by 31
“Consistent with prior research (Beck, Hastings, Daley, & Stevenson, 2004; Estes et al., 2009; Lecavalier et al., 2006) and our hypothesis, adaptive skills were not associated with parenting stress confirming that mothers appear to be resilient to the additional responsibilities that decreased…”
BackgroundResultInfluentialCaregiver Burden among Parents of Hearing Impaired and Intellectually Disabled Children in Pakistan
Imran Haider, S. Y. E. D., Awan, W. A., & Syeda, U. B. (2020) · Iranian Journal of Public Health · doi:10.18502/ijph.v49i2.3087 · Cited by 27
“Parents who had child with profound level of disability were highly stressed and had high level of burden than those parents who had child with other ranges of severity levels (37).”
BackgroundAlban, A. Q., Alhaddad, A. Y., Al-Ali, A. K., So, W., Connor, O., Ayesh, M., Qidwai, U. A., & Cabibihan, J. (2023) · Robotics · doi:10.3390/robotics12020055 · Cited by 31
Mire, S. S., Tolar, T. D., Brewton, C. M., Raff, N. S., & McKee, S. L. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3442-4 · Cited by 27
Linares, D. E., Azuine, R. E., & Singh, G. K. (2020) · Journal of Women s Health · doi:10.1089/jwh.2019.8111 · Cited by 25
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Use of Promotoras de Salud in Interventions with Latino Families of Children with IDD
Magaña, S., Lopez, K., de Sayu, R. P., & Miranda, E. (2014) · International review of research in developmental disabilities · doi:10.1016/b978-0-12-800278-0.00002-6 · Cited by 25
Assessment of Caregiver Inventory for Rett Syndrome
Lane, J. B., Salter, A. R., Jones, N. E., Cutter, G., Horrigan, J. P., Skinner, S. A., Kaufmann, W. E., Glaze, D. G., Neul, J. L., & Percy, A. K. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3034-3 · Cited by 25
“In other studies, caregivers of individuals with ASD have been observed to experience higher levels of caregiver burden, stress, health and psychological impairment than caregivers of individuals with ADHD, or general developmental delay or behavioral impairment (Estes et al. 2009; Cadman et al. 2012; Kirby et al. 201…”
Romero-González, M., Marín, E., Parra, J. G., Navas, P., Aguilar, J. M., Lara, J. P., & Barbancho, M. Á. (2020) · Anales de Pediatría · doi:10.1016/j.anpedi.2020.03.012 · Cited by 24
“De cualquier manera, la mayoría de estudios son transversales y la dirección del efecto no es clara. int-electuales y discapacidad física 19 ; el incremento en las 20 fenó-menos separados pero relacionados, tendiendo cada uno de ellos a incrementar la vulnerabilidad del otro .”
BackgroundViljoen, M., Mahdi, S., Shelly, J., & de Vries, P. J. (2020) · Autism · doi:10.1177/1362361320950055 · Cited by 26
“…determinants of parental stress and quality of life (Azad et al., 2013; Baker-Ericzén et al., 2005; Chiang & Wineman, 2014; Coonrod & Stone, 2004; Estes et al., 2009; Ikeda et al., 2014; Tomanik et al., 2004), we wanted to investigate parents’ views on the functional challenges and/or strengths…”
BackgroundFirst port of call: facing the parents of autism spectrum disorder
Fewster, D. L., & Gurayah, T. (2015) · South African Family Practice · doi:10.1080/20786190.2014.995917 · Cited by 24
The Development of a Self-Efficacy Measurement Tool For Counseling in Speech-Language Pathology
Victorino, K. R., & Hinkle, M. S. (2018) · American Journal of Speech-Language Pathology · doi:10.1044/2018_ajslp-18-0012 · Cited by 24
Metadata
- Authors
- Estes, A., Munson, J., Dawson, G., Koehler, E., Zhou, X.-H., & Abbott, R.
- Affiliations
- University of Washington (US)
- University of Washington, USA
- Corresponding author
- Estes, Annette
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2009-06-17
- Volume
- 13
- Issue
- 4
- Pages
- 375-387
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- PMC
- PMC2965631
- OpenAlex
- W2165770244
- Cited by
- 865
- References
- 28
- Citations by year
- 2026: 40 · 2025: 43 · 2024: 61 · 2023: 57 · 2022: 48 · 2021: 70 · 2020: 62 · 2019: 70 · 2018: 59 · 2017: 63 · 2016: 57 · 2015: 62 · 2014: 50 · 2013: 54 · 2012: 27
- FWCI
- 24.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P50HD055782, U19HD035482, U19HD34565, U19HD035468, U19HD035465)
- 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
- parental stress, maternal distress, autism spectrum disorder, developmental delay, preschool children, child behavior problems, daily living skills, mothers of children with developmental disabilities, parenting support
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Autistic Disorder, Child Behavior Disorders, Developmental Disabilities, Child, Preschool, Female, Humans, Male, Mothers, Parent-Child Relations, Personality Inventory, Surveys and Questionnaires, Stress, Psychological, Comorbidity, Parenting
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