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The impact of child problem behaviors of children with ASD on parent mental health: The mediating role of acceptance and empowerment
Abstract
Raising a child with an autism spectrum disorder (ASD) has often been associated with higher levels of parenting stress and psychological distress, and a number of studies have examined the role of psychological processes as mediators of the impact of child problem behavior on parent mental health. The current study examined the relations among child problem behavior, parent mental health, psychological acceptance, and parent empowerment. Participants included 228 parents of children diagnosed with ASD, 6–21 years of age. As expected, psychological acceptance and empowerment were negatively related to the severity of parent mental health problems. When acceptance and empowerment were compared with each other through a test of multiple mediation, only psychological acceptance emerged as a significant partial mediator of the path between child problem behavior and parent mental health problems. As child problem behavior increased, parent psychological acceptance decreased, resulting in an increase in parent mental health problems. These findings suggest that for problems that are chronic and difficult to address, psychological acceptance may be an important factor in coping for parents of young people with ASD, in line with the growing literature on positive coping as compared with problem-focused coping.
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“The use of psychological acceptance has also been shown to be an important protective factor in the well-being of parents of autistic children (Jones et al., 2014; Weiss et al., 2012).”
From Parent, child, and family outcomes following Acceptance And Commitment Therapy for parents of autistic children: A randomized controlled trial (2024) · cites this paper as Weiss et al., 2012
In the citing paper
“parent EA appears to mediate the relationship between child problem behaviors and parent mental health problems in parents of children with autism spectrum disorders [12].”
From Psychological inflexibility explains distress in parents whose children have chronic conditions (2018) · cites this paper as [12]
In the citing paper
“EA has been linked to psychological symptoms, parenting burden and stress for low-income families, and for parents of preterm infants and children with various disabilities [10–13].”
From Psychological inflexibility explains distress in parents whose children have chronic conditions (2018) · cites this paper as [12]
In the citing paper
“Psychological acceptance has also been found to mediate the impact of child behaviour problems on the psychological well-being of mothers (Jones et al., 2014; Weiss, Cappadocia, MacMullin, Viecili, & Lunsky, 2012)”
From A mindfulness parent well-being course: evaluation of outcomes for parents of children with autism and related disabilities recruited through special schools (2018) · cites this paper as Weiss, Cappadocia, MacMullin, Viecili, & Lunsky, 2012
In the citing paper
“parents of autistic children who demonstrate higher acceptance of their child’s autism have been found to have fewer mental health problems (Weiss et al. 2012).”
From Experiences of autism acceptance and mental health in autistic adults (2018) · cites this paper as Weiss et al. 2012
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Ibrahim, A. T., Lee, V., Vashi, N., Roudbarani, F., Modica, P. T., Pouyandeh, A., Sellitto, T., Ameis, S. H., Elkader, A. K., Gray, K. M., et al. (2025) · Autism Research · doi:10.1002/aur.70001 · Cited by 8
Self-citation
Metadata
- Authors
- Weiss, J. A., Cappadocia, M. C., MacMullin, J. A., Viecili, M., & Lunsky, Y.
- Affiliations
- York University (CA)
- Centre for Addiction and Mental Health (CA)
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2012-02-01
- Volume
- 16
- Issue
- 3
- Pages
- 261-274
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- OpenAlex
- W2099756992
- Semantic Scholar
- 8f304cee0541b358c29c6b7ec960c1d3fcd87dd5
- Cited by
- 228
- References
- 62
- Citations by year
- 2026: 18 · 2025: 14 · 2024: 18 · 2023: 21 · 2022: 14 · 2021: 21 · 2020: 19 · 2019: 16 · 2018: 17 · 2017: 15 · 2016: 13 · 2015: 20 · 2014: 11 · 2013: 8 · 2012: 2
- FWCI
- 14.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- York University
- 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
- autism spectrum disorder, child behavior problems, parental mental health, psychological acceptance, parental empowerment, mediation, parental stress, positive coping, parents of autistic children
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Child, Child Behavior, Child Development Disorders, Pervasive, Female, Humans, Male, Mental Health, Parents, Power, Psychological, Psychiatric Status Rating Scales, Surveys and Questionnaires, Regression Analysis, Stress, Psychological, Parenting, Young Adult
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