Use of a relaxation technique by mothers of children with autism: A case-series study
Abstract
Mothers of children with autism are subject to considerable stress by having to adjust to the disorder and to cope with practical and social issues. Evidence on the effects of relaxation training on stress of these mothers is scarce. The purpose of this pilot case-series study was to examine the role of a simple 6-week daily stress management technique on mothers of children with autism. Mothers' stress measurements and children's functionality were assessed using validated instruments. Participants were 11 mothers of children with autism seen consecutively in the autism clinic of a children's hospital. Statistically significant median reductions of perceived and parental stress were noted after the 6-week intervention. Median stress scores were lower by 37.1% and 33% from the baseline values of the perceived stress scale and parental stress index, respectively. Stress was not significantly correlated with children's functioning. Stress management seems to have benefits for mothers of children with autism.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Three of the quasi-experimental studies assessed parent outcomes comparing baseline and post-intervention results.
“Three of these studies assessed parent outcomes comparing baseline and post-intervention results (Bitsika & Sharpley, 2000; Gika et al., 2012; Peck, 1998).”
From Interventions that target improvements in mental health for parents of children with autism spectrum disorders: A narrative review (2017) · cites this paper as Gika et al., 2012
Six reviewed studies used only an immediate post-assessment.
“Six studies used only an immediate post-assessment (Bitsika & Sharpley, 2000; Gika et al., 2012; Kenney, 2010; LaPlante, 2013; Peck, 1998; and Whitney & Smith, 2014).”
From Interventions that target improvements in mental health for parents of children with autism spectrum disorders: A narrative review (2017) · cites this paper as Gika et al., 2012
Cites
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
Vineland Adaptive Behavior Scales
Sparrow, S. S. (2010) · Springer eBooks · doi:10.1007/978-0-387-79948-3_1602 · Cited by 1,974 · see citing works
Archer, R. P. (2013) · Routledge eBooks · doi:10.4324/9780203726587-17 · Cited by 968 · see citing works
Jacobson, E. (1938) · The American Journal of the Medical Sciences · doi:10.1097/00000441-193811000-00037 · Cited by 962 · see citing works
Perceived Stress Scale: Reliability and Validity Study in Greece
Andreou, E., Alexopoulos, E. C., Lionis, C., Varvogli, L., Gnardellis, C., Chrousos, G. P., & Darviri, C. (2011) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph8083287 · Cited by 641 · see citing works
Self-citationHassall, R., Rose, J., & McDonald, J. (2005) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2005.00673.x · Cited by 610 · see citing works
Maternal self-efficacy and associated parenting cognitions among mothers of children with autism.
Kuhn, J. C., & Carter, A. S. (2006) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.76.4.564 · Cited by 453 · see citing works
The Relationship Between Autism and Parenting Stress
Schieve, L. A., Blumberg, S. J., Rice, C., Visser, S. N., & Boyle, C. (2007) · Pediatrics · doi:10.1542/peds.2006-2089q · Cited by 431 · see citing works
Myers, B. J., Mackintosh, V. H., & Goin‐Kochel, R. P. (2009) · Research in Autism · doi:10.1016/j.rasd.2009.01.004 · Cited by 420 · see citing works
Psychological Functioning and Coping Among Mothers of Children With Autism: A Population-Based Study
Montes, G., & Halterman, J. S. (2007) · PEDIATRICS · doi:10.1542/peds.2006-2819 · Cited by 380 · see citing works
TONGE, B., BRERETON, A., KIOMALL, M., MACKINNON, A., KING, N., & RINEHART, N. (2006) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000205701.48324.26 · Cited by 298 · see citing works
Brief report: Psychological effects of parenting stress on parents of autistic children
Wolf, L. C., Noh, S., Fisman, S., & Speechley, M. (1989) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02212727 · Cited by 292 · see citing works
Factors associated with stress in mothers of children with autism
Duarte, C. S., Bordin, I. A., Yázigi, L., & Mooney, J. (2005) · Autism · doi:10.1177/1362361305056081 · Cited by 269 · see citing works
Coping, distress, and well-being in mothers of children with autism
Benson, P. R. (2009) · Research in Autism · doi:10.1016/j.rasd.2009.09.008 · Cited by 268 · see citing works
Pottie, C. G., & Ingram, K. M. (2008) · Journal of Family Psychology · doi:10.1037/a0013604 · Cited by 253 · see citing works
The impact of abbreviated progressive muscle relaxation on salivary cortisol
Pawlow, L. A., & Jones, G. E. (2002) · Biological Psychology · doi:10.1016/s0301-0511(02)00010-8 · Cited by 216 · see citing works
Parenting Stress in Mothers of Children With Autism Spectrum Disorders
Phetrasuwan, S., & Shandor Miles, M. (2009) · Journal for Specialists in Pediatric Nursing · doi:10.1111/j.1744-6155.2009.00188.x · Cited by 209 · see citing works
Parent training: A review of methods for children with autism spectrum disorders
Matson, M., Mahan, S., & Matson, J. (2009) · Research in Autism · doi:10.1016/j.rasd.2009.02.003 · Cited by 197 · see citing works
Pro‐social behaviour and behaviour problems independently predict maternal stress
Beck, A., Hastings, R. P., Daley, D., & Stevenson, J. (2004) · Journal of Intellectual & Developmental Disability · doi:10.1080/13668250400014509 · Cited by 143 · see citing works
Dempsey, I., Keen, D., Pennell, D., O’Reilly, J., & Neilands, J. (2008) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2008.08.005 · Cited by 131 · see citing works
Child, parent, and family predictors of latter adjustment in siblings of children with autism
Benson, P. R., & Karlof, K. L. (2008) · Research in Autism · doi:10.1016/j.rasd.2007.12.002 · Cited by 102 · see citing works
Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2007) · Research in Autism · doi:10.1016/j.rasd.2007.06.004 · Cited by 90 · see citing works
Stress management training for parents of children with severe handicaps.
Singer, G. H., Irvin, L. K., & Hawkins, N. E. (1988) · PubMed · Cited by 56 · see citing works
Factors Influencing Adjustment in the Families of Autistic Children
Henderson, D. C., & Vandenberg, B. (1992) · Psychological Reports · doi:10.2466/pr0.1992.71.1.167 · Cited by 37 · see citing works
Helping families for caring children with autistic spectrum disorders.
Ghanizadeh, A. J., Alishahi, M., & Ashkani, H. (2009) · PubMed · Cited by 29 · see citing works
[Parents of children with autism: recent research findings].
Pisula, E. (2002) · PubMed · Cited by 15 · see citing works
Standard errors of prediction for the vineland adaptive behavior scales
Atkinson, L. R. (1990) · Journal of School Psychology · doi:10.1016/0022-4405(90)90025-3 · Cited by 8 · see citing works
Abbeduto (2004) · doi:10.1352/0895-8017(2004)109
Flagged first, then by citations
Cited by
Sorted by citations
Da Paz, N. S., & Wallander, J. L. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.10.006 · Cited by 176 · see citing works
Catalano, D., Holloway, L., & Mpofu, E. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15020341 · Cited by 184 · see citing works
Merakou, K., Tsoukas, K., Stavrinos, G., Amanaki, E., Daleziou, A., Kourmousi, N., Stamatelopoulou, G., Spourdalaki, E., & Barbouni, A. (2018) · EXPLORE · doi:10.1016/j.explore.2018.08.001 · Cited by 121 · see citing works
Darviri, C., Alexopoulos, E. C., Artemiadis, A., Tigani, X., Kraniotou, C., Darvyri, P. P., & Chrousos, G. P. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-995 · Cited by 86 · see citing works
Stress in mothers of children with autism: Trait mindfulness as a protective factor
Conner, C. M., & White, S. (2014) · Research in Autism · doi:10.1016/j.rasd.2014.02.001 · Cited by 87 · see citing works
Interventions to Promote Well-Being in Parents of Children with Autism: a Systematic Review
Frantz, R., Hansen, S. G., & Machalicek, W. (2018) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-017-0123-3 · Cited by 76 · see citing works
Miller-Kuhaneck, H., Madonna, S., Novak, A., & Pearson, E. (2015) · American Journal of Occupational Therapy · doi:10.5014/ajot.2015.017855 · Cited by 75 · see citing works
Ede, M. O., Anyanwu, J. I., Onuigbo, L. N., Ifelunni, C. O., Albi-Oparaocha, F. C., Okenyi, E. C., Agu, M. A., Ugwuanyi, L. T., Ugwuanyi, C. S., Eseadi, C., et al. (2020) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-020-00342-7 · Cited by 74 · see citing works
Rutherford, M., Singh-Roy, A., Rush, R., McCartney, D. L., O'Hare, A. E., & Forsyth, K. (2019) · Research in Autism · doi:10.1016/j.rasd.2019.101450 · Cited by 61 · see citing works
Yu, Y., McGrew, J. H., & Boloor, J. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-04181-z · Cited by 31 · see citing works
Paediatric stress: from neuroendocrinology to contemporary disorders
Stavrou, S., Nicolaides, N. C., Critselis, E., Darviri, C., Charmandari, E., & Chrousos, G. P. (2017) · European Journal of Clinical Investigation · doi:10.1111/eci.12724 · Cited by 28 · see citing works
Zhao, M., You, Y., Chen, S., Li, L., Du, X., & Wang, Y. T. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182412913 · Cited by 28 · see citing works
Agarwal, R., Wuyke, G. M., Sharma, U., Burke, S. L., Howard, M. M., Li, T., Sánchez, M., & Bastida, E. (2022) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-022-00340-8 · Cited by 26 · see citing works
Pandya, S. P. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04633-x · Cited by 25 · see citing works
Paz, N. S. D., Wallander, J. L., & Tiemensma, J. (2018) · Research in Autism · doi:10.1016/j.rasd.2018.05.007 · Cited by 23 · see citing works
Koukouriki, E., & Soulis, S.-G. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04395-6 · Cited by 22 · see citing works
Effectiveness of group art therapy for mothers of children with disabilities
Lee, J. H. (2020) · The Arts in Psychotherapy · doi:10.1016/j.aip.2020.101754 · Cited by 17 · see citing works
Art as relaxation for tic disorders: a pilot randomised control study
Choi, H. N., Moon, J., Lee, D., & Hahm, S. (2021) · Arts & Health · doi:10.1080/17533015.2021.1954675 · Cited by 5 · see citing works
Levin, L. K., & Machado-Gonzalez, Y. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-27366-7.00001-8 · Cited by 5 · see citing works
Turda, E. S. (2023) · International Journal of Special Education (IJSE) · doi:10.52291/ijse.2023.38.42 · Cited by 3 · see citing works
Brunt, S., Menezes, M., Pappagianopoulos, J. E., Smith, J., Howard, M., Sadikova, E., Witte, L., & Mazurek, M. O. (2025) · Research in Autism · doi:10.1016/j.reia.2025.202752 · Cited by 6 · see citing works
Self-Help for Parents of Children with Autism: Mindfulness and Compassion
Fernàndez‐Carriba, S., & Bradshaw, J. L. (2018) · Autism and child psychopathology series · doi:10.1007/978-3-319-90994-3_18 · Cited by 2 · see citing works
Rocha, L. V., Lagunes-Córdoba, R., Lerma, A., Navas, J. M. M., & Rosas-Santiago, F. J. (2024) · Ansiedad y Estrés · doi:10.5093/anyes2024a4 · Cited by 1 · see citing works
MUTLU, H., & Demirtaş, V. Y. (2023) · Anadolu Üniversitesi Eğitim Fakültesi Dergisi · doi:10.34056/aujef.1219861
Płoszaj, M., & Kossewska, J. (2021) · Family Upbringing · doi:10.61905/wwr/170389
- Authors
- Gika, D. M., Artemiadis, A. K., Alexopoulos, E. C., Darviri, C., Papanikolaou, K., & Chrousos, G. P.
- Affiliations
- National and Kapodistrian University of Athens (GR)
- Department of Child Psychiatry, Children's Hospital Aghia Sophia
- Children's Hospital Agia Sophia (GR)
- Corresponding author
- Artemiadis, Artemios K.
- Venue
- Psychological Reports
- Publisher
- SAGE Publications
- Published
- 2012-12
- Volume
- 111
- Issue
- 3
- Pages
- 797-804
- ISSN
- 0033-2941 (ISSN-L)
- 1558-691X
- OpenAlex
- W2135484652
- Cited by
- 25
- References
- 30
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 2
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Reports (publishedVersion)
- PubMed (publishedVersion)
- 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 › Mindfulness and Compassion Interventions
- Keywords
- autism spectrum disorder, mothers of autistic children, parental stress, relaxation training, stress management, perceived stress, Parental Stress Index, child functioning
- MeSH terms
- Adolescent, Adult, Autistic Disorder, Child, Female, Humans, Male, Middle Aged, Mothers, Pilot Projects, Relaxation Therapy, Stress, Psychological, Treatment Outcome
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review