The DOI matches its Crossref record; 133 of the 133 references it cites were found in a registry or an index.
Stress and Parents of Children with Autism: A Review of Literature
Abstract
The purpose of this review is twofold. The first is to synthesize factors that impact parents' experiences of caring for a child with autism spectrum disorder (ASD); the second is to identify factors that impact parental stress and parental decision-making to use autism services or not. Parents of children with ASD score higher on levels of stress than other groups of parents. The daily challenges of caring for the child are endless and effect all aspects of the child's care as well as the parent's mental health and ability to manage the needs of the child and family. Understanding more about the challenges parents face will provide direction for research, intervention development, and practice. Accordingly, a search was conducted using CINAHL and Medline. Inclusion criteria included articles available in full text, published in English, and focused on children with ASD distinct from other diagnoses, as well as parental experiences of caring for a child with ASD. Articles (N = 132) that met the inclusion criteria were summarized. Challenging aspects of the child's diagnosis and care are discussed, as well as the factors that impact parental stress and decision-making to use autism services. Recommendations for research and practice include interventional development related to early diagnosis, disparity, access to care, parental decision-making to use autism services, and parental stress management.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
In the citing paper
“Parents of children with a neurodevelopmental disorder (NDD) experience more stress than parents of typically developing children.”
In the citing paper
“Research has identified CB as the best predictor of parental stress (5, 9–11).”
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
Epidemiology of Pervasive Developmental Disorders
Fombonne, E. (2009) · Pediatric Research · doi:10.1203/pdr.0b013e31819e7203 · Cited by 1,971
Hayes, S. A., & Watson, S. L. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1604-y · Cited by 1,847 · cited 1×
“…& Pisula, 2010), other disabilities (Dunn et al., 2001; Reed & Osborne, 2013), and typically functioning children (Baker-Ericzen, Brookman-Frazee, & Stahmer, 2005; Dabrowska & Pisula, 2010; Hayes & Watson, 2012; Montes & Halterman, 2007; Pisula & Kossakowska, 2010; Zablotsky et al., 2013).”
American Journal of Occupational Therapy
Holcomb, E. (2014) · Wiley eBooks · doi:10.1002/9781118660584.ese0113 · Cited by 1,214
The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders
Lecavalier, L., Leone, S., & Wiltz, J. (2006) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2005.00732.x · Cited by 1,163
Racial/Ethnic Disparities in the Identification of Children With Autism Spectrum Disorders
Mandell, D. S., Wiggins, L. D., Carpenter, L. A., Daniels, J., DiGuiseppi, C., Durkin, M. S., Giarelli, E., Morrier, M. J., Nicholas, J. S., Pinto-Martin, J. A., et al. (2009) · American Journal of Public Health · doi:10.2105/ajph.2007.131243 · Cited by 946
Dabrowska, A., & Pisula, E. (2010) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2010.01258.x · Cited by 900
Dawson, G., Jones, E. J. H., Merkle, K., Venema, K., Lowy, R., Faja, S., Kamara, D., Murias, M., Greenson, J., Winter, J., et al. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.08.018 · Cited by 799
Mothers supporting children with autistic spectrum disorders
Bromley, J., Hare, D. J., Davison, K., & Emerson, E. (2004) · Autism · doi:10.1177/1362361304047224 · Cited by 646
Moderators of Stress in Parents of Children with Autism
Dunn, M. E., Burbine, T., Bowers, C. A., & Tantleff-Dunn, S. (2001) · Community Mental Health Journal · doi:10.1023/a:1026592305436 · Cited by 645
Research works printed but not linked: 8
- Aghaeinejad M., 2013, International Research Journal of Applied and Basic Sciences, 5, 667
- 10.1007/s10826-008-929-y · DOI
- Centers for Disease Control and Prevention, Data & Statistics
- Ekas N. V., 2010, Journal of Autism and Developmental Disorders
- Lickenbrock D. M., 2010, Journal of Autism and Developmental Disorders
- 10.1176/appi.ps.61.8.822 · DOI
- Prince-Hughes D., 2004, Songs of the gorilla nation: My journey through autism
- Siman-Tov A., 2010, Journal of Autism and Developmental Disorders
Cited by
Sorted by citations
Items 201–300 of 401
Meerson, R., Buchholz, H., Kammerer, K., Göster, M., Schobel, J., Ratz, C., Pryss, R., Taurines, R., Romanos, M., Gamer, M., et al. (2024) · Frontiers in Digital Health · doi:10.3389/fdgth.2024.1462682 · Cited by 4
Tönis, K. J. M., Drossaert, C. H. C., ten Klooster, P. M., Schaer, M., Bourgeron, T., Buitelaar, J. K., Sadaka, Y., Freitag, C. M., Lapidus, K. M., Chiocchetti, A. G., et al. (2024) · Trials · doi:10.1186/s13063-024-08256-w · Cited by 3
“Parents of children with ASD [9, 38], ADHD [71], or NDDs [18] have shown to experience more stress than parents of children with a typical development.”
BackgroundKim, B.-U., Kim, H., Park, E. J., Kim, J.-H., Boon‐yasidhi, V., Tarugsa, J., Reyes, A., Manalo, S. G., & Joung, Y. (2022) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2022.0004 · Cited by 3
“The largest concentration of literature on parenting a child with ASD is focused on parental stress (Bonis 2016).”
Novak‐Pavlic, M., Grgić, V., Vlašić, K., Ilicic, A. M., Dežmar, D., Abramović, I., Rezze, B. D., Macedo, L. G., & Rosenbaum, P. (2024) · Disability and Rehabilitation · doi:10.1080/09638288.2024.2375436 · Cited by 3
Attar, S. M., Benavidez, H. R., Gicheru, C., Alabi, C., Sapano, R., & Stone, W. L. (2025) · Autism · doi:10.1177/13623613251335702 · Cited by 14
“…subsequent receipt of services (Constantino et al., 2020), resulting in elevated parenting stress, increased child behavioral challenges, and reduced quality of life (Bonis, 2016; DesChamps et al., 2020), even compared to families with non-autistic developmental concerns (DesChamps et al., 2020).”
Villalta, L., Elías, M., Llorens, M., Vall‐Roqué, H., Romero-González, M., & Valencia‐Agudo, F. (2025) · Children and Youth Services Review · doi:10.1016/j.childyouth.2025.108422 · Cited by 4
Han, Z., Yang, Z., Zhong, H., & Hansen, P. (2025) · Online Information Review · doi:10.1108/oir-03-2024-0139 · Cited by 3
Stipanicic, A., Couture, G., Rivest, C., Rousseau, M., & Paquette, M. (2021) · Annales Médico-psychologiques revue psychiatrique · doi:10.1016/j.amp.2021.10.018 · Cited by 3
Celebic, E., & Memišević, H. (2023) · Journal of Health and Rehabilitation Sciences · doi:10.33700/jhrs.2.1.62 · Cited by 3
Katalifos, A., Elsabbagh, M., Yusuf, A., Yamaguchi, S., Scorah, J., Wright, N., Steiman, M., Shih, A. J., & Shikako‐Thomas, K. (2024) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2024.1308062 · Cited by 3
“Moreover, caregivers of youth with a neurodevelopmental disability have also been found to be increasingly likely to experience fi nancial hardship, high levels of stress, and mental health complications (22, 23).”
BackgroundNagase, K., Tsunoda, K., & 藤田, 久. (2024) · Research in Autism · doi:10.1016/j.rasd.2024.102388 · Cited by 3
In support of neurodiverse participatory sensemaking
van Dijk, J., & Oral, L. (2025) · Language Sciences · doi:10.1016/j.langsci.2025.101717 · Cited by 4
Du, Y., Yang, X., Wang, M., Lv, Q.-Q., Zhou, H., & Sang, G. (2025) · Frontiers in Pediatrics · doi:10.3389/fped.2025.1546001 · Cited by 3
“ASD poses signi fi cant challenges for families, with parents often facing heightened stress, anxiety, and fi nancial burdens due to the chronic nature of the condition (31).”
Brennan, J., & Davis, T. E. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-06870-4 · Cited by 3
“Specifically, support networks with a higher percentage of family members, females, and individuals with similar life experiences report increased support, positive mental health outcomes, and greater relationship satisfaction (Benson, 2012, 2016; Haines et al., 2008).”
Child-to-parent violence and parent mental health: A systematic review
Harries, T., Mayshak, R., & Curtis, A. (2025) · International Journal of Behavioral Development · doi:10.1177/01650254251372915 · Cited by 3
“…where the young person has a diagnosed [usually behavioural/ neurodevelopmental] condition) is already elevated compared to community samples (Bonis, 2016; Dumas et al., 1991), and the experience of CPV is not uniquely associated within any greater depression when measured at the symptom…”
Gao, X., Drani, S., & Yahaya, M. (2025) · Humanities and Social Sciences Communications · doi:10.1057/s41599-025-06330-5 · Cited by 3
“…of challenging behaviors in CWASD, such as aggression, self-injury, dietary problems, and sleep problems, requires constant vigilance and crisis management from parents, leading to physical and emotional exhaustion (S. Bonis, 2016; S. A. Bonis & Sawin, 2016; Han & Gao, 2025; Martin et al., 2019).”
Teleassistance and Telerehabilitation: COVID-19, Other Epidemic Situations and Future Prospects
Bertelli, M. O., Zorzi, S., Buonaguro, E. F., Bianco, A., Armellini, M., & Scattoni, M. L. (2022) · Springer eBooks · doi:10.1007/978-3-319-95720-3_43 · Cited by 3
Lovell, B., Newman, A., & Wetherell, M. A. (2022) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2022.104396 · Cited by 4
Bitsika, V., Elmose, M., Mertika, A., Sharpley, C. F., Ladopoulou, K., Kampakos, C., & Syriopoulou–Delli, C. K. (2023) · International Journal of Developmental Disabilities · doi:10.1080/20473869.2023.2196469 · Cited by 4
“…carer; stress; anxiety; depression Caring for a child with autism spectrum disorder (ASD)1 has been shown to be a major stressful experi- ence (Bitsika and Sharpley 2004, Bonis 2016, Falk et al. 2014), more severe than for carers2 of children with other specific disorders (Hayes and Watson 2013).”
BackgroundAntonopoulou, V., Killian, M., & Forrester, D. (2024) · Journal of Children s Services · doi:10.1108/jcs-10-2022-0030 · Cited by 3
Yu, W., Tian, J., Li, P., Guo, Z., Zcm, D., Li, M., Ge, Y., & Liu, X. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02484-4 · Cited by 3
“Furthermore, because existing studies mainly focused on the reduction in the utilization of child healthcare during the lockdown [8, 23, 24], less was known about caregivers’ healthcare preferences for their young children.”
BackgroundMead, J., Lee, T.-J., & Bullot, A. (2024) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-024-06606-w · Cited by 3
“This assessment tool demonstrates good psychometric properties (Sparrow et al., 2005, 2016) and has been widely used to assess adaptive behaviour in ASD early intervention studies (e.g., Eapen et al., 2013; Paynter et al., 2018; Vivanti et al., 2013).”
Zoccante, L., Sabaini, S., Bonatti, S. M., Rigotti, E., Lintas, C., Marconi, M., & Zaffanello, M. (2024) · Children · doi:10.3390/children11121494 · Cited by 3
“Research suggests that parents of children with ASD, particularly mothers [25], often experience augmented levels of stress, anxiety, and depression linked to parents of neurotypical children [26].”
Dababnah, S., Zeleke, W. A., Chung, Y., Adjei, R. A., Dixon, P. J., Salomone, E., & WHO CST Team (2025) · Autism · doi:10.1177/13623613251351345 · Cited by 3
“Nonetheless, the need to address parent stress in particular is urgent, given its prevalence among parents raising autistic children and its correlation with parent and child well-being (Bonis, 2016; Carter et al., 2009; Cohrs & Leslie, 2017).”
Parent Mental Models of Transition Related to Their Child’s Developmental Diagnosis
Broski, J., & Dunn, W. (2020) · Journal of Child and Family Studies · doi:10.1007/s10826-020-01735-z · Cited by 4
“Existing literature frequently emphasizes parental feelings related to their child’s developmental diagnosis (e.g., Bonis 2016; Nealy et al. 2012; Osborne et al. 2008).”
BackgroundCoping with stress of mothers of children with disorders belonging to autism spectrum
Świerczyńska, J. C., & Pawłowska, B. (2022) · Current Problems of Psychiatry · doi:10.2478/cpp-2022-0001 · Cited by 3
Associations between child mental health, carer worry and help-seeking
Liverpool, S., & Edbrooke-Childs, J. H. (2021) · Journal of Child Health Care · doi:10.1177/13674935211014750 · Cited by 3
“In particular, limited awareness of formal help-seeking processes, carers’ stress levels and carers’ perception of the severity of the child’s mental health problem are barriers to help-seeking (Bonis, 2016; O’Brien et al., 2016; Reardon et al., 2017; Reardon et al., 2019).”
BackgroundRanganathan, M., Jacob, A., Kariveliparambil, A., Ganesh Kumar, J., Anthony, M., Vijay, M., Kumari, R. B., & Annapally, S. R. (2024) · Universal Journal of Public Health · doi:10.13189/ujph.2024.120104 · Cited by 2
Libraries: Spaces for Belonging, Support, and Partnerships
Stormont, M. A., Cahill, M., Long, B. S., Adkins, D., Long, A. K., Daskalakes, D. T. M., Gooden, C., & Russell, C. (2024) · Young Exceptional Children · doi:10.1177/10962506241245967 · Cited by 2
“Ideally, play areas within children’s sections and other social library spaces engender inclusivity by functioning as modern-day town squares where member of communities can interface in (Bonis, 2016; Cantwell et al., 2015).”
Contribution of Social Support to Parenting Self-Efficacy from Mothers with Children with Autism
Febrianti, V., & Hildayani, R. (2024) · Psikoborneo Jurnal Ilmiah Psikologi · doi:10.30872/psikoborneo.v12i4.16450 · Cited by 2
“Ibu dari anak penyandang autisme yang merasa memperoleh dukungan dan bantuan dari pihak lain tidak merasa sendirian, sehingga lebih baik dalam menghadapi tugas pengasuhan yang sulit (Smart, 2016).”
InfluentialEmotional Availability in Autism Intervention: A Mother–Father Comparative Analysis
Perzolli, S., Bertamini, G., Venuti, P., & Bentenuto, A. (2025) · Brain Sciences · doi:10.3390/brainsci15020133 · Cited by 5
“Given that high levels of stress can significantly compromise the parent–child relationship [70,71], it could be helpful to consider intervention strategies to support both mothers and fathers based on their specific characteristics, strengthening protective factors and enhancing the whole family…”
AUTOESTIGMA EM MÃES DE CRIANÇAS COM TRANSTORNO DO ESPECTRO AUTISTA
de Lima, C. V., Teixeira, M. C. T. V., Siqueira, L. P. C., Lowenthal, R., & Paula, C. S. (2024) · Psicologia & Sociedade · doi:10.1590/1807-0310/2024v36281976 · Cited by 2
Prentice, C. M., Fjermestad, K. W., Haukeland, Y. B., & Vatne, T. M. (2025) · Child Care Health and Development · doi:10.1111/cch.70039 · Cited by 2
“…parents experience increased stress levels compared to parents of typically developing children, with causes of this stress including the demands of everyday caregiving and longer-term concerns about their child's future (Bonis 2016; Pelentsov, Laws, and Esterman 2015; Theule et al. 2013).”
Tsiouri, I., & Gena, Α. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14072307 · Cited by 3
“The complexity of the disorder, the disruption of family functioning, the social isolation due to social and self-stigmatization, and a host of other factors lead to high stress levels and to family burden [62].”
Gur, A., Sarusi, N., Katz, I. B., & Shnitzer‐Meirovich, S. (2025) · Child & Family Social Work · doi:10.1111/cfs.70005 · Cited by 2
Psychological counseling needs of parents with children with autism spectrum disorders
Huyền, N. T. T., Loan, B. T., Phuong, P. T. H., Ngoc, V. T., & Dieu, P. (2025) · Multidisciplinary Science Journal · doi:10.31893/multiscience.2025523 · Cited by 2
Tönis, K. J. M., Velikova, S. R., Drossaert, C. H. C., ten Klooster, P. M., Staal, W., & Bohlmeijer, E. T. (2025) · Research in Neurodiversity · doi:10.1016/j.rin.2025.100009 · Cited by 3
How Might Comorbid Conditions Co-occurring With Child Autism Impact Parenting Stress?
Shepherd, D., Landon, J., & Goedeke, S. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07214-6 · Cited by 2
Kazak, A. E., Ramirez, A. P., Scialla, M. A., Alderfer, M. A., Sewell-Roberts, C., & Treadwell‐Deering, D. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05713-w · Cited by 2
“These challenges include behavioral difficulties, stigma, parenting stress, financial burdens, and necessary modifications to the family’s physical and social worlds, among others (Bonis, 2016; Hayes & Watson, 2013 ; Rogge & Janssen, 2019 ; Samsell et al., 2022).”
Kangavary, A., Halliday, E. R., Durocher, J. S., & Ehrenreich, J. T. (2023) · Clinical Case Studies · doi:10.1177/15346501231198889 · Cited by 5
“Existent literature demonstrates that caregivers of children with ASD experience higher levels of anxiety and depression than parents of neurotypical youth (Bonis, 2016).”
BackgroundESTRESSE PARENTAL E PRÁTICAS EDUCATIVAS EM CRIANÇAS COM TRANSTORNOS DO NEURODESENVOLVIMENTO
Sobreira, D. A., Guaitolini, D., Rolla, L. D. M., & Nascimento, M. R. (2023) · Editora Científica Digital eBooks · doi:10.37885/231014865 · Cited by 2
Lai, W. (2024) · Studies in Social Science & Humanities · doi:10.56397/sssh.2024.01.07 · Cited by 2
“Autism spectrum disorder (ASD) is a developmental disability that commonly involves repetitive behaviors and difficulties in social communication and interaction (Bonis, 2016).”
BackgroundBringing up a child with autism. Parental stress and burnout syndrome in a time perspective context
Kossewska, J. (2020) · Family Upbringing · doi:10.61905/wwr/170451 · Cited by 3
Exploring Marital Quality in Parents of Children with Autism: Identifying Barriers and Facilitators
Gur, A., & Bayazy, Y. G. (2024) · Social Sciences · doi:10.3390/socsci13060287 · Cited by 2
“Parents of children with ASD typically experience higher levels of stress, anxiety, depression, and caregiver burden than other parents (Bonis 2016; Bozkurt et al. 2019; Khusaifan and El Keshky 2022).”
BackgroundHochman, Y., Werner, S., & Shpigelman, C. (2024) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-024-06492-2 · Cited by 3
“The first utilizes conceptual frameworks of stress and coping (Lazarus & Folkman, 1984; Olson et al., 1989; Patterson, 2002), mainly pointing toward increased burden (Beigh-ton & Wills, 2017; Bonis, 2016; Selvakumar & Panicker, 2020; Zonneveld et al., 2023).”
Lichtlé, J., Sperduti, M., Monestès, J., & Cappe, É. (2024) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-024-00483-w · Cited by 2
Eliopulos, E., de la Roche, L., Chen, Y., McPhee, P. G., Kata, A., Duku, E., Roncadin, C., Hoult, L., Singal, D., & Georgiades, S. (2024) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-024-06612-y · Cited by 2
Lan, K., Jia, X., Gao, S., Feng, Z., Jia, M., Yue, W., Wei, Y. B., & Liu, J. J. (2024) · Journal of Child and Adolescent Psychiatric Nursing · doi:10.1111/jcap.70008 · Cited by 2
Cai, C., Ran, Q., Lu, M., Song, C., & Jiang, Z. (2025) · Brain and Behavior · doi:10.1002/brb3.70884 · Cited by 2
“Additionally, the severity of NDDs can be exacerbated by comorbid conditions (Khachadourian et al. 2023; Set and Warner 2021; Thapar and Cooper 2016) or psychological stress(Lautarescuetal.2020;Bonis2016).”
Marital Experiences and Parental “Highs” and “Lows” When A Child with Autism Starts School
Brisini, K. S. C., Tian, X., & Solomon, D. H. (2022) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05697-7 · Cited by 2
Parental Stress of Pakistani Families with Children who Have Developmental Disabilities
Ramzan, L., Rashid, A., Aziz, S. W., Batool, S., Yaqoob, S., Khan, M. A., & Chugtai, A. S. (2022) · Pakistan Journal of Medical and Health Sciences · doi:10.53350/pjmhs22168514 · Cited by 2
Guidi, S., Palmitesta, P., Bracci, M., Marchigiani, E., & Parlangeli, O. (2023) · Interacting with Computers · doi:10.1093/iwc/iwad006 · Cited by 2
A Bioecological Approach to the Life of a Child with Autism Spectrum Disorder
Çiftçi, M., HASSAMANCIOĞLU, U., Vadi, D., & Uzun, İ. B. (2023) · Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi · doi:10.21565/ozelegitimdergisi.1218579 · Cited by 2
Self-Advocacy and Community Advocacy Amongst Youths with Disabilities
Menna‐Dack, D., & Bowman, L. R. (2024) · The International Library of Bioethics · doi:10.1007/978-3-031-61565-8_18 · Cited by 2
Stephens, J. (2018) · Queensland University of Technology · doi:10.5204/thesis.eprints.122961 · Cited by 2
Riccioppo, M. R. P. L. (2023) · doi:10.11606/t.22.2023.tde-11032024-093212 · Cited by 2
Đorđević, M., Glumbić, N., Memišević, H., Brojčin, B., & Golubović, Š. (2023) · International Journal of Developmental Disabilities · doi:10.1080/20473869.2023.2200299 · Cited by 1
“A plethora of research has shown that challenging behavior is associated with parental stress (Bonis, 2016).”
Early motor skill interventions for children with autism; secondary effects on parents and families
Elliott, L. K., Weiss, J. A., & Lloyd, M. (2023) · European Journal of Adapted Physical Activity · doi:10.5507/euj.2023.003 · Cited by 1
“Parents consistently report higher levels of stress and lower levels of family quality of life compared to parents of children without autism (Bonis, 2016; Gardiner & Iarocci, 2015; Hoefman et al., 2014; S. Jones et al., 2017; Parsons et al., 2020; Stuart & McGrew, eujapa.upol.cz 2009), indicating…”
Stress in parents of preschoolers with Autism Spectrum Disorders: an update review
Espinosa-Díaz, N., Vega-Arce, M., Jara, M. I., & Garrido, F. (2024) · Boletín Médico del Hospital Infantil de México · doi:10.24875/bmhim.23000182 · Cited by 12
“Studies show that parents of children with ASD face significant challenges in child rearing 10 .”
InfluentialVerma, B., Dey, M., & Sehgal, R. (2025) · Journal of Neurosciences in Rural Practice · doi:10.25259/jnrp_395_2024 · Cited by 1
Zotti, L., Esposito, D., Iorio, G. D., Covuccia, M., Orecchio, S., Ferrara, M., & Conte, G. (2025) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045251343692 · Cited by 3
“Families with ASD children have to manage some behavioral issues, communication dif fi culties, and social isolation, which can lead to signi fi cant stress for parents (Alibekova et al., 2022; Bonis, 2016; Mun et al., 2021; Rousseau et al., 2013).”
Caring for A Child with Autism Spectrum Disorder: A Metaphor Study
Uncu, B., Gökçek, A. İ., & Aras, N. (2025) · Maternal and Child Health Journal · doi:10.1007/s10995-025-04114-6 · Cited by 1
“Coping with the day-to-day care of the child is a constant challenge and this affects every aspect of the child’s care, as well as the parents’ mental health and ability to manage the needs of the child and family (Bonis, 2016 ).”
Otizm Spektrum Bozukluğuna Sahip Çocuğu Olan Annelerin Deneyimlerinin İncelenmesi: Nitel Bir Analiz
Kutlu, İ., Büber, Ö., & Eyüpoğlu, E. Z. (2025) · Tıbbi Sosyal Hizmet Dergisi · doi:10.46218/tshd.1645213 · Cited by 1
Özoğuz, N., Balkanas, M., & Tarakçıoğlu, M. C. (2025) · Autism · doi:10.1177/13623613251362263 · Cited by 1
“Contextual factors such as emotional and practical support (Pozo et al., 2014), access to health-care and educational services (Bonis, 2016), and the stress associated with navigating the diagnostic process (Crane et al., 2016; Daniels & Mandell, 2014) appear to play essential roles and may…”
Quality of life in a family-centric applied behavior analysis model: A case series study
Ciobanu, M., Barnes, G., Castell, N. J., Adelson, R. P., Garikipati, A., Singh, N. P., Mao, Q., & Das, R. (2025) · PLoS ONE · doi:10.1371/journal.pone.0329939 · Cited by 1
Melo, K. D. D. A., da Costa, D. G., Rodrigues, J. G. D. C., Santos, N. O., & Rodrigues, V. G. (2025) · Revista Multidisciplinar do Nordeste Mineiro · doi:10.61164/mcbd3w58 · Cited by 1
Adults with Autism Have Numerous Needs, and So Do Their Parents!
Derguy, C., Frybourg, L., Dexet, M., & Cappe, É. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-06975-w · Cited by 2
Clarke, E., Tchoua, P. P., Thompson, K. L., Wasser, H., Agrawal, S., Schenkelberg, M. A., de Oliveira, S., & Willis, E. A. (2025) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2025.10.009 · Cited by 1
Desimpelaere, E. N., Verreu, D., Ortibus, E., Soenens, B., Prinzie, P., & Pauw, S. S. W. D. (2025) · Exceptional Children · doi:10.1177/00144029251389391 · Cited by 1
“Having a child on the autism spectrum may also affect the partner relationship, as various studies report that couples fi nd themselves embroiled in disagreements over the appropriate approach to their child, or struggle to fi nd time for activities together (Bonis, 2016; Ooi et al., 2016).”
Parenting stress and coping across five countries
Mustary, K., Kiari, I., Nyno, J., Osborne, L. A., & Reed, P. (2025) · Advances in Autism · doi:10.1108/aia-08-2025-0083 · Cited by 1
Kossewska, J., & Piątek-Kłosowska, M. (2025) · Family Upbringing · doi:10.61905/wwr/213766 · Cited by 1
Kerr, J., Nicholson, H., Richards, R., & Anderson, C. (2026) · British Journal of Clinical Psychology · doi:10.1111/bjc.70033 · Cited by 1
Autistic Adults and Loved Ones’ Experiences of a Later Life Diagnosis
Ward, N., Randle‐Phillips, C., & Aldridge, R. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07232-4 · Cited by 1
Xu, Z. N., Ni, Y., Chu, M., Yang, J., Hongchao, Q., Shi, L., & Wang, F. (2026) · Scientific Reports · doi:10.1038/s41598-026-40865-0 · Cited by 1
“Contemporary literature supports the concept of parenting stress as a key moderator in the pathway from parenting challenges to parent mental health outcomes 25 .”
Resilience interventions for the family with autistic children: a systematic review
Guo, S., Zhang, H., Wang, J., & Wang, M. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1760817 · Cited by 4
“Compared with in-person format, online intervention breaks the constrains, reduces financial burden, and oers flexibility and accessibility for the families with ASD children, which improves the parents’ participants and fidelity (Bonis, 2016; Fox et al., 2017; Galpin et al., 2018).”
Ma, K. K., Burn, A., Wong, O. W. H., Choi, O., & Chan, S. S. (2026) · BMJ Paediatrics Open · doi:10.1136/bmjpo-2025-004289 · Cited by 2
Salim, N. S. M., Idris, I. B., Nor, N. K., Roslan, S., Rashid, N. A., Ibrahim, R., & Rahman, A. F. A. (2026) · PLoS ONE · doi:10.1371/journal.pone.0351969 · Cited by 1
“Lam et al. [39] https://doi.org/10.1371/journal.pone.0351969.t005 developing or other disabled children [46,47].”
InfluentialScheske, M., Hampton, S., Cooper, K., Zahir, R., Midouhas, E., Flouri, E., Saunders, R., & Mandy, W. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07410-4 · Cited by 1
Brechan-Skjetne, G. K., Bjørknes, R., Posserud, M.-B. R., & Sæther, R. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1841274 · Cited by 2
“The signi fi cance of social capital is supported by studies on parental stress (15), like Ooi et al. who highlighted value of practical and emotional support from other parents having similar experiences and being able to share problems that others might not understand (19), showing that social…”
InfluentialStress Factors in Parents of Autistic Children: An Umbrella Review
Tönis, K. J. M., Drossaert, C. H. C., ten Klooster, P. M., Segers, J., Staal, W., Schaer, M., & Bohlmeijer, E. T. (2026) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-026-00581-x · Cited by 2
Analysis of Themes and Issues in Neurodevelopmental Disorders
Venkatesan, S. (2018) · Advances in medical technologies and clinical practice book series · doi:10.4018/978-1-5225-7004-2.ch001 · Cited by 1
Autism Spectrum Disorder and Family Functioning: A Therapist’s Perspective
Poe, S. G., & Owen, C. K. (2018) · Springer eBooks · doi:10.1007/978-3-030-03213-5_19 · Cited by 1
Lemay, J.-F., Langenberger, S., & McLeod, S. (2021) · Paediatrics & Child Health · doi:10.1093/pch/pxaa130 · Cited by 1
“Ensuring parent satisfaction is important, as stress and tension are often higher in parents of children being evaluated for ASD and keeping stress to a minimum may improve family function (10).”
Backgroundvan Dinteren, E., & de Jonge, M. V. (2021) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2665-5_11 · Cited by 1
da Silva, T. M., Couto, L. M. F., & Baptista, M. N. (2021) · Contextos Clínicos · doi:10.4013/ctc.2021.143.12 · Cited by 1
McKinnon, S., Rousseau, M., Poulin, M.-H., Bourassa, J., & Corriveau, M. (2022) · Revue de psychoéducation · doi:10.7202/1088634ar · Cited by 1
Hà, N. T., Trang, D. T. H., Anh, H. K. T., & Hà, L. T. T. (2023) · Current Nutrition & Food Science · doi:10.2174/1573401319666230210121632 · Cited by 1
Rousseau, M. (2022) · Global Journal of Intellectual & Developmental Disabilities · doi:10.19080/gjidd.2022.10.555781 · Cited by 1
Centar za odgoj, O. I. R. „. N., & Pasalic, A. (2023) · Multidisciplinarni Pristupi u Edukaciji i Rehabilitaciji · doi:10.59519/mper5204 · Cited by 1
Reid, K., Sacrey, L.-A. R., Zwaigenbaum, L., Brian, J. A., & Smith, I. M. (2024) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-023-00417-y · Cited by 2
“…of the benefits of early intervention for children on the autism spectrum (Fuller & Kaiser, 2020, Towle et al., 2020, Dawson et al., 2010, Bonis, 2016, Pickles et al., 2016, Noyes-Grosser et al., 2018) highlight the need of early assessments like the AOSI which can provide behavioural…”
Gambaran Resiliensi dan Stres Pengasuhan Orang Tua dengan Anak Autis
Hafidz, Z. A., & Hamdan, S. R. (2024) · Bandung Conference Series Psychology Science · doi:10.29313/bcsps.v4i1.9936 · Cited by 1
Competency of Autism Spectrum Disorder Parents in Home-Based Occupational Therapy Intervention
Azri, M. A., Daud, A. Z. C., Berahim, J., & Paramasivam, R. (2024) · Environment-Behaviour Proceedings Journal · doi:10.21834/e-bpj.v9i27.5690 · Cited by 1
Enhancing coping and resilience in bullied youth with autism spectrum disorder (ASD)
Fujii, K., Idrizi, K., Friedman, C. A., & Byrnes, K. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-27366-7.00022-5 · Cited by 2
Leblanc, L. A., Schutte, C., Mintz, C., & Barnard-Brak, L. M. (2024) · Journal of Developmental and Physical Disabilities · doi:10.1007/s10882-024-09990-4 · Cited by 1
“Ongoing parenting stress can significantly impact parents’ mental health and over - all wellbeing, (Ekas & Whitman, 2010) and participation in treatment (Bonis, 2016; Kazdin & Mazurick, 1994; Kazdin & Wassell, 2000; Zaidman-Zait et al., 2014).”
Knowledge, Attitude, and Practices among Parents of Children with Seizures
Chidambar, R., Shanbhag, S., Avabratha, K. S., & Prabhu, S. H. (2025) · Archives of Medicine and Health Sciences · doi:10.4103/amhs.amhs_168_24 · Cited by 1
Wium, A.-M., & de Jongh, M. (2018) · African Journal of Health Professions Education · doi:10.7196/ajhpe.2018.v10i2.963 · Cited by 1
“It could therefore be expected that the registered nurses who took part in this training would refer children for diagnosis to the tertiary hospital.[4] A more significant improvement was seen in their knowledge of treatment approaches for ASDs.”
BackgroundPancsofar, N., Petroff, J. G., & Carlani, J. (2021) · Young Exceptional Children · doi:10.1177/10962506211006060 · Cited by 1
“…complex disabilities 186 YOUNG EXCEPTIONAL CHILDREN Vol. 25, No. 4, December 2022 has been attributed to child problem behaviors, a lack of understanding of their child’s disability, concerns about the future of their child, and a lack of support (Bonis, 2016; Hsiao, 2018; Meadan et al., 2010).”
BackgroundKramchenkova, V., & Жукова, Л. (2020) · Вісник ХНПУ імені Г С Сковороди Психология · doi:10.34142/23129387.2020.63.03 · Cited by 1
Gagat‐Matuła, A. (2021) · Kwartalnik Naukowy Fides et Ratio · doi:10.34766/fetr.v47i3.810 · Cited by 1
“Bonis, S. (2016), Stress and Parents of Children with Autism: A Review of Literature, Issues Ment Health Nurs, 37 (3), 153-63, https://doi.”
BackgroundInfluentialFamilles et trouble du spectre de l'autisme
Rogé, B. (2019) · Dunod eBooks · doi:10.3917/dunod.dergu.2019.01.0255 · Cited by 1
Metadata
- Authors
- Bonis, S.
- Affiliations
- University of Wisconsin–Milwaukee (US)
- Corresponding author
- Bonis, Susan
- ORCID
- Bonis, Susan
- Venue
- Issues in Mental Health Nursing
- Publisher
- Informa UK Limited
- Published
- 2016-03-03
- Volume
- 37
- Issue
- 3
- Pages
- 153-163
- ISSN
- 0161-2840 (ISSN-L)
- 1096-4673
- OpenAlex
- W2319420461
- Cited by
- 404
- References
- 132
- Citations by year
- 2026: 45 · 2025: 58 · 2024: 65 · 2023: 50 · 2022: 53 · 2021: 56 · 2020: 35 · 2019: 25 · 2018: 10 · 2017: 4 · 2016: 2
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Issues in Mental Health Nursing (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 › Family Caregiving in Mental Illness
- Keywords
- autism spectrum disorder, parental stress, parents of autistic children, parental decision-making, autism services, health care access, early diagnosis, parental mental health, stress management
- MeSH terms
- Autism Spectrum Disorder, Adult, Child, Humans, Parents, Stress, Psychological
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