“…Mothers of children with ASD are the primary caregivers experiencing elevated stress, which may contribute to the development of maternal psychopathology [ 14 , 22 , 23 , 29 ]. Accordingly, past studies reported that mothers of children with ASD experience elevated burden and depression in comparison to fathers, and there may exist bidirectional spillover effects between parent dyads [ [10] , [11] , [12] , [13] , [14] , 48 , 49 ]. Parents with lower education, those living with male/older children with without functional speech, and the presence of behavioral problems/psychiatric comorbidity/physical disorders in offspring with were found to have elevated stress, depressive symptoms, and burnout in previous studies [ [9] , [10] , [11] , [12] , [13] , [14] , 38 , 41 ].…”