Psychopathology in parents of children with autism spectrum disorder: A systematic review and meta-analysis of prevalence

Schnabel, Alexandra; Youssef, George; Hallford, David John; Hartley, Eliza; McGillivray, Jane; Stewart, Michelle; Forbes, David; Austin, David W.

doi:10.1177/1362361319844636

Cited by 107 publications

(67 citation statements)

References 84 publications

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“…Furthermore, since it has been demonstrated an association between alexithymia as measured by the TAS-20 and negative affect states, a secondary goal of the study is to explore the association between both self-report and rater-assessed alexithymia scores and measures of depression and trait anxiety. Previous findings have reported, in fact, significantly higher self-reported levels of trait anxiety and depression symptoms in parents of children with ASD [55][56][57][58][59][60] and it may be relevant to investigate the overlapping alexithymia construct in relation to these dimensions within the BAP trying to disentangle potential biases related to the administration method.…”

Section: Introductionmentioning

confidence: 95%

Alexithymia Profile in Relation to Negative Affect in Parents of Autistic and Typically Developing Young Children

et al. 2020

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In our study, we explored the construct of alexithymia in parents of children with and without ASD using a multi-method approach based on self-rated and external rater assessment. We also assessed the level of self-report measures of negative affect states such as trait anxiety and depression, and investigated the correlation between the alexithymia construct, trait anxiety, and depression within the broader autism phenotype (BAP). A total sample of 100 parents (25 mothers and 25 fathers in each group) were administered the TAS-20 and the TSIA to measure self-reported and observer-rated alexithymia traits, as well as self-report measures of anxiety and depression. Study results showed that the TSIA but not the TAS-20 was able to detect significant group differences in alexithymia traits among parents of children with and without ASD, with parents of ASD children displaying significantly higher levels of alexithymia. Furthermore, differently from the TAS-20, no significant correlations between the TSIA and measures of anxiety and depression were detected. Taken together, our results suggest the importance of using multi-method approaches to control for potential measurement bias and to detect psychological constructs such as alexithymia in subclinical samples such as parents of children with ASD.

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Section: Introductionmentioning

confidence: 95%

Alexithymia Profile in Relation to Negative Affect in Parents of Autistic and Typically Developing Young Children

et al. 2020

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“…In non-ASD samples, a genetic predisposition is one biological risk factor for the development of internalizing symptoms, with heritability estimates ranging from 40% to 73%, depending on the specific internalizing condition (American Psychiatric Association, 2013). In parents of children with ASD, high rates of depression and anxiety are present with median meta-analytic proportions found to be 31% and 33% for depressive and anxiety disorders, respectively (Schnabel et al, 2019). Importantly, research has shown that parents’ internalizing symptoms are associated with children's internalizing symptoms in ASD populations (e.g., Conner, Maddox, & White, 2013; Mazefsky, Conner, & Oswald, 2010).…”

Section: Proposed Model Of Etiological Factors Associated With the Dementioning

confidence: 99%

A conceptual model of risk and protective factors associated with internalizing symptoms in autism spectrum disorder: A scoping review, synthesis, and call for more research

Yarger

Redcay

2020

Dev Psychopathol

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This paper reviews and synthesizes key areas of research related to the etiology, development, and maintenance of internalizing symptoms in children, adolescents, and adults with autism spectrum disorder (ASD). In developing an integrated conceptual model, we draw from current conceptual models of internalizing symptoms in ASD and extend the model to include factors related to internalizing within other populations (e.g., children that have experienced early life stress, children with other neurodevelopmental conditions, typically developing children) that have not been systematically examined in ASD. Our review highlights the need for more research to understand the developmental course of internalizing symptoms, potential moderators, and the interplay between early risk and protective factors. Longitudinal studies incorporating multiple methods and both environmental and biological factors will be important in order to elucidate these mechanisms.

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“…Although in its infancy, the research to date suggests that anxiety has a significant impact upon the lives of individuals on the autism spectrum and those that support them. Given children on the autism spectrum are at risk of poorer quality of life (van Heijst & Geurts, 2015), poorer academic, social, and participatory outcomes (Keen, Webster, & Ridley, 2016; Simpson, Adams, Bruck, & Keen, 2019) and their parents are at increased risk of mental health difficulties (Schnabel et al, 2020), effective ways to support and reduce anxiety in children with autism need to be identified, evaluated, and implemented.…”

Section: Introductionmentioning

confidence: 99%

Parent perspectives of what helps and hinders their child on the autism spectrum to manage their anxiety

Clark

Adams

2020

Clinical Psychologist

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Objectives Although anxiety is recognised as one of the most common co‐occurring conditions to affect school‐aged children with an autism spectrum disorder, little research has explored the strategies that children on the autism spectrum use to manage their own anxiety. Methods Seventy‐two parents of children on the spectrum aged 5 to 17 years identified things that supported their child to manage their anxiety (enablers) and things that hindered their child's management of anxiety (barriers) across the home, school, and community. Using content analysis, parents' open‐ended responses were coded into a series of subcategories for each setting. Results At home, “routine, modifications, and adaptations” was the most frequently reported enabler while “social, communication, and personal challenges” was the most frequently reported barrier to managing anxiety. “Supports and strategies (at school/in the community)” was the most commonly identified enabler that supported children to manage their anxiety in both the school and community environments. “Overstimulation, unpredictability, and demands (at school/in the community)” was the most commonly identified barrier hindering children's management of anxiety in both the school and community settings. Conclusions Given the wide range of barriers and enablers identified, working with children and families to identify the barriers and enablers for each child in managing their anxiety may be a useful process during therapy. Targeting interventions to align with the identified barriers and enablers may assist children on the autism spectrum to develop strategies for the management of their own anxiety across settings.

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Psychopathology in parents of children with autism spectrum disorder: A systematic review and meta-analysis of prevalence

Cited by 107 publications

References 84 publications

Alexithymia Profile in Relation to Negative Affect in Parents of Autistic and Typically Developing Young Children

Alexithymia Profile in Relation to Negative Affect in Parents of Autistic and Typically Developing Young Children

A conceptual model of risk and protective factors associated with internalizing symptoms in autism spectrum disorder: A scoping review, synthesis, and call for more research

Parent perspectives of what helps and hinders their child on the autism spectrum to manage their anxiety

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