Evidence map›Paper›PMID 35879640›Full record

ArticleJournal of autism and developmental disorders2023

Child Behavior Problems and Parenting Stress in Underserved Families of Children with ASD: Investigation of Family Resources and Parenting Self-efficacy.

Kevin G Stephenson, Rachel M Fenning, Eric A Macklin, Frances Lu, Megan Norris, Robin Steinberg-Epstein, Eric M Butter

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of autism and developmental disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Understanding Internalizing and Externalizing Behaviors in Autistic Toddlers.American journal of speech-language pathology · 2023
    Trial
  4. Article
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  7. Our Challenges, Our Solutions: The Impact of Autism on Families.Journal of autism and developmental disorders · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Kevin G StephensonChild Development Center, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH, 43205, USA. Kevin.Stephenson@nationwidechildrens.org.ORCID http://orcid.org/0000-0002-5196-9407
Rachel M FenningDepartment of Psychological Science and Claremont Autism Center, Claremont McKenna College, Claremont, CA, USA.
Eric A MacklinBiostatistics Center, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Frances LuBiostatistics Center, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Megan NorrisChild Development Center, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH, 43205, USA.
Robin Steinberg-EpsteinThe Center for Autism and Neurodevelopmental Disorders, Department of Pediatrics, University of California, Irvine, Santa Ana, CA, USA.
Eric M ButterChild Development Center, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH, 43205, USA.
Nationwide Children's Hospital · USClaremont McKenna College · USHarvard University · USMassachusetts General Hospital · USUniversity of California, Irvine · US

Funding

HRSA HHS UA3 MC11054
6 · The paper itself

Abstract

Behavior problems in children with autism spectrum disorder (ASD) may exacerbate parenting stress. Parenting self-efficacy and family resources may influence this association. We examined cross-sectional statistical mediation effects of parenting self-efficacy on the relationship between child behavior problems and parenting stress and hypothesized that family-level resources moderated this indirect effect. Participants included 132 underserved (Medicaid-eligible) children with ASD (ages 3-13) with racial/ethnic diversity; many (63%) had intellectual disability. Greater externalizing problems were linked with lower parenting self-efficacy, which in turn was associated with increased parenting stress. A larger mediation effect was observed for families with fewer resources. A plausible alternative model (parenting stress mediating parenting self-efficacy) exhibited poorer fit. Implications for family supports and benefits of longitudinal follow-up are discussed.

Indexed as

Autism Spectrum DisorderProblem BehaviorChildChild BehaviorCross-Sectional StudiesHumansParentingParentsSelf EfficacyStress, PsychologicalAutism spectrum disorderExternalizing and internalizing behaviorsFamily resourcesMediation analysisParenting self-efficacyParenting stress

Identifiers

PMID35879640
OpenAlexW4287577661

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.