ArticleFrontiers in psychology2023
How do autistic severity and family functioning influence parental stress in caregivers of children with autism spectrum disorder in China? The important role of parental self-efficacy.
Article in Frontiers in psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- A Systematic Review of Parental Self-Efficacy in Parents of Autistic Children.Clinical child and family psychology review · 2024Pooled it
- Effectiveness of a Parent Empowerment Program for Parents of Children with Autism: A Randomized Controlled Trial.Child: care, health and development · 2025Trial
- Parenting Experience and Family Dynamics Among Parents of Children With Neurodevelopmental Disorders: A Cross-Sectional Study.Journal of autism and developmental disorders · 2026Article
- Short Report: An Examination of Children's Autism Traits and Their Association With Family Experience.Autism research : official journal of the International Society for Autism Research · 2026Article
- Perceived community support, parenting self-efficacy, and family resilience in special needs parenting: a SEM approach.BMC public health · 2026Article
- Predictors of parental stress in families of children with neurodevelopmental disabilities.Dusunen adam : Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi yayin organi · 2026Article
- The autistic child friendly school environment model for behavioral development in children with autism.Journal of education and health promotion · 2025Article
- Examining stress and coping levels of patriarchal men with autistic children who receive special sports training in Türkiye.International journal of developmental disabilities · 2025Article
- Caregiver transformation and relational growth in a parent-mediated intervention for autism in Hong Kong - A qualitative study.PLOS mental health · 2025Article
- Development and evaluation of a family-child reading picture book on reducing autism spectrum disorder caregivers' psychological stress: a mixed method study.Frontiers in psychiatry · 2024Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Parental stress among primary caregivers of children with autism spectrum disorder (ASD) is a significant concern. While previous research indicates that both family and child factors substantially influence parental stress, a few studies have comprehensively examined these factors from family, parent, and child perspectives. Moreover, the psychological mechanisms underlying parental stress remain underexplored. Method: This study obtained a valid sample of 478 primary caregivers of children diagnosed with ASD in China and employed mediation and moderated mediation analyses to investigate the relationships between family adaptability and cohesion (FAC), ASD severity, parental self-efficacy, and parental stress. Result: Results revealed that higher FAC was linked to reduced parental stress through increased parental self-efficacy. The indirect effect of parental self-efficacy was more substantial for caregivers of children with severe symptoms than those with mild symptoms. Discussion: These findings offer insights into how FAC influences parental stress and underscore the importance of parental self-efficacy as a coping resource for mitigating parental stress. This study provides valuable theoretical and practical implications for understanding and addressing parental stress, particularly in families raising children with ASD.
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