Evidence map›Paper›PMID 40979726›Full record

ArticleJCPP advances2025

Link between children's oppositional behaviors and parental quality of life post-ASD diagnosis: Mediating role of parental stress and coping strategies.

Cécile Rattaz, Andrew Pickles, Christelle Vernhet, Cécile Michelon, Marie-Christine Picot, Amaria Baghdadli

Abstract read
In one paragraph

Article in JCPP advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Cécile RattazCentre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles du Neuro-développement (CeAND) CHU Montpellier Montpellier France.
Andrew PicklesDepartment of Biostatistics and Health Informatics Institute of Psychiatry Psychology & Neuroscience King's College London London UK.
Christelle VernhetCentre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles du Neuro-développement (CeAND) CHU Montpellier Montpellier France.
Cécile MichelonCentre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles du Neuro-développement (CeAND) CHU Montpellier Montpellier France.
Marie-Christine PicotUniversité Paris-Saclay UVSQ Inserm CESP Villejuif France.
Amaria BaghdadliCentre de Ressources Autisme Languedoc-Roussillon et Centre d'excellence sur l'Autisme et les Troubles du Neuro-développement (CeAND) CHU Montpellier Montpellier France.ORCID https://orcid.org/0000-0002-5679-7544

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oppositional behaviors are often an important issue for parents who have a child with autism spectrum disorder (ASD), and have been shown to be related to their Quality of Life (QoL). The present study examines the possible mediation and moderation effects of parenting stress and coping in the relationship between oppositional behaviors in the child with ASD and parental QoL. Method: Parental stress, coping strategies, parental QoL and children's challenging behaviors (CBCL oppositional problem domain) were studied through parent-report (335 mothers and 230 fathers) over two occasions in a cohort of 485 children and adolescents with ASD (398 boys and 87 girls) with a mean age of 6.14 years (SD = 3.46) at baseline. Mediation and moderation effects were examined using structural equation modeling. Results: Strong associations between child behaviors, parental stress and parental QoL were evidenced. Parental stress mediated the relationship between opposition in the child and parental QoL at diagnosis, but this effect was much smaller 3 years after diagnosis. Surprisingly, problem solving and social support, two commonly recommended coping strategies, had little or no effect on reducing impact on QoL 3 years later. Conclusions: Longitudinal analysis allowed us to estimate the causal pathway between child oppositional behaviors, parental stress and impact on parental QoL. Our findings emphasize the crucial role of parental stress, which can mediate the impact of the children's oppositional behaviors on parental QoL. They argue for the need to develop specific interventions for parents focusing on parental stress and child's behavior management.

Indexed as

autism spectrum disordercopingoppositional behaviorsparental QoLparental stress

Identifiers

PMID40979726
PMCPMC12446722

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Registered trials

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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.