The present study examined the impact of autism symptoms and coping strategies on the well-being of mothers of children with ASD. The sample consisted of 153 mothers of toddlers and 201 mothers of adolescents drawn from two ongoing, longitudinal studies of families of individuals with ASD. For mothers of toddlers, lower levels of emotion-focused coping and higher levels of problemfocused coping were generally associated with better maternal well-being, regardless of the level of child symptomatology. For mothers of adolescents, coping often acted as a buffer when autism symptoms were high. Although there was evidence of maternal distress in both groups, the presence of significant buffering effects reflects adaptation in the face of stress, particularly for mothers of adolescents.
Keywordscoping; autism symptoms; maternal well-being; toddlers; adolescents Raising a child with an autism spectrum disorder (ASD) is considered to be a highly stressful event for families (Duarte, Bordin, Yazigi, & Mooney, 2005). In comparison to parents of children with other disabilities (Down syndrome, fragile X syndrome, undifferentiated developmental disability, and cerebral palsy), mothers of individuals with ASD report more negative impact and poorer well-being during their children's preschool years (Eisenhower, Baker, & Blacher, 2005) and adulthood Blacher & McIntyre, 2006). Despite the challenges associated with caring for a child with a developmental disability, there is evidence that coping strategies may play a protective role for parents (Essex, Seltzer, & Krauss, 1999;Seltzer, Greenberg, & Krauss, 1995). The present study evaluated the impact of children's autism symptoms and maternal coping strategies on well-being in mothers of toddlers and mothers of adolescents with ASD.
Child Characteristics and Maternal Well-BeingThe challenging behaviors of children with ASD have been repeatedly associated with poor maternal psychological well-being Allik, Larsson, & Smedje, 2006;Herring et al., 2006) and high levels of stress (Bromley, Hare, Davison, & Emerson, 2004;Lecavalier, Leone, & Wiltz, 2006). There is some Correspondence concerning this article should be addressed to: Leann E. Smith, Waisman Center, University of Wisconsin-Madison, 1500 Highland Ave., Madison, WI 53705. Phone: (608) 890-1390; Fax: (608)
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript debate, however, if the core symptoms of ASD, or alternatively, behavior problems more generally, drive this connection between autism and maternal well-being. For instance, a recent study by Hastings, demonstrated that behavior problems of preschool children with autism, but not adaptive behavior or severity of autism symptoms, were associated with maternal stress. Similarly, in a study comparing toddlers and preschoolers with pervasive developmental disorder to those with developmental delays, emotional and behavioral problems predicted maternal stress, mental health problems, and family dysfunction above the effects of diagnosis, le...