“…The most common quantitative measures of relationship quality were measures of marital satisfaction or marital adjustment. Ten articles discovered parents of children with ASD reported lower relationship satisfaction and adjustment when compared to either scale norms (Higgins, Bailey, & Pearce, 2005;Perry, Sarlo-McGarvey, & Factor, 1992;Shakhmalian, 2005;Stoddart, 2003), or parents of typically developing children (Brobst et al, 2009;Gau et al, 2012;Knapp, 2004;Lee, 2009;Rodrigue et al, 1990;Santamaria, Cuzzocrea, Gugliandolo, & Larcan, 2012). In contrast, four studies showed no significant differences in marital satisfaction or adjustment scores when comparing parents of children with ASD to scale norms or parents of children without ASD (Alessandri, 1992 Alessandri (1992) noted that more parents in the ASD group were in the ''at risk'' range of marital adjustment scores.…”