Brief Report: Child Emotion Dysregulation Mediates the Association Between Parenting Stress and Behavioral Challenges in Autistic Toddlers and Preschoolers
摘要
Emotion Dysregulation (ED) in children with ASD are linked to behavioral challenges, such as aggression, self-injurious behaviors, and anxiety. Parenting stress, often elevated in families of autistic children, also significantly influences child behavioral outcomes. However, little is known about the dynamics among parenting stress, child ED, and behavioral problems in ASD, especially during the early developmental period. The primary aim of the study was to examine the mediating role of child ED in the association between parenting stress and future child behavioral outcomes in toddlers/preschoolers with ASD.
MethodsThe sample included 51 autistic young children aged 18–53 months and their caregivers. Parenting stress (PSI-SF), child ED (BRIEF-ECI), and behavioral problems (CBCL) were assessed, with 30 participants completing a 12-month follow-up. Analyses were conducted starting with Pearson correlations, followed by mediation analyses using the PROCESS macro to examine the mediating role of ED.
ResultsHigher parenting stress was correlated with more severe ED and increased behavioral challenges in children. Mediation analyses revealed that child ED fully mediated the relation between parenting stress and child behavioral challenges. A significant mediation effect of child ED was found on the association between PSI-SF Parental Distress subdomain and child internalizing behaviors.
ConclusionsChild ED may play a key role mediating the association between parenting stress and child internalizing behavioral problems in autistic toddlers/preschoolers. Interventions targeting both parental well-being and child ED development could improve behavioral outcomes.