Predicting Potentially Harmful Psychological and Physical Behaviours by Parental Caregivers toward Children with Autism Spectrum Disorder

Original Paper

Abstract

Mistreatment of dementia patients by spousal care providers is fairly common. Caregivers’ characteristics, particularly their psychosocial, physical and cognitive functioning, and coping behaviours, predict reports of elder mistreatment. Parental caregivers of children with autism spectrum disorder (ASD) however, despite the similarities they share with dementia caregivers, have not been studied in this context. A sample of N = 95 caregivers of children with ASD completed an online survey assessing: (a) psychosocial, physical and cognitive functioning, and (b) coping behaviours. Caregivers also: (c) rated the extent to which they used potentially harmful psychological (e.g., screamed at the child) and physical (e.g., slapped the child) behaviours to cope with caregiving challenges over the last 12 months. Rates of potentially harmful psychological and physical behaviours were extremely low. However, 95% of caregivers reported using at least one potentially harmful psychological behaviour at some point in the last 12 months, and almost 38% reported using at least one potentially harmful physical behaviour. Mediation analysis yielded an indirect effect of psychological distress on potentially harmful psychological behaviours through disengaged coping. In conclusion, rates of potentially harmful behaviours appear to be low in the context of caring for a child with ASD. Caregivers reporting increased psychological distress were more likely to use potentially harmful psychological behaviours, and this effect was partially mediated by greater use of disengaged coping.

Keywords

ASD Coping Parental caregiver, potentially harmful caregiving behaviours Psychological distress 

Notes

Author Contributions

B.L.: designed and executed the study, completed the data analyses, and wrote the paper.

Compliance with Ethical Standards

Conflict of Interest

The author declares that he has no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study. Northumbria University, Faculty of Health and Life Sciences Ethics Committee, approved this study.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Addington, J., Coldham, E. L., Jones, B., Ko, T., & Addington, D. (2003). The first episode of psychosis: The experience of relatives. ACTA Psychiatrica Scandinavica, 108, 285–289.Google Scholar
  2. Baron, R. B., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–118.CrossRefPubMedGoogle Scholar
  3. Beach, S. R., Schulz, R., Williamson, G. M., Miller, S., Weiner, M. F., & Lance, C. E. (2005). Risk factors for potentially harmful informal caregiver behaviour. Journal of the American Geriatric Society, 53(2), 255–261.CrossRefGoogle Scholar
  4. Brand, C., Barry, L., & Gallagher, S. (2014). Social support mediates the association between benefit finding and quality of life in caregivers. Journal of Health Psychology, 6, 1–11.Google Scholar
  5. Broadbent, D. E., Cooper, P. F., FitzGerald, P., & Parkes, K. R. (1982). The Cognitive Failures Questionnaire (CFQ) and its correlates. British Journal of Clinical Psychology, 21, 1–16.CrossRefPubMedGoogle Scholar
  6. Brunes, D., Pillemer, K., Caccamise, P. L., Mason, A., Henderson, C. R., & Berman, J., et al. (2015). Prevalence of and risk factors for elder abuse and neglect in the community: A population-based study. American Geriatrics Society, 53(2), 255–261.Google Scholar
  7. Cantwell, J., Muldoon, O. T., & Gallagher, S. (2014). Social support and mastery influence the association between stress and poor physical health in parents caring for children with developmental disabilities. Research in Developmental Disabilities, 35, 2215–2223.CrossRefPubMedGoogle Scholar
  8. Cheng, S. T., Nam, I., & Kwok, T. (2013). Caregiver forgiveness is associated with less burden and potentially harmful behaviours. Aging and Mental Health, 17(8), 930–934.CrossRefPubMedGoogle Scholar
  9. Cooper, C., Selwood, A., Blanchard, M., Walker, Z., Blizard, R., & Livingston, G. (2010). The determinants of family carers’ abusive behaviour to people with dementia: Results of the CARD study. Journal of Affective Disorders, 121, 136–142.CrossRefPubMedGoogle Scholar
  10. Crespo, M., & Fernández-Lansa, V. (2014). Factors associated with anger and anger expression in caregivers of elderly relatives. Aging and Mental Health, 18(4), 454–462.CrossRefPubMedGoogle Scholar
  11. Cunningham, C. (2006). Understanding challenging behaviour in patients with dementia. Nursing Standard, 20(47), 42–45.CrossRefPubMedGoogle Scholar
  12. Dong, X. (2015). Elder abuse in Chinese populations: A global review. Journal of Elderly Abuse and Neglect, 27(3), 196–232.CrossRefGoogle Scholar
  13. Donnellan, W. J., Bennett, K. M., & Soulsby, L. (2016). Family close but friends closer: Exploring social support and resilience in older spousal dementia carers. Aging and Mental Health, 20, 1–7.CrossRefGoogle Scholar
  14. Downes, C., Fealy, G., Phelan, A., Donnelly, N.A., & Lafferty, A. (2013). Abuse of older people with dementia: A review. NCPOP, University College Dublin.Google Scholar
  15. Fabiano, G. A., Pelham, W. E., Manos, M. J., Gnagy, E. M., Chronis, A. M., & Onyango, A. N., et al. (2004). An evaluation of three time-out procedures for children with attention-deficit/hyperactivity disorder. Behavior Therapy, 35(3), 449–469.CrossRefGoogle Scholar
  16. Feast, A., Orrell, M., Charlesworth, G., Melunsky, N., Poland, F., & Moniz-Cook, E. (2016). Behavioural and psychological symptoms in dementia and the challenges for family carers: A systematic review. British Journal of Psychiatry, 208(5), 429–434.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Fletcher, P. C., Markoulakis, R., & Bryden, P. J. (2012). The costs of caring for a child with an autism spectrum disorder. Issues in Comprehensive Paediatric Nursing, 35(1), 45–69.CrossRefGoogle Scholar
  18. Gallagher, S., Phillips, A. C., Oliver, C., & Carroll, D. (2008). Predictors of psychological morbidity in parents of children with intellectual disabilities. Journal of Paediatric Psychology, 33(10), 1129–1136.CrossRefGoogle Scholar
  19. Gallagher, S., & Whiteley, J. (2012). Social support is associated with blood pressure responses in parents caring for children with developmental disabilities. Research in Developmental Disabilities, 33, 2099–2105.CrossRefPubMedGoogle Scholar
  20. Garcés, J., Carretero, S., Ródenas, F., & Alemán, C. (2010). A review of programs to alleviate the burden of informal caregivers of dependent persons. Archives of Gerontology and Geriatrics, 50, 254–259.CrossRefPubMedGoogle Scholar
  21. Griffith, G. M., Hastings, R. P., & Petalas, M. A. (2014). Brief report: Fathers’ and mothers’ ratings of behavioural and emotional problems in siblings of children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 44(5), 1230–1235.CrossRefPubMedGoogle Scholar
  22. Gudmundson, J. A., & Leerkes, E. M. (2012). Links between mothers’ coping styles, toddler reactivity, and sensitivity to toddler’s negative emotions. Infant Behaviour and Development, 35(1), 158–166.CrossRefGoogle Scholar
  23. Hayes, A.F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modelling. www.afhayes.com/.Google Scholar
  24. Joling, K. J., van Marwijk, H. W. J., Veldhuijzen, A. E., van der Horst, H. E., Scheltens, P., & Smit, F., et al. (2015). The two-year incidence of depression and anxiety disorders in spousal caregivers of persons with dementia: Who is at the greatest risk? American Journal of Geriatric Psychiatry, 23(3), 293–303.CrossRefPubMedGoogle Scholar
  25. Kishimoto, Y., Terada, S., Takeda, N., Oshima, E., Honda, H., & Yoshida, H., et al. (2013). Abuse of people with cognitive impairment by family caregivers in Japan: A cross-sectional study. Psychiatry Research, 209, 699–704.CrossRefPubMedGoogle Scholar
  26. Lovell, B., Elliot, H., Che Sung Liu, C., & Wetherell, M. A. (2014). Memory failures for everyday tasks in caregivers of children with autism. Research in Developmental Disabilities, 35, 3057–3061.CrossRefPubMedGoogle Scholar
  27. Lovell, B., Moss, M., & Wetherell, M. A. (2012). The psychosocial, endocrine and immune consequences of caring for a child with autism or ADHD. Psychoneuroendocrinology, 37(4), 534–542.CrossRefPubMedGoogle Scholar
  28. Lovell, B., Moss, M., & Wetherell, M. A. (2016). Assessing the feasibility and efficacy of written benefit-finding for caregivers of children with autism: A pilot study. Journal of Family Studies, 22(1), 32–42.CrossRefGoogle Scholar
  29. Lovell, B., & Wetherell, M. A. (2011). The caregiver control model of chronic stress: Endocrine and immune implications in elderly and non-elderly caregivers. Neuroscience and Biobehavioural Review, 35(6), 1342–1352.CrossRefGoogle Scholar
  30. Lovell, B., & Wetherell, M. A. (2015). Child behaviour problems mediate the association between coping and perceived stress in caregivers of children with autism. Research in Autism Spectrum Disorders, 20, 17–23.CrossRefGoogle Scholar
  31. Luong, J., Yoder, M. K., & Canham, D. (2009). Southeast Asian parents raising a child with autism: A qualitative investigation of coping styles. Journal of School Nursing, 25(3), 222–229.CrossRefPubMedGoogle Scholar
  32. Miller, L. S., Lewis, M. S., Williamson, G. M., Lance, C. E., Dooley, W. K., & Schulz, R., et al. (2006). Caregiver cognitive status and potentially harmful caregiver behaviour. Aging and Mental Health, 10(2), 125–133.CrossRefPubMedGoogle Scholar
  33. Perez-Rojo, G., Izal, M., Montorio, I., & Penhale, B. (2009). Risk factors of elder abuse in a community dwelling Spanish sample. Archives of Gerontology and Geriatrics, 49, 17–21.CrossRefPubMedGoogle Scholar
  34. Reips, U. D. (2002). Standards for internet-based experimenting. Experimental Psychology, 49(4), 243–256.CrossRefPubMedGoogle Scholar
  35. Schat, A. C., Kelloway, E. K., & Desmarais, S. (2005). The physical health questionnaire (PHQ): Construct validation of a self-report scale of somatic symptoms. Journal of Occupational Health Psychology, 10(4), 363.CrossRefPubMedGoogle Scholar
  36. Shaffer, D. R., Dooley, K., & Williamson, G. L. (2007). Endorsement of proactively aggressive caregiving strategies moderates the relation between caregiver mental health and potentially harmful caregiving behaviour. Psychology and Aging, 22(3), 494–504.CrossRefPubMedGoogle Scholar
  37. Straus, M. A. (1979). Measuring intrafamily conflict and violence: The Conflict Tactics Scales. Journal of Marriage and the Family, 41, 75–88.CrossRefGoogle Scholar
  38. Tobin, D. L., Holroyd, K. A., Reynolds, R. V., & Wigal, J. K. (1989). The hierarchical factor structure of the Coping Strategies Inventory. Cognitive Therapy and Research, 13(4), 343–361.CrossRefGoogle Scholar
  39. Urcuyo, K. R., Boyers, A. E., Carver, C. S., & Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychology and Health, 20(2), 175–192.CrossRefGoogle Scholar
  40. Vitaliano, P. P., Echeverri, D., Yi, J., Phillips, P. E. M., Young, H., & Siegler, I. C. (2005). Psychophysiological mediators of caregiver stress and differential cognitive decline. Psychology and Aging, 20(3), 402–441.CrossRefPubMedGoogle Scholar
  41. Wigglesworth, A., Mosqueda, L., Mulnard, R., Liao, S., Gibbs, L., & Fitzgerald, W. (2010). Screening for abuse and neglect of people with dementia. Journal of the American Geriatrics Society, 58(3), 493–500.CrossRefGoogle Scholar
  42. Wong, M. G., & Heriot, S. A. (2008). Parents of children with cystic fibrosis: How they hope, cope and despair. Child: Care, Health and Development, 34(3), 344–354.Google Scholar
  43. Yan, E., & Kwok, T. (2011). Abuse of older Chinese with dementia by family caregivers: An inquiry into the role of caregiver burden. International Journal of Geriatric Psychiatry, 26, 527–535.CrossRefPubMedGoogle Scholar
  44. Yan, E. (2014). Elder abuse and help-seeking behaviour in elderly Chinese. Journal of Interpersonal Violence, 15, 1–26.Google Scholar
  45. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychologyNorthumbria UniversityNewcastle upon TyneUK

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