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      From child social impairment to parenting stress in mothers of children with ASD: The role of parental self-efficacy and social support

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          Abstract

          Objectives

          Children with autism spectrum disorder (ASD) can exhibit persistent deficits in social communication, causing their mothers to experience elevated parenting stress during the childrearing process. Some internal and external psychosocial resources may mediate or moderate the mother-child relationship, though the underlying mechanisms remain unclear. This study aimed to explore the predictors of parenting stress in mothers of children with ASD and elucidate the mechanisms underlying the relationship between child social impairment and parenting stress.

          Methods

          A cross-sectional study was conducted between October 2020 and March 2022 in Shanghai, China. Mothers of children with ASD completed a survey investigating child social impairment, parenting stress, parental self-efficacy, and social support.

          Results

          A total of 185 mothers of children with ASD were included in the final analysis. 70.27 percent of mothers experienced a clinically significant level of parenting stress. Child social impairment ( r = 0.46, P < 0.001), parental self-efficacy ( r = −0.58, P < 0.001), and social support ( r = −0.35, P < 0.001) were significantly correlated with parenting stress. Parental self-efficacy completely mediated the relationship between child social impairment and parenting stress ( B = 0.51, P < 0.001), after controlling for socioeconomic status (SES) correlated with parenting stress. There was no significant moderating effect of social support between child social impairment and parenting stress ( B = 0.01, P = 0.09).

          Conclusion

          Future early intervention programs that focused on child's social communication skills and empowered mothers with related strategies through group-based parent training programs may help reduce parenting stress.

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          Most cited references47

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          Common method biases in behavioral research: A critical review of the literature and recommended remedies.

          Interest in the problem of method biases has a long history in the behavioral sciences. Despite this, a comprehensive summary of the potential sources of method biases and how to control for them does not exist. Therefore, the purpose of this article is to examine the extent to which method biases influence behavioral research results, identify potential sources of method biases, discuss the cognitive processes through which method biases influence responses to measures, evaluate the many different procedural and statistical techniques that can be used to control method biases, and provide recommendations for how to select appropriate procedural and statistical remedies for different types of research settings.
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            The Multidimensional Scale of Perceived Social Support

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              Social cognitive theory: an agentic perspective.

              The capacity to exercise control over the nature and quality of one's life is the essence of humanness. Human agency is characterized by a number of core features that operate through phenomenal and functional consciousness. These include the temporal extension of agency through intentionality and forethought, self-regulation by self-reactive influence, and self-reflectiveness about one's capabilities, quality of functioning, and the meaning and purpose of one's life pursuits. Personal agency operates within a broad network of sociostructural influences. In these agentic transactions, people are producers as well as products of social systems. Social cognitive theory distinguishes among three modes of agency: direct personal agency, proxy agency that relies on others to act on one's behest to secure desired outcomes, and collective agency exercised through socially coordinative and interdependent effort. Growing transnational embeddedness and interdependence are placing a premium on collective efficacy to exercise control over personal destinies and national life.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                06 September 2022
                2022
                : 13
                : 1005748
                Affiliations
                [1] 1Department of Nursing, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine , Shanghai, China
                [2] 2Department of Developmental and Behavioral Pediatric and Child Primary Care, Brain and Behavioral Research Unit of Shanghai Institute for Pediatric Research, Ministry of Education-Shanghai Key Laboratory for Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine , Shanghai, China
                [3] 3Faculty of Education, Yunnan Normal University , Kunming, China
                [4] 4Psychology and Neuroscience of Cognition Research Unit, University of Liege , Liège, Belgium
                Author notes

                Edited by: Juehua Yu, The First Affiliated Hospital of Kunming Medical University, China

                Reviewed by: Ri-hua Xie, Southern Medical University, Nanhai Hospital, China; Kathleen Leask Capitulo, Icahn School of Medicine at Mount Sinai, United States

                *Correspondence: Liping Jiang 13868311990@ 123456163.com

                This article was submitted to Autism, a section of the journal Frontiers in Psychiatry

                †These authors have contributed equally to this work and share first authorship

                Article
                10.3389/fpsyt.2022.1005748
                9485583
                36147986
                2d49457d-443c-4156-ae0a-8cfea6a067e8
                Copyright © 2022 Li, Xu, Wu, Tang, Zhang, Liu, Zhou, Li and Jiang.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 28 July 2022
                : 17 August 2022
                Page count
                Figures: 1, Tables: 5, Equations: 0, References: 47, Pages: 09, Words: 6268
                Categories
                Psychiatry
                Original Research

                Clinical Psychology & Psychiatry
                autism spectrum disorder,mothers,social impairment,parenting stress,parental self-efficacy,social support

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