title: Behavior problems at 5 years of age and maternal mental health in autism and intellectual disability.
abstract: We examined child behavior problems and maternal mental health in a British population-representative sample of 5 year-old children with an autism spectrum disorder (ASD), controlling for the presence of an intellectual disability (ID). Behavior problems were significantly higher in children with ASD with/out ID compared to typically developing children, but compared to children with ID only hyperactivity was significantly higher in children with ASD/ID. After controlling for ID and maternal mental health, the presence of ASD significantly increased the odds for hyperactivity, conduct problems and emotional symptoms. Negative maternal outcomes (serious mental illness, psychological distress, and physical health limitations) were not consistently elevated in ASD. The findings highlight the early age at which behavior problems emerge in ASD, and suggest that at this age , there may not be a clear disadvantage for maternal mental health associated with having a child with ASD in the family, over and above that conferred by child behavior problems.
authors.affiliation: North Wales Clinical Psychology Programme, School of Psychology, Bangor University, 43 College Road, Bangor, LL57 2DG Wales, UK. v.totsika@bangor.ac.uk
authors.forename: Vasiliki
authors.initials: V
authors.lastname: Totsika
authors.forename: Richard P
authors.initials: RP
authors.lastname: Hastings
authors.forename: Eric
authors.initials: E
authors.lastname: Emerson
authors.forename: Damon M
authors.initials: DM
authors.lastname: Berridge
authors.forename: Gillian A
authors.initials: GA
authors.lastname: Lancaster
mesh_terms: D000293:Adolescent; D000328:Adult; D002653:Child Behavior Disorders / Q000523:psychology; D002659:Child Development Disorders, Pervasive / Q000523:psychology*; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology*; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000209:etiology / Q000523:psychology; D008603:Mental Health; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology; D012959:Socioeconomic Factors; D055815:Young Adult