Behaviour problems, maternal internalising symptoms and family relations in families of adolescents and adults with fragile X syndrome.
BACKGROUND
Studies have linked the behaviour problems of children with fragile X syndrome (FXS) to maternal well-being, but less is known about how behaviour problems relate to important family factors such as marital satisfaction and family cohesion.


METHODS
Married mothers of 115 adolescents and adults with FXS completed questionnaires and interviews, and maternal CGG repeat length was obtained by medical/laboratory records or by blood analysis.


RESULTS
Indirect effects were present between behaviour problems and family variables in that behaviour problems were positively related to maternal internalising symptoms which were, in turn, negatively associated with both family cohesion and marital satisfaction. Direct associations between behaviour problems and family relationship variables were not significant.


CONCLUSIONS
Findings suggest the importance of intervening with behaviour problems in individuals with FXS and identify maternal mental health as a potentially powerful conduit for the effects of child behaviour on relationships within these families. Implications for targeted interventions are discussed.
Department of Child & Adolescent Studies, California State University, Fullerton, Fullerton, CA 92831, USA. jbaker@fullerton.edu
J K
JK
Baker
M M
MM
Seltzer
J S
JS
Greenberg
D000293:Adolescent; D000328:Adult; D002648:Child; D002653:Child Behavior Disorders / Q000150:complications / Q000523:psychology*; D005195:Family Relations; D005260:Female; D005600:Fragile X Syndrome / Q000150:complications / Q000523:psychology*; D006801:Humans; D007389:Internal-External Control; D007407:Interviews as Topic; D008297:Male; D008393:Marriage; D001523:Mental Disorders / Q000150:complications / Q000523:psychology*; D008875:Middle Aged; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D010549:Personal Satisfaction; D011795:Surveys and Questionnaires; D055815:Young Adult