Emotional Availability in Autism Intervention: A Mother-Father Comparative Analysis

Overview

Journal Brain Sci

Publisher MDPI

Date 2025 Feb 26

PMID 40002466

Authors

Silvia Perzolli

Giulio Bertamini

Paola Venuti

Arianna Bentenuto

Affiliations

Soon will be listed here.

Abstract

Background/objectives: The literature highlights the importance of parental involvement in autism treatment. However, much research has predominantly focused on child outcomes and cognitive dimensions. This study explores the impact of an early intensive intervention with parental involvement, focusing on changes in parents' affective exchanges. Notably, given the paucity of studies on fathers in the intervention context, this study examines the comparative trajectory of change considering both caregivers.

Methods: Twenty autistic preschoolers were monitored for one year during a parental-based intervention. Child-mother and child-father play interactions were coded with the Emotional Availability Scales at baseline and at 12 months. Repeated measures linear mixed-effect models were employed to investigate time and caregiver effects and their interaction.

Results: Results highlighted both similarities and differences in change trajectories between caregivers. Parental sensitivity, structuring, and non-intrusiveness significantly increased for both parents with fathers showing more prominent gains in structuring the interaction while being non-intrusive. Child responsiveness and involvement significantly increased, showing similar trajectories with both caregivers. Children were generally more involved while interacting with their fathers.

Conclusion: Parent-child interactions with caregivers evolved toward more adaptive exchanges regarding emotional availability for children's and parents' dimensions. Fathers appeared to be particularly receptive regarding acquiring structuring abilities and non-intrusive behaviors. Our results underscore the importance of investigating parental features as well as the importance of actively involving caregivers to support distal outcomes and generalization.

References

Pisula E, Porebowicz-Dorsmann A . Family functioning, parenting stress and quality of life in mothers and fathers of Polish children with high functioning autism or Asperger syndrome. PLoS One. 2017; 12(10):e0186536. PMC: 5643111. DOI: 10.1371/journal.pone.0186536. View

Green J, Charman T, McConachie H, Aldred C, Slonims V, Howlin P . Parent-mediated communication-focused treatment in children with autism (PACT): a randomised controlled trial. Lancet. 2010; 375(9732):2152-60. PMC: 2890859. DOI: 10.1016/S0140-6736(10)60587-9. View

Tang Y, Li F, Fang S, Liu X, Tao M, Wu D . Psychological distress in parents of children with autism spectrum disorder: A cross-sectional study based on 683 mother-father dyads. J Pediatr Nurs. 2022; 65:e49-e55. DOI: 10.1016/j.pedn.2022.02.006. View

Bonis S . Stress and Parents of Children with Autism: A Review of Literature. Issues Ment Health Nurs. 2016; 37(3):153-63. DOI: 10.3109/01612840.2015.1116030. View

Koo T, Li M . A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med. 2016; 15(2):155-63. PMC: 4913118. DOI: 10.1016/j.jcm.2016.02.012. View

Green J, Garg S . Annual Research Review: The state of autism intervention science: progress, target psychological and biological mechanisms and future prospects. J Child Psychol Psychiatry. 2018; 59(4):424-443. DOI: 10.1111/jcpp.12892. View

Klintwall L, Eldevik S, Eikeseth S . Narrowing the gap: effects of intervention on developmental trajectories in autism. Autism. 2013; 19(1):53-63. DOI: 10.1177/1362361313510067. View

Rogers S, Estes A, Vismara L, Munson J, Zierhut C, Greenson J . Enhancing Low-Intensity Coaching in Parent Implemented Early Start Denver Model Intervention for Early Autism: A Randomized Comparison Treatment Trial. J Autism Dev Disord. 2018; 49(2):632-646. DOI: 10.1007/s10803-018-3740-5. View

Venker C, Ray-Subramanian C, Bolt D, Weismer S . Trajectories of autism severity in early childhood. J Autism Dev Disord. 2013; 44(3):546-63. PMC: 3909724. DOI: 10.1007/s10803-013-1903-y. View

10.

McStay R, Dissanayake C, Scheeren A, Koot H, Begeer S . Parenting stress and autism: the role of age, autism severity, quality of life and problem behaviour of children and adolescents with autism. Autism. 2013; 18(5):502-10. DOI: 10.1177/1362361313485163. View

11.

Hook J, Wolfe C . New Fathers? Residential Fathers' Time with Children in Four Countries. J Fam Issues. 2012; 33(4):415-450. PMC: 3439812. DOI: 10.1177/0192513X11425779. View

12.

Rankin J, Paisley C, Tomeny T, Eldred S . Fathers of Youth with Autism Spectrum Disorder: A Systematic Review of the Impact of Fathers' Involvement on Youth, Families, and Intervention. Clin Child Fam Psychol Rev. 2019; 22(4):458-477. DOI: 10.1007/s10567-019-00294-0. View

13.

MacDonald R, Parry-Cruwys D, Dupere S, Ahearn W . Assessing progress and outcome of early intensive behavioral intervention for toddlers with autism. Res Dev Disabil. 2014; 35(12):3632-44. DOI: 10.1016/j.ridd.2014.08.036. View

14.

Nomaguchi K, Brown S, Leyman T . Fathers' Participation in Parenting and Maternal Parenting Stress: Variation by Relationship Status. J Fam Issues. 2017; 38(8):1132-1156. PMC: 5415354. DOI: 10.1177/0192513X15623586. View

15.

Pickles A, Le Couteur A, Leadbitter K, Salomone E, Cole-Fletcher R, Tobin H . Parent-mediated social communication therapy for young children with autism (PACT): long-term follow-up of a randomised controlled trial. Lancet. 2016; 388(10059):2501-2509. PMC: 5121131. DOI: 10.1016/S0140-6736(16)31229-6. View

16.

Bentenuto A, Bertamini G, Perzolli S, Venuti P . Changes in Developmental Trajectories of Preschool Children with Autism Spectrum Disorder during Parental Based Intensive Intervention. Brain Sci. 2020; 10(5). PMC: 7287674. DOI: 10.3390/brainsci10050289. View

17.

Licata M, Zietlow A, Trauble B, Sodian B, Reck C . Maternal Emotional Availability and Its Association with Maternal Psychopathology, Attachment Style Insecurity and Theory of Mind. Psychopathology. 2016; 49(5):334-340. DOI: 10.1159/000447781. View

18.

Biringen Z, Easterbrooks M . Emotional availability: concept, research, and window on developmental psychopathology. Dev Psychopathol. 2012; 24(1):1-8. DOI: 10.1017/S0954579411000617. View

19.

Simonoff E, Kent R, Stringer D, Lord C, Briskman J, Lukito S . Trajectories in Symptoms of Autism and Cognitive Ability in Autism From Childhood to Adult Life: Findings From a Longitudinal Epidemiological Cohort. J Am Acad Child Adolesc Psychiatry. 2019; 59(12):1342-1352. DOI: 10.1016/j.jaac.2019.11.020. View

20.

Davis N, Carter A . Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: associations with child characteristics. J Autism Dev Disord. 2008; 38(7):1278-91. DOI: 10.1007/s10803-007-0512-z. View