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Relationship satisfaction in couples raising a child with autism spectrum disorder: A systematic review of the literature
School of Occupational Therapy & Social Work, Perth, Western Australia, Australia.
School of Occupational Therapy & Social Work, Perth, Western Australia, Australia.
School of Occupational Therapy & Social Work, Perth, Western Australia, Australia.ORCID iD: 0000-0002-0756-6862
Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. School of Occupational Therapy & Social Work, Perth, Western Australia, Australia.
2016 (English)In: Research in Autism Spectrum Disorders, ISSN 1750-9467, E-ISSN 1878-0237, Vol. 31, 30-52 p.Article in journal (Refereed) Published
Abstract [en]

Background Couples raising a child with autism spectrum disorder (ASD) face challenges that may impact on their relationship. The purpose of this review was to compare relationship satisfaction in couples raising children with and without ASD and to identify factors associated with satisfaction in couples with a child with ASD.

Methods Thirteen databases were searched and studies were systematically screened against predetermined inclusion criteria. Twenty six articles, ranging from good to strong methodological quality, met the criteria for inclusion. Of these, seven were included in a meta-analysis comparing relationship satisfaction in couples raising a child with ASD with couples raising children without disabilities.

Results The meta-analysis showed that couples raising a child with ASD were found to experience less relationship satisfaction than couples raising a child without a disability (Hedges's g = 0.41, p < 0.001); however, evidence from the narrative synthesis was mixed when compared with couples raising children with other disabilities. The most consistent evidence implicated challenging child behaviours, parental stress and poor psychological wellbeing as risk factors, and positive cognitive appraisal and social support as protective factors.

Conclusion Findings demonstrate that couples raising a child with ASD would benefit from support to assist them in maintaining satisfaction in their relationship with their partner. However, further studies are needed to gain a greater understanding of the risk and protective factors and how these co-vary with relationship satisfaction over time. A theoretical framework has been developed to scaffold future research. 

Place, publisher, year, edition, pages
2016. Vol. 31, 30-52 p.
Keyword [en]
Appraisal, Challenging behaviours, Parent stress, Psychological wellbeing, Social support
National Category
Psychology
Identifiers
URN: urn:nbn:se:hj:diva-34286DOI: 10.1016/j.rasd.2016.07.004ISI: 000383821300004Scopus ID: 2-s2.0-84980332336Local ID: HHJCHILDISOAI: oai:DiVA.org:hj-34286DiVA: diva2:1055671
Available from: 2016-12-13 Created: 2016-12-13 Last updated: 2016-12-22Bibliographically approved

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