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Relationship satisfaction in couples raising a child with autism spectrum disorder: A systematic review of the literature
School Occupat Therapy and Social Work, Australia.
School Occupat Therapy and Social Work, Australia.
School Occupat Therapy and Social Work, Australia.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. School Occupat Therapy and Social Work, Australia; La Trobe University, Australia; Cooperat Research Centre Living Autism Spectrum Disorders, Australia.
2016 (English)In: Research in Autism Spectrum Disorders, ISSN 1750-9467, E-ISSN 1878-0237, Vol. 31, 30-52 p.Article, review/survey (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 (Hedgess g = 0.41, p amp;lt; 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. (C) 2016 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER SCI LTD , 2016. Vol. 31, 30-52 p.
Keyword [en]
Appraisal; Challenging behaviours; Parent stress; Psychological wellbeing; Social support
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-132045DOI: 10.1016/j.rasd.2016.07.004ISI: 000383821300004OAI: oai:DiVA.org:liu-132045DiVA: diva2:1038474
Available from: 2016-10-18 Created: 2016-10-17 Last updated: 2016-10-18

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Falkmer, Torbjörn
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Division of Community MedicineFaculty of Medicine and Health SciencesPain and Rehabilitation Center
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