Caregiver Psychological Distress Predicts Temperament and Social-Emotional Outcomes in Infants with Autism Traits

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Chetcuti, L., Uljarević, M., Varcin, K. J., Boutrus, M., Pillar, S., Dimov, S., Barbaro, J., Dissanayake, C., Green, J., Wan, M. W., Segal, L., Slonims, V., Whitehouse, A., Hudry, K., Team, T. A., Iacono, T., Maybery, M., Renton, M., Sadka, N.,..., & Wray, J. (2021). Caregiver Psychological Distress Predicts Temperament and Social-Emotional Outcomes in Infants with Autism Traits. In Research on Child and Adolescent Psychopathology (pp. 1669-1681). Springer Science and Business Media LLC. https://doi.org/10.1007/s10802-021-00838-5

Publication date: 3 Jul 2021 Added to AutiHub: 7 Sep 2026 Type: Book chapter Article language: English
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Authors

Publication authors
22
Publication authors identified as autistic
1 / 22 (4.5%)
  1. Lacey Chetcuti
  2. Mirko Uljarević
  3. Kandice J Varcin
  4. Maryam Boutrus
  5. Sarah Pillar
  6. Stefanie Dimov
  7. Josephine Barbaro *
  8. Cheryl Dissanayake
  1. Jonathan Green
  2. Ming Wai Wan
  3. Leonie Segal
  4. Vicky Slonims
  5. Andrew Whitehouse
  6. Kristelle Hudry
  7. The AICES Team
  8. Teresa Iacono
  1. Murray Maybery
  2. Michelle Renton
  3. Nancy Sadka
  4. Leonie Segal
  5. Scott Wakeling
  6. John Wray

Abstract

Child temperament and caregiver psychological distress have been independently associated with social-emotional difficulties among individuals with autism. However, the interrelationship among these risk factors has rarely been investigated. We explored the reciprocal interplay between child temperament (surgency, negative affectivity, and self-regulation) and caregiver psychological distress in the development of child internalizing and externalizing symptoms, in a cohort of 103 infants showing early autism traits. Caregivers completed questionnaires when children were aged around 12-months (Time 1 [T1]), 18-months (Time 2 [T2]), and 24-months (Time 3 [T3]). Cross-lagged path models revealed a significant pathway from T1 caregiver psychological distress through lower T2 child self-regulation to subsequently greater T3 child internalizing symptoms. No such caregiver-driven pathway was evident through T2 child negative affectivity or in the prediction of T3 child externalizing symptoms. Further, no support was found for temperament-driven pathways through caregiver psychological distress to child social-emotional difficulties. Child surgency was mostly unrelated to caregiver psychological distress and social-emotional difficulties. These findings implicate the need to support the mental health of caregivers with an infant with autism traits in order to enhance the emotion regulation and social-emotional development of their infants.

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Cited references
82
With a DOI
75
Without a DOI, from raw bibliography text
5
4 / 82 (4.9%) cited references include at least one author identified as autistic.
References with data to complete
5 / 82 (6.1%)
References with detected author names
77 / 82 (93.9%)
Without detected author names
5
Without a structured title
5
Without a stable identifier
5
References with raw author names still to review
5
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
405
From DOI or external metadata
405
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
12
105 / 405 (25.9%) names are linked to an author already present in AutiHub. 300 / 405 (74.1%) names are not yet linked.
Names linked to a person identified as autistic
4 / 405 (1.0%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 4 / 105 (3.8%). Distinct people identified as autistic: 1 / 313 (0.3%).
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