Observational Measures of Parent-Child Interaction used with Neurodivergent Parents or Infants: A Systematic Review

Castle, V. E., Luthra, N. C., Boyle, L., Hulks, V., Radford, H., Murphy, S., Mathers, S., & Hendry, A. (2024). Observational Measures of Parent-Child Interaction used with Neurodivergent Parents or Infants: A Systematic Review [Preprint]. Center for Open Science. https://doi.org/10.31219/osf.io/m5d27

Publication date: 24 Feb 2024 Added to AutiHub: 6 Jul 2026 Type: Preprint Article language: English

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Publication authors
8
Publication authors identified as autistic
2 / 8 (25.0%)

Abstract

Background: Parent-child interaction (PCI) in early childhood plays a key role in children's development. Despite the importance of such interactions for child outcomes, it is possible that observational PCI measures are only suitable for use with neurotypical dyads and are less appropriate when applied to neurodivergent samples (e.g. those who are autistic or have ADHD). Methods: A systematic review of observational PCI measures used with neurodivergent children or parents where the child was aged between 9- and 48-months was conducted. Results: Out of 294 eligible papers, only 19 noted that the PCI measure used had been developed or adapted to ensure that it was appropriate for use with neurodivergent participants. No coding schemes were developed using participatory methods and only one protocol was developed in consultation with the neurodivergent community. Conclusions: Future research should involve the neurodivergent community to develop new PCI measures that are suitable for samples that include neurodivergent individuals, or validate existing measures to check they are appropriate for such samples. Furthermore, researchers need to consider the neurotype of the parent, as well as the child, when applying PCI measures.

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Cited references
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Total cited references integrated for this publication.
Cited references with an identified autistic author
5 / 53 (9.4%)
Cited author occurrences identified as autistic
62 / 338 (18.3%)
Among occurrences linked to AutiHub author records: 62 / 122 (50.8%). Distinct cited authors identified as autistic: 34 / 263 (12.9%).
Cited author occurrences linked to AutiHub author records
122 / 338 (36.1%)
Distinct linked cited authors: 68 / 263 (25.9%)
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60 / 122 (49.2%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 60 / 338 (17.8%). Distinct linked cited authors not identified as autistic: 34 / 68 (50.0%).
3 cited bibliography entries could not be fully enriched from DOI metadata.
Crossref: not found (3)
  1. Frances Gardner (2000). Methodological Issues in the Direct Observation of Parent–Child Interaction: Do Observational Findings Reflect the Natural Behavior of Participants? Clinical Child and Family Psychology Review, 3(3), 185-198. Springer Science and Business Media LLC.
    OpenAlex
  2. Cara J. Kiff , Liliana J. Lengua , Maureen Zalewski (2011). Nature and Nurturing: Parenting in the Context of Child Temperament . Clinical Child and Family Psychology Review, 14(3), 251-301. Springer Science and Business Media LLC.
    OpenAlex
  3. Kathy Chan , Kailee Penner , Janet W. T. Mah , Charlotte Johnston (2010). Assessing Parenting Behaviors in Euro–Canadian and East Asian Immigrant Mothers: Limitations to Observations of Responsiveness . Child & Family Behavior Therapy, 32(2), 85-102. Informa UK Limited.
    OpenAlex
  4. Lauren B. Adamson , Roger Bakeman , Deborah F. Deckner , P. Brooke Nelson (2012). Rating Parent–Child Interactions: Joint Engagement, Communication Dynamics, and Shared Topics in Autism, Down Syndrome, and Typical Development . Journal of Autism and Developmental Disorders, 42(12), 2622-2635. Springer Science and Business Media LLC.
    OpenAlex
  5. Lauren B Adamson , Duncan McArthur , Yana Markov , Barbara Dunbar , Roger Bakeman (2001). Autism and joint attention: Young children's responses to maternal bids . Journal of Applied Developmental Psychology, 22(4), 439-453. Elsevier BV.
    OpenAlex
  6. Aesha John , Amanda Sheffield Morris , Amy L. Halliburton (2012). Looking beyond Maternal Sensitivity: Mother–Child Correlates of Attachment Security among Children with Intellectual Disabilities in Urban India . Journal of Autism and Developmental Disorders, 42(11), 2335-2345. Springer Science and Business Media LLC.
    OpenAlex
  7. Lisa Berlin , Gunilla Bohlin , Ann-Margret Rydell (2004). Relations Between Inhibition, Executive Functioning, and ADHD Symptoms: A Longitudinal Study from Age 5 to 8½ Years . Child Neuropsychology, 9(4), 255-266. Informa UK Limited.
    OpenAlex
  8. Jennifer H. Elder , Gregory Valcante , Hossein Yarandi , Deborah White , Timothy H. Elder (2005). Evaluating In-Home Training for Fathers of Children With Autism Using Single-Subject Experimentation and Group Analysis Methods . Nursing Research, 54(1), 22???32. Ovid Technologies (Wolters Kluwer Health).
    OpenAlex
  9. Soh-Leong Lim , Ben K. Lim (2003). Parenting Style and Child Outcomes in Chinese and Immigrant Chinese Families-Current Findings and Cross-Cultural Considerations in Conceptualization and Research . Marriage & Family Review, 35(3-4), 21-43. Informa UK Limited.
    OpenAlex
  10. Kristelle Hudry , Catherine Aldred , Sarah Wigham , Jonathan Green , Kathy Leadbitter , Kathryn Temple et al. (2013). Predictors of parent–child interaction style in dyads with autism . Research in Developmental Disabilities, 34(10), 3400-3410. Elsevier BV.
    OpenAlex
  11. Matthew R. Sanders (2008). Triple P-Positive Parenting Program as a public health approach to strengthening parenting. Journal of Family Psychology, 22(4), 506-517. American Psychological Association (APA).
    OpenAlex
  12. Irwin Sandler , Alexandra Ingram , Sharlene Wolchik , Jenn-Yun Tein , Emily Winslow (2015). Long-Term Effects of Parenting-Focused Preventive Interventions to Promote Resilience of Children and Adolescents . Child Development Perspectives, 9(3), 164-171. Oxford University Press (OUP).
    OpenAlex
  13. H. Larsson , Z. Chang , B. M. D'Onofrio , P. Lichtenstein (2014). The heritability of clinically diagnosed attention deficit hyperactivity disorder across the lifespan . Psychological Medicine, 44(10), 2223-2229. Cambridge University Press (CUP).
    OpenAlex
  14. Ming Wai Wan , Jonathan Green , Mayada Elsabbagh , Mark Johnson , Tony Charman , Faye Plummer (2012). Parent–infant interaction in infant siblings at risk of autism . Research in Developmental Disabilities, 33(3), 924-932. Elsevier BV.
    OpenAlex
  15. Zeynep Biringen , Deborah J. Fidler , Karen C. Barrett , Lorraine Kubicek (2005). Applying the Emotional Availability Scales to children with disabilities . Infant Mental Health Journal, 26(4), 369-391. Wiley.
    OpenAlex
  16. Chris Edwards *Autistic author. Learn more… , S.M. Sheridan , L.L. Knoche (2010). Parent–Child Relationships in Early Learning . In International Encyclopedia of Education (pp. 438-443). Elsevier.
    OpenAlex
  17. Atif Rahman , Gauri Divan , Syed Usman Hamdani , Vivek Vajaratkar , Carol Taylor , Kathy Leadbitter et al. (2016). Effectiveness of the parent-mediated intervention for children with autism spectrum disorder in south Asia in India and Pakistan (PASS): a randomised controlled trial . The Lancet Psychiatry, 3(2), 128-136. Elsevier BV.
    OpenAlex
  18. Katharine Suma , Lauren B. Adamson , Roger Bakeman , Diana L. Robins , Danielle N. Abrams (2016). After Early Autism Diagnosis: Changes in Intervention and Parent–Child Interaction . Journal of Autism and Developmental Disorders, 46(8), 2720-2733. Springer Science and Business Media LLC.
    OpenAlex
  19. Andrew Pickles , Ann Le Couteur , Kathy Leadbitter , Erica Salomone , Rachel Cole-Fletcher , Hannah Tobin et al. (2016). Parent-mediated social communication therapy for young children with autism (PACT): long-term follow-up of a randomised controlled trial . The Lancet, 388(10059), 2501-2509. Elsevier BV.
    OpenAlex
  20. Yuqing Guo , Dana Rose Garfin , Agnes Ly , Wendy A. Goldberg (2017). Emotion Coregulation in Mother-Child Dyads: A Dynamic Systems Analysis of Children with and without Autism Spectrum Disorder . Journal of Abnormal Child Psychology, 45(7), 1369-1383. Springer Science and Business Media LLC.
    OpenAlex
  21. Jonathan Green , Andrew Pickles , Greg Pasco , Rachael Bedford , Ming Wai Wan , Mayada Elsabbagh et al. (2017). Randomised trial of a parent‐mediated intervention for infants at high risk for autism: longitudinal outcomes to age 3 years . Journal of Child Psychology and Psychiatry, 58(12), 1330-1340. Wiley.
    OpenAlex
  22. Debora S. Valcan , Helen Davis , Deborah Pino-Pasternak (2018). Parental Behaviours Predicting Early Childhood Executive Functions: a Meta-Analysis . Educational Psychology Review, 30(3), 607-649. Springer Science and Business Media LLC.
    OpenAlex
  23. Chloè Bontinck , Petra Warreyn , Mieke Meirsschaut , Herbert Roeyers (2018). Parent–Child Interaction in Children with Autism Spectrum Disorder and Their Siblings: Choosing a Coding Strategy . Journal of Child and Family Studies, 27(1), 91-102. Springer Science and Business Media LLC.
    OpenAlex
  24. Rosanna P. Breaux , Elizabeth A. Harvey (2019). A Longitudinal Study of the Relation Between Family Functioning and Preschool ADHD Symptoms . Journal of Clinical Child & Adolescent Psychology, 48(5), 749-764. Informa UK Limited.
    OpenAlex
  25. Heather M. Joseph , Traci M. Kennedy , Elizabeth M. Gnagy , Susan B. Perlman , William E. Pelham , Brooke S. G. Molina (2019). Fathers with Childhood ADHD, Parenting, and Their Young Children’s Behavior: Offspring of the Pittsburgh ADHD Longitudinal Study (PALS) . Child Psychiatry & Human Development, 50(1), 35-44. Springer Science and Business Media LLC.
    OpenAlex
  26. Amanda Mossman Steiner , Grace W. Gengoux , Amanda Smith , Katarzyna Chawarska (2018). Parent–Child Interaction Synchrony for Infants At-Risk for Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 48(10), 3562-3572. Springer Science and Business Media LLC.
    OpenAlex
  27. Yvonne Bohr , Diane L. Putnick , Yookyung Lee , Marc H. Bornstein (2018). Evaluating Caregiver Sensitivity to Infants: Measures Matter . Infancy, 23(5), 730-747. Wiley.
    OpenAlex
  28. Laura M. Justice , Hui Jiang , Kelly M. Purtell , Kammi Schmeer , Kelly Boone , Randi Bates et al. (2019). Conditions of Poverty, Parent–Child Interactions, and Toddlers’ Early Language Skills in Low-Income Families . Maternal and Child Health Journal, 23(7), 971-978. Springer Science and Business Media LLC.
    OpenAlex
  29. Chiel, Zoe (2018). Parental Attributions of Control and Self-Efficacy: Observed Parenting Behaviors in Mothers of Preschool Children with Autism Spectrum Disorder . Columbia Academic Commons (Columbia University). Columbia University.
    Type: Article DOI: 10.7916/d8cr7b2q OpenAlex: https://openalex.org/W2911615012 Crossref: not found
    OpenAlex
  30. Nicole Gridley , Sarah Blower , Abby Dunn , Tracey Bywater , Karen Whittaker , Maria Bryant (2019). Psychometric Properties of Parent–Child (0–5 years) Interaction Outcome Measures as Used in Randomized Controlled Trials of Parent Programs: A Systematic Review . Clinical Child and Family Psychology Review, 22(2), 253-271. Springer Science and Business Media LLC.
    OpenAlex
  31. Arantxa Gorostiaga , Jone Aliri , Nekane Balluerka , Joanes Lameirinhas (2019). Parenting Styles and Internalizing Symptoms in Adolescence: A Systematic Literature Review . International Journal of Environmental Research and Public Health, 16(17), 3192. MDPI AG.
    OpenAlex
  32. Johnson, Michal Lynne (2019). Maternal Self-Care, Attachment Style, and Observed Parenting in a Preschool Sample with Autism Spectrum Disorder . Columbia University.
    Type: Article DOI: 10.7916/d8-31zp-r754 OpenAlex: https://openalex.org/W2981709431 Crossref: not found
    OpenAlex
  33. Md Mahbub Hossain , Nusrat Khan , Abida Sultana , Ping Ma , E. Lisako J. McKyer , Helal Uddin Ahmed et al. (2020). Prevalence of comorbid psychiatric disorders among people with autism spectrum disorder: An umbrella review of systematic reviews and meta-analyses . Psychiatry Research, 287, 112922. Elsevier BV.
    OpenAlex
  34. Saime ARSLAN , Özlem DİKEN (2020). Examination of Interactional Behaviours Between Turkish Fathers and Their Children with Autism Spectrum Disorder . International Journal of Early Childhood Special Education. Institute for Advanced Studies.
    OpenAlex
  35. Arianna Bentenuto , Silvia Perzolli , Simona de Falco , Paola Venuti (2020). The emotional availability in mother-child and father-child interactions in families with children with Autism Spectrum Disorder . Research in Autism Spectrum Disorders, 75, 101569. Elsevier BV.
    OpenAlex
  36. Tracy K. Y. Wong , Chiaki Konishi , Xiaoxue Kong (2021). Parenting and prosocial behaviors: A meta‐analysis . Social Development, 30(2), 343-373. Wiley.
    OpenAlex
  37. Anita Thapar , Michael Rutter (2021). Genetic Advances in Autism . Journal of Autism and Developmental Disorders, 51(12), 4321-4332. Springer Science and Business Media LLC.
    OpenAlex
  38. Silvia Perzolli , Giulio Bertamini , Simona de Falco , Paola Venuti , Arianna Bentenuto (2020). Emotional Availability and Play in Mother–Child Dyads with ASD: Changes during a Parental Based Intervention . Brain Sciences, 10(12), 904. MDPI AG.
    OpenAlex
  39. M.K.J. Pijl , C. Bontinck , N.N.J. Rommelse , J. Begum Ali , E. Cauvet , A. Niedzwiecka et al. (2021). Parent-child interaction during the first year of life in infants at elevated likelihood of autism spectrum disorder . Infant Behavior and Development, 62, 101521. Elsevier BV.
    OpenAlex
  40. Amanda Dimachkie Nunnally , Kyle Sterrett , Amanda Gulsrud , Connie Kasari (2021). What are the odds? Predicting the likelihood of a negative episode in a sample of toddlers with autism spectrum disorder . Autism, 25(8), 2254-2264. SAGE Publications.
    OpenAlex
  41. Hannah H Schertz , Xinyue Liu , Samuel L Odom , Kathleen M Baggett (2022). Parents’ application of mediated learning principles as predictors of toddler social initiations . Autism, 26(6), 1536-1549. SAGE Publications.
    OpenAlex
  42. Heta Pukki *Autistic author. Learn more… , Jorn Bettin *Autistic author. Learn more… , Avery Outlaw , Joshua Hennessy *Autistic author. Learn more… , Kabie Brook *Autistic author. Learn more… , Martijn Dekker *Autistic author. Learn more… et al. (2022). Autistic perspectives on the future of clinical autism research . Center for Open Science.
    OpenAlex
  43. Jonathan Green , Kathy Leadbitter , Ceri Ellis , Lauren Taylor , Heather L. Moore , Sophie Carruthers et al. (2022). Combined social communication therapy at home and in education for young autistic children in England (PACT-G): a parallel, single-blind, randomised controlled trial . The Lancet Psychiatry, 9(4), 307-320. Elsevier BV.
    OpenAlex
  44. Sheila M. Eyberg , Melanie D. McDiarmid (2014). Parent-Child Interaction Therapy . Encyclopedia of Behavior Modification and Cognitive Behavior Therapy: Volume 1: Adult Clinical Applications Volume 2: Child Clinical Applications Volume 3: Educational Applications. SAGE Publications, Inc..
    OpenAlex
  45. David C. Bell , Linda G. Bell (1989). Micro and macro measurement of family systems concepts. Journal of Family Psychology, 3(2), 137-157. American Psychological Association (APA).
    Type: Article DOI: 10.1037/h0080530 OpenAlex: https://openalex.org/W1980594019
    OpenAlex
  46. Soh-Leong Lim , Ben K. Lim (2012). Parenting Style and Child Outcomes in Chinese and Immigrant Chinese Families– Current Findings and Cross-Cultural Considerations in Conceptualization and Research . In Parent-Youth Relations (pp. 21-42). Routledge.
    Type: Book chapter DOI: 10.4324/9780203725733-3 OpenAlex: https://openalex.org/W4241891930
    OpenAlex
  47. Catherine Aldred , Jonathan Green , Catherine Adams (2004). A new social communication intervention for children with autism: pilot randomised controlled treatment study suggesting effectiveness . Journal of Child Psychology and Psychiatry, 45(8), 1420-1430. Wiley.
    OpenAlex
  48. Thelma E Uzonyi , Alaina C Grissom , Ranita V Anderson , Helen Lee , Sarah Towner-Wright , Elizabeth R Crais et al. (2023). Scoping review of behavioral coding measures used to evaluate parent responsiveness of children with autism or elevated risk of autism . Autism, 27(7), 1856-1875. SAGE Publications.
    OpenAlex
  49. Kangas-Dick, Kayleigh (2021). Elevated Attention Problems and Observed Parenting in a Sample of Preschoolers with Autism Spectrum Disorder . Columbia Academic Commons (Columbia University). Columbia University.
    Type: Article DOI: 10.7916/d8-1k6d-0c78 OpenAlex: https://openalex.org/W6902889597 Crossref: not found
    OpenAlex
  50. Alexandra Hendry , Victoria Hulks , Shona Murphy *Autistic author. Learn more… , Holly Radford *Autistic author. Learn more… , Sally Smith , Tony Charman et al. (n.d.). Conceptual development and community-refinement process of a parent-toddler programme to support the development of executive functions in children at elevated likelihood of autism or ADHD . OSF Preprints (OSF Preprints).
    Type: Preprint OpenAlex: https://openalex.org/W7018055907
    OpenAlex
  51. GT Harold (7674350) , LD Leve (8909456) , D Barrett (8909459) , K Elam (8909462) , JM Neiderhiser (8909465) , MN Natsuaki (8909468) et al. (2013). Biological and rearing mother influences on child ADHD symptoms: Revisiting the developmental interface between nature and nurture . Figshare.
    Type: Article OpenAlex: https://openalex.org/W7075589185
    OpenAlex