Abstract
Objectives
Caregivers of children with Autism Spectrum Disorder (ASD) may experience varying degrees of both psychopathological symptoms and enriched personal growth. The mechanisms underlying these associations are not well understood. The aim of the current study was to explore the relationships between post-traumatic growth (PTG) and psychological distress, namely depression, anxiety and stress among caregivers of autistic children in China, with self-compassion as a potential relating factor.
Methods
One hundred and twenty-one caregivers of children with ASD, ranged in age from 26 to 53, completed the questionnaires. The instruments utilized include a socio demographic questionnaire, Posttraumatic Growth Inventory (PTGI), the Chinese version of the Short Form Depression Anxiety Stress Scales (DASS-21) and the Chinese version of the Short Form Self-Compassion Scale (SCS-SF).
Results
The results showed that there was no significant linear or curvilinear relationship between PTG and psychological distress. PTG indirectly correlated with psychological distress through self-compassion. The positive and negative components of self-compassion uniquely correlated with PTG and psychological distress respectively.
Conclusions
The findings of this study suggested that PTG may play a protective role of mental health among Chinese caregivers of children with ASD through enhancing self-compassion. More importantly, the current study suggested that self-compassion should be better conceptualized in order to move the relevant research forward.
Similar content being viewed by others
References
Allik, H., Larsson, J., & Smedje, H. (2006). Health-related quality of life in parents of school-age children with Asperger syndrome or high-functioning autism. Health and Quality of Life Outcomes, 4, 1–8.
Bayat, M. (2007). Evidence of resilience in families of children with autism. Journal of Intellectual Disability Research, 51, 702–714.
Bazzano, A., Wolfe, C., Zylowska, L., Wang, S., Schuster, E., Barrett, C., & Lehrer, D. (2013). Mindfulness based stress reduction (MBSR) for parents and caregivers of individuals with developmental disabilities: a community-based approach. Journal of Child and Family Studies, 24, 298–308.
Benn, R., Akiva, T., Arel, S., & Roeser, R. W. (2012). Mindfulness training effects for parents and educators of children with special needs. Developmental Psychology, 48, 1476–1487.
Benson, P. R. (2014). Coping and psychological adjustment among mothers of children with Autism Spectrum Disorder: an accelerated longitudinal study. Journal of Autism and Developmental Disorders, 44, 1793–1807.
Bitsika, V., Sharpley, C. F., & Bell, R. (2013). The buffering effect of resilience upon stress, anxiety and depression in parents of a child with an Autism Spectrum Disorder. Journal of Developmental and Physical Disabilities, 25, 533–543.
Brenner, R. E., Heath, P. J., Vogel, D. L., & Credé, M. (2017). Two is more valid than one: Examining the factor structure of the Self-Compassion Scale (SCS). Journal of Counseling Psychology, 64, 696–707.
Brophy, K., Brähler, E., Hinz, A., Schmidt, S., & Körner, A. (2019). The role of self-compassion in the relationship between attachment, depression, and quality of Life. Journal of Affective Disorders, 260, 45–52.
Castilho, P., Pinto-Gouveia, J., & Duarte, J. (2015). Evaluating the multifactor structure of the long and short versions of the Self-compassion Scale in a clinical sample. Journal of Clinical Psychology, 71, 856–870.
Chen, J. L., & Wu, X. C. (2017). Post-traumatic stress symptoms and post-traumatic growth among children and adolescents following an earthquake: a latent profile analysis. Child and Adolescent Mental Health, 22, 23–29.
Colville, G., & Cream, P. (2009). Post-traumatic growth in parents after a child’s admission to intensive care: Maybe Nietzsche was right? Intensive Care Medicine, 35, 919–923.
Giallo, R., Wood, C. E., Jellett, R., & Porter, R. (2011). Fatigue, wellbeing and parental self-efficacy in mothers of children with an Autism Spectrum Disorder. Autism, 17, 465–480.
Gilbert, P. (Ed.) (2005). Compassion: conceptualisations, research and use in psychotherapy London, UK: Routledge.
Gong, X., Xie, X. Y., Xu, R., & Luo, Y. J. (2010). Psychometric properties of the Chinese versions of DASS-21 in Chinese college students. Chinese Journal of Clinical Psychology, 18, 443–446.
Hayes, J. A., Lockard, A. J., Janis, R. A., & Locke, B. D. (2016). Construct validity of the Self-Compassion Scale-Short form among psychotherapy clients. Counselling Psychology Quarterly, 29, 405–422.
Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: a meta-analysis of studies comparing the experience of parenting stress in parents of children with and without Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 43, 629–642.
Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797–816.
Hoffman, C. D., Sweeney, D. P., Hodge, D., Lopez-Wagner, M. C., & Looney, L. (2009). Parenting stress and closeness: mothers of typically developing children and mothers of children with Autism. Focus on Autism and Other Developmental Disabilities, 24, 178–187.
Hu, Y., Wang, Y., Sun, Y., Artetagarcia, J., & Purol, S. (2018). Diary study: the protective role of self-compassion on stress-related poor sleep quality. Mindfulness, 9, 1931–1940.
Janoff-Bulman, R. (2004). Posttraumatic growth: three explanatory models. Psychological Inquiry, 15, 30–34.
Jones, L., Gold, E., Totsika, V., Hastings, R. P., Griffiths, A., Jones, M., & Silverton, S. (2017). A mindfulness parent well-being course: evaluation of outcomes for parents of children with autism and related disabilities recruited through special schools. European Journal of Special Needs Education, 33, 1–15.
Kleim, B., & Ehlers, A. (2009). Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. Journal of Traumatic Stress, 22, 45–52.
Larocca, M. A., Scogin, F. R., Hilgeman, M. M., Smith, A. J., & Chaplin, W. F. (2018). The impact of posttraumatic growth, transformational leadership, and self-efficacy on PTSD and depression symptom severity among combat veterans. Military Psychology, 30, 162–173.
Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of Personality and Social Psychology, 92, 887–904.
Longe, O., Maratos, F. A., Gilbert, P., Evans, G., Volker, F., Rockliff, H., & Rippon, G. (2010). Having a word with yourself: neural correlates of self-criticism and self-reassurance. Neuro Image, 49, 1849–1856.
López, A., Sanderman, R., Smink, A., Zhang, Y., van Sonderen, E., Ranchor, A., & Schroevers, M. J. (2015). A reconsideration of the self-compassion scale’s total score: self-compassion versus self-criticism. PLOS ONE, 10, e0132940.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335–343.
Macbeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552.
Muris, P., Broek, M. V. D., Otgaar, H., Oudenhoven, I., & Lennartz, J. (2018). Good and bad sides of self-compassion: a face validity check of the Self-compassion Scale and an investigation of its relations to coping and emotional symptoms in non-clinical adolescents. Journal of Child and Family Studies, 27, 2411–2421.
Muris, P., & Petrocchi, N. (2017). Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clinical Psychology and Psychotherapy, 24, 373–383.
Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.
Neff, K. D. (2003b). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101.
Neff, K. D., & Faso, D. J. (2015). Self-compassion and well-being in parents of children with autism. Mindfulness, 6, 938–947.
Neff, K. D., Tóth-Király, I., Yarnell, L., Arimitsu, K., Castilho, P., Ghorbani, N., & Mantios, M. (2018b). Examining the factor structure of the self-compassion scale using exploratory SEM bifactor analysis in 20 diverse samples: support for use of a total score and six subscale scores. Psychological Assessment, 31, 27–45.
Ooi, K. L., Ong, Y. S., Jacob, S. A., & Khan, T. M. (2016). A meta-synthesis on parenting a child with autism. Neuropsychiatric Disease and Treatment, 12, 745–762.
Osborne, L. A., & Reed, P. (2009). The relationship between parenting stress and behavior problems of children with Autistic Spectrum Disorders. Exceptional Children, 76, 54–73.
Park, C. L., & Fenster, J. R. (2004). Stress-related growth: predictors of occurrence and correlates with psychological adjustment. Journal of Social and Clinical Psychology, 23, 195–215.
Phelps, K. W., Mccammon, S. L., Wuensch, K. L., & Golden, J. A. (2009). Enrichment, stress, and growth from parenting an individual with an autism spectrum disorder. Journal of Intellectual and Developmental Disability, 34, 133–141.
Podsakoff, P. M., Mackenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879–903.
Powell, S., Rosner, R., Butollo, W., Tedeschi, R. G., & Calhoun, L. G. (2003). Posttraumatic growth after war: a study with former refugees and displaced people in Sarajevo. Journal of Clinical Psychology, 59, 71–83.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the Self-compassion Scale. Clinical Psychology and Psychotherapy, 18, 250–255.
Rodríguez-Rey, R., & Alonso-Tapia, J. (2017). Relation between parental psychopathology and posttraumatic growth after a child’s admission to intensive care: two faces of the same coin? Intensive and Critical Care Nursing, 43, 156–161.
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.
Torbet, S., Proeve, M., & Roberts, R. M. (2019). Self-compassion: a protective factor for parents of children with Autism Spectrum Disorder. Mindfulness, 10, 2492–2506.
Vohra, R., Madhavan, S., Sambamoorthi, U., & St Peter, C. (2014). Access to services, quality of care, and family impact for children with autism, other developmental disabilities, and other mental health conditions. Autism, 18, 815–826.
Waizbard-Bartov, E., Yehonatan-Schori, M., & Golan, O. (2018). Personal growth experiences of parents to children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 49, 1330–1341.
Wang, X., Lee, M. Y., & Yates, N. (2019). From past trauma to post-traumatic growth: the role of self in participants with serious mental illnesses. Social Work in Mental Health, 17, 149–172.
Wong, C. C. Y., Mak, W. W. S., & Liao, Y. H. (2016). Self-compassion: a potential buffer against affiliate stigma experienced by parents of children with autism spectrum disorders. Mindfulness, 7, 1385–1395.
Wong, C. C. Y., & Yeung, N. C. Y. (2017). Self-compassion and posttraumatic growth: cognitive processes as mediators. Mindfulness, 8, 1078–1087.
Zhang, W., Yan, T. T., Barriball, K. L., While, A. E., & Liu, X. H. (2015). Post-traumatic growth in mothers of children with autism: a phenomenological study. Autism, 19, 29–37.
Zhou, X., Wu, X., & Zhen, R. (2016). Understanding the relationship between social support and posttraumatic stress disorder/posttraumatic growth among adolescents after Ya’an earthquake: the role of emotion regulation. Psychological Trauma: Theory, Research, Practice, and Policy, 9, 214–221.
Author’ Contributions
BSMC and JD co-designed the study, analyzed the data and wrote the manuscript. YL collaborated with the writing of the study. TL collaborated with the editing of the final manuscript. YS assisted with the data collection. YW and LY supervised the whole study and wrote the paper.
Funding
This research was supported by the National Natural Science Foundation of China (31700961, 31871116, 31571135), the Natural Science Foundation of Guangdong Province (2017A030310423), and the Beijing Municipal Science & Technology Commission (Z171100000117015).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the School of Psychological and Cognitive Science, Peking University (2017-06-02), and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Chan, B.S.M., Deng, J., Li, Y. et al. The Role of Self-Compassion in the Relationship between Post-Traumatic Growth and Psychological Distress in Caregivers of Children with Autism. J Child Fam Stud 29, 1692–1700 (2020). https://doi.org/10.1007/s10826-019-01694-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10826-019-01694-0