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J Autism Dev Disord. 2018 Apr;48(4):1272-1286. doi: 10.1007/s10803-017-3361-4.

How do Parents Manage Irritability, Challenging Behaviour, Non-Compliance and Anxiety in Children with Autism Spectrum Disorders? A Meta-Synthesis.

O'Nions E1,2,3,4, Happé F5, Evers K6,7,8, Boonen H6,7, Noens I6,7.

Author information

1
Parenting and Special Education Research Unit, Faculty of Psychology and Educational Sciences, KU Leuven, Leopold Vanderkelenstraat 32, P. O. Box 3765, 3000, Leuven, Belgium. elizabeth.onions@kcl.ac.uk.
2
Leuven Autism Research (LAuRes), KU Leuven, Leuven, Belgium. elizabeth.onions@kcl.ac.uk.
3
MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. elizabeth.onions@kcl.ac.uk.
4
Division of Psychology and Language Sciences, Department of Clinical, Educational & Health Psychology, University College London, London, UK. elizabeth.onions@kcl.ac.uk.
5
MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
6
Parenting and Special Education Research Unit, Faculty of Psychology and Educational Sciences, KU Leuven, Leopold Vanderkelenstraat 32, P. O. Box 3765, 3000, Leuven, Belgium.
7
Leuven Autism Research (LAuRes), KU Leuven, Leuven, Belgium.
8
Department of Child Psychiatry UPC, KU Leuven, Leuven, Belgium.

Abstract

Although there is increasing research interest in the parenting of children with ASD, at present, little is known about everyday strategies used to manage problem behaviour. We conducted a meta-synthesis to explore what strategies parents use to manage irritability, non-compliance, challenging behaviour and anxiety in their children with ASD. Approaches included: (1) accommodating the child; (2) modifying the environment; (3) providing structure, routine and occupation; (4) supervision and monitoring; (5) managing non-compliance with everyday tasks; (6) responding to problem behaviour; (7) managing distress; (8) maintaining safety and (9) analysing and planning. Results suggest complex parenting demands in children with ASD and problem behaviour. Findings will inform the development of a new measure to quantify parenting strategies relevant to ASD.

KEYWORDS:

ASD; Anxiety; Behaviour management; Challenging behaviour; Irritability; Non-compliance; Parenting strategies

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