Ajustement maternel : une étude longitudinale des variables transactionnelles et de la qualité de vie au cours de l’année suivant le diagnostic d’autisme d’un enfant - 2026
Ajustement maternel : une étude longitudinale des variables transactionnelles et de la qualité de vie au cours de l’année suivant le diagnostic d’autisme d’un enfant
Desquenne-Godfrey, Gwendoline; De Gaulmyn, Aude; Doyen, Catherineet al.
Desquenne Godfrey 2026 Maternal adjustment- A longitudinal study of transactional variables and quality of life in the year following a child's autism diagnosis.pdf
[en] Introduction Receiving an official diagnosis can be an emotional experience for parents of autistic children and generate a need for psychosocial adjustment. Objective The aim of the study was to assess the perception of mothers of autistic children regarding their level of stress, control over their child's development, satisfaction regarding social support, family functioning, coping strategies, and impact on quality of life, in the year following their child's diagnosis. Method Thirty-one mothers of autistic children were recruited through diagnosis centres and completed a set of questionnaires measuring the targeted variables three times: a month after the diagnosis, six months after, and a year after. Results Results showed no significant evolution of the level of perceived stress, perceived control over the child's development, perceived family functioning, coping strategies, and impact on quality of life over the year post-diagnosis. However, a significant decrease in perceived satisfaction regarding social support was observed during the assessed period. Discussion Results are discussed in relation to the existing literature on the topic, which contains inconsistent data and needs to be broadened, and to other factors which could have influenced them. Specifically, the decrease in perceived satisfaction regarding social support should be investigated. Indeed, the appointments related to the diagnostic assessments may provide access to professional support, which would be less available at the end of the process. Recommendations are made for further studies and clinical applications of the results.
Disciplines :
Psychiatry
Author, co-author :
Desquenne-Godfrey, Gwendoline ; Université Paris Cité, laboratoire de psychopathologie et processus de santé, Boulogne-Billancourt, France
De Gaulmyn, Aude ; Groupe hospitalier universitaire de Paris, psychiatrie et neurosciences, Paris, France
Doyen, Catherine; Groupe hospitalier universitaire de Paris, psychiatrie et neurosciences, Paris, France
Vantalon, Valérie; Centre d’excellence InovAND, hôpital universitaire Robert-Debré, Paris, France
Ouss, Lisa ; Université de Liège - ULiège > Département des sciences cliniques > Psychiatrie infanto-juvénile ; Hôpital universitaire Necker–Enfants-Malades, Paris, France
Taton, Romain; Centre ressources autisme Normandie Seine Eure, Sotteville-lès-Rouen, France
Rosier, Antoine ; Centre ressources autisme Normandie Seine Eure, Sotteville-lès-Rouen, France
Cappe, Emilie ; Université Paris Cité, laboratoire de psychopathologie et processus de santé, Boulogne-Billancourt, France
Language :
French
Title :
Ajustement maternel : une étude longitudinale des variables transactionnelles et de la qualité de vie au cours de l’année suivant le diagnostic d’autisme d’un enfant
American Psychiatric Association [APA]. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.)10.1176/appi.books.9780890425596.
American Psychiatric Association [APA]. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.)10.1176/appi.books.9780890425787.
Andolfi, M. (1979). Family Therapy: An Interactional Approach Jason Aronson Inc.
Beaud, L., Quentel, J.-C. (2011). Information et vécu parental du diagnostic de l’autisme II. Effets des troubles et qualité de vie. Annales médico-psychologiques 169(2), 132-139 10.1016/j.amp.2010.12.010.
Bellinghausen, L., Collange, J., Botella, M., Emery, J., Albert, É. (2009). Validation factorielle de l’échelle française de stress perçu en milieu professionnel. Santé publique 21(4) 365-373 10.3917/spub.094.0365.
Brei, N.G., Schwarz, G.N., Klein-Tasman, B.P. (2015). Predictors of Parenting Stress in Children Referred for an Autism Spectrum Disorder Diagnostic Evaluation. Journal of Developmental and Physical Disabilities, 27(5), 617-635 10.1007/s10882-015-9439-z.
Brennan, J., Ward, O.F., Tomeny, T.S., Davis, T.E. (2024). A Systematic Review of Parental Self-Efficacy in Parents of Autistic Children. Clinical Child And Family Psychology Review, 27(3) 878-905 10.1007/s10567-024-00495-2.
Bruchon-Schweitzer, M. (2002). Psychologie de la santé: modèles, concepts et méthodes Dunod.
Bruchon-Schweitzer, M., Boujut, E. (2021). Psychologie de la santé: concepts, méthodes et modèles Dunod.
Bureau, R. (2023). Envisager l’autisme sans trouble du développement intellectuel à l’âge adulte dans une perspective écologique: des modèles aux interventions [Thèse de doctorat, Université de Strasbourg]https://www.theses.fr/2023STRAG019.
Cappe, E., Despax, J., Pedoux, A., Zylberberg, P., Chaste, P., De Gaulmyn, A., Doyen, C., Pommepuy, N. (2024). Parental involvement and adjustment during the diagnostic evaluation of autism spectrum disorder at two diagnostic centers. L’Encéphale 10.1016/j.encep.2024.01.002.
Cappe, E., Wolff, M., Bobet, R., Adrien, J.-L. (2011). Quality of life: a key variable to consider in the evaluation of adjustment in parents of children with autism spectrum disorders and in the development of relevant support and assistance programmes. Quality of Life Research, 20(8), 1279-1294 10.1007/s11136-011-9861-3.
Chamak, B. (2020). Autisme et psychiatrie : Une histoire mouvementée. Savoir - agir, 52(2), 87–93. https://doi.org/10.3917/sava.052.0087.
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.) Routledge 10.4324/9780203771587.
Cohen, S., Kamarck, T., Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396 10.2307/2136404.
Cousson-Gélie, F. (1997). L’évolution différentielle de la maladie et de la qualité de vie de patientes atteints d’un cancer du sein: Rôle de certains facteurs psychologiques, biologiques et sociaux [Thèse de doctorat, Université Victor Segalen, Bordeaux].
Cousson-Gélie, F., Bruchon-Schweitzer, M., Quintard, B., Nuissier, J., Rascle, N. (1996). Analyse multidimensionnelle d’une échelle de coping: validation française de la WCC (Ways of Coping Checklist). Psychologie française, 41(2), 155-164.
Craig, F., Operto, F.F., De Giacomo, A., Margari, L., Frolli, A., Conson, M., Ivagnes, S., Monaco, M., Margari, F. (2016). Parenting Stress among parents of children with Neurodevelopmental Disorders. Psychiatry Research, 242, 121-129 10.1016/j.psychres.2016.05.016.
Dai, Y., Chen, M., Deng, T., Huang, B., Ji, Y., Feng, Y., Liu, S., Zhang, L. (2024). The importance of parenting self-efficacy and social support for family quality of life in children newly diagnosed with autism spectrum disorder: A one-year follow-up study. Autism Research, 17(1), 148-161 10.1002/aur.3061.
De Montigny, F., Beaudet, L. (1997). Lorsque la vie éclate: L’impact de la mort d’un enfant sur la famille Éditions du Renouveau pédagogique.
Derguy, C., Cappe, E. (2019). Familles et trouble du spectre de l’autisme Dunod 10.3917/dunod.dergu.2019.01.
Desautels, J., Lapalme, M., Touchette, L., Pauzé, R. (2016). Validation de la version française du FACES IV auprès d’une population d’adolescents francophones issus d’un échantillon populationnel et clinique. Thérapie familiale, 37(1), 95-113 10.3917/tf.161.0095.
Desquenne-Godfrey, G., Downes, N., Cappe, E. (2023). A systematic review of family functioning in families of children on the autism spectrum. Journal of Autism and Developmental Disorders 10.1007/s10803-022-05830-6.
Fourcade, C., Kruck, J., Rogé, B. (2019). Chapitre 12. Le fardeau perçu chez les parents d’enfants avec un trouble du spectre de l’autisme: approche quantitative et qualitative du vécu parentalIn: Derguy C., Cappe E. (Eds.). Familles et trouble du spectre de l’autisme 177-190 Dunod 10.3917/dunod.dergu.2019.01.0177.
Fox-Wasylyshyn, S.M., El-Masri, M.M. (2005). Handling missing data in self-report measures. Research in Nursing & Health, 28(6), 488-495 10.1002/nur.20100.
Gao, X., Drani, S. (2025). Social Support Experiences in Parents of Children With ASD: A Qualitative Systematic Review. SAGE Open, 15(2)10.1177/21582440251336174.
Geelhand, P., Papastamou, F., Belenger, M., Clin, E., Hickman, L., Keating, C.T., Sowden, S. (2023). Autism-related language preferences of french-speaking autistic adults: an online survey. Autism in adulthood: challenges and management, 5(3) 275-288 10.1089/aut.2022.0056.
Haute Autorité de Santé [HAS]. (2018). Trouble du spectre de l’autisme - Signes d’alerte, repérage, diagnostic et évaluation chez l’enfant et l’adolescent (Retrieved on 5th May 2025) https://www.has-sante.fr/upload/docs/application/pdf/2018-02/trouble_du_spectre_de_lautisme_de_lenfant_et_ladolescent_recommandations.pdf.
Hayes, S.A., Watson, S.L. (2012). 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(3) 629-642 10.1007/s10803-012-1604-y.
Herring, S., Gray, K., Taffe, J., Tonge, B., Sweeney, D., Einfeld, S. (2006). Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: Associations with parental mental health and family functioning. Journal of Intellectual Disability Research 50(12) 874-882 10.1111/j.1365-2788.2006.00904.x.
Jacobs, D., Steyaert, J., Dierickx, K., Hens, K. (2020). Parents’ views and experiences of the autism spectrum disorder diagnosis of their young child: a longitudinal interview study. European Child & Adolescent Psychiatry, 29(8), 1143-1154 10.1007/s00787-019-01431-4.
Jones, L., Totsika, V., Hastings, R.P., Petalas, M.A. (2013). Gender Differences When Parenting Children with Autism Spectrum Disorders: A Multilevel Modeling Approach. Journal of Autism and Developmental Disorders, 43(9), 2090-2098 10.1007/s10803-012-1756-9.
Karst, J.S., Van Hecke, A.V. (2012). Parent and family impact of autism spectrum disorders: a review and proposed model for intervention evaluation. Clinical Child and Family Psychology Review, 15(3), 247-277 10.1007/s10567-012-0119-6.
Keating, C.T., Hickman, L., Leung, J., Monk, R., Montgomery, A., Heath, H., Sowden, S. (2023). Autism-related language preferences of English-speaking individuals across the globe: A mixed methods investigation. Autism Research, 16(2), 406-428 10.1002/aur.2864.
Kenny, L., Hattersley, C., Molins, B., Buckley, C., Povey, C., Pellicano, E. (2016). Which terms should be used to describe autism? Perspectives from the UK autism community. Autism, 20(4) 442-462 10.1177/1362361315588200.
Koleck, M. (2000). Rôle de certains facteurs psychosociaux dans l’évolution des lombalgies communes: une étude semi-prospective en psychologie de la santé [Thèse de doctorat, Université Victor Segalen, Bordeaux].
Lazarus, R., Folkman, S. (1984). Stress, appraisal and coping Springer.
Leblé, N., Cosquer, M., Mezghiche, L., Cazard, F., Jousselme, C. (2021). Le vécu parental du parcours diagnostique dans l’autisme: discussion autour d’une étude qualitative. La Psychiatrie de l’enfant, 64(2), 149-167 10.3917/psye.642.0149.
Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule (second edition). Western Psychological Services.
Martins, R., Bonito, I., Andrade, A., Albuquerque, C., Chaves, C. (2015). The impact of the diagnosis of autism in parents of children. Procedia, Social and Behavioral Sciences, 171, 121-125 10.1016/j.sbspro.2015.01.097.
McGrew, J.H., Keyes, M.L. (2014). Caregiver stress during the first year after diagnosis of an Autism Spectrum Disorder. Research in Autism Spectrum Disorders, 8(10), 1373-1385 10.1016/j.rasd.2014.07.011.
Mercuriali, G., Yvon, D. (2020). Chapitre 25. L’impact de l’autisme sur les familles In: Yvon D. (Ed.). À la découverte de l’autisme: Des neurosciences à la vie en société2e ed. 235-243 Dunod 10.3917/dunod.yvon.2020.01.0235.
Moh, T.A., Magiati, I. (2012). Factors associated with parental stress and satisfaction during the process of diagnosis of children with Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 6(1), 293-303 10.1016/j.rasd.2011.05.011.
Olson, D. (2011). FACES IV and the Circumplex Model: Validation Study. Journal of Marital and Family Therapy, 37(1) 64-80 10.1111/j.1752-0606.2009.00175.x.
Olson, D., McCubbin, H. (1982). Circumplex model of marital and family systems. V. Application to family stress and crisis intervention In: McCubbin H., Cauble A., Patterson J. (Eds.). Family stress, coping, and social support 48-68 Charles C Thomas.
Patel, S., Rivard, M., Mello, C., Morin, D. (2022). Parenting stress within mother-father dyads raising a young child with autism spectrum disorder. Research in Autism Spectrum Disorders, 99, 102051 10.1016/j.rasd.2022.102051.
Pruyn, J.F. A., Van Den Borne, H.W., De Reuver, R.S. M., De Boer, M.F., Bosman, L.J., De Jong, P.C. (1988). The locus of control scale for cancer patients. Tijdschift Woor Sociales Gezondheidszorj, 66, 404-408.
Rattaz, C., Loubersac, J., Michelon, C., Geoffray, M.-M., Picot, M.-C., Munir, K., Baghdadli, A. (2022). Factors associated with age of diagnosis in children with autism spectrum disorders: Report from a French cohort. Autism: The International Journal of Research and Practice, 26(8), 2108-2116 10.1177/13623613221077724.
Rattaz, C., Loubersac, J., Michelon, C., Picot, M.-C., Baghdadli, A. (2023). Changes in mothers’ and fathers’ stress level, mental health and coping strategies during the 3 years following ASD diagnosis. Research in Developmental Disabilities, 137, 104497 10.1016/j.ridd.2023.104497.
Sankey, C., Derguy, C., Ilg, J., Clément, C., Cappe, É. (2019). Supporting parents of a child with Autism Spectrum Disorder: the French awakening. Journal of Autism and Developmental Disorder, 49(3), 1142-53 10.1007/s10803-018-3800-x.
Schiltz, H.K., McVey, A.J., Gonring, K., Haendel, A.D., Murphy, C., Van Hecke, A.V., Gerdes, A. (2022). Examining differences in parenting stress, parenting efficacy, and household context among mothers of youth with autism and/or ADHD. Journal of Child and Family Studies, 31(3), 774-789 10.1007/s10826-021-02083-2.
Scibelli, F., Fucà, E., Guerrera, S., Lupi, E., Alfieri, P., Valeri, G., Vicari, S. (2021). Clinical and individual features associated with maternal stress in young adolescents with autism spectrum disorder. Autism Research, 14(9), 1935-1947 10.1002/aur.2539.
Seymour, M., Wood, C., Giallo, R., Jellett, R. (2013). Fatigue, stress and coping in mothers of children with an autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(7), 1547-1554 10.1007/s10803-0121701-y.
Srijan, S., Rajagopalan, I.R. (2024). Best Practices for Handling Missing Data. Annals of Surgical Oncology, 31, 12-13 10.1245/s10434-023-14471-7.
Tehee, E., Honan, R., Hevey, D. (2009). Factors Contributing to Stress in Parents of Individuals with Autistic Spectrum Disorders. Journal of Applied Research in Intellectual Disabilities, 22(1), 34-42 10.1111/j.1468-3148.2008.00437.x.
Turnage, D., Conner, N. (2022). Quality of life of parents of children with Autism Spectrum Disorder: An integrative literature review. Journal For Specialists In Pediatric Nursing, 27(4), e12391 10.1111/jspn.12391.
Vernhet, C., Dellapiazza, F., Blanc, N., Cousson-Gélie, F., Miot, S., Roeyers, H., Baghdadli, A. (2019). Coping strategies of parents of children with autism spectrum disorder: a systematic review. European Child & Adolescent Psychiatry, 286 747-758 10.1007/s00787-018-1183-3.
Vitaliano, P.P., Russo, J., Carr, J.E., Maiuro, R.D., Becker, J. (1985). The Ways of Coping Checklist: Revision and psychometric properties. Multivariate Behavioural Research, 20(1), 3-26.
Watzlawick, P. (1972). Une logique de la communication Éditions du Seuil.
World Health Organisation, [WHO]. (2022). International statistical classification of diseases and related health problems (11th ed.). https://icd.who.int/.
World Health Organization [WHO]. (1993). Study protocol for the world health organization project to develop a quality of life assessment instrument (WHOQOL). Quality of Life Research, 2(2), 153-159 http://www.jstor.org/stable/4034396.
Yorke, I., White, P., Weston, A., Rafla, M., Charman, T., Simonoff, E. (2018). The Association Between Emotional and Behavioral Problems in Children with Autism Spectrum Disorder and Psychological Distress in Their Parents: A Systematic Review and Meta-analysis. Journal Of Autism And Developmental Disorders 4810 3393-3415 10.1007/s10803-018-3605-y.