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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.

Research output: Contribution to journalArticle

Original languageEnglish
JournalJournal of Autism and Developmental Disorders
Early online date18 May 2018
Publication statusE-pub ahead of print - 18 May 2018

Bibliographical note

This is a post-peer-review, pre-copyedit version of an article published in Journal of Autism and Developmental Disorders. The final authenticated version is available online at:


King's Authors


This review (Prospero registration number: CRD42017057915) aimed to systematically identify and summarize existing research on the relationship between additional emotional and behavioral problems (EBP) in children with autism, and parenting stress (PS) and mental health problems (MHP) in their parents. Sixty-seven studies met criteria for inclusion in the review, 61 of which were included in the meta-analysis. Pooled correlation coefficients were in the low to moderate range (푟̅=.21-.43). Some evidence for moderation by measurement characteristics was found. Narrative review of concurrent adjusted associations showed some evidence for shared relationships with other factors, most notably ASD severity and parent perception of own parenting. Longitudinal studies showed mixed evidence for bidirectional predictive relationships between child EBP and parent psychological distress variables.

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