Features of Parent-Child Interaction and Behavioral Problems Among Children with Autism Spectrum Disorder



The article presents the results of a study of behavioral features of children with autism spectrum disorder (ASD) in connection to the characteristics of psychological interaction of children and their mothers. It previously has been found that children with ASD demonstrate more communicative and social activity, have less pronounced symptoms of autism, if their parents show a high level of sensitivity to the needs of children and are emotionally involved in interaction with them. The study’s participants consisted of 29 children with ASD (average age: 52,4 ± 8,9 months) who were diagnosed by a psychiatrist during examination in the Stavropol Clinical Psychiatric Hospital no. 1. The comparison group included 36 typically developing children (average age: 39,7 ± 12,1 months). The PCERA method, with a video recording of mother — child interactions, was used for assessing qualities of interaction in children with ASD. Behavioral difficulties were evaluated using the CBCL/1.5-5 questionnaire. The results of the study suggest that low sensitivity to child’s cues, high intrusiveness and negative affect in mothers, and low level of reciprocity and enjoyment in the dyadic relationship are linked to borderline/clinical levels on several DSM-oriented scales (“Affective Disorders”, “Pervasive Developmental Problems”, “Oppositional Defiant Problems”) and syndrome scales (“Emotionally Reactive”, “Anxious/Depressed”, “Aggressive Behavior”) in children with ASD.

General Information

Keywords: autism, parent-child interaction, CBCL/1½-5

Journal rubric: Empirical and Experimental Research

Article type: scientific article

DOI: https://doi.org/10.21638/spbu16.2021.204

Funding. The research was supported by the Russian Foundation for Basic Research (grant no. 19-013-00285).

For citation: Pleshkova N.L., Tatarenko O.V., Sevryugin D.V. Features of Parent-Child Interaction and Behavioral Problems Among Children with Autism Spectrum Disorder. Vestnik of Saint Petersburg University. Psychology, 2021. Vol. 11, no. 2, pp. 162–178. DOI: 10.21638/spbu16.2021.204. (In Russ., аbstr. in Engl.)


  1. Achenbach, T. M., Rescorla, L. A. (2000). Manual for the ASEBA Preschool Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth & Families. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders. https://doi. org/10.1176/appi.books.9780890425596
  2. Baptista, J., Sampaio, A., Fachada, I., Osório, A., Mesquita, A. R., Garayzabal, E., Soares, I. (2018). Maternal Interactive Behaviours in Parenting Children with Williams Syndrome and Autism Spectrum Disorder: Relations with Emotional/Behavioural Problems. Journal of Autism and Developmental Disorders, 49 (1), 216–226. https://doi.org/10.1007/s10803-018-3715-6
  3. Beebe, B., Jaffe, J., Markese, S., Buck, K., Chen, H., Cohen, P., Feldstein, S. (2010). The origins of 12-month attachment: A microanalysis of 4-month mother — infant interaction. Attachment & Human Development, 12 (1–2), 3–141. https://doi.org/10.1080/14616730903338985
  4. Belsky, J., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H. (2007). For Better and For Worse. Current Directions in Psychological Science, 16 (6), 300–304. https://doi.org/10.1111/j.1467- 8721.2007.00525.x
  5. Bernabei, P., Camaigni, L., Levi, G. (1998). An Evaluation of Early Development in Children with Autism and Pervasive Developmental Disorders from Home Movies: Preliminary Findings. Autism, 2 (3), 243–258. https://doi.org/10.1177/1362361398023003
  6. Berthelot, N., Ensink, K., Bernazzani, O., Normandin, L., Luyten, P., Fonagy, P. (2015). Intergenerational Transmission of Attachment in Abused and Neglected Mothers: the Role of Trauma-Specific Reflective Functioning. Infant Mental Health Journal, 36 (2), 200–212. https://doi.org/10.1002/imhj.21499
  7. Beurkens, N. M., Hobson, J. A., Hobson, R. P. (2012). Autism Severity and Qualities of Parent — Child Relations. Journal of Autism and Developmental Disorders, 43 (1), 168–178. https://doi.org/10.1007/ s10803-012-1562-4
  8. Clark, R. (1999). The Parent-Child Early Relational Assessment: A Factorial Validity Study. Educational and Psychological Measurement, 59 (5), 821–846. https://doi.org/10.1177/00131649921970161
  9. Crittenden, P. M. (2006). A Dynamic-Maturational Model of Attachment. Australian and New Zealand Journal of Family Therapy, 27 (2), 105–115. https://doi.org/10.1002/j.1467-8438.2006.tb00704.x
  10. Galasiuk, N. I., Kiselev, S. Yu (2019). Parents interaction with a child with risk to ASD development: parental sensitivity. Cognitive Neuroscience — 2019. November 6–7. Ekaterinburg. (In Russian)
  11. Hoffman, C. D., Sweeney, D. P., Hodge, D., Lopez-Wagner, M. C., Looney, L. (2009). Parenting Stress and Closeness. Focus on Autism and Other Developmental Disabilities, 24 (3), 178–187. https://doi. org/10.1177/1088357609338715
  12. Kolmagorova, A. V., Slobodskaya, E. R., Kinsht, I. A. (2007). Mental Health Assessment in Early Childhood. Bulleten’ SO RAMN, 125 (3), 46–52. (In Russian)
  13. Levy, G., Oppenheim, D., Koren-Karie, N., Ariav-Paraira, I., Gal, N., Yirmiya, N. (2019). Disrupted maternal communication and attachment disorganization in children with autism spectrum disorder. Attachment & Human Development, 22 (5), 568–581. https://doi.org/10.1080/14616734.2019.1666 287
  14. Oppenheim, D., Koren-Karie, N., Dolev, S., Yirmiya, N. (2009). Maternal Insightfulness and Resolution of the Diagnosis Are Associated with Secure Attachment in Preschoolers with Autism Spectrum Disorders. Child Development, 80 (2), 519–527. https://doi.org/10.1111/j.1467-8624.2009.01276.x
  15. Pleshkova, N. L., Muhamedrahimov, R. J. (2010). Quality of attachment in St Petersburg (Russian Federation): A sample of family-reared infants. Clinical Child Psychology and Psychiatry, 15 (3), 355–362. https://doi.org/10.1177/1359104510365453
  16. Pleteneva, М. V., Muhamedrahimov, R. Zh. (2013). Interaction between infants and parents in substitute families. Vestnik of Saint Petersburg University. Psychology. Sociology. Pedagogy, 3, 22–31. (In Russian)
  17. Rozga, A., Hesse, E., Main, M., Duschinsky, R., Beckwith, L., Sigman, M. (2017). A short-term longitudinal study of correlates and sequelae of attachment security in autism. Attachment & Human Development, 20 (2), 160–180. https://doi.org/10.1080/14616734.2017.1383489
  18. Rutgers, A. H., Van IJzendoorn, M. H., Bakermans-Kranenburg, M. J., Swinkels, S. H. N. (2007). Autism and attachment. Autism, 11 (2), 187–200. https://doi.org/10.1177/1362361307075713
  19. Ruble, L., McDuffie, A., King, A. S., Lorenz, D. (2008). Caregiver Responsiveness and Social Interaction Behaviors of Young Children with Autism. Topics in Early Childhood Special Education, 28 (3), 158–170. https://doi.org/10.1177/0271121408323009
  20. Siller, M., Sigman, M. (2008). Modeling longitudinal change in the language abilities of children with autism: Parent behaviors and child characteristics as predictors of change. Developmental Psychology, 44 (6), 1691–1704. https://doi.org/10.1037/a0013771
  21. St. Petersburg — USA Orphanage Research Team. The Effects of Early Social-Emotional and Relationship Experience on the Development of Young Orphanage Children. (2008) Monographs of the Society for Research in Child Development, 73 (3). https://doi.org/10.1111/j.15405834.2008.00483.x
  22. Stern, D. N. (1985). The interpersonal world of the infant. A view from psychoanalysis and developmental psychology. London, Basic Books. https://doi.org/10.4324/9780429482137
  23. Syrjänen, M., Hautamäki, A., Pleshkova, N., Maliniemi, S. (2019). Attachment and sensitivity among parents with ADHD — a multiple-case study. Emotional and Behavioural Difficulties, 24 (2), 156–166. https://doi.org/10.1080/13632752.2019.1602985
  24. Tokarskaya, L. V., Lavrova, M. A., Lazauskene, Z. S. (2017). The study of neuro-cognitive development and specifics of child-parent cooperation in case of genetic risk of autism and ADHD in the family. Pedagogicheskoe obrazovanie v Rossii, 11, 150–157. (In Russian)
  25. Vershinina, E. A., Safarova, G. L. (2019). On the use of mathematical statistics methods in clinical and experimental studies. Uspehi gerontologii, 32 (6), 1052–1062. (In Russian)

Information About the Authors

Natalia L. Pleshkova, PhD in Psychology, St. Petersburg State University, St.Petersburg, Russia, e-mail: fanciulla@yandex.ru

Oksana V. Tatarenko, PhD in Psychology, Center of Psychological Intervention for Children, North-Caucasus Federal University, Stavropol State Pedagogical Institute, Stavropol, Russia, e-mail: tat_oks@mail.ru

Denis V. Sevryugin, Psychologist, Stavropol Clinical Psychiatric Hospital no. 1, Stavropol, Russia, e-mail: sevryugin@bk.ru



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