Restricted accessResearch articleFirst published online 2025
Contribution of Psychological Flexibility and Parental Reflective Functioning to Parental Self-Efficacy of Parents of Children With ASD in Routine and War Times
This study examined differences in parental self-efficacy (PSE), psychological flexibility, and parental reflective functioning (PRF) in two independent samples of parents of children with autism spectrum disorder (ASD) assessed during routine conditions and wartime and explored whether time moderated associations among these variables. Parents of children with ASD face increased challenges during disruptions, and PSE, psychological flexibility, and PRF are resources that may support coping and parenting. A total of 140 parents participated (86 routine and 54 wartime), completing validated measures of the three constructs. Compared with the routine sample, the wartime sample reported higher PRF and PSE, with no significant difference in psychological flexibility. PRF was positively associated with PSE in both samples, whereas psychological flexibility correlated with PSE only in the routine sample. Time significantly moderated the association between psychological flexibility and PSE, present in the routine sample but absent in the wartime sample, and moderated the link between PRF certainty and PSE, which was stronger during wartime. Given the cross-sectional, independent-samples design, these findings should be interpreted cautiously; differences may reflect contextual and unmeasured sample characteristics. Nonetheless, the results highlight PRF as a potential target for interventions aimed at supporting parents of children with ASD during emergencies.
AlhuzimiT. (2021). Stress and emotional wellbeing of parents due to change in routine for children with autism spectrum disorder (ASD) at home during COVID-19 pandemic in Saudi Arabia. Research in Developmental Disabilities, 108, 103822. https://doi.org/10.1016/j.ridd.2020.103822
2.
American Psychological Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://www.appi.org/dsm-5-tr
3.
AsburyK.FoxL.DenizE.CodeA.ToseebU. (2021). How is COVID-19 affecting the mental health of children with special educational needs and disabilities and their families. Journal of Autism and Developmental Disorders, 51(5), 1772–1780. https://doi.org/10.1007/s10803-020-04577-2
4.
BrassellA. A.RosenbergE.ParentJ.RoughJ. N.FondacaroK.SeehuusM. (2016). Parent’s psychological flexibility: Associations with parenting and child psychosocial well-being. Journal of Contextual Behavioral Science, 5(2), 111–120. https://doi.org/10.1016/j.jcbs.2016.03.001
5.
DaksJ. S.PeltzJ. S.RoggeR. D. (2020). Psychological flexibility and inflexibility as sources of resiliency and risk during a pandemic: Modeling the cascade of COVID-19 stress on family systems with a contextual behavioral science lens. Journal of Contextual Behavioral Science, 18, 16–27. https://doi.org/10.1016/j.jcbs.2020.08.003
6.
EltanamlyH.LeijtenP.JakS.OverbeekG. (2021). Parenting in times of war: A meta-analysis and qualitative synthesis of war exposure, parenting, and child adjustment. Trauma, Violence, & Abuse, 22(1), 147–160. https://doi.org/10.1177/1524838019833001
7.
EnavY.Erhard-WeissD.GoldenbergA.KnudstonM.HardanA. Y.GrossJ. J. (2020). Contextual determinants of parental reflective functioning: Children with autism versus their typically developing siblings. Autism, 24(6), 1578–1582. https://doi.org/10.1177/1362361320908096
8.
Fogel-BijaouiS.BakarS. (2003). Romantic utopia, family, and social change: Attitudes of Jewish and Arab male and female students who prepare themselves for teaching professions in relation to the family institution. Research and Evaluation Unit (Heb).
9.
FonagyP.GergelyG.JuristE. L.TargetM. (2006). Affect regulation, mentalization, and the development of the self. Routledge.
10.
FrantzR.HansenS. G.MachalicekW. (2018). Interventions to promote well-being in parents of children with autism: A systematic review. Review Journal of Autism and Developmental Disorders, 5, 58–77. https://doi.org/10.1007/s40489-017-0123-3
11.
GlosterA. T.BlockV. J.KlotscheJ.VillanuevaJ.RinnerM. T. B.BenoyC.WalterM.KareklaM.BaderK. (2021). Psy-Flex: A contextually sensitive measure of psychological flexibility. Journal of Contextual Behavioral Science, 22, 13–23. https://doi.org/10.1016/j.jcbs.2021.09.001
12.
GreenbergJ.PyszczynskiT.SolomonS. (1986). The causes and consequences of a need for self-esteem: A terror management theory. In BaumeisterR. F. (Ed.), Public self and private self (pp. 189–212). Springer. https://doi.org/10.1007/978-1-4613-9564-5_10
13.
GurA.HindiT.-N.MashiachS.RothD.KerenM. (2023). Parental reflective functioning and coping among parents of toddlers with severe developmental disabilities: An early integrative bio-psycho-social rehabilitative intervention in daycare facilities. Research in Developmental Disabilities, 139, 104555. https://doi.org/10.1016/j.ridd.2023.104555
14.
GurA.MouadebD.ReichA.AtarL. (2024). Translation and psychometric evaluation of the Hebrew version of Psy-Flex to assess psychological flexibility. Journal of Behavioral and Cognitive Therapy, 34(1), 100483. https://doi.org/10.1016/j.jbct.2023.100483
15.
GurA.ReichA. (2023). Psychological flexibility of parents of children with disabilities: A systematic literature review. Research in Developmental Disabilities, 136, 104490. https://doi.org/10.1016/j.ridd.2023.104490
16.
HayesA. F. (2018). Partial, conditional, and moderated mediation: Quantification, inference, and interpretation. Communication Monographs, 85(1), 4–40. https://doi.org/10.1080/03637751.2017.1352100
17.
HayesS. (2019). A liberated mind: The essential guide to ACT. Random House.
18.
JohnstonC.MashE. J. (1989). A measure of parenting satisfaction and efficacy. Journal of Clinical Child Psychology, 18(2), 167–175. https://doi.org/10.1207/s15374424jccp1802_8
19.
JonesT. L.PrinzR. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical Psychology Review, 25, 341–363. https://doi.org/10.1016/j.cpr.2004.12.004
20.
LuytenP.MayesL. C.NijssensL.FonagyP. (2017). The parental reflective functioning questionnaire: Development and preliminary validation. PLOS ONE, 12(5), e0176218. https://doi.org/10.1371/journal.pone.0176218
21.
Moreno MéndezJ. H.Giraldo JiménezC. S.Avendaño PrietoB. L. (2020). Psychological inflexibility and adherence to the therapy among parents of autistic children. Avances En PsicologÍa Latinoamericana, 38(2), 1–13. https://doi.org./10.12804/revistas.urosario.edu.co/apl/a.7904
22.
Pagorek-EshelS.DekelR. (2015). Parental self-efficacy and paternal involvement in the context of political violence. Clinical Social Work Journal, 43, 388–397. https://doi.org/0.1007/s10615-015-0516-7
23.
RosenthalE.KuryloH.MilovanovicD. C.AhernL.RodriguezP. (2022). Protection and safety of children with disabilities in the residential institutions of war-torn Ukraine. The International Journal of Disability and Social Justice, 2(2), 15–22. https://doi.org/10.13169/intljofdissocjus.2.2.0015
24.
RutherfordH. J. V.BoothC. R.LuytenP.BridgettD. J.MayesL. C. (2015). Investigating the association between parental reflective functioning and distress tolerance in motherhood. Infant Behavior and Development, 40, 54–63. https://doi.org/https://doi.org/10.1016/j.infbeh.2015.04.005
25.
ShpigelmanC. N.GelkopfM. (2017). The experiences and needs of individuals with disabilities exposed to chronic political violence. Disability and Rehabilitation, 39(1), 23–35.
TürkoğluS.UçarH. N.ÇetinF. H.GülerH. A.TezcanM. E. (2021). The relationship between irritability and autism symptoms in children with ASD in COVID-19 home confinement period. International Journal of Clinical Practice, 75(11), e14742. https://doi.org/10.1111/ijcp.14742
28.
WernerS.HochmanY.HollerR.ShpigelmanC.-N. (2022). Burden and growth during COVID-19: Comparing parents of children with and without disabilities. Journal of Child and Family Studies, 31, 1535–1546. https://doi.org/10.1007/s10826-022-02282-5
29.
WhiteL. C.LawJ. K.DanielsA. M.ToroneyJ.VernoiaB.XiaoS.FelicianoP.ChungW. K. (2021). Brief report: Impact of COVID-19 on individuals with ASD and their caregivers: A perspective from the SPARK cohort. Journal of Autism and Developmental Disorders, 51(10), 3766–3773. https://doi.org/10.1007/s10803-020-04816-6
30.
YılmazB.AzakM.ŞahinN. (2021). Mental health of parents of children with autism spectrum disorder during COVID-19 pandemic: A systematic review. World Journal of Psychiatry, 11(7), 388–402. https://doi.org/10.5498/wjp.v11.i7.388
31.
YorkeI.WhiteP.WestonA.RaflaM.CharmanT.SimonoffE. (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, 48(10), 3393–3415. https://doi.org/10.1007/s10803-018-3605-y
