"Comparing Self-Compassion and Emotion Regulation in the Psychological Well-Being of Parents of Adolescents with Autism Spectrum Disorder and Parents of Adolescents with Typical Development: A Causal-Comparative Study"

Authors
Abstract
Autism spectrum disorder (ASD) significantly affects family dynamics and can impact parental mental health. The present study aimed to examine differences in self-compassion and emotion regulation between parents of adolescents with ASD and parents of typically developing adolescents to identify their effects on parental mental health.This research employed a causal-comparative design, with a purposive sample of 200 parents (100 parents from each group) selected from clinical centers in Tehran. Data were collected using the Self-Compassion Scale, the Toronto Alexithymia Scale, and the SCL-90 questionnaire to assess mental health. Data analysis was conducted using multivariate analysis of variance (MANOVA).The results indicated that parents of adolescents with ASD had significantly lower self-compassion and experienced greater emotion dysregulation compared to parents of typically developing adolescents. Furthermore, these parents exhibited higher levels of psychological distress, including anxiety, depression, and stress.The findings highlight the unique psychological challenges faced by parents of adolescents with ASD and emphasize the necessity of designing effective interventions to enhance self-compassion and emotion regulation. Strengthening these factors may contribute to improved parental mental health and help mitigate difficulties associated with raising children with ASD.
Keywords

Abbasi, M., Radfar, M., Jafarizadeh, H., & Khalkhali, H. (2025). Does life story work based on Erikson's theory enhance psychological well-being in elderly residents of nursing homes? A randomized controlled trial. Geriatric Nursing, 61, 140-148.
Anderson , AH., Stephenson, J., Carter, M., Carlon , S. A .(2019). Systematic Literature Review of Empirical Research on Postsecondary Students with Autism Spectrum Disorder. J Autism Dev Disord.;49(4):1531-1558.
Azizi, A., Mohammadkhani, P., Lotfi, S., & Bahramkhani, M. (2013). The validity and reliability of the Iranian version of the Self-Compassion Scale. Practice in Clinical Psychology, 1(3), 149-155.
Bian, J., Chen, F., Fang, S., & Wang, Y. (2025, January). Self-Compassion Intervention Programs for Nurses: A Scoping Review. In Healthcare (Vol. 13, No. 2, p. 177). MDPI.
Brewer, R., Murphy, J., & Bird, G. (2021). Atypical interoception as a common risk factor for psychopathology: A review. Neuroscience & Biobehavioral Reviews, 130, 470-508.
Cai, R. Y., & Samson, A. C. (2025). A non-systematic overview review of self-focused emotion regulation in autistic individuals through the lens of the extended process model. Autism, 13623613241302533.
Dollion, N., Babka, J. R., Pollock, K. E., Stilley, J. A., Grandgeorge, M., & Carlisle, G. (2025, January). Psychosocial Well-Being in Families of Autistic Children and Effect of Service Dogs: An Exploratory Study. In Pets (Vol. 2,No. 1, p. 5).
Feigenbaum, R .(2017). editor ADHD and Theory of Mind in School-Age Children: Exploring the Cognitive Nature of Social Interactions in Children with ADHD.
Gerges, P., Bitar, T., Hawat, M .(2020). Alameddine A, Soufia M, Andres CR, et al. Risk and Protective Factors in Autism Spectrum Disorders: A Case Control Study in the Lebanese Population. Int J Environ Res Public Health.;17(17), 20-39.
Goodwin, J., Rob, P., Freeston, M., Garland, D., Grahame, V., Kernohan A .(2022). Caregiver perspectives on the impact of uncertainty on the everyday lives of autistic children and their families. Autism.;26(4):827-838.
Guterman, O., Neuman , A. (2017). The Role of Family and Parental Characteristics in the Scope of Social Encounters of Children in Homeschooling. Journal of Child and Family Studies.;26(10):2782-2789.
Kishimoto, T., Hao, X., Chang, T., & Luo, Z. (2025). Single online self-compassion writing intervention reduces anxiety: With the feedback of ChatGPT. Internet Interventions, 39, 100810.
Larkin , F., Ralston, B., Dinsdale ,SJ ., Kimura , S., Hayiou-Thomas, ME. (2023). Alexithymia and intolerance of uncertainty predict somatic symptoms in autistic and non-autistic adults. Autism.;27(3):602-615.
Liang, K., Lai , Lam, KK., Huang , L., Lin, X., Wang , Z., Liu, H, .(2025). Self-compassion, mental health, and parenting: Comparing parents of autistic and non-autistic children. Autism.;29(1):53-63.
Liang, K., Lai Lam, K. K., Huang, L., Lin, X., Wang, Z., Liu, H., & Chi, P. (2025). Self-compassion, mental health, and parenting: Comparing parents of autistic and non-autistic children. Autism, 29(1), 53-63.
Liu, X., Li, J., & Chen, X. (2025). Does compassion for oneself extend to prosocial behavior for others? Examining the relationship between self-compassion and prosocial behavior using multilevel meta-analysis. Personality and Individual Differences, 237, 113047.
Manoosi, M., Rezaei, B., Jenabi, E., Soltanian, A. R., & Rezaei, M. (2024). The Persian Version of the Emotion Regulation and Social Skills Questionnaire: Psychometric Properties for Young People with Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 1-13.
Neff, KD .(2003) The Development and Validation of a Scale to Measure Self-Compassion. Self and Identity;2(3):223-250.
Neuenschwander, R., von Gunten, FO. (2024). Self-compassion in children and adolescents: a systematic review of empirical studies through a developmental lens. Current Psychology.
Raes , F., Pommier , E., Neff, KD., Van Gucht, D .(2011). Construction and factorial validation of a short form of the Self-Compassion Scale. Clin Psychol Psychother.;18(3):250-25.
Restoy, D., Oriol-Escudé, M., Alonzo-Castillo, T., Magán-Maganto, M., Canal-Bedia, R., Díez-Villoria, E., ... & Lugo-Marín, J. (2024). Emotion regulation and emotion dysregulation in children and adolescents with Autism Spectrum Disorder: A meta-analysis of evaluation and intervention studies. Clinical Psychology Review, 102410.
Rieffe, C., Oosterveld, P. Terwogt , MM .(2006). An alexithymia questionnaire for children: Factorial and concurrent validation results. Personality and Individual Differences.;40(1):123-133.
Sánchez Amate, J. J., & Luque de la Rosa, A. (2025). Transformation of the Mental Health of the Autism Spectrum Community: Contemporary Challenges in the Post-Pandemic Era. Brain Sciences, 15(2), 178.
Seely, H. D., & Mickelson, K. D. (2025). Why regulate? Understanding the role of perceived parental emotion regulation in offspring emotional development. Family Relations.
Seyed Mousavi, P. S., Vahidi, E., Ghanbari, S., Khoshroo, S., & Sakkaki, S. Z. (2021). Reflective Functioning Questionnaire (RFQ): Psychometric properties of the Persian translation and exploration of its mediating role in the relationship between attachment to parents and internalizing and externalizing problems in adolescents. Journal of Infant, Child, and Adolescent Psychotherapy, 20(3), 313-330.
Wang, X., Li, C. Z., Sun, Z., & Xu, Y. (2025). Design and Analysis of a Closed-Loop Emotion Regulation System Based on Multimodal Affective Computing and Emotional Markov Chain. IEEE Transactions on Systems, Man, and Cybernetics: Systems.
Yuan, W., Chang, J., Jiang, F., & Jiang, T. (2025). Be kinder to yourself: Awe promotes self-compassion via self-transcendence. Emotion.
Zhang, A., & Xiao, H. (2025). Psychological well-being in tourism live streaming: a grounded theory. Journal of Hospitality & Tourism Research, 49(1), 84-98.