{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T05:39:37Z","timestamp":1793597977447,"version":"4.5.0"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T00:00:00Z","timestamp":1672876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"\n Background<\/jats:title>\n Receiving a child's autism diagnosis can be stressful; as such, parent resolution contributes to the wellbeing and development of healthy parent-child relationships. In other significant childhood diagnoses (e.g., cerebral palsy, diabetes), the degree to which parents adjust to (a) their child's diagnosis and (b) their changes in expectations concerning their child's development and capacity (referred to as resolution to diagnosis), has been associated with improved outcomes including facilitating parent-child relationships and improved parental wellbeing. Given potential benefits to parent and child, and the heterogenous nature of autism, examining the unique factors associated with resolution to diagnosis is important. In this systematic review we identified factors that support or inhibit parental resolution to their child receiving a diagnosis of autism.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We completed a systematic review following PRISMA guidelines of peer-reviewed studies from 2017 to 2022, that investigated parental resolution or acceptance of an autism diagnosis. Papers including \u201cacceptance\u201d needed to encompass both accepting the diagnosis and the implications regarding the child's abilities. We searched six databases (Scopus, Web of Science, MEDLINE, PsycINFO, ProQuest), with additional papers located following review of reference lists.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Fourteen papers with 592 participants that investigated parental resolution or acceptance of an autism diagnosis, were included. We identified six common factors that facilitate or inhibit parental resolution and acceptance of an autism diagnosis including: symptom severity; religion, belief, and culture; knowledge and uncertainty; negative emotions (i.e., denial, shame, guilt); positive emotions; and support. Greater resolution was associated with improved \u201cattunement and insightfulness\u201d in the parent-child relationship.<\/jats:p>\n <\/jats:sec>\n \n Limitation<\/jats:title>\n The review was limited by the small number of studies meeting inclusion criteria. Second, the quality of included studies was mixed, with over half of the studies being qualitative and only one randomized control trial (RCT) identified.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Parental resolution can have an impact on parent's perception of their child's capabilities and impact the parent-child relationship. We identified six categories that aid in inhibiting or promoting resolution to diagnosis. Despite taking a broad approach on the definition of resolution, the low number of studies identified in the review indicates a need for more research in this area.<\/jats:p>\n <\/jats:sec>\n \n Systematic review registration<\/jats:title>\n \n http:\/\/www.crd.york.ac.uk\/PROSPERO\/<\/jats:ext-link>\n , PROSPERO [ID: CRD42022336283].\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpsyt.2022.1079371","type":"journal-article","created":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T11:51:40Z","timestamp":1672919500000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":33,"title":["Factors associated with parental resolution of a child's autism diagnosis: A systematic review"],"prefix":"10.3389","volume":"13","author":[{"given":"Vrinda V.","family":"Naicker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon M.","family":"Bury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"Hedley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,1,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"327271","DOI":"10.1155\/2014\/327271","article-title":"Defining autism: variability in state education agency definitions of and evaluations for autism spectrum disorders","volume":"2014","author":"Pennington","year":"2014","journal-title":"Autism Res Treat."},{"key":"B2","year":"2013","journal-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM-5"},{"key":"B3","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1007\/s10578-013-0400-z","article-title":"Parental reaction to early diagnosis of their children's autism spectrum disorder: an exploratory study","volume":"45","author":"Poslawsky","year":"2014","journal-title":"Child Psychiatry Hum Dev."},{"key":"B4","doi-asserted-by":"publisher","first-page":"3139","DOI":"10.1007\/s10803-017-3228-8","article-title":"Coherence of representations regarding the child, resolution of the child's diagnosis and emotional availability: a study of Arab-Israeli mothers of children with Asd","volume":"47","author":"Sher-Censor","year":"2017","journal-title":"J Autism Dev Disord."},{"key":"B5","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1007\/s10803-009-0837-x","article-title":"Resolution of the diagnosis among parents of children with autism spectrum disorder: associations with child and parent characteristics","volume":"40","author":"Milshtein","year":"2010","journal-title":"J Autism Dev Disord."},{"key":"B6","doi-asserted-by":"publisher","first-page":"580","DOI":"10.1080\/14616734.2022.2034899","article-title":"Parents' resolution of their child's diagnosis: a scoping review","volume":"24","author":"Sher-Censor","year":"2022","journal-title":"Attach Hum Dev."},{"key":"B7","author":"Bowlby","year":"1980","journal-title":"Attachment and Loss. 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