Abstract Purpose This study investigates the relationship between maternal external shame and family functioning in families raising a child with autism spectrum disorder (ASD). The objective is to explore the association between parental feelings of shame, perceived inferiority, and the overall functioning of families raising children with ASD. Methods A cross-sectional study was conducted with 517 families across Greece. Parents completed validated questionnaires, including the External Shame Scale and subscales measuring family functioning (e.g., communication, problem-solving, personal goals). Statistical analyses included Pearson/Spearman correlations, as well as multivariate linear regressions, to identify predictive relationships. Results The findings revealed a significant negative association between maternal external shame and key aspects of family functioning, including problem solving, communication, and personal goals. Higher levels of external shame were linked to more dysfunctional family patterns, underscoring the emotional and relational burden experienced by mothers of children with ASD. Conclusion Parental external shame significantly impacts family functioning in ASD contexts. Drawing on family systems theory, these findings underscore the importance of holistic, family-centered interventions that promote parental mental health and resilience, supported by policies ensuring access to tailored mental health services.
Sousamli et al. (Sat,) studied this question.