Does Online Counseling Reduce Anxiety in Parents of Children with Autism Spectrum Disorders During Coronavirus Disease 2019 Pandemic?




Anxiety, Autism spectrum disorder, Coronavirus disease 2019, Online counseling


BACKGROUND: Coronavirus disease 2019 (COVID-19) pandemic has made governments in a number of countries to issue and implement a regulation of social and physical restriction. It leaves a serious impact, one of which is anxiety experienced by parents of children with autism spectrum disorder (ASD) as the only access to therapy and education for their children has to be done online.

AIM: The purpose of this study was to determine the optimization of online counseling on the anxiety in parents of children with ASD during COVID-19 pandemic.

MATERIALS AND METHODS: The design of this study used pre-test-post-test design without control. The sampling technique used purposive sampling with 46 respondents. The instrument used online counseling design and Generalized Anxiety Disorders-7 which has been tested for validity and reliability. This study used marginal homogeneity test.

RESULTS: The result showed that the majority of respondents’ anxiety before and after online counseling had severe and minimal anxiety (16 respondents, 34.8% and 15 respondents, 32.6%, respectively) with p = 0.012.

CONCLUSIONS: There was an effect of online counseling on anxiety in parents of children with ASD during COVID-19 pandemic. This can serve as a recommendation in providing online counseling to reduce anxiety in parents of children with ASD during COVID-19 pandemic.


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Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52(1):102066. PMid:32302935

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Res. 2020;288:112954. PMid:32325383

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729. PMid:32155789

Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74(4):281-2. PMid:32034840

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet. 2020;395:912-20. PMid:32112714

Catalano D, Holloway L, Mpofu E. Mental health interventions for parent carers of children with autistic spectrum disorder: Practice guidelines from a critical interpretive synthesis (CIS) systematic review. Int J Environ Res Public Health. 2018;15(2):341. PMid:29443933

Kemenpppa. Hari Peduli Autisme Sedunia: Kenali Gejalanya, Pahami Keadaannya. Jakarta: Kemenpppa; 2018.

Burstein M, Ginsburg GS, Tein J-Y. Parental anxiety and child symptomatology: An examination of additive and interactive effects of parent psychopathology. J Abnorm Child Psychol. 2010;38(7):897-909. PMid:20432062

Teetsel RN, Ginsburg GS, Drake KL. Anxiety promoting parenting behaviors: A comparison of anxious mothers and fathers. Child Psychiatry Hum Dev. 2014;45(2):133-42. PMid:23677528

Torous J, Myrick KJ, Rauseo-Ricupero N, Firth J. Digital mental health and COVID-19: Using technology today to accelerate the curve on access and quality tomorrow. J Med Internet Res Ment Health. 2020;7(3):e18848. PMid:32213476

Wong KP, Bonn G, Tam CL, Wong CP. Preferences for online and/or face-to-face counseling among university students in Malaysia. Front Psychol. 2018;9:64. fpsyg.2018.00064 PMid:29445352

Portnoy J, Waller M, Elliott T. Telemedicine in the era of COVID- 19. J Allergy Clin Immunol Pract. 2020;8(5):1489-91. PMid:32220575

Adams EL, Smith D, Caccavale LJ, Bean MK. Parents are stressed! Patterns of parent stress across COVID-19. Front Psychiatry. 2021;12:626456. fpsyt.2021.626456 PMid:33897489

Iida N, Wada Y, Yamashita T, Aoyama M, Hirai K, Narumoto J. Effectiveness of parent training in improving stress-coping capability, anxiety, and depression in mothers raising children with autism spectrum disorder. Neuropsychiatr Dis Treat. 2018;14:3355-62. PMid:30573959

Estes A, Vismara L, Mercado C, Fitzpatrick A, Elder L, Greenson J, et al. The impact of parent-delivered intervention on parents of very young children with autism. J Autism Dev Disord. 2014;44(2):353-65. PMid:23838727

Verschuur R, Huskens B, Didden R. Effectiveness of parent education in pivotal response treatment on pivotal and collateral responses. J Autism Dev Disord. 2019;49(9):3477-93. PMid:31127486

Patra S, Arun P, Chavan BS. Impact of psychoeducation intervention module on parents of children with autism spectrum disorders: A preliminary study. J Neurosci Rural Pract. 2015;6(4):529-35. PMid:26752898

Bearss K, Burrell TL, Stewart LM, Scahill L. Parent training in autism spectrum disorder: What’s in a name? Clin Child Fam Psychol Rev. 2015;18(2):170-82. PMid:25722072

Wu M, Xu W, Yao Y, Zhang L, Guo L, Fan J, et al. Mental health status of students’ parents during COVID-19 pandemic and its influence factors. Gen Psychiatr. 2020;33(4):e100250. PMid:34192232

Zhou X, Snoswell CL, Harding LE, Bambling M, Edirippulige S, Bai X, et al. The role of telehealth in reducing the mental health burden from COVID-19. Telemed J E Health. 2020;26(4):377-9. PMid:32202977

Brown SM, Doom JR, Lechuga-Peña S, Watamura SE, Koppels T. Stress and parenting during the global COVID-19 pandemic. Child Abuse Negl. 2020;110:104699. PMid:32859394

Padden C, James JE. Stress among parents of children with and without autism spectrum disorder: A comparison involving physiological indicators and parent self-reports. J Dev Phys Disabil. 2017;29(4):567-86. PMid:28747813

Estes A, Swain DM, MacDuffie KE. The effects of early autism intervention on parents and family adaptive functioning. Pediatr Med. 2019;2:21. PMid:31583390




How to Cite

Lestari NE, Anindya I. Does Online Counseling Reduce Anxiety in Parents of Children with Autism Spectrum Disorders During Coronavirus Disease 2019 Pandemic?. Open Access Maced J Med Sci [Internet]. 2021 Sep. 9 [cited 2021 Oct. 19];9(G):66-70. Available from:



Nursing in Internal Medicine