This study examined the association between parental efficacy and well-being among Chinese parents of children with autism spectrum disorder (ASD), exploring the potential mediating and moderating mechanisms underlying this relationship. Participants included 386 parents (72% mothers; 26.94 ± 2.30 years) with ASD in the study. Data were collected using the parenting sense of competence scale, the oxford happiness questionnaire, the perceived social support scale, and the strengths and difficulties questionnaire (parent edition). Analyses revealed significant positive correlations between parental efficacy, social support, and well-being, whereas children's externalizing problem behaviors exhibited a negative association with well-being. Mediation analysis indicated that social support partially explained the positive prediction of parental efficacy on well-being. Children's externalizing problem behaviors moderated the relationship between social support and well-being. This study delineates the psychological mechanisms connecting parental self-efficacy to well-being in ASD caregivers, providing a theoretical foundation for interventions to enhance family adaptation and quality of life.

1. Abtahi, Z., Potocky, M., Eizadyar, Z., Burke, S. L., & Fava, N. M. (2023). Digital interventions for the mental health and well-being of international migrants: A systematic review. Research on Social Work Practice, 33(5), 518-529. https://doi.org/10.1177/10497315221118854

2. Aguirre-Urreta, M. I., & Hu, J. (2019). Detecting common method bias. ACM SIGMIS Database: The DATABASE for Advances in Information Systems, 50(2), 45-70. https://doi.org/10.1145/3330472.3330477

3. Albanese, A. M., Russo, G. R., & Geller, P. A. (2019). The role of parental self-efficacy in parent and child well-being: A systematic review of associated outcomes. Child Care Health and Development, 45(3), 333-363.https://doi.org/10.1111/cch.12661

4. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Association Publishing.

5. Ban, Y., Sun, J., & Liu, J. (2021). Social support and subjective well-being in Chinese parents of children with autism spectrum disorder: The mediating role of perceived discrimination. Frontiers in Psychology, 12, 781794. https://doi.org/10.3389/fpsyg.2021.781794

6. Bandura, A., Caprara, G. V., Barbaranelli, C., Gerbino, M., & Pastorelli, C. (2003). Role of affective self-regulatory efficacy in diverse spheres of psychosocial functioning. Child Development, 74(3), 769-782. https://doi.org/10.1111/1467-8624.00567

7. Botha, E., Helminen, M., Kaunonen, M., Lubbe, W., & Joronen, K. (2020). Mothers' parenting self-efficacy, satisfaction and perceptions of their infants during the first days postpartum. Midwifery, 88, 102760. https://doi.org/10.1016/j.midw.2020.102760

8. Caprara, G. V., Eisenberg, N., & Alessandri, G. (2017). Positivity: The dispositional basis of happiness. Journal of Happiness Studies, 18(2), 353-371. https://doi.org/10.1007/s10902-016-9728-y

9. Cattelino, E., Testa, S., Calandri, E., Fedi, A., Gattino, S., Graziano, F., Rollero, C., & Begotti, T. (2021). Self-efficacy, subjective well-being and positive coping in adolescents with regard to Covid-19 lockdown. Current Psychology, 42, 17304-17315. https://doi.org/10.1007/s12144-021-01965-4

10. Chang, Y. H., Yang, C. T., & Hsieh, S. (2023). Social support enhances the mediating effect of psychological resilience on the relationship between life satisfaction and depressive symptom severity. Scientific Reports, 13(1), 4818. https://doi.org/10.1038/s41598-023-31863-7

11. Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676-684. https://doi.org/10.1037/0003-066x.59.8.676

12. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.

13. Feng, Y., Zhou, X., Qin, X., Cai, G., Lin, Y., Pang, Y., Chen, B., Deng, T., & Zhang, L. (2022). Parental self-efficacy and family quality of life in parents of children with autism spectrum disorder in China: The possible mediating role of social support. Journal of Pediatric Nursing, 63, 159-167. https://doi.org/10.1016/j.pedn.2021.10.014

14. Garrido, D., Petrova, D., Cokely, E., Carballo, G., & Garcia-Retamero, R. (2021). Parental risk literacy is related to quality of life in Spanish families of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 51(7), 2475-2484. https://doi.org/10.1007/s10803-020-04733-8

15. Gibaud-Wallston, J., & Wandersman, L. P. (1978). Development and utility of the parenting sense of competence scale. Paper Presented at the Meeting of the American Psychological Association.

16. Goodman, A., Lamping, D. L., & Ploubidis, G. B. (2010). When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the strengths and difficulties questionnaire (SDQ): Data from British parents, teachers and children. Journal of Abnormal Child Psychology, 38(8), 1179-1191. https://doi.org/10.1007/s10802-010-9434-x

17. Guo, C., Zhao, Y., & Zheng, X. (2020). [From rare diseases to high prevalence: Analysis and review of autism]. Disability research, (2), 60-65.

18. Guo, H., Zhu, W., Zhu, Q., Zhu, M., Zuo, P., & Lin, D. (2014). [Parent-child communication and perceived well-being: The mediating effects of basic psychological needs satisfaction among rural children in China]. Psychological development and education, 30(2), 129-136.

19. Hayes, A. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approcch (second edition). Guilford Press.

20. Higgins, L., Mannion, A., Chen, J. L., & Leader, G. (2023). Adaptation of parents raising a child with ASD: The role of positive perceptions, coping, self-efficacy, and social support. Journal of Autism and Developmental Disorders, 53(3), 1224-1242. https://doi.org/10.1007/s10803-022-05537-8

21. Hills, P., & Argyle, M. (2002). The oxford happiness questionnaire: A compact scale for the measurement of psychological well-being. Personality and Individual Differences, 33(7), 1073-1082. https://doi.org/10.1016/S0191-8869(01)00213-6

22. Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. The American Psychologist, 44(3), 513-524. https://doi.org/10.1037//0003-066x.44.3.513

23. Holley, C. E., & Haycraft, E. (2022). Mothers' perceptions of self-efficacy and satisfaction with parenting are related to their use of controlling and positive food parenting practices. Maternal & Child Nutrition, 18(1), e13272. https://doi.org/10.1111/mcn.13272

24. House, J. S., Landis, K. R., & Umberson, D. (1988). Social relationships and health. Science, 241(4865), 540-545. https://doi.org/10.1126/science.3399889

25. Kan, K., Fierstein, J., Boon, K., Kanaley, M., Zavos, P., Volerman, A., Vojta, D., & Gupta, R. S. (2021). Parental quality of life and self-efficacy in pediatric asthma. Journal of Asthma, 58(6), 742-749. https://doi.org/10.1080/02770903.2020.1731825

26. Kim, S. A., Baczewski, L., Pizzano, M., Kasari, C., & Sturm, A. (2023). Discrimination and harassment experiences of autistic college students and their neurotypical peers: Risk and protective factors. Journal of Autism and Developmental Disorders, 53(12), 4521-4534. https://doi.org/10.1007/s10803-022-05729-2

27. Kong, F., Zhao, J., & You, X. (2012). Social support mediates the impact of emotional intelligence on mental distress and life satisfaction in Chinese young adults. Personality and Individual Differences, 53(4), 513-517. https://doi.org/10.1016/j.paid.2012.04.021

28. Lu, M., Wang, R., & Zhang, L. (2023). [Relationship between parents' resilience and emotional/behavioral problems in children with ASD: A moderated mediation model]. Psychological Development and Education, 39(2), 247-254.

29. Lu, Y., Wu, W., & Zhao, S. (2023). How does parental emotion regulation influence Chinese migrant children's resilience? The chain mediating role of self-efficacy and hope. Current Psychology, 43, 5117-5127. https://doi.org/10.1007/s12144-023-04454-y

30. McDaniel, B. T., & Radesky, J. S. (2020). Longitudinal associations between early childhood externalizing behavior, parenting stress, and child media use. Cyberpsychology, Behavior and Social Networking, 23(6), 384-391. https://doi.org/10.1089/cyber.2019.0478

31. Minuchin, P. (1985). Families and individual development: Provocations from the field of family therapy. Child Development, 56(2), 289-302.

32. Olson, L., Chen, B., Ibarra, C., Wang, T., Mash, L., Linke, A., Kinnear, M., & Fishman, I. (2022). Externalizing behaviors are associated with increased parenting stress in caregivers of young children with autism. Journal of Autism and Developmental Disorders, 52(3), 975-986. https://doi.org/10.1007/s10803-021-04995-w

33. Peng, Y., Liu, Q., & Zhou, S. (2012). [Factorial structure of parenting sense of competence scale in Chinese parents]. Chinese Journal of Clinical Psychology, 20(2),162-164, 210

34. Portnoy, J., Bedoya, A., & Wong, K. K. (2022). Child externalising and internalising behaviour and parental wellbeing during the Covid-19 pandemic. UCL Open. Environment, 4, e040. https://doi.org/10.14324/111.444/ucloe.000040

35. Reitz, E., Deković, M., & Meijer, A. M. (2006). Relations between parenting and externalizing and internalizing problem behaviour in early adolescence: Child behaviour as moderator and predictor. Journal of Adolescence, 29(3), 419-436. https://doi.org/10.1016/j.adolescence.2005.08.003

36. Salo, A. E., Junttila, N., & Vauras, M. (2022). Parental self-efficacy and intra- and extra-familial relationships. Journal of Child and Family Studies, 31(10), 2714-2729. https://doi.org/10.1007/s10826-022-02380-4

37. Salvador, Á., Crespo, C., & Barros, L. (2019). The benefits of family-centered care for parental self-efficacy and psychological well-being in parents of children with cancer. Journal of Child and Family Studies, 28(7), 1926-1936. https://doi.org/10.1007/s10826-019-01418-4

38. Sarwar, F., Panatik, S. A., Jameel, H. T., Wan Mohd Yunus, W. M. A., & Muhamad, S. N. (2022). Psychological capital, social support and wellbeing in mothers of children with autism spectrum disorder. Sage Open, 12(3), 21582440221121773. https://doi.org/10.1177/21582440221121773

39. Schlebusch, L., Dada, S., & Samuels, A. E. (2017). Family quality of life of South African families raising children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47(7), 1966-1977. https://doi.org/10.1007/s10803-017-3102-8

40. Shoaib, A., Cepeda, M. S., Murray, G., & Ochs-Ross, R. (2022). Autism: Comorbidities and treatment patterns in the real world, a retrospective cohort study among children, adolescents and adults newly diagnosed with autism. Journal of Autism and Developmental Disorders, 52(10), 4311-4320. https://doi.org/10.1007/s10803-021-05289-x

41. Siu, Q. K. Y., Yi, H., Chan, R. C. H., Chio, F. H. N., Chan, D. F. Y., & Mak, W. W. S. (2019). The role of child problem behaviors in autism spectrum symptoms and parenting stress: A primary school-based study. Journal of Autism and Developmental Disorders, 49(3), 857-870. https://doi.org/10.1007/s10803-018-3791-7

42. Sun, S., & Ruan, H. (2022). [Maternal negative emotions and problem behavior of children with intellectual disabilities: One-year-long longitudinal study]. Journal of Bio-education, 10(3), 218-223.

43. Tognasso, G., Gorla, L., Ambrosini, C., Figurella, F., De Carli, P., Parolin, L., Sarracino, D., & Santona, A. (2022). Parenting stress, maternal self-efficacy and confidence in caretaking in a sample of mothers with newborns (0-1 month). International Journal of Environmental Research and Public Health, 19(15), 9651. https://doi.org/10.3390/ijerph19159651

44. Wang, X., Wang, J., Xie, H., & Sun, P. (2020). [Self-efficacy, social support and subjective well-being in mothers of children with autism spectrum disorder]. Psychology: Techniques and Applications, 8(6), 353-358, 365.

45. Wu, J., Fu, H., & Zhang, Y. (2023). [A meta-analysis of the relationship between perceived social support and student academic achievement: The mediating role of student engagement]. Advances in Psychological Science, 31(4), 552-569.

46. Yorke, I., White, P., Weston, A., Rafla, M., Charman, T., & Simonoff, E. (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

47. Zeidner, M., & Matthews, G. (2016). Ability emotional intelligence and mental health: Social support as a mediator. Personality and Individual Differences, 99, 196-199. https://doi.org/10.1016/j.paid.2016.05.008

48. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2