There is limited recent research on the association between parenting practices and externalizing behaviors in autistic children. To address this gap, the current systematic review examined the associations between parenting practices and externalizing behaviors in autistic children, along with the mediating and moderating effects of parent and child variables (PROSPERO registration number CRD42022268667). Study inclusion criteria were (1) Peer-reviewed journals, (2) Participants included parents of autistic children and their children, (3) Quantitative measures of both parenting practices or behaviors/style and child externalizing behaviors, (4) Cross-sectional or longitudinal studies only, and (5) Studies published in English. Study exclusion criteria were: (1) Qualitative studies, (2) Published in a language other than English, (3) Participants included non-human participants, (4) Participants that did not include parents and their autistic children as participants or did not report this group separately, (5) Systematic review and meta-analyses, and (6) No quantitative measures of parenting practices and/or child externalizing behaviors. Quality appraisal and risk of bias were conducted using the McMaster Tool and results were synthesized in Covidence and Excel. Thirty studies were included in the review. Results demonstrated that mindful parenting was associated with fewer or lower levels of externalizing behaviors; positive parenting practices had non-significant associations with externalizing behaviors; specific parenting practices had differing associations with externalizing behaviors; and negative parenting practices were associated with higher levels of externalizing behaviors. We are unable to draw causal relationships due to focus on cross-sectional and longitudinal articles only. The potential for future research to target specific parent practices to support children’s externalizing behaviors is discussed.

最近关于养育方式与自闭症儿童外化行为之间关系的研究有限。为了解决这一差距，当前的系统评价研究了自闭症儿童的养育方式与外化行为之间的关联，以及父母和孩子变量的中介和调节作用（PROSPERO 注册号 CRD42022268667）。研究纳入标准为（1）同行评审期刊，（2）参与者包括自闭症儿童的父母及其孩子，（3）养育方式或行为/风格以及儿童外化行为的定量测量，（4）横截面或仅纵向研究，以及 (5) 以英文发表的研究。研究排除标准为：(1) 定性研究，(2) 以英语以外的语言发表，(3) 参与者包括非人类参与者，(4) 不包括父母及其自闭症儿童或不包括父母及其自闭症儿童的参与者单独报告该群体，（5​​）系统回顾和荟萃分析，以及（6）没有对养育做法和/或儿童外化行为进行定量测量。使用麦克马斯特工具进行质量评估和偏倚风险，并在 Covidence 和 Excel 中综合结果。审查中纳入了三十项研究。结果表明，正念养育与较少或较低水平的外化行为有关。积极的养育方式与外化行为没有显着关联；具体的养育方式与外化行为有不同的关联；消极的养育方式与较高水平的外化行为有关。 由于仅关注横截面和纵向文章，我们无法得出因果关系。讨论了未来研究针对特定父母实践以支持儿童外化行为的可能性。