Parenting Stress Index Scores Research Articles

Effects of respite care for children with developmental disabilities: evaluation of an intervention for at risk families.

Respite child care programs that provide temporary child care, support, and referral services to families of children with developmental disabilities are thought to be a critical component of formal social support interventions deemed necessary to promote healthy family functioning and prevent child maltreatment. This study describes sociodemographic characteristics, parenting stress levels, foster care placement, and founded child maltreatment rates in families of children with developmental disabilities who were using respite care services in a rural Midwestern state. Comparison of matched pre- and post-test Parenting Stress Index scores indicated significant decreases in Total Stress scores (t=3.27, df=86, p=0.0016), Parent Domain scores (t=3.55, df=86, p=0.0006), and Child Domain scores (t=2.2, df=86, p=0.02) following provision of respite care. Through logistic regression, it was determined that life stress, social support, and service level were significantly related to the occurrence of child maltreatment during enrollment ( p < 0.05). The investigator suggests that public health nurses can enhance their case management strategies when working with the parents of children with developmental disabilities by monitoring for caregiver burnout in addition to ensuring that the child is receiving care appropriate for his or her level of need.

Behavioural problems in children and parenting stress associated with primary nocturnal enuresis in Hong Kong

The aim of this study was to investigate the behavioural problems and parenting stress of enuretic children in the local Chinese community. The study recruited 89 children with primary nocturnal enuresis (PNE) from the paediatric clinics of 9 regional hospitals in Hong Kong, and 131 age‐ and gender‐matched control children without PNE from the Student Health Centres. After adequate instruction, the parents completed the Child Behaviour Checklist (CBCL) and Parenting Stress Index (PSI). A trained interviewer interviewed the parents and children and rated the children on the Global Assessment of Functioning (GAF). The PNE group had worse overall scores in both the Problem and Competence scales of CBCL; in particular, they had more attention problems and aggressive behaviours, and lower social competence and school performance than the control group. Their parents demonstrated more parenting stress as shown by higher PSI scores. Conclusion: In the local Chinese population, PNE was associated with more childhood behavioural problems and greater parenting stress. Attention to the psychosocial functioning of the child and parents may be important in the management of enuresis.

Predictors of neurodevelopmental outcome of Malaysian very low birthweight children at 4 years of age.

To determine neonatal, early developmental and social risk factors that predict the neurocognitive and behavioural outcome of very low birthweight (VLBW) preschool children at four years of age. From a cohort of 151 eligible VLBW survivors born in Kuala Lumpur Maternity Hospital, 116 (76.8%) were prospectively followed up from birth till four years. A standardised neurological examination was performed at one and four years to determine the presence of impairment and cerebral palsy, respectively. Cognitive development was assessed using the Mental Scale of the Bayley Scales of Infant Development (MDI) at one year and the Weschler Preschool and Primary Scale of Intelligence-Revised (WIPPSI-R) at four years. Motor coordination was assessed using the Movement Assessment Battery for Children (Movement-ABC). Mothers completed the Child Behaviour Checklist (CBCL) and Parenting Stress Index (PSI) questionnaires. Logistic and multiple regression analyses were used to determine factors associated with cerebral palsy, IQ scores, Movement-ABC and CBCL scores. Factors associated with cerebral palsy were lower MDI scores at one year (P = 0.001) and late neonatal cranial ultrasound abnormalities (P = 0.036). Minor (P = 0.016) or major impairment (P = 0.003) at one year of age and a low level of paternal education (P = 0.01) were associated with poor motor function on the Movement-ABC scale. Lower levels of maternal education (P < 0.001), impairment at one year (P = 0.002) and late neonatal cranial ultrasound abnormalities (P = 0.039) predicted Full Scale IQ scores. Higher PSI scores (P = 0.001), younger mothers (P = 0.003) and late neonatal cranial ultrasound abnormalities (P = 0.009) were associated with worsened child behaviour scores on the CBCL scale. Social factors and the caregiving environment were important determinants of cognitive and behavioural outcome. Cranial ultrasound abnormalities in the late neonatal period and the developmental status at one year might be useful in identifying high risk infants in need of long-term surveillance.

Vagal Regulation of Heart Rate in the Prediction of Developmental Outcome for Very Low Birth Weight Preterm Infants

To investigate heart rate and respiratory sinus arrhythmia (RSA) as markers of developmental outcome, infant ECG and 3 year outcome were assessed in 41 very low birth weight (< 1,500 g) infants. Measures of mean heart rate and RSA, and the maturational shifts in their values from 33 to 35 weeks gestational age, were recorded. RSA measures predicted 3 year outcome beyond the effects of birth weight, medical risk, and socioeconomic status. Higher RSA was associated with better social skills, whereas greater RSA maturation was associated with better mental processing and gross motor skills. Lower heart rate was associated with better behavior regulation and social skills, whereas greater maturational decreases were associated with better gross motor skills. Dividing the sample into groups of infants with birth weights less than 1,000 g and those with birth weights over 1,000 g, RSA maturation emerged a strong predictor of mental processing, knowledge base, and gross motor skills in the former. A measure of joint maturation of RSA and heart rate was associated with better behavior regulation at 3 years, as measured by Child Behavior Checklist and Parenting Stress Index scores, for this group. The findings directly respond to the need for physiological variables in the prediction of outcome in high-risk infants.

Validation of the parenting stress index among Chinese mothers in Hong Kong

This paper presents the validation results of the Parenting Stress Index (PSI) as applied to a sample of Chinese mothers in Hong Kong. A cross-sectional research survey was launched employing a purposive sample of 248 Hong Kong Chinese mothers. The PSI was found to have a reliability coefficient of .93. The concurrent validity of the instrument was established by correlations of the PSI with various measurements for stress. Moreover, results from discriminant analysis indicated that using PSI scores, “high-stress” respondents could be discriminated from “low-stress” respondents with 93% overall accuracy. Finally, results of the study replicated the major factorial structure of the original scale. The present study indicates that the PSI represents an appropriate tool for measuring parenting stress with Hong Kong Chinese mothers. Findings from the study will facilitate practitioners and administrators in early screening of parenting stress, individual diagnostic assessment, pre-post measures of intervention effectiveness, and future research in parenting stress.

Parenting stress and social support of mothers who physically abuse their children in Hong Kong

Thirty-seven identified abusive mothers were matched on demographic and socioeconomic parameters with a known nonabusive comparison sample in order to examine the role of parenting stress and maternal social support. The mothers were assessed using a personal (demographic) questionnaire, the Parenting Stress Index (PSI), and the Maternal Support Index (MSSI). Demographic data showed that the two groups were comparable on all variables except abusive mothers had significantly more children ( p = .01). Abusive mothers showed significantly more stress on total PSI scores ( p = .005), as well as in all three of the subsets: Child Domain ( p = .007) Parent Domain ( p = .02), and Life Stress ( p = .016). Abusive mothers scored lower in all seven items on the MSSI. The difference was significant on the MSSI as a whole ( p = .007) and on four subsets: number of people to count on in time of need ( p = .02), perceived neighborhood support ( p = .04), satisfaction with spousal relationship ( p = .01), and degree of community involvement ( p = .03). The greatest percentage (74.32%) of correct predictions of child abuse was achieved by combining the number of children, the Life Stress Scale and the MSSI. Implications for future research are discussed.

Families of Children with Disabilities: Normative Data and Other Considerations on Parenting Stress

The parenting stress of families who have a child with a disability is an area receiving considerable research. The present study used a family strengths or “normality” perspective to investigate three issues regarding parent-related and child-related parenting stress, as measured by the Parenting Stress Index (PSI) (Abidin, 1990). A large sample ( n = 725) of families who had a young child with disabilities participated. A comparison of parent-related and child-related parenting stress between the sample of families with a child with disabilities and the PSI normative sample was conducted. The distribution of PSI scores for the sample of families of children with disabilities was examined for statistical normality, and normative data for these families were presented. An item analysis was conducted on child-related parenting stress to examine issues regarding its construct validity for families of children with disabilities. Issues regarding the use of stress measures and to the construct of child-related stress as these impact on early intervention activities are discussed.

Measuring Stress in Families of Children with Disabilities

The degree and nature of stress experienced by the families of infants and toddlers with disabilities has gained increased recognition and interest. The Questionnaire on Resources and Stress (QRS) and the Parenting Stress Index (PSI) are two of the most commonly used measures of familial stress. The concurrent validity of these measures was examined and expectations that QRS and PSI scores were related in expected ways was generally confirmed by both bivariate and multivariate analyses.

Maternal Parenting Stress in Physicians' Families

The families of 16 male staff physicians and 26 male residents were studied. All spouses completed the Abidin Parenting Stress Index (PSI) prior to a well-child visit. Home interviews were conducted to identify factors contributing to stress. PSI scores were similar in both groups. The interviews suggested that physician fathers had limited time and energy for parenting. Resident fathers were twice as likely as staff fathers to participate in child care when home. Parenting stress tended to stay the same in 25% of families or increased in 50% of families after residency training.