Parental Stress Research Articles

The Association Between Food Insecurity, Parental Stress, and Child Development.

It is recognized that development in the 0-to-5-year period is predictive of lifelong health and well-being and that early childhood development is influenced by parental mental health. Social stressors such as food insecurity can exacerbate parental mental health issues. To improve understanding of this complex interplay, a primary care pediatric practice designed an innovative meal and grocery delivery program for families experiencing food insecurity with at least one child aged 0-5years. As part of the program, food insecurity, parental mental health, and child development were assessed. Food insecurity was found to be correlated with increased stress in the parent-child system, and increased stress was found to be strongly correlated with delays in early childhood developmental progress. These findings suggest that changes in the parent-child relationship resulting from increased parental stress due to food insecurity can play a role in influencing early childhood development.

Эмоциональное состояние матерей недоношенных новорожденных детей с внутрижелудочковыми мозговыми кровоизлияниями, находящихся на отделении реанимации и интенсивной терапии

<p>This article presents the results of a study of the emotional state and stress of mothers attending their premature infants with structural intracranial changes at the stage of their stay in the neonatal intensive care unit, sociodemographic characteristics of the family, and the relationship between the studied indicators. <strong>Sample.</strong> The study included 77 mothers (age M±SD=32,1±4,7 years) of prematurely born children (gestational age 28,3±3,1 weeks; birth weight 1186±499 g; 40 boys). <strong>Methods.</strong> To assess the emotional state and stress of the mothers, the methods of assessing depressive experiences (BDI-II; Beck et al., 1996), anxiety (Spielberger et al., 1983), the Parental Stress Scale (Miles, 1987), and the Heidelberg Family Stress Scale (Sidor et al., 2007) were used. <strong>The results</strong> of the study indicate that 69,2% of the mothers show a strong level of depressive experiences, 29,3% show a moderate level, and 1,5% show a weak level. 63,5% of mothers are found to have high and 33% have moderate values of reactive anxiety, 42% have high and 52% have moderate values of personality anxiety. About 88% of mothers cite a feeling of helplessness from not being able to protect their child from painful procedures or from not knowing how to help their child during this period of his or her life as a source of stress. Characteristics of emotional state and different types of maternal family stress were shown to be associated with socio-demographic characteristics of the family, but were not significantly associated with indicators of newborn health status and type of treatment.</p>

Initial promise of child-parent psychotherapy in reducing stress and postpartum depression among mothers experiencing homelessness: a feasibility and pilot study.

Mothers experiencing homelessness undergo significant stressors in addition to parenting stress, yet the rate and treatment of postpartum depression (PPD) within this population has yet to be explored. We assessed the risk for PPD and examined the changes in PDD and parenting stress following engagement in treatment. Participants included 182 mothers with infants 7 months of age or younger in a shelter setting. After initial assessment of PPD and parenting stress, families participated in Child-Parent Psychotherapy (CPP). Post assessment was then conducted after 16 weeks. CPP was successfully implemented with high levels of procedural and content fidelity (M = 0.99, SD = 0.04; M = 0.95, SD = 0.09, respectively), treatment satisfaction (94%; M = 4.83, SD = 0.52), and relatively moderate levels of intervention completion (53.8%). Following participation in CPP, mothers reported decreases in parenting stress (d = 0.51) and continuous PPD symptom severity (d = 0.43). The proportion of mothers with clinically elevated self-report PPD symptoms also decreased from 15.3 to 6.7% (p = .013). Lastly, improvements in total parenting stress predicted improvements in PPD symptom severity (B = 0.12, p < .001). The findings highlight the relevance of screening for PPD among mothers experiencing homelessness. Most importantly, relationship-based interventions like CPP demonstrate promise in indirectly treating PPD for at-risk populations and within a shelter setting.

The Predictive Power of Religious Coping on Care Burden, Depression, Stress, and Anxiety of Parents of Pediatric Oncology Patients in Turkey.

This study aimed to determine the predictive power of religious coping of parents of children with canceron caregiver burden, depression, anxiety, and stress in Turkey. It was designed as a descriptive and cross-sectional study, utilizing correlational analysis and regression models to explore associations between variables. Data were collected from 164 parents in the pediatric hematology-oncology clinics of a university hospital between November 2023 and March 2024. There was a negative correlation between caregiver burden score and negative and positive religious coping scores. Caregiver burden scores werepositively correlated with depression, anxiety, and stress scores. Results indicated that caregiver burden, education level, employment status, family structure, family income, and age at diagnosis significantly predicted positive religious coping. For negative religious coping, caregiver burden, education level, family structure, and family income were significant predictors. This suggests that religious coping may help reduce caregiver burden, underscoring the importance of promoting constructive coping strategies to support caregivers' well-being.

Investigating correlates of children's emotional well‐being: Parenting stress and child temperament

AbstractChildren's emotional well‐being may emerge as a result of the dynamic interplay between individual factors, such as temperament and environmental factors, such as parenting stress. The current study aimed to investigate the contributions of child temperament and parenting stress to children's emotional well‐being. This study also examined the moderating role of parenting stress on the association between child temperament and children's emotional well‐being. Participants were mothers of 219 Turkish preschool children (110 girls) aged 36 months to 76 months (M = 56.95 months, SD = 11.73 months). Mothers reported on children's emotional well‐being (emotion regulation, emotion dysregulation, child aggression and child anxiety), temperament (persistence and reactivity) and parenting stress. Persistence was negatively associated with emotion dysregulation and child aggression, while reactivity was negatively associated with emotion regulation and positively associated with emotion dysregulation, aggression and anxiety. Parenting stress was negatively associated with emotion regulation and positively associated with emotion dysregulation, aggression and anxiety. Simple slope analyses revealed that high persistence coupled with low parenting stress was associated with higher emotion regulation, while low persistence paired with high parenting stress was linked to higher child aggression. The findings underline the significance of child temperament and parenting stress for children's emotional well‐being.Highlights Temperamental persistence is negatively associated with emotion dysregulation and aggression. Temperamental reactivity is negatively associated with emotion regulation and positively associated with emotion dysregulation, aggression and anxiety. Parenting stress was negatively associated with emotion regulation and positively associated with emotion dysregulation, aggression and anxiety in children.

Dental Hygiene Challenges in Children with Autism: Correlation with Parental Stress: A Scoping Review.

Children diagnosed with autism spectrum disorders are shown to have poor periodontal health and dental hygiene habits. Extensive research has revealed that parents of children with autism spectrum disorder (ASD) frequently encounter heightened levels of stress, despair, and anxiety in comparison to parents of neurotypical children. The aim was to understand the relationship between the dental hygiene of children with ASD and the stress generated in their parents. Methods: A scoping review was carried out to identify any gaps or research opportunities for clinical practice concerning oral care and stress levels in parents in the PubMed, Medline, ScienceDirect, and Scopus databases. Results: A total of 139 articles were reviewed. Of these, only 10 met the selection criteria for inclusion. Our results reveal a lack of studies presenting evidence on the topic of poor dental hygiene in children with ASD and high stress levels in their parents. Discussion: There is ample evidence that children with ASD have poor dental hygiene, as well as higher levels of stress in their parents. However, little or no evidence links these two variables. Future studies should focus on this link, which could have practical implications for improving dental care for children with ASD.

"Who cares about us?" Results of a cross-sectional study on the psychosocial health of obstetricians and midwives after traumatic birth experiences

Traumatic births not only cause emotional stress for expectant parents but can also affect the psychosocial health of midwives and obstetricians due to their professional demands. To evaluate the impact of traumatic birth experiences on the psychosocial health of obstetric healthcare professionals. A cross-sectional study using validated measurement tools (Impact of Event Scale Revised IES-R, Copenhagen Burnout Inventory CBI) and assessing post-traumatic growth (PGI-SF) through an online survey of midwives and obstetricians in German-speaking areas. The study included 700 participants with peripartum and/or personal traumas. Of the 528 participants who completed the IES-R, 33 (6.3%) with post-traumatic stress disorder (PTSD) received less support from colleagues (p = 0.007) and were more likely to experience workplace consequences (p < 0.001) than participants without PTSD. A moderate to high level of burnout was found in 66.2% of the 542 participants who completed the CBI. Personal growth through experiencing trauma was reported by 75.9% of the 528 participants who completed the PGI-SF. The psychosocial health of midwives and obstetricians is at risk due to traumatic birth experiences. Screening tests and the provision of collegial and professional debriefings to strengthen resilience are essential preventive interventions.

PSYCHOLOGICAL WELL-BEING IBU YANG MEMILIKI ANAK TUNARUNGU

The various challenges faced by parents of deaf children can cause stress in parents. The stress experienced by parents in raising deaf children harms the parent's ability to care for children so it can have an impact on the psychological well-being of parents, especially mothers of deaf children. The aim of this research is to explore and understand the psychological well-being of mothers in caring for their deaf children. The method used in this research is narrative qualitative. The sampling method was carried out using a purposive sampling method. Data collection was carried out using a semi-structured interview method. The participants in this research were four mothers of deaf children whose ages were between six years old until twelve years old and who attended special schools. The results of this study show that the challenges in caring for a deaf child can have an impact on the mother's psychological well-being. In terms of self-acceptance, mothers accept the condition of their deaf children but tend to be dissatisfied with the care they provide for their children. The mother's attempts to broaden her understanding about deaf children and their care, demonstrate the personal growth component. In terms of positive relations with others, friends in the community are a source of enthusiasm for the mother in raising children. The demand to care for children independently encourages mothers to develop aspects of autonomy and environmental mastery. When it comes to their purpose in life, mothers have the desire to make their children become self-sufficient and able to communicate in the future.

Association between financial anxiety and subjective health and physical fatigue perceptions among mothers of 18-month-old infants

Objective Poverty is a factor that affects children's health through its role in parental depression and stress. While the association between financial status and depression or quality of life scores of mothers has been previously reported in Japan, no study has focused on mothers' subjective health and physical fatigue perceptions. This study aimed to examine the relationship between mothers' financial anxiety and subjective health and physical fatigue perceptions.Methods We conducted a survey in parents attending routine health checkups for their 18-month-old infant in a single area of City A between November 2017 and October 2019. After excluding those for whom the required analysis data were missing, we analyzed data from 779 parents who responded to the survey and consented to the use of their children's health checkup data. The response variables were maternal subjective health and physical fatigue perceptions, and the explanatory variables were the presence of financial anxiety in mothers at their child's 3- or 18-month health checkups and financial anxiety situation in both periods. Financial anxiety was classified into four groups according to status at the 3- and 18-month time points. The independence of the qualitative variables among these four groups was verified using Fisher's exact test, and the relationship between financial anxiety and maternal subjective health and physical fatigue perceptions was evaluated using logistic regression analysis.Results Financial anxiety was present in 54 mothers (6.9%) and 46 mothers (5.9%) at the 3- and 18-month checkup, respectively. Analysis of financial anxiety in both periods showed that 695 mothers (89.2%) had no financial anxiety at either time point, 30 (3.9%) had financial anxiety only at the 18-month checkup, 38 (4.9%) had financial anxiety only at the 3-month checkup, and 16 (2.1%) had financial anxiety at both time points. At the 18-month checkup, the odds ratios of poor subjective health and severe physical fatigue perceptions were 3.85 (95% confidence interval [CI]; 1.34-11.05) and 6.58 (95% CI; 2.18-19.85), respectively, among the mothers who had financial anxiety at both time points compared to those who had no financial anxiety at either time point.Conclusion Financial anxiety may affect mothers' health. Therefore, mothers should be provided with solution-oriented support geared toward mitigating financial anxiety, in coordination with affiliated organizations, if financial anxiety is detected.

The association between maternal and child posttraumatic stress symptoms among families living in southern Israel: The buffering role of maternal executive functions.

Posttraumatic stress disorder is a prolonged stress and anxiety response that occurs after exposure to a traumatic event. Research shows that both parental and child posttraumatic stress symptoms (PTSS) are correlated but parental executive functions (EFs) could buffer this link. EFs refers to a group of high-level cognitive processes that enable self-regulation of thoughts and actions to achieve goal-directed behaviours and can be of importance for both positive parenting interactions and effective coping skills for PTSS. Our study aimed to (1) examine the link between maternal and child PTSS and the moderating role of varying degrees of exposure to severe security threats context, and (2) to identify the moderating role of maternal EFs in this interaction, among families living in southern Israel. Our sample included 131 mothers in their second pregnancy and their firstborn children. Mothers performed computerised tasks to assess their EFs and they reported on their own and their child's PTSS. Results revealed a positive correlation between maternal PTSS and child PTSS. However, the link between maternal and child PTSS was moderated by maternal working memory updating abilities and threat context severity. Among mothers with lower updating capacities, the association between maternal and child symptoms was stronger under higher threat contexts; conversely, among mothers with higher maternal updating abilities, threat context did not modulate the link between maternal and child PTSS, suggesting a stress-buffering effect. Our study contributes to the growing literature on the significant role of parental EFs in the context of parent-child interactions.

Sleep Disturbances and Co-sleeping in Italian Children and Adolescents with Autism Spectrum Disorder.

The current study aimed (1) to provide an analysis of the frequency and prevalence of sleep disturbances in a large Italian sample of children and adolescents with ASD, detecting specific predictors of the presence/absence of sleep disorders, (2) to examine the phenomenon of co-sleeping within a subgroup of participants with ASD. A total of 242 children and adolescents with ASD (194 males, mean age 5.03 ± 3.15years) were included. After the diagnostic procedure, caregivers were requested to complete the Sleep Disturbance Scale for Children (SDSC) to assess sleep disorders among participants. The presence of co-sleeping was investigated in a subgroup of 146 children and adolescents with ASD. An elevated or clinically relevant global score for sleep disorders (≥ 60) was found in 33% of participants. The most prevalent sleep disorder in our group was related to difficulties with sleep onset and sleep maintenance (~ 41% of cases). Sleep disturbances were predicted by higher intelligence quotient (IQ)/developmental quotient (DQ), increased internalizing problems, and elevated parental stress. The subgroup of participants engaged in co-sleeping (N = 87) were younger and had lower IQ/DQ scores, reduced adaptive functioning, and diminished psychological wellbeing than the non-co-sleeping group. Our findings are consistent with the current literature highlighting that insomnia is the most widespread sleep problem associated with ASD. The relationship between IQ/DQ and sleep alterations is a crucial topic that deserves additional research. Future studies should assess sleep by objective measures such as EEG topography to better understand the mechanisms underlying sleep alterations in this neurodevelopmental disorder.

Lessons learned during the pandemic: Parental coping and the positive effects of COVID‐19

AbstractObjectiveThis exploratory mixed‐methods study examined the perceptions of parental experience, coping, and resiliency of 690 parents in the United States during the pandemic.BackgroundIn response to being faced with additional stressors from the onset of COVID‐19 pandemic, many families tapped into coping strategies and resilience.ResultsA survey administered during July–September of 2020 determined that parental stress, difficulties with COVID‐19, and family functioning significantly impacted overall parental experience. Health concerns did not have a significant impact on parenting. Qualitative data were coded and analyzed to answer two open‐ended questions regarding parents coping and positive effects of the pandemic. Four subthemes emerged: (a) readjusting connections, (b) intentional wellness, (c) family cohesion, and (d) deceleration of time.ConclusionThe findings of this study suggest that parents were able to develop coping strategies and find positives even during the early stages of the pandemic.ImplicationsThis study provides support for Walsh's (2020) description of “bouncing forward” versus the traditional notion of “bouncing back” in the face of change and uncertainty, especially for higher resourced families. A common experience for participants was the reported use of intentional strategies that aided in processing, healing, and hope during this time of uncertainty.

Psychological Morbidity, Parental Stress, Self - Efficacy, Family Pathology and Emotional Competence among Parents of Attention Deficit and Hyperactivity Children and Normal Children

Psychological Morbidity, Parental Stress, Self - Efficacy, Family Pathology and Emotional Competence among Parents of Attention Deficit and Hyperactivity Children and Normal Children

Assessment of Stress and Anxiety in Parents of Neonates Admitted in a Tertiary Care Neonatal Intensive Care Unit (NICU).

Background A newborn's admission into the Neonatal Intensive Care Unit (NICU) is one unexpected event capable of causing much stress and anxiety amongparents. The current study aims to evaluate and compare parental stress and anxiety levels between mothers and fathers. Methodology This cross-sectional study was conducted in the NICU of a tertiary care center, in Uttarakhand where a total of 306 mothers and fathers were enrolled. Data was compiled using a questionnaire consisting of demographic details of parents and infants' clinical profiles,Parental Stressor Scale (PSS) NICU, and State-Trait Anxiety Inventory (STAI) scales were used to evaluate stress and anxiety, respectively. Results Mothersmean stress levels were greater and statistically significant. The most affected subscale in both parents was the change in parental role (M: 4.4/F: 3.3; p < 0.001). Parents with high trait anxiety also had high state anxiety (M: 51.3/F: 45.5; p < 0.001). Mothers were found to have higher trait and state anxiety than fathers. Conclusion Parents of newborns admitted in the NICU experience significant stress and anxiety. Mothers had higher levels of stress and anxiety; similar findings have been recorded previously in Indian and western literature.

Fathering dynamics: Linking depressive symptomology, parenting stress, and paternal warmth with beliefs in paternal role.

Research has established the impact of paternal depression on fathering behaviors and child outcomes. Despite this, less is known about the mechanisms linking paternal depressive symptomology to paternal warmth, particularly regarding the role of parenting stress and beliefs in the centrality of the paternal role. The aim of this study was to examine factors potentially associated with paternal warmth. Specifically, we explored the association between paternal depressive symptomology and paternal warmth, examining the mediating role of paternal parenting stress in this association. Moreover, we tested the moderated role of beliefs in the centrality of the paternal role in the association between paternal parenting stress and paternal warmth. We utilized a subsample of fathers (n = 756; Mage = 34.3) with young children from the Survey of Contemporary Fatherhood study. Moderated mediation analysis was performed to test the association between paternal depressive symptomology, parenting stress, paternal warmth, and beliefs in the centrality of the paternal role among fathers. Results indicate a significant association between higher paternal depressive symptomology and increased parenting stress, which, in turn, was associated with reduced paternal warmth. Furthermore, positive beliefs in the centrality of the paternal role buffered the association between parenting stress and paternal warmth. These findings underscore the importance of considering parenting stress and fathering beliefs in psychosocial intervention programs aimed at improving fathering behaviors. Targeting fathers with mental health problems and negative parenting beliefs in intervention approaches may yield the most significant benefits. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Social Support, Religiosity, and Parenting Stress in Mothers of Children with Special Needs

This study investigates the relationship between social support, religiosity, and parenting stress among mothers of children with special needs. Utilizing Likert scale-based psychological assessments, data were collected from 30 mothers at Mi Nurul Islam Mojokerto. The analysis revealed significant correlations between social support, religiosity, and parenting stress, suggesting that higher levels of social support and religiosity were associated with reduced parenting stress among these mothers. This study underscores the importance of considering both social support and religiosity as potential factors in mitigating parenting stress among mothers of children with special needs, thus emphasizing the need for tailored interventions to support this vulnerable population Highlights : The study investigates the relationship between social support, religiosity, and parenting stress among mothers of children with special needs. Data from 30 mothers at Mi Nurul Islam Mojokerto were collected and analyzed using Likert scale-based psychological assessments. Higher levels of social support and religiosity were found to be associated with reduced parenting stress, underscoring the importance of tailored interventions for this vulnerable population. Keywords: Parenting stress, Social support, Religiosity, Special needs children, Psychological scales

How parent stress and COVID-19 impact on the family are associated with parental pressure to eat during COVID-19

This study aimed to assess how parent stress and COVID-19 impact on the family are associated with parental pressure to eat during the COVID-19 pandemic. Parents of healthy preschool-aged children completed measures including pressure to eat (Child Feeding Questionnaire), parent perception of their stress (Perceived Stress Scale), household food insecurity (Hunger Vital Sign) and effects of COVID-19 on families (COVID-19 Exposure and Family Impact). Children (N = 228) were racially, ethnically, and socioeconomically diverse (34 % Black, 15 % Hispanic, and 29 % with household income <$20,000). Bivariate analyses showed that parent stress at Year 1 (β 0.02; 95 % CI 0.006, 0.04) was significantly associated with pressure to eat at Year 1 and that COVID-19 impact at Year 1 (β 0.02; 95 % CI 0.001, 0.03) was also significantly associated with pressure to eat. Multivariable linear regression analyses showed that parent stress at Year 1 was significantly associated with pressure to eat at Year 1 (β 0.39; 95 % CI 0.16, 0.61) while COVID-19 impact was not significantly associated with pressure to eat at Year 1. This study, consisting of racially and socioeconomically diverse children, found that while parent stress was significantly associated with increased parental utilization of pressure to eat feeding practice, COVID-19 impact was not significantly associated with pressure to eat in adjusted analyses. This suggests that overall perceived stress by parents could be an important factor in parent pressuring feeding practices.

Parental stress, depression, anxiety and participation to care in neonatal intensive care units: results of a prospective study in Italy, Brazil and Tanzania

BackgroundStudies comparing the frequency of different mental health conditions across different settings and evaluating their association with parental participation in newborn care are lacking. We aimed at evaluating the frequency...

Impact of Social Stories on social and emotional health of autism spectrum primary school children: the ASSSIST2 RCT with economic evaluation.

Differences in the way autistic children experience the world can contribute to anxiety and stress. Carol Gray's Social Stories™ are a highly personalised intervention to support children by providing social information about specific situations in an individual story. This randomised controlled trial aimed to establish whether Social Stories are clinically effective and cost-effective in improving social responsiveness and social and emotional health in children on the autism spectrum in schools. A multisite pragmatic cluster randomised controlled trial comparing Social Stories with care as usual. Eighty-seven schools (clusters) across Yorkshire and the Humber. Two hundred and forty-nine children were randomised via a bespoke system hosted at York Trials Unit (129 Social Stories and 120 care as usual). Recruitment was completed in May 2021. Participants were children aged 4-11 years with a diagnosis of autism, alongside teachers, interventionists and caregivers. Recruitment was via schools, NHS trusts, support groups and local publicity. The intervention included training for educational professionals and caregivers covering psychoeducation and implementation of Social Stories. Stories were written around contextualised goals around the child's need for social information. Interventionists read the Social Story™ with the child at least six times over 4 weeks during school. The primary outcome was the Social Responsiveness Scale-2 completed by teachers at 6 months (the primary end point), which measures social awareness, cognition, communication and behaviour. Data were collected from caregivers and educational professionals at 6 weeks and 6 months through questionnaires. Blinding of participants was not possible. At 6 months, the estimated difference in expected teacher-reported Social Responsiveness Scale-2 T-score (the primary end point) was -1.61 (95% confidence interval -4.18 to 0.96, p = 0.220), slightly favouring the intervention group. The estimated differences for the parent-reported secondary outcomes at 6 months were small and generally favoured the control group except the measure of children's quality-adjusted life-year (+ 0.001, 95% confidence interval -0.032 to 0.035) and parental stress (-1.49, 95% confidence interval -5.43 to 2.46, p = 0.460), which favoured the intervention group. Children in the intervention group met their individual goals more frequently than children who received usual care alone (0.97 confidence interval 0.21 to 1.73, p = 0.012). The intervention is likely to save small costs (-£191 per child, 95% confidence interval -767.7 to 337.7) and maintain a similar quality of life compared to usual care. The probability of Social Stories being a preferred option is 75% if the society is willing to pay £20,000 per quality-adjusted life-year gained. Limitations include considerable disruptions during the coronavirus disease 2019 pandemic. Social Stories are used in schools and represent a low-cost intervention. There is no clinically evident impact on social responsiveness, anxiety and/or depression, parental stress or general health. Benefits were observed for specific behavioural goals as assessed by the teacher, and Social Stories may serve as a useful tool for facilitating dialogue between children and school staff to address specific behavioural challenges. Usage should be at the school's discretion. Given the uncertainty of the results in light of coronavirus disease 2019, further work to establish the impact of Social Stories is merited. This trial is registered as ISRCTN11634810. This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme (NIHR award ref: 16/111/91) and is published in full in Health Technology Assessment; Vol. 28, No. 39. See the NIHR Funding and Awards website for further award information.

The Moderating Role of Emotional Intelligence in the Relationship Between Perfectionism and Parental Stress: A Descriptive Study

The Moderating Role of Emotional Intelligence in the Relationship Between Perfectionism and Parental Stress: A Descriptive Study