1
|
Lindberg NE, Kynø NM, Feragen KB, Pripp AH, Tønseth KA. Parental Stress, Infant Feeding and Well-being in Families Affected by Cleft Lip and/or Cleft Palate: The Impact of Early Follow-up. Cleft Palate Craniofac J 2024:10556656241231524. [PMID: 38384126 DOI: 10.1177/10556656241231524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2024] Open
Abstract
OBJECTIVE To document the impact of early follow-up by specialized cleft nurses (SCNs) provided to families affected by cleft lip and/or palate (CL/P) and the status of parental stress, infant feeding and well-being. DESIGN Prospective inclusion of a control group, which only received standard care, followed by an intervention group that also received early SCN follow-up. SETTING The cleft lip and palate team at Oslo University Hospital, Norway. PARTICIPANTS Seventy families (69 mothers and 57 fathers) distributed into an intervention group (n = 32) and a control group (n = 38). INTERVENTION SCNs provided a consultation at the maternity ward and a follow-up conversation by phone or face-to-face at scheduled times for six months. OUTCOME MEASURES Parental Stress Index (PSI), Perceived Stress Scale (PSS-14), feeding questionnaire, survey of infant diets, weight percentiles. RESULTS The mothers reported higher stress scores than the fathers, but in the control group only in the PSI parent domain at T2 and T3 (P = .007, P = .018). Infants in the intervention group used pacifiers less frequently than in the control group (55.2% vs. 81.1%, P = .023). Otherwise, no significant differences were found between the groups. Overall, the infants received less breast milk than norms. CONCLUSION Contextual strategies for early follow-up of families affected by clefts need to be developed, with an emphasis on involving fathers and those parents reporting elevated stress and/or feeding difficulties. There is a need for diagnosis-specific guidelines about the use of pacifiers as well as collaboration between the health professionals involved to increase breastmilk feeding.
Collapse
Affiliation(s)
- Nina Ellefsen Lindberg
- Department of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway
- Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Nina Margrethe Kynø
- Department of Nursing and Health Promotion, Acute and Critical illness, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
- Department of Neonatal Intensive Care, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway
| | | | - Are Hugo Pripp
- Oslo Centre of Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Oslo, Norway
- Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Kim Alexander Tønseth
- Department of Plastic and Reconstructive Surgery, Oslo University Hospital, Oslo, Norway
- Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| |
Collapse
|
2
|
Whooten RC, Kotelchuck M, Gonzalez AVC, Johnson N, Kwete G, Luo M, Muir HF, Barth EA, Smith N, Taveras EM. Expectant fathers' health behaviors, infant care intentions, and social-emotional wellbeing in the perinatal period: A latent class analysis and comparison to mothers. Prev Med Rep 2023; 36:102375. [PMID: 37719794 PMCID: PMC10500477 DOI: 10.1016/j.pmedr.2023.102375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 08/18/2023] [Accepted: 08/19/2023] [Indexed: 09/19/2023] Open
Abstract
While parental behaviors during the 'first thousand days' are critical for child health, little is known about fathers during this time. We examined prenatal patterns of health behaviors, social-emotional wellbeing, and infant care intentions among expectant fathers, both overall and compared to expectant mothers. Among 227 mother-father dyads enrolling in a randomized controlled trial of a perinatal obesity prevention program in Boston, Massachusetts (July 2020-July 2022), participants independently completed baseline surveys addressing (1) health behaviors, (2) social emotional wellbeing, and (3) infant care intentions. We compared paternal and maternal responses to survey items within each of these domains. Further, we conducted a latent class analysis of paternal responses and examined their associations with sociodemographic characteristics. Compared to expectant mothers, fathers were more likely to report increased body mass index, less fruit intake, decreased sleep, increased physical activity, and no recent primary care visit. Latent class analysis revealed four distinct groups of paternal health behaviors and infant care intentions: (1) more health behaviors with less infant care; (2) less health behaviors with less infant care; (3) less health behaviors with more infant care; and (4) more health behaviors with more infant care. Fathers with increased health behaviors were more likely to have higher education and income. Fathers with decreased health behaviors were more likely to endorse food insecurity, housing insecurity, and social isolation. Our findings identify potential areas for targeting expectant fathers in health promotion initiatives and suggest that social needs may impact the capacity to adopt healthy lifestyle behaviors.
Collapse
Affiliation(s)
- Rachel C. Whooten
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
| | - Milton Kotelchuck
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
| | - Ariadne V. Caballero Gonzalez
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
| | - Nafissa Johnson
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
| | - Gracia Kwete
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
| | - Man Luo
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
| | - Haley Farrar Muir
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
| | - Elizabeth A. Barth
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
| | - Nicole Smith
- Department of Obstetrics, Brigham and Women’s Hospital, Boston, MA, United States
| | - Elsie M. Taveras
- Division of General Academic Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States
- Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, United States
| |
Collapse
|
3
|
Sherrard A, Tan CC. Coparenting: Associations with parents' psychological distress and children's food approach behavior. Appetite 2023; 187:106580. [PMID: 37120070 DOI: 10.1016/j.appet.2023.106580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 03/17/2023] [Accepted: 04/26/2023] [Indexed: 05/01/2023]
Abstract
Parents' psychological distress has been associated with their children's obesogenic eating yet less is known about how coparenting moderates this relationship. The aim of the current research was 1) to examine how coparenting (general and feeding) moderates the associations between parents' psychological distress and children's food approach behavior after accounting for parents' coercive control food parenting and 2) to examine whether feeding coparenting interacted with psychological distress to predict children's food approach behavior above and beyond general coparenting. Parents (n = 216; Mage = 36.28 years, SD = 6.12) of 3- to 5- year old children completed an online survey. Analyses revealed that undermining coparenting and feeding coparenting (but not supportive coparenting) moderated the association between parents' psychological distress and children's food approach behavior. Additionally, analyses revealed that feeding coparenting interacted with psychological distress to predict children's food approach behavior above and beyond general coparenting. These findings suggest that less optimal coparenting relationships, particularly feeding coparenting, may exacerbate the influence of parents' psychological distress on obesogenic eating behaviors in children.
Collapse
Affiliation(s)
- Adelyn Sherrard
- Department of Psychology, The University of Toledo, Toledo, OH, 43606, USA.
| | - Cin Cin Tan
- Department of Psychology, The University of Toledo, Toledo, OH, 43606, USA
| |
Collapse
|
4
|
Bogavac I, Jeličić L, Đorđević J, Veselinović I, Marisavljević M, Subotić M. Comparing Anxiety Levels during the COVID-19 Pandemic among Mothers of Children with and without Neurodevelopmental Disorders. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1292. [PMID: 37628291 PMCID: PMC10453906 DOI: 10.3390/children10081292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 07/21/2023] [Accepted: 07/24/2023] [Indexed: 08/27/2023]
Abstract
The COVID-19 pandemic undoubtedly burdened families, perhaps even more for parents of children with neurodevelopmental disabilities. This research aims to determine the anxiety levels in mothers of children with neurodevelopmental disorders (autism spectrum disorder and specific language impairment) and mothers of typically developed children. The cross-sectional study comprised 280 mothers from the period of the COVID-19 pandemic in Serbia. A confidential survey included main demographic data and the State-Trait Anxiety Inventory (STAI). Results revealed that the mean levels of STAI-S and STAI-T are elevated in the observed sample of mothers in the first pandemic wave; the STAI-S level is in the high category (STAI-S mean = 46.69), while STAI-T is in the intermediate category near the cut-off value for the high level (STAI-T mean = 43.04). A statistically significant strong positive correlation between STAI-S and STAI-T is seen (r = 0.802, p = 0.001). GLMM analysis revealed that interactions, rather than independent variables, significantly impact anxiety, implying a complex relationship between the observed variables and STAI. Compared with the results from the pre-pandemic study, our findings reveal that COVID-19 affects mothers of children with and without neurodevelopmental disorders in a complex manner, imposing a need for psychological support, which may positively affect mothers' mental health and the development of their offspring.
Collapse
Affiliation(s)
- Ivana Bogavac
- Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia; (I.B.); (M.M.); (M.S.)
- Department of Speech, Language and Hearing Sciences, Institute for Experimental Phonetic and Speech Pathology, 11000 Belgrade, Serbia
| | - Ljiljana Jeličić
- Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia; (I.B.); (M.M.); (M.S.)
- Department of Speech, Language and Hearing Sciences, Institute for Experimental Phonetic and Speech Pathology, 11000 Belgrade, Serbia
| | - Jelena Đorđević
- Department of Psychiatry, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia;
- Clinic for Neurology and Psychiatry for Children and Adolescents, 11000 Belgrade, Serbia
| | - Ivana Veselinović
- Department of Defectology-Hearing Disability, Faculty of Special Education and Rehabilitation, University of Belgrade, 11000 Belgrade, Serbia;
| | - Maša Marisavljević
- Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia; (I.B.); (M.M.); (M.S.)
- Department of Speech, Language and Hearing Sciences, Institute for Experimental Phonetic and Speech Pathology, 11000 Belgrade, Serbia
| | - Miško Subotić
- Cognitive Neuroscience Department, Research and Development Institute “Life Activities Advancement Institute”, 11000 Belgrade, Serbia; (I.B.); (M.M.); (M.S.)
| |
Collapse
|
5
|
Maru M, Paris R, Simhi M. The protective effects of social support and family functioning on parenting stress among Hispanic/Latino/a American immigrant parents with traumatic life experiences: A mediation analysis. Infant Ment Health J 2023; 44:348-361. [PMID: 36938714 PMCID: PMC10956510 DOI: 10.1002/imhj.22053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 10/03/2022] [Accepted: 01/02/2023] [Indexed: 03/21/2023]
Abstract
Despite high rates of traumatic experiences reported among Hispanic/Latino/a immigrants in the U.S., the effect of post-traumatic stress on parenting stress among Hispanic/Latino/a immigrant parents with young children has been overlooked. The present study tested the direct and indirect relationships of self-reported maternal post-traumatic stress symptoms on parenting stress, and the mediating role of protective factors among Hispanic/Latino/a mothers with young children. Baseline data collected from mothers participating in a community-based child-parent dyadic intervention were analyzed. Measures included the post-traumatic stress disorder (PTSD) Checklist, the Protective Factors Survey, and the Parenting Stress Index-Short Form (PSI). The sample included 80 mothers with a child between ages 0-6 years. About 75% of these mothers were migrants from Central America. A multivariate regression analysis showed that maternal post-traumatic stress symptoms predicted higher levels of PSI, and two protective factors (social support and family functioning/resilience) fully mediated the relationship between maternal post-traumatic stress symptoms and PSI. Higher social support and family functioning/resiliency may have protective effects on Hispanic/Latino/a mothers with post-traumatic stress, leading to lower levels of stress related to parenting. Findings underscore the importance of interventions that enhance access to social support and promote family functioning/resilience for Hispanic/Latino/a immigrant mothers with trauma histories to cope better with parenting stress.
Collapse
Affiliation(s)
- Mihoko Maru
- Department of Psychiatry, Boston Medical Center, Boston, Massachusetts, USA
| | - Ruth Paris
- School of Social Work, Boston University, Boston, Massachusetts, USA
| | - Meital Simhi
- School of Social Work, Boston University, Boston, Massachusetts, USA
| |
Collapse
|
6
|
Maltman N, DaWalt LS, Hong J, Baker MW, Berry-Kravis EM, Brilliant MH, Mailick M. FMR1 CGG Repeats and Stress Influence Self-Reported Cognitive Functioning in Mothers. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2023; 128:1-20. [PMID: 36548377 PMCID: PMC10445796 DOI: 10.1352/1944-7558-128.1.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 01/25/2022] [Indexed: 06/17/2023]
Abstract
Variation in the FMR1 gene may affect aspects of cognition, such as executive function and memory. Environmental factors, such as stress, may also negatively impact cognitive functioning. Participants included 1,053 mothers of children with and without developmental disabilities. Participants completed self-report measures of executive function, memory, and stress (i.e., life events, parenting status), and provided DNA to determine CGG repeat length (ranging from 7 to 192 CGGs). Stress exposure significantly predicted greater self-reported difficulties in executive function and the likelihood of memory problems. Cubic CGG effects independently predicted executive function and memory difficulties, suggesting effects of both genetic variation and environmental stress exposure on cognitive functioning.
Collapse
Affiliation(s)
- Nell Maltman
- Nell Maltman, Leann Smith DaWalt, and Jinkuk Hong, University of Wisconsin-Madison
| | - Leann Smith DaWalt
- Nell Maltman, Leann Smith DaWalt, and Jinkuk Hong, University of Wisconsin-Madison
| | - Jinkuk Hong
- Nell Maltman, Leann Smith DaWalt, and Jinkuk Hong, University of Wisconsin-Madison
| | | | | | | | - Marsha Mailick
- Murray H. Brilliant and Marsha Mailick, University of Wisconsin-Madison
| |
Collapse
|
7
|
Gómez‐Ortiz O, Rubio A, Roldán‐Barrios A, Ridao P, López‐Verdugo EI. Parental stress and life satisfaction: A comparative study of social services users and nonusers from a gender perspective. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:345-360. [PMID: 35708652 PMCID: PMC10084402 DOI: 10.1002/jcop.22907] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 05/09/2022] [Accepted: 05/20/2022] [Indexed: 05/08/2023]
Abstract
The psychometric properties of the Spanish version of the Parental Stress Scale (PSS) scale have not been verified on the Spanish population. Similarly, the literature on gender differences and parental stress is inconclusive, and there is little evidence of their relationship with life satisfaction. To analyze the psychometric properties of the Spanish version of the PSS scale, (2) to examine possible gender differences, and (3) to study the relationship between parental stress (PS) and parental rewards (PR) and satisfaction with life (SWL) attending to the possible moderating effect of gender. These objectives were examined in samples comprising Social Services Users (SSU) (N = 525; 78.3% female; Mage = 38.3) and non-SSU users (N = 421; 41.1% male; Mage = 37.08). A CFA corroborated a two-factor structure: PS and PR. In the SSU sample, mothers showed higher PS and lower PR. However, PR was also higher in mothers from the non-SSU sample compared to fathers. PR and PS were directly related to SWL in the SSU sample. However, gender moderated the relationship between PR and SWL in the non-SSU sample in the case of mothers. The results are discussed considering gender roles and the characteristics of both samples.
Collapse
Affiliation(s)
| | - Ana Rubio
- Department of PsychologyUniversity of CórdobaCórdobaSpain
| | | | - Pilar Ridao
- Department of Developmental and Educational PsychologyUniversity of SevillaSevillaSpain
| | | |
Collapse
|
8
|
Zhou S, Li X. Parental worry about children: Scale development and validation among Chinese parents of preschool children. FAMILY PROCESS 2022; 61:1767-1780. [PMID: 34927240 DOI: 10.1111/famp.12741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Revised: 11/06/2021] [Accepted: 11/07/2021] [Indexed: 06/14/2023]
Abstract
Chinese parents tend to exhibit a high level of worry about their children during the preschool years, which may adversely influence children's mental health. Few studies have investigated the content and intensity of parental worry about children among Chinese parents of preschool children. This study developed and validated the Parental Worry About Children Scale (PWCS) for Chinese parents of preschool children. A pool of 70 items was created after an open-ended questionnaire survey of 1069 Chinese parents of preschool children and an Internet-content analysis, followed by an assessment for content validity by eight experts. Exploratory factor analysis was then conducted with 680 Chinese parents of preschool children, resulting in the formal PWCS consisting of 40 items in four dimensions: physical well-being, psychological well-being, learning/living abilities, and future/uncertain risks. With a sample of 1548 Chinese parents of preschool children, the PWCS demonstrated good structural validity, internal consistency reliability, measure invariance across mothers and fathers, and criterion-related validity. The PWCS may help elucidate the characteristics and antecedents of parental worry about children and the mechanisms underlying its influence on children's mental health in the Chinese context. In clinical practice, this new instrument may facilitate the emergence of effective intervention strategies for alleviating parental worry about children and its negative impact on children's mental health.
Collapse
Affiliation(s)
- Siyu Zhou
- Faculty of Education, Beijing Normal University, Beijing, China
| | - Xiaowei Li
- Faculty of Education, Beijing Normal University, Beijing, China
| |
Collapse
|
9
|
The moderating effect of parenting stress on temperament and social competence in early childhood. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03802-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
10
|
Thorup E, Sydsjö G, Lampic C. Same-sex mothers' experiences of equal treatment, parenting stress and disclosure to offspring: a population-based study of parenthood following identity-release sperm donation. Hum Reprod 2022; 37:2589-2598. [PMID: 36099155 PMCID: PMC9627656 DOI: 10.1093/humrep/deac194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/22/2022] [Indexed: 12/04/2022] Open
Abstract
STUDY QUESTION What are the experiences of same-sex mothers following identity-release sperm donation regarding equal treatment in society, parenting stress and disclosure to child? SUMMARY ANSWER Mothers predominantly reported equal treatment in society, low levels of parenting stress and early disclosure of the donor conception to the child, and half of the couples had also informed the child of his/her right to obtain the donor’s identity. WHAT IS KNOWN ALREADY The number of two-mother families is increasing, and previous studies have reported about challenges related to heteronormativity, discrimination and the status of the non-birth mother. Same-sex mothers have been found to disclose the child’s donor conception earlier than different-sex parents, but little is known regarding disclosure of the child’s right to obtain identifying information about the donor. STUDY DESIGN, SIZE, DURATION The present study concerns the fourth wave of data collection of a nation-wide longitudinal study. A total of 143 same-sex mothers (73% response rate) following identity-release sperm donation completed individual surveys when their donor-conceived child had reached age 7. These women represent a total of 82 couples who had undergone sperm donation treatment. PARTICIPANTS/MATERIALS, SETTING, METHODS The study is part of the longitudinal Swedish Study on Gamete Donation (SSGD). Couples accepted for gamete donation treatment at seven Swedish University hospitals were recruited between 2005 and 2008 and were requested to complete postal surveys during four waves of data collection. The present study sample includes same-sex mothers who completed a survey when their donor-conceived child had reached 7 years of age. Data were collected with the Swedish Parenting Stress Questionnaire (SPSQ), and study-specific items on experiences of treatment in society and disclosure behavior. Group comparisons (birth mothers vs non-birth mothers) were conducted using Chi2-tests, independent t-tests and Mann–Whitney U-tests, and written comments provided for open-response items were analyzed by qualitative content analysis. MAIN RESULTS AND ROLE OF CHANCE The mothers were generally open about the child’s donor conception and the large majority (>80%) reported being treated positively and in the same way as other parents. However, satisfaction with treatment in health care settings was significantly lower than that reported in contacts with the child’s school and recreational activities (P < 0.001) and open-response comments indicate that this may be related predominantly to heteronormative language and assumptions. Birth mothers and non-birth mothers reported similar treatment in society and similar levels of parenting stress. All but one couple had already talked with their 7-year-old child about his/her conception with donor sperm. Half of the couples had also informed the child about his/her opportunity to obtain identifying information about the donor, and remaining couples planned later disclosure. Children’s reactions were generally described as neutral, positive or characterized by interest and curiosity. LIMITATIONS, REASONS FOR CAUTION The present study was performed within the context of the Swedish legislation on identity-release donation, which limits the generalizability to same-sex couples using anonymous or known sperm donors. Although no evidence of attrition bias was found, it is possible that those couples who initially declined participation in the SSGD (23%) or dropped out at the fourth wave of data collection (27%) differ from the study sample in terms of variables that we were unable to control for. WIDER IMPLICATION OF THE FINDINGS The present finding that most same-sex mothers in a population-based sample experience equal treatment in society is encouraging and validates previous results from predominantly qualitative studies. Nevertheless, the fact that a subgroup experiences discrimination and less favorable treatment indicates that further action is needed, particularly in child health care settings. The present study is the first to report on the timing of parents’ disclosure of the child’s right to identifying donor information and suggests that disclosure during preschool ages is feasible and does not appear to be related to negative consequences. In view of the increased availability and use of identity-release donation, there is a pressing need to investigate parents’ intentions, behaviors and needs with regard to talking with their child about his/her opportunity to obtain the donor’s identity. STUDY FUNDING/COMPETING INTEREST(S) Financial support from the Swedish Research Council (2013-2712) and the Swedish Research Council for Health, Working Life and Welfare (2014-00876). There are no conflicts of interest to declare. TRIAL REGISTRATION NUMBER N/A.
Collapse
Affiliation(s)
- Emilia Thorup
- Department of Psychology, Lund University, Lund, Sweden.,Department of Psychology, Uppsala University, Uppsala, Sweden
| | - Gunilla Sydsjö
- Division of Children's and Women's Health, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
| | | |
Collapse
|
11
|
Jandrić S, Kurtović A. Parenting Sense of Competence in Parents of Children With and Without Intellectual Disability. EUROPES JOURNAL OF PSYCHOLOGY 2022; 17:75-91. [PMID: 35136430 PMCID: PMC8768480 DOI: 10.5964/ejop.3771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 09/02/2020] [Indexed: 11/20/2022]
Abstract
Our study aims to examine the relationship of child’s intellectual disability, parental education, employment and perceived stress with parenting sense of competence (satisfaction and self-efficacy). Three groups of parents (children without intellectual disability, children with mild intellectual disabilities, and children with moderate/severe intellectual disability) completed measures of perceived stress, parenting sense of competence and socio-demographic questions. Results show that child’s intellectual disability affects parenting satisfaction but not parenting self-efficacy. Parental employment predicted parenting satisfaction, but not parenting self-efficacy, while perceived stress predicted parenting satisfaction and self-efficacy. Results further suggest that parental employment moderates the relationship of child's disability with parenting satisfaction and perceived stress. Result suggest a need for interventions aimed at supporting parents in dealing with emotional consequences of their child’s disability.
Collapse
Affiliation(s)
- Sanja Jandrić
- Unit for Child and Adolescent Psychiatry, Clinical Hospital Center, Osijek, Croatia.,Faculty of Medicine, J. J. Strossmayer University of Osijek, Osijek, Croatia
| | - Ana Kurtović
- Department of Psychology, Faculty of Humanties and Social Sciences, Osijek, Croatia
| |
Collapse
|
12
|
Yaakov OB, Shlomo SB, Keini NL. Parental stress among parents of young children-the contribution of parental self- awareness, attachment orientation, quality of couple relationship and child's temperament. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-02721-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
13
|
Kachi Y, Ochi M, Kato T, Otsuka M, Takehara K. Factors related to parenting stress among fathers of preschool children in Japan. Pediatr Int 2022; 64:e15132. [PMID: 35411994 DOI: 10.1111/ped.15132] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 11/04/2021] [Accepted: 12/15/2021] [Indexed: 01/06/2023]
Abstract
BACKGROUND Even though fathers participate in childcare at a higher rate than before, there remains a lack of research on the factors that contribute to parenting stress among fathers. This study explored the socioeconomic and demographic factors associated with parenting stress among fathers of preschool children. METHODS Our study included 17 645 fathers who participated in the 2016 Comprehensive Survey of Living Conditions in Japan. Parenting stress was assessed using a single question. Socioeconomic and demographic factors were predictors. Logistic regression analysis was conducted to estimate the odds ratio (OR) and 95% confidence interval (CI) for parenting stress. RESULTS Overall, 6.6% fathers experienced parenting stress. Fathers with a youngest child aged 0-2 years were more likely to experience parenting stress than those with a youngest child aged 3-6 (OR: 1.45, 95% CI: 1.25-1.68). Compared with fathers who lived in two-parent households without grandparents, those who lived in single-father households (both with and without grandparents) were more likely to experience parenting stress (OR: 12.13, 95% CI: 5.60-26.29 and OR: 4.19, 95% CI: 2.04-8.60, respectively). Furthermore, there was a significant negative association between education and parenting stress. CONCLUSIONS Having a child aged 0-2 years, single fatherhood, and higher education were associated with parenting stress among fathers of preschool children. Healthcare professionals need to be aware of these factors when supporting fathers in raising their children.
Collapse
Affiliation(s)
- Yuko Kachi
- Department of Public Health, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.,Department of Social Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
| | - Manami Ochi
- Department of Health and Welfare Services, National Institute of Public Health, Wako-shi, Saitama, Japan
| | - Tsuguhiko Kato
- Department of Social Medicine, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
| | - Miyako Otsuka
- Department of Health Policy, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
| | - Kenji Takehara
- Department of Health Policy, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan
| |
Collapse
|
14
|
Anwar AI, Panna SS, Akbar FH. Differences in Early Childhood Caries Status on Parental Stress Levels and Socioeconomic Status in Makassar City, Indonesia, During the COVID-19 Pandemic. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2023] Open
|
15
|
Amaerjiang N, Xiao H, Zunong J, Shu W, Li M, Pérez-Escamilla R, Hu Y. Sleep disturbances in children newly enrolled in elementary school are associated with parenting stress in China. Sleep Med 2021; 88:247-255. [PMID: 34798441 DOI: 10.1016/j.sleep.2021.10.033] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 10/24/2021] [Accepted: 10/26/2021] [Indexed: 11/16/2022]
Abstract
OBJECTIVE This study aimed to investigate the prevalence of children's sleep disturbances among students newly enrolled in elementary school, and explored the association between the two during the child's transition from kindergarten to elementary school. METHODS In 2019, a cross-sectional study was conducted among 1,510 newly enrolled school kids and their parents in Beijing. Children's sleep characteristics were evaluated using the Children's Sleep Habits Questionnaire (CSHQ), and parenting stress characteristics were assessed with the Parenting Stress Index-Short Form (PSI-SF). Logistic regression models were used to analyze the association between children's sleep and parenting stress. RESULTS A total of 77.9% of children newly enrolled in elementary school had sleep disturbances and 15.6% of parents had experienced parenting stress. When examining the relationship between children's sleep disturbances and parenting stress, monthly family income over US$1,550 was a protective factor and children with sleep disturbances were associated with higher risk of parenting stress. Two subscales from the CSHQ were associated with higher parenting stress risk: sleep duration and daytime sleepiness. Similarly, parents experiencing parenting stress had children with higher risk of sleep disturbances. This risk was also higher for children from parents screening positive in the PSI-SF subscales for parental distress and difficult child. CONCLUSIONS We found that children's sleep disturbances and parenting stress were common and there was a bidirectional association between the two during this transition time. Schools and communities need to provide timely psychological support for children and parents to address major stressors.
Collapse
Affiliation(s)
- Nubiya Amaerjiang
- Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing, 100069, China
| | - Huidi Xiao
- Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing, 100069, China
| | - Jiawulan Zunong
- Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing, 100069, China
| | - Wen Shu
- Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing, 100069, China
| | - Menglong Li
- Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing, 100069, China
| | | | - Yifei Hu
- Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing, 100069, China.
| |
Collapse
|
16
|
Bedtime Routines of Young Children, Parenting Stress, and Bedtime Resistance: Mediation Models. Child Psychiatry Hum Dev 2021; 54:683-691. [PMID: 34731402 DOI: 10.1007/s10578-021-01275-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/12/2021] [Indexed: 10/19/2022]
Abstract
This study examined if inconsistent bedtime routines are a mechanism through which high levels of parenting stress are related to bedtime resistant behaviors. Bedtime resistant behavior is a common problem in young children. Although previous studies have linked parenting stress to problematic behaviors at bedtime, understanding how and why that may be has been subject to limited empirical investigation. Caregivers (N = 118) of a child age 2-5 were recruited on Amazon's mechanical turk. There was a significant indirect effect of parenting stress on bedtime resistance through bedtime routines as well as a significant indirect effect of bedtime routines on bedtime resistant behavior through parenting stress. These findings suggest that there is a bidirectional relationship between inconsistent routines and parenting stress. Clinically, these results suggest that implementing a consistent routine at bedtime may improve both parent (less stress) and child (less bedtime resistance) functioning.
Collapse
|
17
|
Wang M, Wang F, Wang Y, Xing X. Parental Anxiety and Depression Moderate Intergenerational Transmission of Parental Psychological Aggression in China. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:8314-8337. [PMID: 31117915 DOI: 10.1177/0886260519850535] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The present study examined the intergenerational patterns in the transmission of parental psychological aggression in China and the moderating effects of parental anxiety and depression. Participants were 552 children (Mage = 12.81 years, 250 boys) and their parents who were recruited from two junior high schools in Jinan, the capital city of Shandong Province in China. The results showed that both maternal and paternal psychological aggressions were transmitted in Chinese societies, and maternal but not paternal anxiety and depression moderated the transmission of psychological aggression. The strength of transmission was stronger for mothers with high levels of anxiety and depression than those with low levels of anxiety and depression. The findings highlighted the roles of parental distal (psychological aggression experiences) and proximal (negative emotions) factors in their use of psychological aggression and suggested the need for intervention programs to focus on reduction of parental negative emotions.
Collapse
Affiliation(s)
- Meifang Wang
- Research Center for Child Development, College of Elementary Education, Capital Normal University, Beijing, P.R. China
| | - Fang Wang
- Key Laboratory of Learning and Cognition, Research Center for Child Development, School of Psychology, Capital Normal University, Beijing, P.R. China
| | - Yuzhu Wang
- Key Laboratory of Learning and Cognition, Research Center for Child Development, School of Psychology, Capital Normal University, Beijing, P.R. China
| | - Xiaopei Xing
- Key Laboratory of Learning and Cognition, Research Center for Child Development, School of Psychology, Capital Normal University, Beijing, P.R. China
| |
Collapse
|
18
|
Freisthler B, Gruenewald PJ, Tebben E, Shockley McCarthy K, Price Wolf J. Understanding at-the-moment stress for parents during COVID-19 stay-at-home restrictions. Soc Sci Med 2021; 279:114025. [PMID: 34004571 PMCID: PMC9756775 DOI: 10.1016/j.socscimed.2021.114025] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 03/11/2021] [Accepted: 05/07/2021] [Indexed: 01/22/2023]
Abstract
RATIONALE In spring 2020, many states in the United States enacted stay-at-home orders to limit the spread of COVID-19 and lessen effects on hospitals and health care workers. This required parents to act in new roles without much support. Although studies have asked parents about stress before and during the pandemic, none have examined how stress may have fluctuated throughout the day and the characteristics related to those daily changes. OBJECTIVE Our study assesses how time-varying (e.g., presence of a focal child) and day-varying (e.g., weekend vs. weekday) factors were related to parents' level of stress. METHODS We use Ecological Momentary Assessment to examine stress three times a day (10 a.m., 3 p.m., and 9 p.m.) for 14 days. We include two different dates hypothesized to be related to parents' stress levels: (1) when Ohio announced schools would go virtual for the rest of the academic year and (2) when most retail businesses were allowed to re-open. Our sample of 332 individuals, recruited via Facebook, Craigslist, and word of mouth, completed 13,360 of these brief surveys during April-May 2020. Data were analyzed using generalized ordered logit models. RESULTS Parents report lower levels of stress when completing the 9 p.m. survey, but higher levels when they were at work, during weekdays (compared to weekends) or when they were with the focal child. COVID-19 milestone dates were not related to stress levels. CONCLUSIONS Parents need some form of respite (e.g. child care, child-only activities) to reduce stress, especially during the week when parents are juggling their outside employment and their child(ren)'s schooling. Providing parents with skills and tools to identify and reduce stress, such as apps monitoring heart rate or providing deep breathing techniques, may be one way of helping parents cope with extremely stressful situations.
Collapse
Affiliation(s)
- Bridget Freisthler
- College of Social Work, The Ohio State University, 1947 College Road N, Columbus, OH, 43210, USA.
| | - Paul J Gruenewald
- Prevention Research Center, Pacific Institute for Research and Evaluation, 2150 Shattuck Ave., Suite 601, Berkeley, CA, 94704, USA.
| | - Erin Tebben
- College of Social Work, The Ohio State University, 1947 College Road N, Columbus, OH, 43210, USA.
| | - Karla Shockley McCarthy
- College of Social Work, The Ohio State University, 1947 College Road N, Columbus, OH, 43210, USA.
| | - Jennifer Price Wolf
- School of Social Work, San Jose State University, One Washington Square, San Jose, CA, 95112, USA.
| |
Collapse
|
19
|
Rayce SB, Pontoppidan M, Nielsen T. Concordance within parent couples' perception of parental stress symptoms among parents to 1-18-year-olds with physical or mental health problems. PLoS One 2020; 15:e0244212. [PMID: 33338059 PMCID: PMC7748276 DOI: 10.1371/journal.pone.0244212] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 12/06/2020] [Indexed: 12/02/2022] Open
Abstract
Parents of children with physical or mental health problems are at higher risk for experiencing parental stress. However, mothers and fathers may experience parental stress differently. The aim was to examine whether mothers and fathers of children with physical and/or mental health problems are equally inclined within the couples to experience different aspects of parental stress when considering child and parent couple characteristics. Single aspects of Parental stress were assessed with nine items from the Parental Stress Scale in 197 parent couples of children aged 1–18 years with physical and/or mental health problems. Agreement within parent couples for each item was tested using two tests of marginal homogeneity for dependent data: a nominal G2-test and an ordinal γ-test. Analyses were conditioned on child gender, child age, couple educational level, and overall parental stress. For seven aspects of parental stress, differences in agreement within the couples were found with at least one of the conditioning variables. For five aspects (item 3, 4, 9, 10, 13) addressing specific personal experience of daily stressors related to having children and feeling inadequate as a parent, the differences were systematic. Mothers were more inclined to experience these aspect of parental stress than fathers, specially mothers of boys, a younger child, in couples with an education above high school or with a higher stress level. Agreement was found for two aspects (item 14 and 16) of parental stress. This study suggests that mothers’ and fathers’ experience of most aspects of parental stress vary within the couples. Knowledge on systematic difference between parents’ experience of parental stress may inform future interventions. For aspects where mothers generally experience the highest degree of stress, fathers may be involved as support. Future studies may explore the role of diagnoses, coping strategies and examine concordance in parental stress symptoms in other subgroups.
Collapse
Affiliation(s)
- Signe Boe Rayce
- Department of Health, VIVE, The Danish Centre for Social Science Research, Copenhagen, Denmark
- * E-mail:
| | - Maiken Pontoppidan
- Department of Health, VIVE, The Danish Centre for Social Science Research, Copenhagen, Denmark
| | - Tine Nielsen
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| |
Collapse
|
20
|
Ren J, Li X, Chen S, Chen S, Nie Y. The Influence of Factors Such as Parenting Stress and Social Support on the State Anxiety in Parents of Special Needs Children During the COVID-19 Epidemic. Front Psychol 2020; 11:565393. [PMID: 33362628 PMCID: PMC7758194 DOI: 10.3389/fpsyg.2020.565393] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 11/12/2020] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES The study aims to investigate the state anxiety of parents of special needs children during the 2019 coronavirus disease (COVID-19) epidemic and the influence of parental stress, social support, and other related variables on the anxiety of parents. METHODS Bespoke questionnaires of children's and parent's mental and behavioral problems during the epidemic were used in the study. We also used the State Anxiety Inventory (S-AI), the Parenting Stress Index-Short Form-15 (PSI-SF-15), the NEO Five-Factor Inventory (NEO-FFI), and the Multidimensional Scale of Perceived Social Support (MSPSS). The data used in the study were pooled from an online survey of parents of special needs children and analyzed by one-way analysis of variance (ANOVA) and multiple linear regression. RESULTS Overall, 1,451 individuals were included, of which 402 were fathers (27.71%) and 1,049 were mothers (72.29%). ANOVA results showed that educational background, family monthly income, and type of their child's disability made parents' state anxiety significantly different. The results of multiple linear regression showed that during the epidemic, social support negatively predicted parents' state anxiety (B = -0.15, p < 0.001), whereas parenting stress (B = 0.07, p = 0.001) and parental mental and behavioral problems (B = 0.37, p < 0.001) positively predicted parents' state anxiety. CONCLUSIONS During the outbreak of COVID-19, parents of special needs children suffered mental and behavioral problems, together with parenting stress and social support, which influenced their state anxiety. These findings can be used to develop relevant psychological interventions to improve the mental health of vulnerable groups during a pandemic like COVID-19.
Collapse
Affiliation(s)
- Jie Ren
- Department of Special Education, School of Education, Guangzhou University, Guangzhou, China
| | - Xingkai Li
- Department of Psychology, School of Education, Guangzhou University, Guangzhou, China
| | - Shudan Chen
- Department of Preschool Education, School of Education, Guangzhou University, Guangzhou, China
| | - Suiqing Chen
- Department of Special Education, School of Education, Guangzhou University, Guangzhou, China
| | - Yangang Nie
- Department of Psychology and Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou, China
| |
Collapse
|
21
|
Mousavi SF. Psychological Well-Being, Marital Satisfaction, and Parental Burnout in Iranian Parents: The Effect of Home Quarantine During COVID-19 Outbreaks. Front Psychol 2020; 11:553880. [PMID: 33343439 PMCID: PMC7744775 DOI: 10.3389/fpsyg.2020.553880] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 11/02/2020] [Indexed: 11/23/2022] Open
Abstract
Coronavirus disease 2019 (COVID-19), as an infectious disease, is now prevalent in many countries around the world, which has recently led many governments to home quarantine and impose penalties for violating quarantine. Concerns and stress caused by lockdown and social isolation led to personal and interactive reactions in some families, which are also culturally important to address. This study was administrated to study the psychological well-being and the effect of home quarantine on marital satisfaction (MS) and parental burnout (PB) from parenting responsibilities during the prevalence of COVID-19 in Iranian parents. A total of 213 parents (140 mothers and 73 fathers) voluntarily participated in the online survey in the period of February to mid-April 2020 and completed the 5-item index of the well-being of the World Health Organization (WHO-5), the Kansas Marital Satisfaction Scale (KMSS), and the Parental Burnout Assessment (PBA). The results showed that the effect of home quarantine on MS and PB was not significant in parents (p > 0.01). The interactive effect of home quarantine and gender was not significant on MS and PB (p > 0.01). In addition, the mothers significantly reported higher PB than the fathers, but the fathers had higher scores in MS and psychological well-being (p < 0.01). The effect of some demographic factors on the studied variables was also significant. Supportive resources in family-based culture may play an essential role to reduce the negative effects of stressful situations on family interactions.
Collapse
|
22
|
Beauchamp MH, Séguin M, Gagner C, Lalonde G, Bernier A. The PARENT model: a pathway approach for understanding parents’ role after early childhood mild traumatic brain injury. Clin Neuropsychol 2020; 35:846-867. [DOI: 10.1080/13854046.2020.1834621] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- M. H. Beauchamp
- Department of Psychology, University of Montreal, Canada
- Sainte-Justine Hospital Research Center, Montreal, Canada
| | - M. Séguin
- Department of Psychology, University of Montreal, Canada
- Sainte-Justine Hospital Research Center, Montreal, Canada
| | - C. Gagner
- Department of Psychology, University of Montreal, Canada
- Sainte-Justine Hospital Research Center, Montreal, Canada
| | - G. Lalonde
- Department of Psychology, University of Montreal, Canada
- Sainte-Justine Hospital Research Center, Montreal, Canada
| | - A. Bernier
- Department of Psychology, University of Montreal, Canada
| |
Collapse
|
23
|
When Low Blood Sugars Cause High Anxiety: Fear of Hypoglycemia Among Parents of Youth With Type 1 Diabetes Mellitus. Can J Diabetes 2020; 45:403-410.e2. [PMID: 33046404 DOI: 10.1016/j.jcjd.2020.08.098] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 08/10/2020] [Accepted: 08/12/2020] [Indexed: 01/29/2023]
Abstract
OBJECTIVES Hypoglycemia is the most common acute complication of type 1 diabetes (T1D), and the potential short- and long-term sequelae can cause children and parents to develop significant fear of hypoglycemia (FOH). FOH and associated anxiety can be disruptive to activities of daily living and lead to reduced quality of life. We sought to determine the extent of FOH among parents of children with T1D within our clinic and to identify factors associated with greater FOH. METHODS Two hundred sixty-four parents of youth (2 to 18 years of age; mean ± standard deviation, 12.4±3.5 years) with T1D completed a survey that included demographic and disease-specific questions, the Spielberger State-Trait Anxiety Inventory and the Hypoglycemia Fear Survey---Parent version (HFS-P). RESULTS Of the 264 participants, 207 completed the full HFS-P, with a mean score of 67±19 (range, 31 to 119). The most frequent worries related to the child being hypoglycemic while alone or asleep. Higher HFS-P scores were also associated with more frequent and severe hypoglycemic episodes, higher state-trait anxiety scores, use of a continuous glucose monitor and more frequent blood glucose checks. Higher HFS-P scores were also associated with worse parental sleep quality and less parental engagement with treatment plans. CONCLUSIONS Parents of children with T1D experience FOH, especially during times of high vulnerability. Moreover, FOH could potentially impact clinical care (with parents being reluctant to administer suggested insulin doses) and quality of life (due to parental/child sleep disruption). Further studies are needed to develop and evaluate interventions aimed at reducing FOH in parents of youth with T1D.
Collapse
|
24
|
Lindsø Andersen P, Jemec GB, Saunte DML. Treatment adherence and psychosocial impact of tinea capitis in families: Qualitative pilot study. Dermatol Ther 2020; 33:e13570. [DOI: 10.1111/dth.13570] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 05/05/2020] [Accepted: 05/10/2020] [Indexed: 01/06/2023]
Affiliation(s)
- Pernille Lindsø Andersen
- Department of Clinical Immunology Naestved Hospital Denmark
- Department of Dermatology Zealand University Hospital Roskilde Denmark
| | - Gregor B. Jemec
- Department of Dermatology Zealand University Hospital Roskilde Denmark
- Clinical Medicine, Health Sciences Faculty University of Copenhagen Denmark
| | - Ditte Marie Lindhardt Saunte
- Department of Dermatology Zealand University Hospital Roskilde Denmark
- Clinical Medicine, Health Sciences Faculty University of Copenhagen Denmark
| |
Collapse
|
25
|
Özbiler Ş, Beidoğlu M. Maternal subjective well-being intervention effects: Subjective well-being and self-perception of the parental role. CURRENT PSYCHOLOGY 2020. [DOI: 10.1007/s12144-018-9818-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
26
|
Huber-Mollema Y, Oort FJ, Lindhout D, Rodenburg R. Well-being of mothers with epilepsy with school-aged children. Epilepsy Behav 2020; 105:106966. [PMID: 32146338 DOI: 10.1016/j.yebeh.2020.106966] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 01/31/2020] [Accepted: 02/09/2020] [Indexed: 11/19/2022]
Abstract
PURPOSE The purpose of the study was to examine different aspects of well-being in mothers with epilepsy with school-aged children. METHODS In an observational study, mothers, identified from the European Registry of Antiepileptic Drugs and Pregnancy database in the Netherlands, completed questions on epilepsy, the impact of epilepsy on daily functioning, quality of life, behavioral problems, and parenting stress. Descriptive analyses were performed to examine the prevalence of behavioral problems and the impact of epilepsy on different aspects of the mother's daily functioning and family life. We subsequently investigated which factors contributed most to the impact of maternal epilepsy using regression analyses. RESULTS One hundred fifty-six (46%) of the 342 invited mothers with epilepsy participated. The majority (89%) had low epilepsy severity, with well-controlled seizures. Internalizing problems within the borderline or clinical range were reported by 23% of the mothers. Behavioral problems were significantly correlated with epilepsy severity (r = 0.26, p = .002), impact of epilepsy on daily functioning (r = 0.32, p < .001), and quality of life (r = -0.52, p < 01). Quality of life was in general good (mean = 8, standard deviation [SD] = 1), with low impact of epilepsy. Epilepsy affected mostly maternal self-confidence, work, and general health. Mothers indicated to experience no to little impact of epilepsy on the relationship with their children, partner, or family. Regression analyses showed that epilepsy severity (1.0, 95% confidence interval [CI]: 0.4 to 1.6; p = .002) and quality of life (-1.3, CI: -2.3 to -0.4; p = .007) were significant contributors to the impact of epilepsy on daily functioning, while other factors (maternal education, family type, behavioral problems, and parenting stress) were nonsignificant. DISCUSSION The current study shows that mothers with epilepsy generally fared well. Epilepsy negatively impacted the lives of some mothers, though. As maternal well-being is of importance for mother-child interaction and child development, clinicians should be aware of the impact of epilepsy on maternal psychosocial outcomes and family life of women with epilepsy.
Collapse
Affiliation(s)
- Yfke Huber-Mollema
- Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, the Netherlands; Research Institute of Child Development and Education, University of Amsterdam, the Netherlands
| | - Frans J Oort
- Research Institute of Child Development and Education, University of Amsterdam, the Netherlands
| | - Dick Lindhout
- Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, the Netherlands; Department of Genetics, University Medical Center Utrecht, the Netherlands
| | - Roos Rodenburg
- Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede, the Netherlands; Research Institute of Child Development and Education, University of Amsterdam, the Netherlands. H.-
| |
Collapse
|
27
|
Winstone LK, Curci SG, Crnic KA. Pathways to Maternal and Child Well-Being: Stability and Transaction across Toddlerhood. PARENTING, SCIENCE AND PRACTICE 2020; 21:118-140. [PMID: 33994868 PMCID: PMC8118157 DOI: 10.1080/15295192.2019.1701933] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
OBJECTIVE This study examines the development of minor parenting stress, parenting satisfaction, and dyadic dysregulation across early childhood and evaluates their roles in predicting maternal and child well-being one year later. DESIGN Data was collected from 322 low-income, Mexican American mother-child dyads at child ages 12, 18, 24, and 36 months. Mothers responded to questionnaires during structured interviews, and mother-child dyadic interactions were observed during structured teaching tasks and later coded for global displays of emotional, attentional, and behavioral dysregulation. RESULTS Cross-lag path analyses revealed negative concurrent relations between minor parenting stress and parenting satisfaction at every time point and stability in constructs across time. Parenting stress predicted greater subsequent dyadic dysregulation. Greater dyadic dysregulation and stress related to parenting predicted more maternal depressive symptoms and child behavior problems, whereas greater parenting satisfaction predicted less maternal depressive symptoms and child behavior problems. CONCLUSION In this minority at-risk population, there was substantial stability in and a lack of transactional relations between minor parenting stresses, parenting satisfaction, and dyadic dysregulation across toddlerhood. These factors are important determinants of maternal and child well-being, with minor parenting stress emerging as particularly powerful.
Collapse
Affiliation(s)
- Laura K Winstone
- Department of Psychology, Arizona State University, Tempe, AZ 85287
| | | | | |
Collapse
|
28
|
Diana S, Emanuel T, Keren AS, Izhak S. Ethnic Differences in Home-Related Maternal Stress: Muslim and Jewish Mothers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E4393. [PMID: 31717679 PMCID: PMC6888124 DOI: 10.3390/ijerph16224393] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 10/25/2019] [Accepted: 11/08/2019] [Indexed: 12/18/2022]
Abstract
Parental stresses are normal responses to raising children. They are affected by stresses parents and children accumulate and bring to their interrelations. Background factors like economic difficulties or the relations between the parents may affect parental stresses as well as demographic and environmental factors like noise and access to urban parks. Most studies on parental stress are based on a verified psychological questionnaire. We suggest using frequency domain heart rate variability index (HRV) to measure parental stress enabling, by thus, the measurement of physiological aspects of stress and risk to health. Parental stress is measured as the difference between HRV accumulated at home while staying with the children and without the husband and HRV measured in the neighborhood while staying without the children and the husband. We use the index to compare differences among Muslim and Jewish mothers in exposure to maternal stress at their homes and to expose the factors that predict differences in maternal stress. We found that Muslim mothers suffer from home-related maternal stress while Jewish mother do not. Number of children and ethnically related environmental aspects predict differences in maternal stress between Muslim and Jewish mothers. Muslims' lower access to parks stems from lack of home garden and parks in their neighborhoods in the Arab towns but mainly by restrictions on Muslim mothers' freedom of movement to parks. Despite differences in levels of noise at home and in the status of the mother in the household, these factors did not predict differences in maternal stress. Instead, the study highlights the crucial role of greenery and freedom of movement to parks in moderating home-related maternal stress.
Collapse
Affiliation(s)
- Saadi Diana
- Porter School of the Environmental and Earth Sciences, the Faculty of Exact Sciences, Tel Aviv University, Tel Aviv 69978, Israel
| | - Tirosh Emanuel
- Bnei Zion Medical Center, the Rappaport Family Faculty of Medicine, (emeritus), The Technion, Israel Institute of Technology, Haifa 23774, Israel;
| | - Agay-Shay Keren
- Faculty of Medicine in the Galilee, Bar Ilan University, Safed 5290002, Israel; or
| | - Schnell Izhak
- Department of Geography and Human Environment, Tel Aviv University, Tel Aviv 66978, Israel
| |
Collapse
|
29
|
Dağlar G, Nur N, Bilgiç D, Aydın Özkan S. Gebelerin stresle başa çıkma tarzları ile yaşam kalitesi arasındaki ilişki. CUKUROVA MEDICAL JOURNAL 2019. [DOI: 10.17826/cumj.491840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
30
|
Schreier A, Kaufman JS, Crusto CA. Comparing Early-Childhood and School-Aged Systems of Care for Children with Emotional and Behavioral Difficulties: Risk, Symptom Presentation, and Outcomes. JOURNAL OF CHILD AND FAMILY STUDIES 2019; 28:2312-2325. [PMID: 34334995 PMCID: PMC8323490 DOI: 10.1007/s10826-019-01447-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVES Most large-scale evaluations of systems of care (SOCs) have focused on school-aged populations, with limited research examining early childhood SOCs. As a result, little is known about how risk profiles, symptom presentation, and outcomes may vary between early childhood and school-aged SOC participants. This descriptive study uses data from two SOCs-an early childhood SOC (EC-SOC) and a school-aged SOC (SA-SOC)-to examine the differences across age groups in how children and families present to SOCs and the extent to which risk factors and symptoms change over six months of enrollment. METHOD Participants were 184 children in the EC-SOC (m age = 3.91) and 142 children in the SA-SOC (m age = 9.36). Families completed measures assessing risk factors and functioning at enrollment and at six-month follow up. Descriptive analyses measured the presence of risk factors and symptoms at enrollment and follow-up. Correlations were computed to determine the associations between symptom measures. RESULTS Results identified areas of similarity and difference between families presenting for SOCs at different developmental stages. Younger children experienced greater behavioral problems (Hedge's g = 0.52, p < 0.001) with more associated caregiver stress (Hedge's g range = 0.34-0.62, p < 0.01) and strain (Hedge's g = 0.34, p = 0.005). Trauma was more strongly associated with child and caregiver symptoms among younger children. Greater change in symptom measures was observed for the EC-SOC. CONCLUSIONS Findings highlight the importance of providing services in early childhood and provide guidance for SOC service provision at different ages.
Collapse
Affiliation(s)
| | | | - Cindy A. Crusto
- Yale School of Medicine, New Haven, CT, USA
- University of Pretoria, Pretoria, South Africa
| |
Collapse
|
31
|
Lemos MS, Lima L, Silva C, Fontoura S. Disease-related Parenting Stress in the Post-treatment Phase of Pediatric Cancer. Compr Child Adolesc Nurs 2019; 43:65-79. [PMID: 30973024 DOI: 10.1080/24694193.2019.1570393] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Parenting stress is generally associated with poorer psychological adjustment in caregivers and children with chronic illness. Although parenting stress in pediatric cancer has been previously demonstrated, few studies have investigated this problem when treatments end. The present study aimed to describe disease-related parenting stress in the post-treatment phase of pediatric cancer, and to analyze the role of parents' age and education, family functioning, and perceived child vulnerability in predicting disease-related parenting stress. The study comprised 56 parents of children with cancer, in the post-treatment phase, who completed a clinical and demographic questionnaire, as well as the Pediatric Inventory for Parents, assessing parenting stress, the Child Perceived Vulnerability Scale, and the Family Adaptability and Cohesion Evaluation Scale-Version IV. Results revealed that the level of disease-related parenting stress in the post-treatment phase was still significant. Emotional stress scores were especially high, further showing that parents' concerns in this phase focus mainly on the long-term impact of the disease and treatments, involving intense feelings of fear and uncertainty. A model with four predictors was tested using regression analysis, which explained 57% of parenting stress variance. More specifically, findings indicated that parental age and education significantly predicted parenting stress, accounting for over one-third of the variance in this outcome. Family functioning and perceived child vulnerability explained an additional 18% of parenting stress. Findings of this study suggest that even when treatment ends, there is still the need for continued support in order to assist parents' ability to deal with the implications of having a child who had cancer. Importantly, special attention should be given in clinical practice to the family functioning and to parents' beliefs about their child's vulnerability.
Collapse
Affiliation(s)
- Marina S Lemos
- Faculdade de Psicologia e Ciências da Educação, Universidade do Porto, Porto, Portugal.,Center for Psychology at the University of Porto, Porto, Portugal
| | - Lígia Lima
- Escola Superior de Enfermagem do Porto (Nursing School of Porto), Porto, Portugal.,CINTESIS - Center for Health Technology and Services Research, Porto, Portugal
| | - Catarina Silva
- Faculdade de Psicologia e Ciências da Educação, Universidade do Porto, Porto, Portugal
| | - Sara Fontoura
- Faculdade de Psicologia e Ciências da Educação, Universidade do Porto, Porto, Portugal
| |
Collapse
|
32
|
Williamson D, Johnston C. Maternal ADHD Symptoms and Parenting Stress: The Roles of Parenting Self-Efficacy Beliefs and Neuroticism. J Atten Disord 2019; 23:493-505. [PMID: 28201945 DOI: 10.1177/1087054717693373] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVE ADHD symptoms in adults are consistently related to stress in a variety of domains, although whether the link between ADHD symptoms and stress is direct, or accounted for or moderated by other variables, is little studied. We used a cross-sectional design to examine whether parenting self-efficacy accounts for the relation between maternal ADHD symptoms and parenting stress, and whether levels of maternal neuroticism moderate this relation. METHOD A nonclinical sample of mothers of 120, six- to 12-year-old children completed surveys online. RESULTS Maternal ADHD symptoms were associated with parenting stress, but this relation was accounted for by parenting self-efficacy beliefs. Neuroticism did not moderate the relations among these variables. Covariate analyses indicated that although parenting self-efficacy beliefs remain a robust predictor of parenting stress, the relation between maternal ADHD symptoms and parenting stress can be better accounted for by other variables. CONCLUSION The results highlight the importance of self-efficacy beliefs and demonstrate that ADHD symptoms are not sufficient to understand the experience of parenting.
Collapse
|
33
|
César F, Costa P, Oliveira A, Fontaine AM. "To Suffer in Paradise": Feelings Mothers Share on Portuguese Facebook Sites. Front Psychol 2018; 9:1797. [PMID: 30327625 PMCID: PMC6174275 DOI: 10.3389/fpsyg.2018.01797] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Accepted: 09/04/2018] [Indexed: 11/16/2022] Open
Abstract
Background: Motherhood is an emotional rollercoaster. This is overlooked by most literature, which tends to refer mothers’ pathological states of postpartum depression and anxiety, mainly seeking to understand their causes or predicting factors, and consequences on children’s development. Objective: In this study, we aim to observe the diversity of mothers’ emotional states, and to analyze both positive and negative feelings they disclose on specific public and closed motherhood sites on Facebook. We hypothesize that the intensive motherhood model is prevalent in Portuguese society, thus influencing the type of feelings and circumstances in which mothers disclose them. Methods: We collected posts and comments from the four most popular Portuguese Facebook motherhood sites during 2015 and, then, conducted a quantitative and content analysis to identify the expressed range of feelings concerning motherhood. Results: Mothers preferably share their positive feelings on public pages, whereas negative feelings are shared more in closed groups (CGs). Expressed positive and negative feelings were significantly different whether we look at normative or non-normative, public or closed sites. Discussion: We assume that motherhood sites on Portuguese Facebook reflect an intensive motherhood model that is normative in Portuguese society. Positive feelings toward children are promoted and openly shared in public normative sites, while negative feelings concerning motherhood are dealt with in the privacy of CGs. We propose an extensive motherhood model to overcome this duality and to allow women to pursue several different social roles simultaneously in an equally rewarding way.
Collapse
Affiliation(s)
- Filipa César
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.,Culture, Normativity and Diversity Research Group, Center for Psychology, University of Porto, Porto, Portugal
| | - Patrício Costa
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.,Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.,ICVS/3B's - PT Government Associate Laboratory, Braga/Guimarães, Portugal
| | - Alexandra Oliveira
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.,Culture, Normativity and Diversity Research Group, Center for Psychology, University of Porto, Porto, Portugal
| | - Anne Marie Fontaine
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.,Culture, Normativity and Diversity Research Group, Center for Psychology, University of Porto, Porto, Portugal
| |
Collapse
|
34
|
Kracht CL, Swyden KJ, Weedn AE, Salvatore AL, Terry RA, Sisson SB. A Structural Equation Modelling Approach to Understanding Influences of Maternal and Family Characteristics on Feeding Practices in Young Children. Curr Dev Nutr 2018; 2:nzy061. [PMID: 30283915 PMCID: PMC6163107 DOI: 10.1093/cdn/nzy061] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 04/11/2018] [Accepted: 07/09/2018] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The family environment is influential for a child's healthy development through parent and sibling influences on feeding practices. Multiple-child households may protect against unhealthy feeding practices, but additional children contribute to higher maternal stress. Households of married parents may decrease maternal stress by sharing parental demands. OBJECTIVE We aimed to evaluate the collective influence of maternal stress, marital status, and number of children on feeding practices. METHODS Mothers of 2- to 5-y-old children (n = 278) were recruited mainly on a university campus and completed an online survey to examine associations between maternal stress (Depression, Anxiety, Stress Scale), number of children, marital status, and feeding practices (restriction and pressure to eat; Child Feeding Questionnaire). Relationships were examined through the use of multivariate regression and structural equation modelling. RESULTS A mainly married (85%) and Caucasian (73%) sample participated, with most mothers reporting multiple children [2 children (45%) or ≥3 children (24%)]. Marital status was not associated with either feeding practice, i.e., restriction and pressure to eat (P < 0.05). In adjusted models, maternal stress (β = 0.04, SE = 0.01, P = 0.003) and number of children (β = 0.24, SE = 0.08, P = 0.003) in the household individually contributed to higher feeding restriction; their interaction resulted in lower feeding restriction (β = -0.01, SE = 0.05, P = 0.005). In stratified models, maternal stress was associated with restriction in single-child households (β = -0.03, SE = 0.009, P = 0.002), but not multiple-child households (β = -0.004, SE = 0.005, P = 0.40). CONCLUSIONS Number of children had no effect on feeding practices individually, but may contribute to a less restrictive feeding environment. Additional investigation into creating less stressful and more positive feeding environments for all mothers can lead to healthier mothers and families.
Collapse
Affiliation(s)
- Chelsea L Kracht
- Department of Nutritional Sciences, College of Allied Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | - Katheryn J Swyden
- Department of Nutritional Sciences, College of Allied Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | - Ashley E Weedn
- Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | - Alicia L Salvatore
- Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | - Robert A Terry
- Department of Psychology, University of Oklahoma, Norman, OK
| | - Susan B Sisson
- Department of Nutritional Sciences, College of Allied Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| |
Collapse
|
35
|
Gordo L, Oliver-Roig A, Martínez-Pampliega A, Iriarte Elejalde L, Fernández-Alcantara M, Richart-Martínez M. Parental perception of child vulnerability and parental competence: The role of postnatal depression and parental stress in fathers and mothers. PLoS One 2018; 13:e0202894. [PMID: 30148877 PMCID: PMC6110487 DOI: 10.1371/journal.pone.0202894] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 08/10/2018] [Indexed: 11/19/2022] Open
Abstract
Introduction Parents' perception that their child may be vulnerable to serious life-threatening illnesses can have negative effects on how they exercise their parenting. No studies have yet been carried out on parent´s perception of their child’s vulnerability, when the child has not suffered a severe illness. This study tries to analyze the relationship between parent´s perception of their children´s vulnerability and parental competence, and analyzes the mediating role of postnatal depression and parental stress. Method The study was carried out on mothers and fathers of full-term infants who did not have any serious illnesses. A total of 965 people (385 fathers and 580 mothers) participated in the study. Results The results revealed an association between parental perception of their child’s vulnerability and parent’s perception of parental competence through depression and parental stress. However, this association was different for fathers and mothers. Conclusion The variable of perception of child’s vulnerability was a relevant factor to understand parental competence.
Collapse
Affiliation(s)
- Leire Gordo
- Department of Social and Developmental Psychology, University of Deusto, Bilbao, Spain
| | | | | | | | | | | |
Collapse
|
36
|
Lidbeck M, Bernhardsson S, Tjus T. Division of parental leave and perceived parenting stress among mothers and fathers. J Reprod Infant Psychol 2018; 36:406-420. [DOI: 10.1080/02646838.2018.1468557] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
- Monica Lidbeck
- Närhälsan Research and Development Primary Health Care, Gothenburg, Sweden
- Department of Psychology, University of Gothenburg, Göteborg, Sweden
| | - Susanne Bernhardsson
- Närhälsan Research and Development Primary Health Care, Gothenburg, Sweden
- Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Unit of Physiotherapy, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden
| | - Tomas Tjus
- Department of Psychology, University of Gothenburg, Göteborg, Sweden
| |
Collapse
|
37
|
Öst E, Nisell M, Frenckner B, Mesas Burgos C, Öjmyr-Joelsson M. Parenting stress among parents of children with congenital diaphragmatic hernia. Pediatr Surg Int 2017; 33:761-769. [PMID: 28527042 PMCID: PMC5486636 DOI: 10.1007/s00383-017-4093-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/10/2017] [Indexed: 01/14/2023]
Abstract
PURPOSE The aim of this study was to examine parental stress among parents of children with congenital diaphragmatic hernia (CDH). METHODS Between 2005 and 2009, a total of 51 children with CDH were treated at Astrid Lindgren Children's Hospital. The survival rate at discharge was 86% and long-term survival rate 80%. One parent each of the long-term survivors (41 children) was included in the present study, and 34 parents (83%) agreed to participate. Participants received the Swedish Parenthood Stress Questionnaire (SPSQ). The questionnaire was supplemented by data from case records. RESULTS Parents of children with CDH, who had been supported by ECMO or had a long hospital stay, showed significantly higher overall parental stress. Mothers scored an overall higher parental stress compared with fathers. A prenatal diagnosis of CDH or lower parental educational level resulted in significantly higher parental stress in some of the factors. CONCLUSIONS Parental stress in parents of children with CDH seems to increase with the severity of the child's malformation. Mothers tend to score higher parental stress than fathers.
Collapse
Affiliation(s)
- Elin Öst
- Karolinska Institutet, Department of Women’s and Children’s Health, 171 76 Stockholm, Sweden ,Pediatric Surgery Unit, Karolinska University Hospital, Astrid Lindgren Children’s Hospital, 171 76 Stockholm, Sweden
| | | | - Björn Frenckner
- Karolinska Institutet, Department of Women’s and Children’s Health, 171 76 Stockholm, Sweden ,Pediatric Surgery Unit, Karolinska University Hospital, Astrid Lindgren Children’s Hospital, 171 76 Stockholm, Sweden
| | - Carmen Mesas Burgos
- Karolinska Institutet, Department of Women’s and Children’s Health, 171 76 Stockholm, Sweden ,Pediatric Surgery Unit, Karolinska University Hospital, Astrid Lindgren Children’s Hospital, 171 76 Stockholm, Sweden
| | - Maria Öjmyr-Joelsson
- Karolinska Institutet, Department of Women’s and Children’s Health, 171 76 Stockholm, Sweden ,Pediatric Surgery Unit, Karolinska University Hospital, Astrid Lindgren Children’s Hospital, 171 76 Stockholm, Sweden
| |
Collapse
|
38
|
Loh J, Harms C, Harman B. Effects of Parental Stress, Optimism, and Health-Promoting Behaviors on the Quality of Life of Primiparous and Multiparous Mothers. Nurs Res 2017; 66:231-239. [DOI: 10.1097/nnr.0000000000000219] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
|
39
|
Meyer R, Godwin H, Dziubak R, Panepinto JA, Foong RXM, Bryon M, Lozinsky AC, Reeve K, Shah N. The impact on quality of life on families of children on an elimination diet for Non-immunoglobulin E mediated gastrointestinal food allergies. World Allergy Organ J 2017; 10:8. [PMID: 28261374 PMCID: PMC5320765 DOI: 10.1186/s40413-016-0139-7] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2016] [Accepted: 12/22/2016] [Indexed: 01/22/2023] Open
Abstract
Background The impact on health related quality of life (HRQL) has been well studied in children with Immunoglobulin E (IgE)-mediated food allergy. However limited data exists on related quality of life (QOL) of families who have a child suffering from food protein induced non-IgE mediated gastrointestinal allergies. We aimed to establish the QOL of families with children at the beginning of following an elimination diet for non-IgE mediated gastrointestinal food allergies. Methods A prospective, observational study was performed. Parents of children aged 4 weeks–16 years who improved after 4–8 weeks of following an elimination diet for suspected non-IgE mediated allergies were included. The Family Impact Module (FIM) of the Pediatric Quality of Life (PedsQL™) was used and we compared our data to two historical cohorts: one with sickle cell disease and another with intestinal failure. Results One hundred and twenty three children with a median age of 20 months were included (84 boys). The total FIM Score was 57.43 (SD 22.27) and particularly low for daily activities and worry. Factors that impacted significantly included age (p < 0.0001), number of foods excluded (p = 0.008), symptom severity (p = 0.041) and chronic nasal congestion (p = 0.012). Children with non-IgE mediated food allergies had worse scores in all domains (p < 0.0001) compared to sickle cell disease and worse physical (p = 0.04), emotional (p = 0.04) and worry (p = 0.01) domains compared to intestinal failure. Conclusions This study found that parent QOL and family functioning was worse in those families who had a child on an elimination diet for non-IgE mediated allergies compared to those with sickle cell disease and intestinal failure, highlighting the impact this disease has on families.
Collapse
Affiliation(s)
- Rosan Meyer
- Department Paediatrics, Imperial College, London, UK
| | - Heather Godwin
- Gastroenterology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Robert Dziubak
- Gastroenterology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Julie A Panepinto
- Department of Pediatrics, Children's Hospital of Wisconsin Research Institute/Medical College of Wisconsin, Hematology/Oncology/Bone Marrow Transplantation, Milwaukee, WI USA
| | - Ru-Xin M Foong
- University College of London/Institute of Child Health, London, UK
| | - Mandy Bryon
- Gastroenterology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Adriana Chebar Lozinsky
- Gastroenterology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Kate Reeve
- The Royal London Hospital, Paediatric A&E, Whitechapel Road, London, E1 1BB UK
| | - Neil Shah
- Gastroenterology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| |
Collapse
|
40
|
Wiener J, Biondic D, Grimbos T, Herbert M. Parenting Stress of Parents of Adolescents with Attention-Deficit Hyperactivity Disorder. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2016; 44:561-74. [PMID: 26183609 DOI: 10.1007/s10802-015-0050-7] [Citation(s) in RCA: 64] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study examined parenting stress among parents of adolescents with Attention-Deficit Hyperactivity Disorder (ADHD). The sample comprised 138 adolescents (84 ADHD, 52 boys, 32 girls; 54 non-ADHD, 24 boys, 30 girls) age 13 to 18 and their parents. Mothers (n = 135) and fathers (n = 98) of participating teens completed the Stress Index for Parents of Adolescents. Mothers and fathers of adolescents with ADHD reported more stress than parents of adolescents without ADHD with regard to their children's challenging behaviors (Adolescent domain stress). Mothers of adolescents with ADHD also reported that they experienced elevated levels of stress in terms of role restrictions, feelings of social alienation, conflict with their partner, feelings of guilt and incompetence (Parent domain stress), and relationship with their children (Adolescent-Parent Relationship domain stress; APR). The extent to which clinical levels of adolescent Oppositional Defiant Disorder (ODD) symptoms or externalizing behavior in general were associated with parenting stress depended on the rater of these behaviors. Parenting stress was associated with higher levels of ODD and other externalizing behaviors when these behaviors were rated by parents but not when they were rated by teachers. In addition, over and above adolescent ADHD classification, mothers' self-reported ADHD symptoms were associated with higher parenting stress in the Adolescent and Parent domains, and fathers' self-reported ADHD symptoms were associated with lower APR stress. The results suggest directions that should be considered for addressing parenting stress when designing interventions for families of adolescents with ADHD.
Collapse
Affiliation(s)
- Judith Wiener
- Department of Applied Psychology & Human Development, OISE/University of Toronto, 252 Bloor Street West, Toronto, ON, M5S 1V6, Canada.
| | - Daniella Biondic
- Department of Applied Psychology & Human Development, OISE/University of Toronto, 252 Bloor Street West, Toronto, ON, M5S 1V6, Canada.
| | - Teresa Grimbos
- Child, Youth and Family Program, Centre for Addiction and Mental Health, 1001 Queen St. West, Toronto, ON, M6K 1H4, Canada.
| | - Monique Herbert
- Department of Applied Psychology & Human Development, OISE/University of Toronto, 252 Bloor Street West, Toronto, ON, M5S 1V6, Canada.
| |
Collapse
|
41
|
Hildingsson I. Sense of coherence in pregnant and new mothers - A longitudinal study of a national cohort of Swedish speaking women. SEXUAL & REPRODUCTIVE HEALTHCARE 2016; 11:91-96. [PMID: 28159135 DOI: 10.1016/j.srhc.2016.10.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2016] [Accepted: 10/14/2016] [Indexed: 11/16/2022]
Abstract
BACKGROUND Previous research shows inconsistent results about the stability of SOC during the childbearing period, and few studies have focused on longitudinal measures. There are contradictory results regarding the association between SOC and birth outcome. The link between levels of SOC and parental stress needs to be further explored. AIM The aim of this study was to investigate changes in SOC from early pregnancy to one year after birth and associations with background characteristics, birth outcome and parental stress. METHODS A longitudinal survey of a national cohort of Swedish speaking women during 3 weeks in 1999-2000. Data were collected by questionnaires in early pregnancy, 2 months and 1 year after birth. RESULTS SOC increased from pregnancy to 2 months after birth but decreased 1 year after birth. SOC was associated with women's background characteristics, emotional wellbeing and attitudes, but not with labour outcome. Women with low SOC reported higher parental stress after one year. CONCLUSION Sense of coherence is not stable during the childbearing period and is associated with women's sociodemographic background, emotional health and attitudes, but not with reproductive history or birth outcome. Parental stress is negatively correlated with SOC, and some important characteristics are similar in women having low SOC and high parental stress. Identifying women with low SOC in early pregnancy could be a means to prevent later parental stress.
Collapse
Affiliation(s)
- Ingegerd Hildingsson
- Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
| |
Collapse
|
42
|
Crowe TK, Freeze B, Provost E, King L, Sanders M. Maternal perceptions of nutrition, stress, time, and assistance during mealtimes: Similarities and differences between mothers of children with autism spectrum disorders and mothers of children with typical development. JOURNAL OF OCCUPATIONAL THERAPY SCHOOLS AND EARLY INTERVENTION 2016. [DOI: 10.1080/19411243.2016.1212681] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
|
43
|
Andersson E, Hildingsson I. Mother's postnatal stress: an investigation of links to various factors during pregnancy and post-partum. Scand J Caring Sci 2015; 30:782-789. [DOI: 10.1111/scs.12305] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2015] [Accepted: 10/05/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Ewa Andersson
- Division for Reproductive Health; Department of Women's and Children's Health; Karolinska Institutet; Stockholm Sweden
| | - Ingegerd Hildingsson
- Department of Women's and Children's Health; Uppsala University; Uppsala Sweden
- Department of Health Science; Mid Sweden University; Sundsvall Sweden
| |
Collapse
|
44
|
Bårdsen T, Sørbye MH, Trønnes H, Greve G, Berg A. Parental anxiety related to referral of childhood heart murmur; an observational/interventional study. BMC Pediatr 2015; 15:193. [PMID: 26590070 PMCID: PMC4654835 DOI: 10.1186/s12887-015-0507-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2014] [Accepted: 11/14/2015] [Indexed: 11/28/2022] Open
Abstract
Background Detection of a heart murmur in healthy children is common, but may generate anxiety among parents. Many parents believe a heart murmur is a sign of heart disease, although the majority of heart murmurs are innocent. The purpose of this study was to assess anxiety and concerns in parents of children referred for evaluation of a heart murmur and to evaluate the effect of receiving a fact sheet about heart murmurs before the cardiologic consultation. Methods Parents of children referred for evaluation of a heart murmur responded to questionnaires assessing family and patient characteristics, parental concerns and anxiety. Anxiety was measured using the State Trait Anxiety Index (STAI) before and two weeks after the consultation. One third of the parents received a fact sheet before the consultation. Results Two hundred fifty-eight parents of 178 children participated. About 60 % of the parents had an increased level of anxiety before the consultation. The majority of the parents (71 %) had at least one major concern about heart murmurs in children, and having a concern was related to higher anxiety levels (p = 0.02). Anxious personality and lower education predicted an increased anxiety level. Before the consultation, parents who received a fact sheet presented a lower mean STAI state anxiety level (33.2) than those who did not (35.3), but the difference was not significant (p = 0.09). Fewer parents in the intervention group believed their child would have increased risk of heart disease later in life (p = 0.04) or that heart murmurs in children represents valvular-or congenital heart disease (p = 0.02). After the consultation, parental anxiety decreased from a mean STAI state of 34.9 to 30.6 (p < 0.01), and the mean STAI state scores were similar for the control and intervention group. Conclusion Parents with a child referred for a heart murmur presented a higher mean anxiety level than pre-school parents, and having an anxious personality, a major concern or low education predicted an increased anxiety level. After the consultation, parental anxiety decreased. Receiving a fact sheet about heart murmurs did not significantly reduce parental anxiety levels, but had a modest effect on concerns for the consequences of a heart murmur. Electronic supplementary material The online version of this article (doi:10.1186/s12887-015-0507-4) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Tonje Bårdsen
- Department of Clinical Science, University of Bergen, Bergen, Norway.
| | - Mari Hoven Sørbye
- Department of Clinical Science, University of Bergen, Bergen, Norway.
| | - Håvard Trønnes
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. .,Department of Paediatrics, Haukeland University Hospital, Bergen, Norway.
| | - Gottfried Greve
- Department of Clinical Science, University of Bergen, Bergen, Norway. .,Department of Heart Disease, Haukeland University Hospital, Bergen, Norway.
| | - Ansgar Berg
- Department of Clinical Science, University of Bergen, Bergen, Norway. .,Department of Paediatrics, Haukeland University Hospital, Bergen, Norway.
| |
Collapse
|
45
|
Kerstis B, Berglund A, Engström G, Edlund B, Sylvén S, Aarts C. Depressive symptoms postpartum among parents are associated with marital separation: A Swedish cohort study. Scand J Public Health 2014; 42:660-8. [DOI: 10.1177/1403494814542262] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Aims: To study whether there is an association between dyadic consensus, depressive symptoms, and parental stress during early parenthood and marital separation 6–8 years after childbirth, among couples in Sweden. Methods: At baseline, 393 couples were included. The couples answered three questionnaires, including: Dyadic consensus at 1 week post-partum, depressive symptoms at 3 months post-partum and parental stress at 18 months post-partum. The parents’ addresses were followed up after 6–8 years, to study the marital separation rate. Results: We found, 6–8 years after childbirth, that 20% of study couples were separated. Separation was associated with less dyadic consensus (mothers p < 0.001; fathers p < 0.001), depressive symptoms (mothers p = 0.022; fathers p = 0.041) and parental stress (mothers p = 0.002; fathers p = 0.040). The hazard ratio (HR) for marital separation was related to dyadic consensus for fathers (HR 0.51; 95% CI 0.28–0.92), depressive symptoms for mothers (HR 1.69; 95% CI 1.01–2.84) and fathers (HR 1.92; 95% CI 1.12–3.28), and the mother’s parental stress (HR 2.16; 95% CI 1.14–4.07). Conclusions:Understanding how dyadic consensus, depressive symptoms and parental stress are associated with marital separation is important for health professionals. It could be useful in developing interventions to provide parents with adequate support during pregnancy and early parenthood. This knowledge is also important for the public. Parents should get support in pregnancy and while bringing up children, which may help prevent marital separation and optimize conditions for the children.
Collapse
Affiliation(s)
- Birgitta Kerstis
- Centre for Clinical Research, Västmanland County Hospital, Västerås, Sweden
- Departments of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Anders Berglund
- Centre for Clinical Research, Västmanland County Hospital, Västerås, Sweden
- Department of Surgical Sciences, Uppsala University Hospital, Uppsala University, Uppsala, Sweden
| | - Gabriella Engström
- Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, USA
| | - Birgitta Edlund
- Departments of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Sara Sylvén
- Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden
| | - Clara Aarts
- Departments of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| |
Collapse
|
46
|
Guo N, Bindt C, Te Bonle M, Appiah-Poku J, Tomori C, Hinz R, Barthel D, Schoppen S, Feldt T, Barkmann C, Koffi M, Loag W, Nguah SB, Eberhardt KA, Tagbor H, Bass JK, N’Goran E, Ehrhardt S. Mental health related determinants of parenting stress among urban mothers of young children--results from a birth-cohort study in Ghana and Côte d'Ivoire. BMC Psychiatry 2014; 14:156. [PMID: 24884986 PMCID: PMC4048600 DOI: 10.1186/1471-244x-14-156] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2014] [Accepted: 05/15/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There are limited data on the parenting stress (PS) levels in sub-Saharan African mothers and on the association between ante- and postnatal depression and anxiety on PS. METHODS A longitudinal birth cohort of 577 women from Ghana and Côte d'Ivoire was followed from the 3rd trimester in pregnancy to 2 years postpartum between 2010 and 2013. Depression and anxiety were assessed by the Patient Health Questionnaire depression module (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) at baseline, 3 month, 12 month and 24 month postpartum. PS was measured using the Parenting Stress Index-Short Form (PSI-SF) at 3, 12 and 24 month. The mean total PS score and the subscale scores were compared among depressed vs. non-depressed and among anxious vs. non-anxious mothers at 3, 12 and 24 month postpartum. The proportions of clinical PS (PSI-SF raw score > 90) in depressed vs. non-depressed and anxious vs. non-anxious mothers were also compared. A generalized estimating equation (GEE) approach was used to estimate population-averaged associations between women's depression/anxiety and PS adjusting for age, child sex, women's anemia, education, occupation, spouse's education, and number of sick child visits. RESULTS A total of 577, 531 and 264 women completed the PS assessment at 3 month, 12 month and 24 month postpartum across the two sites and the prevalences of clinical PS at each time point was 33.1%, 24.4% and 14.9% in Ghana and 30.2%, 33.5% and 22.6% in Côte d'Ivoire, respectively. At all three time points, the PS scores were significantly higher among depressed mothers vs. non-depressed mothers. In the multivariate regression analyses, antepartum and postpartum depression were consistently associated with PS after adjusting for other variables. CONCLUSIONS Parenting stress is frequent and levels are high compared with previous studies from high-income countries. Antepartum and postpartum depression were both associated with PS, while antepartum and postpartum anxiety were not after adjusting for confounders. More quantitative and qualitative data are needed in sub-Saharan African populations to assess the burden of PS and understand associated mechanisms. Should our findings be replicated, it appears prudent to design and subsequently evaluate intervention strategies.
Collapse
Affiliation(s)
- Nan Guo
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Carola Bindt
- Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Marguerite Te Bonle
- Centre de Guidance Infantile, Institut National de Santé Publique, Abidjan BP V 47, Côte d’Ivoire
| | - John Appiah-Poku
- Department of Behavioural Sciences, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Cecilia Tomori
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Rebecca Hinz
- Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - Dana Barthel
- Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - Stefanie Schoppen
- Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - Torsten Feldt
- Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - Claus Barkmann
- Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | | | - Wibke Loag
- Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - Samuel Blay Nguah
- Department of Child Health, Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - Kirsten A Eberhardt
- Clinical Research Unit, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - Harry Tagbor
- Department Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Judith K Bass
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA
| | - Eliezer N’Goran
- Research Unit of Parasitology and Parasite Ecology at Unité de Formation et de Recherche en Biosciences, Université de Cocody, Abidjan, Côte d’Ivoire
| | - Stephan Ehrhardt
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
| | | |
Collapse
|
47
|
Borneskog C, Lampic C, Sydsjö G, Bladh M, Skoog Svanberg A. How do lesbian couples compare with heterosexual in vitro fertilization and spontaneously pregnant couples when it comes to parenting stress? Acta Paediatr 2014; 103:537-45. [PMID: 24456297 DOI: 10.1111/apa.12568] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2013] [Revised: 10/04/2013] [Accepted: 01/17/2014] [Indexed: 11/28/2022]
Abstract
AIM To study parenting stress in lesbian parents and to compare that stress with heterosexual parents following in vitro fertilisation (IVF) or spontaneous pregnancies. METHODS This survey took place during 2005-2008 and was part of the Swedish multicentre study on gamete donation. It comprised 131 lesbian parents, 83 heterosexual IVF parents, who used their own gametes, and 118 spontaneous pregnancy parents. The participants responded to the questionnaire when the child was between 12 and 36-months-old and parenting stress was measured by the Swedish Parenting Stress Questionnaire (SPSQ). RESULTS Lesbian parents experienced less parenting stress than heterosexual IVF parents when it came to the General Parenting Stress measure (p = 0.001) and the subareas of Incompetence (p < 0.001), Social Isolation (p = 0.033) and Role Restriction (p = 0.004). They also experienced less parenting stress than heterosexual spontaneous pregnancy couples, according to the Social Isolation subarea (p = 0.003). Birth mothers experienced higher stress than co-mothers and fathers, according to the Role Restriction measure (p = 0.041). CONCLUSION These are reassuring findings, considering the known challenges that lesbian families face in establishing their parental roles and, in particular, the challenges related to the lack of recognition of the co-mother.
Collapse
Affiliation(s)
- C Borneskog
- Department of Women's and Children's Health Uppsala University Uppsala Sweden
| | - C Lampic
- Neurobiology, Care Sciences and Society Karolinska Institutet Huddinge Sweden
| | - G Sydsjö
- Division of Obstetrics and Gynecology Department of Clinical and experimental Medicine Faculty of Health and Science Department of Gynecology and Obstetrics in Linköping Linköping University County Council of Östergötland Linköping Sweden
| | - M Bladh
- Division of Obstetrics and Gynecology Department of Clinical and experimental Medicine Faculty of Health and Science Department of Gynecology and Obstetrics in Linköping Linköping University County Council of Östergötland Linköping Sweden
| | - A Skoog Svanberg
- Department of Women's and Children's Health Uppsala University Uppsala Sweden
| |
Collapse
|
48
|
Hildingsson I, Haines H, Johansson M, Rubertsson C, Fenwick J. Childbirth fear in Swedish fathers is associated with parental stress as well as poor physical and mental health. Midwifery 2014; 30:248-54. [DOI: 10.1016/j.midw.2013.12.012] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2013] [Revised: 12/15/2013] [Accepted: 12/16/2013] [Indexed: 11/28/2022]
|
49
|
Widarsson M, Engström G, Berglund A, Tydén T, Lundberg P. Parental stress and dyadic consensus in early parenthood among mothers and fathers in Sweden. Scand J Caring Sci 2013; 28:689-99. [DOI: 10.1111/scs.12096] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2013] [Accepted: 10/07/2013] [Indexed: 11/28/2022]
Affiliation(s)
- Margareta Widarsson
- Centre for Clinical Research; Uppsala University; Västmanland County Hospital; Västerås Sweden
- Department of Public Health and Caring Sciences; Uppsala University; Uppsala Sweden
| | - Gabriella Engström
- Christine E. Lynn College of Nursing; Florida Atlantic University; Boca Raton FL USA
| | - Anders Berglund
- Centre for Clinical Research; Uppsala University; Västmanland County Hospital; Västerås Sweden
- Department of Surgical Sciences; Uppsala University; Uppsala University Hospital; Uppsala Sweden
| | - Tanja Tydén
- Department of Public Health and Caring Sciences; Uppsala University; Uppsala Sweden
| | - Pranee Lundberg
- Department of Public Health and Caring Sciences; Uppsala University; Uppsala Sweden
| |
Collapse
|
50
|
Hildingsson I, Thomas J. Parental stress in mothers and fathers one year after birth. J Reprod Infant Psychol 2013. [DOI: 10.1080/02646838.2013.840882] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|