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Parents' mood and the content of pediatric care for young children
Stephen J Blumberg1, Kathleen S O'Connor
1Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, MD 20782, USA. sblumberg@cdc.gov
Insights
Parents' mood impacts pediatric anticipatory guidance. Positive moods correlate with more discussions, while negative moods highlight missed opportunities for health promotion and psychosocial issue discussions.
Area of Science:
- Pediatric Health
- Mental Health
- Health Communication
Background:
- Anticipatory guidance is crucial for child development and parental support.
- Pediatric health care providers deliver guidance on health promotion and psychosocial issues.
- Parental emotional well-being may influence the parent-provider interaction.
Purpose of the Study:
- To examine the association between parents' mood and the delivery of anticipatory guidance by pediatric health care providers.
- To determine if parental mood predicts the number of topics discussed and missed opportunities for guidance.
Main Methods:
- Analysis of data from the National Survey of Early Childhood Health (n=2068) for children aged 4-35 months.
- Utilized log-linear regression to assess parents' mood (from the Mental Health Inventory) as a predictor.
- Key variables included discussions of health promotion topics, psychosocial issues, and missed opportunities for guidance.
Main Results:
- Parents in a positive mood discussed more health promotion topics and psychosocial issues.
- Parents in a negative mood reported more missed opportunities for guidance.
- Parents in a negative mood also identified more psychosocial issues that should be discussed.
Conclusions:
- Parental mood is significantly associated with the provision and reception of anticipatory guidance.
- Pediatricians should consider parents' emotional state to optimize guidance delivery.
- Addressing parents' mood can enhance the identification of needs and prevent missed opportunities for support.
Objective:
To assess the relationship between parents' mood and the provision of anticipatory guidance by pediatric health care providers.
Data Source:
Data analyzed were from the National Survey of Early Childhood Health, a cross-sectional nationally representative survey concerning young children 4-35 months of age (n = 2068). KEY VARIABLES: Parents were asked whether the children's health care providers had discussed 10-12 age-appropriate health promotion topics and 5 psychosocial issues during the past 12 months. Parents also identified missed opportunities for guidance (ie, topics not discussed for which discussion would have been helpful) and reported whether providers should discuss psychosocial issues. Parents' mood was assessed using factor scores derived from the Mental Health Inventory.
Analyses:
Log-linear regression analyses determined if parents' mood was a significant predictor of the number of topics and issues discussed, the number of missed opportunities, and the reported number of issues that providers should discuss.
Results:
Parents who were more often in a positive mood discussed more health promotion topics (B =.06, P <.001) and psychosocial issues (B =.10, P <.01) with their child's health care providers. Parents who were more often in a negative mood identified more missed opportunities (B =.08, P =.02) and more issues that providers should discuss (B =.04, P <.001).
Conclusions:
Increased attention to parents' mood and emotional well-being may help pediatricians identify parents who desire additional anticipatory guidance and ensure that opportunities for the provision of guidance are not inadvertently missed.
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