Related Experiment Video

Updated: Aug 6, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Toileting concerns, parenting stress, and behavior problems in children with special health care needs

Michelle M Macias1, Kathryn M Roberts, Conway F Saylor

  • 1Department of Pediatrics, Medical University of South Carolina, USA.

Clinical Pediatrics
|August 8, 2006
PubMed

Insights

Toileting issues in children with special health care needs (CSHCN) are linked to increased parenting stress and behavior problems. Addressing these concerns is crucial for family well-being and stress prevention.

Area of Science:

  • Pediatric Health
  • Developmental Psychology
  • Family Studies

Background:

  • Children with special health care needs (CSHCN) often face unique challenges, including toileting difficulties.
  • Parenting stress is a significant factor impacting families of CSHCN.
  • Behavioral issues can co-occur with health conditions in children.

Purpose of the Study:

  • To investigate the relationship between toileting concerns, behavioral problems, and parenting stress in parents of CSHCN.
  • To identify specific factors contributing to parental adjustment.
  • To inform interventions for CSHCN and their families.

Main Methods:

  • Utilized the Achenbach Child Behavior Checklist (CBCL) and the Parenting Stress Index-Short Form (PSI-SF).
  • Included 170 parents (99 male, 71 female) of children aged 4-12 years with specific health conditions (NTD, DBD, IVH history).
  • Compared parents reporting toileting concerns with those whose children were continent.

Main Results:

  • Parents of CSHCN with toileting concerns reported significantly higher personal distress.
  • Externalizing behavior problems were more prevalent in children with toileting concerns.
  • Disability type may influence parental adjustment to toileting challenges.

Conclusions:

  • Toileting concerns are a significant stressor for parents of CSHCN.
  • Direct assessment and intervention for toileting issues are essential for secondary stress prevention.
  • Prioritizing toileting support can improve the overall well-being of CSHCN and their families.

Related Concept Videos

Psychosexual Stages of Personality: Anal01:26

Psychosexual Stages of Personality: Anal

Sigmund Freud's theory of psychosexual development describes the anal stage as occurring between 18 months and three years of age. During this period, children derive pleasure from controlling and releasing their bowel movements. However, they quickly learn that societal expectations impose restrictions on when and where this can happen. This stage marks a critical point where children begin to develop a sense of control and mastery over their bodily functions, as well as their broader...
Irritable Bowel Syndrome III: Medical and Nursing Management01:30

Irritable Bowel Syndrome III: Medical and Nursing Management

Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...