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Risk factors for stress in children after parental stroke
Dominik Sebastian Sieh1, Anne Marie Meijer, Johanna M A Visser-Meily
1Research Institute of Child Development and Education, Faculty of Social and Behavioral Sciences, University of Amsterdam, Nieuwe Prinsengracht 130, Amsterdam, the Netherlands. D.S.Sieh@uva.nl
Insights
Parental stroke significantly impacts children, with girls experiencing more stress. Early identification of children
Area of Science:
- Neurology
- Psychology
- Rehabilitation Medicine
Background:
- Parental stroke is a significant life event impacting family dynamics and child well-being.
- Children of stroke survivors face unique challenges and potential long-term psychological effects.
- Understanding risk factors for childhood stress post-parental stroke is crucial for timely intervention.
Purpose of the Study:
- To identify risk factors associated with stress in children 3 years after a parent experienced a stroke.
- To explore the relationship between parental functioning, marital quality, and childhood stress.
- To establish predictors for long-term stress in children following parental stroke.
Main Methods:
- A cohort of 44 children (aged 7-18), their stroke-affected parents, and healthy spouses from 29 families participated.
- Data were collected via questionnaires at four time points: start of rehabilitation to 3 years post-stroke.
- Key measures included patient functioning, parental depression, marital relationship quality, and children's stress levels.
Main Results:
- Female children reported higher stress levels than male children.
- Maternal and paternal depressive symptoms during the first year post-stroke were positively correlated with children's stress.
- Patient depressive symptoms at 2 months, 1 year, and 3 years post-stroke were linked to increased childhood stress.
- Decreased marital relationship quality over time was also associated with higher stress in children.
Conclusions:
- Children's gender (female) and patient's depressive symptoms are significant predictors of long-term stress.
- Early identification of these factors can aid in predicting and mitigating stress in children after parental stroke.
- Interventions targeting parental mental health may positively influence child outcomes.
Objectives:
To assess risk factors for stress in children 3 years after parental stroke.
Participants:
Questionnaires were filled in by 44 children aged 7-18 years, parents who suffered a stroke and healthy spouses from 29 families recruited in 9 participating rehabilitation centers across the Netherlands.
Method:
We measured patient functioning (cognitive disorders, communicative disorders and ADL dependency), parental depression and perceived quality of marital relationship at 4 assessments, from the start of rehabilitation until 3 years post-stroke. Children assessed their stress level 3 years after parental stroke.
Results:
Girls experienced more stress than boys. Spouses' depressive symptoms during the first year after stroke were positively correlated with stress in children. Patients' depressive symptoms 2 months post-rehabilitation (2 months after discharge from the rehabilitation center), 1 year and 3 years post-stroke were also positively correlated with stress in children. The perceived quality of marital relationship decreased over time and at 2 months post-rehabilitation, it was related to stress in children. Stress was not related to patient gender and functioning.
Conclusions:
Early prediction of long-term stress in children after parental stroke may be most accurate on the basis of children's female gender and depressive symptoms of the patient.
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