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Developmental and behavior problems predict parenting stress in young children with global delay
1Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA. rtervo@gillettechildrens.com
Insights
Parenting stress in preschoolers with global developmental delay is predicted by specific child behaviors. Emotionally reactive and withdrawn behaviors, along with pervasive developmental and oppositional defiant problems, significantly increase parental stress.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Clinical Psychology
Background:
- Parenting stress is a significant concern for families of children with global developmental delay.
- Understanding predictors of parenting stress is crucial for targeted interventions.
Purpose of the Study:
- To identify parent-reported symptoms that predict parenting stress in preschoolers with global developmental delay.
- To explore the relationship between child behavior and parental stress levels.
Main Methods:
- Retrospective study of 201 parents/guardians of children (mean age 39.1 months) with global developmental delay.
- Utilized semistructured interviews, Child Development Inventory, Child Behavior Checklist (CBCL 1½-5), and Parenting Stress Index-Short Form (PSI-SF).
Main Results:
- 42% of parents reported clinically significant parenting stress (≥ 85th percentile).
- Elevated PSI-SF subscales included Difficult Child and Parent-Child Dysfunctional Interactions.
- Parental stress correlated with gross motor development, social/fine-motor skills, and specific behavioral issues (Emotionally Reactive, Withdrawn, Pervasive Developmental, Oppositional Defiant Problems).
Conclusions:
- Behavioral problems in mobile children with global developmental delay are significant predictors of parenting stress.
- Interventions addressing specific child behaviors may alleviate parenting stress in this population.
Abstract:
To identify parent-reported symptoms that predict parenting stress in preschoolers with global developmental delay, 201 parents/guardians of 142 boys and 59 girls with global delay, mean age 39.1 months (range, 18 to 63 months) were studied retrospectively. Parents completed the following: (a) a semistructured interview; (b) the Child Development Inventory, (c) Child Behavior Checklist 1½-5, and the (d) Parenting Stress Index-Short Form. Forty-two percent of parents described clinically significant parenting stress (≥ 85th percentile). The Parenting Stress Index-Short Form subscales Difficult Child and Parent-Child Dysfunctional Interactions were elevated. Parental stress increased with higher gross motor development and decreased as social and fine-motor ratios increased. Furthermore, stress increased when parents reported higher levels on the Emotionally Reactive and Withdrawn scale scores and when parents reported Pervasive Developmental and Oppositional Defiant Problems. In mobile children with global delay, behavior problems predict parenting stress.
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