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Published on: September 27, 2020
Parenting children with neurodevelopmental disorders and/or behaviour problems
R E Garner1, R G Arim, D E Kohen
1Health Analysis Division, Statistics Canada, Canada. rochelle.garner@statcan.gc.ca
Insights
Parenting children with neurodevelopmental disorders or externalizing behaviors involves less positive and consistent interactions, and more ineffective parenting. These challenges persist even after considering family and child demographics.
Area of Science:
- Child Development
- Pediatric Health
- Family Studies
Background:
- Parenting behaviors significantly impact child well-being and development.
- Research often overlooks parenting dynamics in families with chronically ill children.
- Understanding these unique parenting challenges is crucial for supporting child health.
Purpose of the Study:
- To compare positive interactions, consistency, and ineffective parenting among caregivers of children with neurodevelopmental disorders (NDD) or externalizing behavior problems (EBP).
- To examine these parenting behaviors before and after controlling for child and family socio-demographic factors.
Main Methods:
- Utilized data from 14,226 Canadian children in the National Longitudinal Survey of Children and Youth.
- Categorized children into four groups: NDD, EBP, BOTH NDD and EBP, or NEITHER.
- Analyzed caregiver-reported parenting behaviors across these groups.
Main Results:
- Caregivers of children with neither condition reported higher positive interactions and lower ineffective parenting.
- Caregivers of children with EBP or BOTH conditions showed lower consistency compared to NDD or NEITHER groups.
- Positive interactions remained associated with NDD/BOTH conditions after demographic adjustments.
Conclusions:
- Parenting children with NDD or EBP is linked to less positive, less consistent, and more ineffective parenting behaviors.
- Further research is needed to understand factors contributing to these caregiving challenges.
- These findings highlight the need for targeted support for families with children facing developmental or behavioral health issues.
Background:
Parenting behaviours influence child well-being and development. However, much of the research on parenting behaviours and their correlates has focused on caregivers of healthy, typically developing children. Relatively less is known about the parenting behaviours of caregivers of children with chronic health conditions.
Objective:
To examine and compare three parenting behaviours (positive interactions, consistency and ineffective parenting) among caregivers of children with neurodevelopmental disorders and/or externalizing behaviour problems, before and after accounting for child and family socio-demographic characteristics.
Methods:
Participants (n= 14 226) were drawn from the National Longitudinal Survey of Children and Youth, a long-term study of Canadian children that follows their development and well-being from birth to early adulthood. Children (and their caregivers) were divided into four groups according to the presence of a neurodevelopmental disorder (NDD; n= 815), the presence of an externalizing behaviour problem (EBP; n= 1322), the presence of both conditions (BOTH; n= 452) or neither of these conditions (NEITHER; n= 11 376).
Results:
Caregivers of children in the NEITHER group reported significantly higher positive interaction scores and lower ineffective parenting behaviours than caregivers of children in any of the other three groups. Caregivers of children in the EBP and BOTH groups reported similar levels of consistency, but significantly lower levels than caregivers of NDD or NEITHER children. These associations largely remained after accounting for child and family socio-demographic characteristics, with two exceptions: caregivers' reports of positive interactions were no longer significantly associated with child's NDD and BOTH conditions.
Conclusions:
Parenting children with multiple health conditions can be associated with less positive, less consistent and more ineffective parenting behaviours. Understanding the factors that are associated with the challenges of caring for these children may require additional research attention.
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