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Parenting stress in pediatric IBD: relations with child psychopathology, family functioning, and disease severity

Wendy N Gray1, Danielle M Graef, Shana S Schuman

  • 1Division of Behavioral Medicine and Clinical Psychology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.

Journal of Developmental and Behavioral Pediatrics : JDBP
|May 15, 2013
PubMed

Insights

Parenting stress in pediatric inflammatory bowel disease (IBD) is reliably measured by the Pediatric Inventory for Parents (PIP). Higher stress is linked to family issues and active Crohn's disease in children.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology
  • Family Health

Background:

  • Parenting stress in pediatric inflammatory bowel disease (IBD) is under-examined.
  • Validating the Pediatric Inventory for Parents (PIP) for IBD caregiving is needed.
  • Understanding IBD parenting stress impacts psychosocial and medical outcomes.

Purpose of the Study:

  • Validate the PIP for pediatric IBD.
  • Examine links between parenting stress and psychosocial/medical outcomes.
  • Assess caregiving stress in pediatric IBD.

Main Methods:

  • 130 adolescents with IBD and caregivers participated across 3 sites.
  • Measures included parenting stress, family functioning, and emotional/behavioral functioning.
  • Disease severity was assessed for each participant.

Main Results:

  • The PIP showed excellent internal consistency.
  • Parenting stress correlated with unhealthy family functioning and child internalizing symptoms.
  • Caregiving stress was higher for parents of children with active Crohn's disease.

Conclusions:

  • The PIP is reliable and valid for pediatric IBD caregiving stress.
  • Routine assessment of parenting stress is recommended.
  • Targeted support for parents with unhealthy family functioning and those with children experiencing severe symptoms or active disease is advised.
Abstract

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