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Child Affected by Parental Relationship Distress.

William Bernet1, Marianne Z Wamboldt2, William E Narrow3

  • 1Vanderbilt University School of Medicine, Nashville, TN.

Journal of the American Academy of Child and Adolescent Psychiatry
|June 26, 2016
PubMed
Summary
This summary is machine-generated.

The new "child affected by parental relationship distress" (CAPRD) diagnosis in DSM-5 highlights how parental conflict impacts children. Understanding CAPRD is crucial for clinicians and researchers addressing youth mental health.

Keywords:
child affected by parental relationship distressintimate partner distressintimate partner violenceloyalty conflictparental alienation

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Area of Science:

  • Psychiatry
  • Developmental Psychology
  • Family Studies

Background:

  • Parental relationship distress significantly affects child well-being.
  • The DSM-5 introduced "child affected by parental relationship distress" (CAPRD) as a relational problem.
  • Existing literature supports the impact of parental conflict on children's mental health.

Purpose of the Study:

  • To explain the clinical utility and expanded definition of CAPRD.
  • To clarify the relationship between parental intimate partner distress/violence and child outcomes.
  • To provide clinicians and researchers with a framework for understanding these issues.

Main Methods:

  • Literature review on children's response to parental relationship distress.
  • Description of four clinical scenarios illustrating CAPRD presentations.
  • Proposal of an expanded definition of CAPRD based on DSM-5 criteria.

Main Results:

  • Children exhibit diverse reactions to parental relationship distress, including psychological, somatic, and behavioral symptoms.
  • CAPRD encompasses reactions to intimate partner distress, violence, divorce, and parental disparagement.
  • Expanded definition clarifies symptom presentation (behavioral, cognitive, affective, physical) linked to parental distress.

Conclusions:

  • CAPRD offers a valuable framework for identifying and addressing adverse mental health outcomes in children due to parental relationship issues.
  • This diagnosis is essential for clinicians working with youth and researchers studying environmental factors in mental health.
  • Recognizing CAPRD aids in understanding and intervening in complex family dynamics impacting child development.