Biopsychosocial Factors Associated with Parenting Stress in Pediatric Sickle Cell Disease
Yelena L Johnson1,2, Kerri Woodward1,2, Carlton Dampier1,3
1Children's Healthcare of Atlanta, Aflac Cancer and Blood Disorders Center, Atlanta, GA, 30322, USA.
Insights
Parenting stress in pediatric sickle cell disease (SCD) is linked to child pain and missed school. Addressing caregiver well-being is crucial for effective SCD management and youth outcomes.
Area of Science:
- Pediatric Hematology
- Psychosocial Health
- Caregiver Support
Background:
- Caregivers of children with sickle cell disease (SCD) face substantial physical and emotional challenges.
- Understanding the factors contributing to parenting stress in pediatric SCD is limited.
Purpose of the Study:
- To identify child and caregiver biopsychosocial factors associated with disease-related parenting stress in pediatric SCD.
- To explore the role of parenting stress in the relationship between child pain and healthcare utilization.
Main Methods:
- Cross-sectional study involving 74 caregiver-youth dyads.
- Utilized assessments of child pain frequency, missed school days, healthcare utilization, and caregiver mental health and social-emotional functioning.
Main Results:
- Parenting stress correlated with higher child pain frequency, more missed school days, and increased healthcare utilization.
- Parenting stress was inversely associated with caregiver mental health and social-emotional functioning.
- Parenting stress partially mediated the link between child pain frequency and healthcare utilization, even after accounting for parent depression and anxiety.
Conclusions:
- Parenting stress is a significant factor in pediatric SCD, impacting youth in medical and academic settings.
- Identifying risk factors and developing interventions for parenting stress are essential for comprehensive patient care.
- Further research is needed to fully understand and address parenting stress in pediatric SCD.
Abstract:
Caregivers of children with sickle cell disease (SCD) experience significant physical and emotional hardship with their child's disease management. Little is known about the potential contributors to parenting stress in pediatric SCD. The present study aimed to identify child and caregiver biopsychosocial factors associated with disease-related parenting stress in pediatric SCD. Participants included 74 caregiver-youth dyads. Parenting stress was associated with increased child pain frequency, more missed school days, and increased healthcare utilization, and inversely correlated with caregiver mental health and social-emotional functioning. Parenting stress also partially explained the relationship between child pain frequency and healthcare utilization after controlling for parent depression and anxiety. Parenting stress may play a unique and critical role in pediatric SCD and underscore the impact parenting stress may have on youth in medical and academic settings. Further research is warranted to determine risk factors and appropriate interventions for parenting stress to improve comprehensive patient care.
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