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.

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