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Definitions, theories, and measurement of stress in children
Thuy Lynch1, Sara L Davis2, Ann Hammack Johnson3
1University of Alabama in Huntsville, 301 Sparkman Drive, Huntsville, AL 35899, USA.
Insights
Understanding childhood stress is vital for health. This review clarifies definitions, theories, and measurement tools for stress in children, highlighting inconsistencies that impact research validity.
Area of Science:
- Child Psychology
- Developmental Psychology
- Pediatric Health
Background:
- Childhood stress is complex, multifactorial, and impacts adolescent health and early mental illness.
- A clear understanding of stress and its effects in children (infancy to 12 years) is crucial.
Purpose of the Study:
- To review and synthesize literature on the theories, definitions, classifications, and measurement of stress in children aged 0–12 years.
Main Methods:
- A narrative overview of pertinent literature.
- Searches included major databases (PubMed, Scopus, PsycINFO, CINAHL, Google Scholar), gray literature, and reference lists.
Main Results:
- Literature is organized by themes: stress definitions/classifications, stress theories, and measurement tools.
- Existing measures assess physiological, psychological, and observational stress components.
Conclusions:
- Research on childhood stressors and stress is limited, with significant variation in definitions and classifications.
- Inconsistent stress measurement tools may threaten study validity.
- Improved understanding and accurate measurement of childhood stress can prevent adverse health outcomes.
Problem:
Stress in children remains a complex concept to examine due to the inherent subjectivity and lack of specific manifestations, as well as the multiple ways stress can be defined and measured in children. Because stress is multifactorial,is experienced daily by children, and undergirds adolescent health and early mental illness, it is crucial to have a clear understanding of stress and the effects of stress in children from infancy through age twelve years.
Eligibility Criteria:
To be included in this review, literature must pertain to and highlight theories, definitions/classifications, and measurements of stress in children from infancy to 12 years of age.
Sample:
The most pertinent articles identified through database searches (PubMed, Scopus, PsycINFO, CINAHL, Google Scholar), gray literature sources (e.g., child health websites), and reference lists of identified articles were included in this narrative overview.
Results:
The results of this review are organized by themes and include: classifications and definitions of stress, stress-related theories, and tools to measure stress in children.
Conclusions:
Research addressing stressors and stress in children is limited, and there is wide variation in how researchers define and classify stress in children. Existing measures of stress in children younger than 12 address physiological, psychological, and observational components, but may be inconsistent and threaten validity of otherwise well-designed and well-executed studies.
Implications:
Improving the understanding and accurate measurement of stress in children enables researchers and clinicians to curtail undesirable health outcomes.
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