The impact of parental psychological distress on child behavior issues in hospitalized children
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Ayu Widya Lestari1, Chia-Kuei Lee2, Happy Hayati3
1Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia; Department of Nursing, Universitas Indonesia Hospital, Depok. ayuwidya@ui.ac.id.
Insights
Parental anxiety during child hospitalization significantly increases behavioral issues in children. Early intervention for parental anxiety is crucial for improving hospitalized children
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Clinical Psychology
Background:
- Child hospitalization negatively impacts children's and parents' psychological well-being.
- Limited research exists on parental psychological distress and child behavior problems specifically within hospital settings.
Purpose of the Study:
- To investigate the effect of parental psychological distress on child behavior problems in hospitalized children in Indonesia.
Main Methods:
- Cross-sectional study with 156 parents from pediatric wards (August-December 2020).
- Utilized Hospital Anxiety and Depression Scale (HADS) and Child Behavior Checklist (CBCL).
Main Results:
- Parental anxiety significantly predicted increased total behavior problems, internalizing behaviors, externalizing behaviors, anxious/depressed symptoms, somatic complaints, and violent conduct.
- Parental depression showed no significant association with any child behavior issue syndrome measures.
Conclusions:
- Parental anxiety is a key factor influencing child behavior problems during hospitalization.
- Early identification and management of parental anxiety are vital for mitigating adverse child behavioral outcomes in pediatric healthcare settings.
Abstract:
Child hospitalization has a negative impact on both children and parents' psychological well-being. Although prior studies in the general context demonstrated a favorable link between parental psychological distress and child behavior problems, research in the hospital situation was restricted. The purpose of this study was to see if parental psychological distress has an effect on child behavior problems in hospitalized children in Indonesia. This cross-sectional study included 156 parents who were recruited from four pediatric wards using a convenience sampling method between August 17 and December 25, 2020. The Hospital Anxiety and Depression Scale and the Child Behavior Checklist 1.5-5 and 6-18 were utilized. Parental anxiety was found to be a significant predictor of increased total behavior issue, internalizing behavior, externalizing behavior, anxious/ depressed, somatic complaints, and violent conduct in hospitalized children. Parental depression, on the other hand, was not related with any of the child behavior issue syndrome measures. The findings imply that identifying and treating parent anxiety early on is critical for preventing or reducing child behavior problems during hospitalization.
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