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Positive parenting practices support children at neurological risk during COVID-19: a call for accessible parenting
Rivka Green1, Janaksha Linga-Easwaran1, Carly Goodman1
1Department of Psychology, Division of Neurology, The Hospital for Sick Children, Toronto, ON, Canada.
Insights
Positive parenting practices and competence reduced behavioral issues in children with neurological conditions during the COVID-19 pandemic. Parental mental health significantly influenced these practices, highlighting the need for support.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Public Health
Background:
- Children with neurological and neurodevelopmental conditions faced heightened risks for behavioral and mental health issues during the COVID-19 pandemic.
- Positive parenting may mitigate these challenges for at-risk youth and their families.
Purpose of the Study:
- To investigate the association between positive parenting practices and reduced behavioral concerns in children with neurological conditions during and after the COVID-19 pandemic.
- To examine the impact of parental stress, anxiety, and depression on parenting practices during this period.
Main Methods:
- Online questionnaires were administered to 179 families with children aged 4-15 years diagnosed with neurological and/or neurodevelopmental conditions.
- Multivariable linear regression analyses assessed the relationship between parenting practices, parenting competence, child behavior, and parental mental health, controlling for COVID-19 related stress.
Main Results:
- Increased positive parenting practices and higher parenting competence satisfaction were linked to fewer child problem behaviors and lower intensity of these behaviors.
- Elevated parental depression, anxiety, and stress were significant predictors of reduced positive parenting practices.
Conclusions:
- Positive parenting interventions show promise for supporting vulnerable families with children at neurological risk.
- Interventions addressing parental mental health are crucial for bolstering effective parenting practices during challenging times.
Abstract:
Children and youth with neurological and/or neurodevelopmental conditions were at high risk for behavioral and mental health challenges during the COVID-19 pandemic. Positive and responsive parenting practices may be one way to prevent and manage potential difficulties in families. We aimed to identify whether positive parenting practices were associated with reduced behavioral concerns in children at neurological risk during the late stages and aftermath of the COVID-19 pandemic. In addition, we examined whether ongoing parental stress, anxiety, and depression impacted parenting practices during this time period. Families (N = 179) with children 4 to 15 years old (M = 7.11y, SD = 2.02) diagnosed with neurological (84.3%), neurodevelopmental (54.8%) or comorbid neurological and/or neurodevelopmental conditions (21.2%) were contacted to complete online questionnaires regarding demographics, parent stress, child behavior, COVID-19 conditions, and parenting practices. Multivariable linear regression (MLR) analyses examined the association between positive parenting practices and parenting competency measures with child behavioral outcomes, controlling for relevant covariates, including COVID-19 related stress. MLR were also run to determine whether parental mental health impacted parenting practices. More positive parenting practices predicted fewer child problem behaviors and lower intensity of problem behaviors. Similarly, a higher sense of satisfaction with parenting competence also predicted fewer child problem behaviors and lower intensity of problem behaviors. In addition, higher reported parental depression, anxiety, and stress significantly predicted fewer reported positive parenting practices. Findings points to the promising application of positive parenting interventions to support vulnerable families, as well as the need for parental mental health intervention to support parenting practices.
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