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Updated: Aug 6, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Parenting Stress, Child Social Functioning, and Part C Early Intervention in Predominantly Low-Income Families of
Jocelyn Kuhn1,2, Emily Hickey1, Olivia Lindly3
1Boston Medical Center, MA, USA.
Insights
Early Intervention (EI) enrollment may benefit families with children at risk for developmental delays. Better child social functioning was linked to lower parenting stress, especially when children were enrolled in EI programs.
Area of Science:
- Child Development
- Early Intervention Services
- Parenting Stress
Background:
- Examined relationships between child social functioning, parenting stress, and Part C Early Intervention (EI) enrollment.
- Included 227 diverse, low-income families with toddlers (15-27 months) identified at risk for developmental delay.
- 41.4% were enrolled in EI at data collection; 83.3% enrolled before age 3.
Purpose of the Study:
- Investigate the interplay between child social skills, parental stress, and EI participation.
- Determine if EI enrollment influences the relationship between child social functioning and parenting stress.
- Identify factors associated with EI enrollment and elevated parenting stress.
Main Methods:
- Utilized generalized linear mixed models to analyze data from 227 families.
- Assessed child social functioning, parenting stress, and EI enrollment status.
- Conducted exploratory bivariate analyses to identify related factors.
Main Results:
- No direct link found between EI enrollment and parenting stress.
- Significant inverse association between child social functioning and parenting stress (β = -0.61, p = .005).
- EI enrollment moderated this association (p < .001), suggesting benefits for enrolled children.
Conclusions:
- Timely referral and access to EI may benefit families of children at risk for developmental delay, particularly in underserved communities.
- Higher parenting stress correlated with developmental concerns (M-CHAT-R/F scores) and worry.
- EI enrollment associated with parents not working outside the home, older parent/child age, and lower child social functioning.
Abstract:
In this study, the relationships between child social functioning, parenting stress, and Part C Early Intervention (EI) enrollment were examined in 227 ethnically and racially diverse, low-income families of 15- to 27-month-old children. All toddlers in the sample were identified with or at high risk for developmental delay via universal screening in primary care; 41.4% were enrolled in EI at the time of study data collection and 83.3% ultimately enrolled in EI before turning 3 years old. Generalized linear mixed model results indicated no direct relationship between EI enrollment and parenting stress, but a significant inverse association was found between child social functioning and parenting stress (β = -0.61, p = .005) that was moderated by EI enrollment (p < .001). This suggests potential benefits of timely referral and access to EI for families of children at risk of developmental delay in historically underserved communities. Furthermore, exploratory bivariate analyses indicated that clinically elevated parenting stress related to higher worry about the child's development and higher M-CHAT-R/F scores; EI enrollment was related to parents not working outside the home, older age of both parent and child, and lower child social functioning level.
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