The role of mother-child relationship in the association between maternal parenting stress and emotional and behavioral problems in preschool children / 中国当代儿科杂志

OBJECTIVES@#To study the moderating effect of mother-child relationship in the association between maternal parenting stress and emotional and behavioral problems in preschool children, and to provide reference for the prevention and control of emotional and behavioral problems in preschool children.@*METHODS@#Using a stratified cluster sampling method, 2 049 preschool children were surveyed from November to December 2021, who sampled from 12 kindergartens in Wuhu City, Anhui Province. The emotional and behavioral problems of preschool children were assessed with the Strength and Difficulties Questionnaire. Pearson correlation analysis was used to evaluate the relationship of maternal parenting stress and mother-child relationship with children's emotional and behavioral problems. The PROCESS Macro was used to analyze the moderating effect of conflicted and dependent mother-child relationships in the association between maternal parenting stress and emotional and behavioral problems in these preschool children.@*RESULTS@#Among these preschool children, maternal parenting stress was positively correlated with the scores of emotional symptoms, conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001); intimate mother-child relationships were negatively correlated with the scores of conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001); conflicted and dependent mother-child relationships were positively correlated with the scores of emotional symptoms, conduct problems, hyperactivity, and peer problems subscales and total difficulty scores (P<0.001). After controlling for relevant confounding factors, conflicted mother-child relationship (β=0.05, P=0.001) and dependent mother-child relationship (β=0.04, P=0.012) were found to have a moderating effect on the association between maternal parenting stress and total difficulty scores in these preschool children.@*CONCLUSIONS@#Negative mother-child relationships play a moderating role in the association between maternal parenting stress and emotional and behavioral problems in preschool children. Prevention of emotional and behavioral problems in preschool children should focus on reducing maternal parenting stress and improving negative mother-child relationships.

Adaptación del Parenting Stress Index-4 Short Form en Madres Mexicanas de Preescolares / Adaptation of the Parenting Stress Index-4 Short Form in Mexican Mothers

Resumen La escala Parenting Stress Index-4-Short Form (PSI-4-SF) es uno de los instrumentos más utilizados en la medición del estrés parental en el ámbito de la investigación sobre este tema. El propósito de este estudio fue analizar la estructura factorial y confiabilidad de una versión traducida y adaptada a la población mexicana. Los reactivos de la prueba fueron traducidos y adaptados al español, utilizando el procedimiento estándar de traducción y retraducción. Participaron voluntariamente 332 mujeres entre 18 y 51 años de edad (M=34.27 D.E.=7.34) que cumplieron los criterios de inclusión; quienes contestaron individualmente la escala en línea. Mediante Análisis Factorial Exploratorio, emergieron dos factores que explicaron el 50.26% de la varianza (KMO=.848): Factor I Distrés parental (33.26% de la varianza explicada, α ordinal= .822) y Factor II Malestar por el cuidado de los hijos (17% de la varianza explicada, α ordinal= .869). En esta adaptación sólo se conservaron 20 de los 36 reactivos que constituyen la escala original. Con lo obtenido se plantea la posibilidad de una medición eficaz del estrés parental en madres de preescolares en población mexicana, lo que permite continuar con esta línea de investigación.

Abstract Some studies have pointed out that parental stress has a greater capacity to affect the upbringing and development of children, than the presence of stress in any other area of life. The most recognized theory on parental stress is the one developed by Abidin, which describes three components: "parents"; "child"; and the "parent-child relationship". The Parenting Stress Index-4-Short Form (PSI-4-SF) is one of the most widely used measures in the field of parental stress research. Despite its widespread use, no consensus has been reached on the items that make up each of the three dimensions. There is a lack of a valid and reliable version of this scale that can be use in Mexican population. The purpose of the present study was to: Culturally translate and adapt the PSI4-SF into Spanish, and to test the construct validity (factor structure) and reliability of the adapted version to the Mexican population. The test items were translated and adapted to Spanish, using a standard forward- and back-translation procedure. Voluntary participants were 332 women between 18 and 51 years of age (M=34.27 SD=7.34) who met the inclusion criteria, they answered the scale online. Internal consistency and factor structure were assessed. By Exploratory Factor Analysis two factors emerged that explained 50.26% of the variance (KMO=.848): Factor I (33.26% of the variance explained, α ordinal= .822) and Factor II (17% of the variance explained, α ordinal= .869), retaining only 20 of the 36 items that constitute the original scale. An equivalent Spanish version of the PSI-4-SF was obtained with good evidence of reliability and validity. These results suggest the possibility of an effective measurement of parental stress in mothers of preschoolers in the Mexican population.

Effect of parent-child cooperative music therapy on children with autism spectrum disorder and their mothers: a prospective randomized controlled study / 中国当代儿科杂志

OBJECTIVES@#To study the effect of parent-child cooperative music therapy on the core symptoms of children with autism spectrum disorder (ASD) and their mothers.@*METHODS@#In this prospective study, 112 children with ASD and their mothers were divided into a music therapy group and an applied behavior analysis (ABA) group using a random number table (n=56 each). The children in the ABA group were treated with ABA, and those in the music therapy group were given parent-child cooperative music therapy in addition to the ABA treatment. The duration of intervention was 8 weeks for both groups. Childhood Autism Rating Scale (CARS), Autism Behavior Checklist (ABC), Parenting Stress Index-Short form (PSI-SF), Family APGAR Index, and Herth Hope Index (HHI) were used to evaluate the core symptoms of children with ASD and the parenting stress, family APGAR index, and hope level of mothers before and after intervention.@*RESULTS@#A total of 100 child-mother dyads completed the whole study, with 50 child-mother dyads in each group. After intervention, the children in the music therapy group had significantly lower total score of ABC scale and scores of sensation, social interaction, and somatic movement, as well as a significantly lower total score of CARS than those in the ABA group (P<0.05). After intervention, compared with the mothers in the ABA group, the mothers in the music therapy group had significantly higher total score of PSI-SF and score of parent-child dysfunctional interaction, significantly higher total score of HHI and scores of each dimension, and significantly higher total score of APGAR and scores of cooperation and intimacy (P<0.05).@*CONCLUSIONS@#Parent-child cooperative music therapy combined with ABA can alleviate the core symptoms of children with ASD, reduce the parenting stress of their mothers, and improve family APGAR index and hope level.

Envolvimento Paterno em Pais de Crianças em Idade Escolar: Relação com Estresse Parental, Apoio Social e Variáveis Sociodemográficas / Father Involvement in Parents of School-Aged Children: Relationship with Parenting Stress, Social Support and Sociodemographic Variables

Resumo Pretende-se averiguar se o estresse parental e o apoio social contribuem para o envolvimento paterno (EP), e analisar a relação desse envolvimento com variáveis sociodemográficas (pai/criança). Participaram do estudo 92 homens, pais de crianças em idade escolar (6 a 9 anos). Utilizou-se a Escala de Envolvimento Paterno e as adaptações portuguesas do Parenting Stress Index-Short Form e do Social Support Questionaire. Verificou-se que apenas o estresse parental (Interação e Criança) se constitui como preditor do EP (Cuidados e Disponibilidade). Verificou-se ainda uma associação entre o EP e o número de filhos. Os resultados sugerem que níveis elevados de estresse parental poderão ser prejudiciais para o envolvimento do pai em termos de cuidados e disponibilidade, sendo também relevante o maior número de filhos.

Abstract This study aims to ascertain whether parenting stress and social support contribute to father involvement (FI), and to analyze the relationship between this involvement and sociodemographic variables (parent/child). The participants were 92 men, parents of school-aged children (6 to 9 years). The Father Involvement Scale and the Portuguese adaptions of the Parenting Stress Index-Short Form and Social Support Questionaire. Only parenting stress (Interaction and Child subscales) was found to be a predictor of FI (Caring and Availability subscales). A relationship between FI and the number of children was also observed. The results suggest that high levels of parenting stress may jeopardize fathers' involvement in terms of caring and availability, while the higher number of children is also a relevant factor.

Effects of parent-child painting and creative crafting therapy on preschool children with autism spectrum disorder and their mothers: a prospective randomized controlled trial / 中国当代儿科杂志

OBJECTIVES@#To study the effects of parent-child painting and creative crafting therapy on the core symptoms of preschool children with mild-to-moderate autism spectrum disorder (ASD) and the parenting stress and hope level of their mothers.@*METHODS@#A total of 56 preschool children with mild-to-moderate ASD and their mothers were divided into an experimental group and a control group using the block randomization method, with 28 pairs in each group. The subjects in the control group received an applied behavior analytic intervention and those in the experimental group received parent-child painting and creative crafting therapy in addition to the intervention in the control group. The intervention time was 20 weeks for both groups. Autism Behavior Checklist (ABC), Social Responsiveness Scale (SRS), Parenting Stress Index-Short Form (PSI-SF), and Herth Hope Index (HHI) were used to evaluate the core symptoms of children and the parenting stress and hope level of their mothers before and after 20 weeks of intervention.@*RESULTS@#Forty-nine child-mother pairs completed the study (25 pairs in the intervention group and 24 pairs in the control group). The children in the experimental group had significantly lower scores of social interaction, language, social communication, and social motivation and total scores of ABC and SRS compared with those in the control group (@*CONCLUSIONS@#The combination of applied behavior analytic intervention with parent-child painting and creative crafting therapy can more effectively improve the core symptoms and social interaction of preschool children with mild-to-moderate ASD, reduce the parenting stress of mothers and improve their hope level.

Assessment of quality of life in parents of epileptic children and its associated factors

Background: Aim of the study was to assess quality of life (QOL) of parents of epileptic child and its association with various factors like demographic, clinical, therapeutic and behavioral factors.Methods: Consenting parents of 160 epileptic children were enrolled after finishing child’s visit to the pediatrician. Parents were enquired on baseline demographic variables like age, gender, socio-economic status, parental education; clinical details like type of epilepsy, duration of seizure, seizure frequency and co-morbidity and therapeutic factors like treatment of epilepsy and adverse drug reactions. QOL was evaluated using QOLCE questionnaire and Childhood Illness-related Parenting Stress Inventory and analysed.Results: Out of 160 parents, 85% belong to 30-40 years of age and 62.5% were male. Deteriorated quality of life was reported by parents as mean score 63.46±7.69. QOL was significantly poor (p<0.05) in parents of younger child (<6 yrs), education status (upto primary school only), employment status of parent (unemployed) and lower socioeconomic status. Assessment of disease related parameters revealed that type of seizure, seizure frequency, duration and co-morbidity were factors significantly affecting quality of life of parents with lower QOL scores(p<0.05). QOL of parents of child with epilepsy undergoing polytherapy with multiple AEDs treatment, particle seizure control and having adverse drug reaction were associated with poor scores of health and well being (p<0.05). It was found that parents of epileptic child had deteriorated QOL score with respect to behaviour patterns irrespective to conditions of epilepsy due to constant stress and anxiety and poor state of mind.Conclusions: QOL of parents was compromised in Indian children with epilepsy. Demographic factors like age of child, parental education, socio-economic status and clinical factors like type of seizure, frequency & duration of seizure and co-morbid conditions significantly affect the QOL of parents. Significantly poor QOL scores was also due to therapeutic factors like treatment with polytherapy and adverse drug reactions with poor behavioral patterns which was observed in parents that should be taken care and should not be overlooked.

Effective evaluation on informational support of the parenting sense of competence and parenting stress in primiparas / 中国实用护理杂志

Objective@#To evaluate the effectiveness on informational support of the parenting sense of competence and parenting stress in primiparas.@*Methods@#Ninety-five primiparas in the First Affiliated Hospital of Zhengzhou University were recruited from November 2017 to April 2018, mothers of premature infants discharged from hospital from November 2017 to January 2018 were divided into the control group,and which discharged from February 2018 to April 2018 were divided into the experimental group conveniently.Seven cases in the control group and 5 cases in the experimental group dropped out. The control group received routine nursing care, 4 times of informational support were implemented to the mothers of premature infants at the first 4 months after discharged in the experimental group,included team teaching, live demonstration, set up a wechat group, et al. All primiparas were investigated using the Chinese version of Parenting Sense of Competence Scale(C-PSOC) and the Parenting Stress Index-Short Form(PSI-SF) at the 1th,3th,6th month postpartum.@*Results@#At the 6th month postpartum, total scores of the Chinese version of Parenting Sense of Competence Scale and subscale scores of self-efficacy, satisfaction of the mothers of premature infants were 82.60±4.45, 39.19±3.25, 43.40±3.47, respectively in the experimental group,and the scores were 76.83±7.88, 36.90±4.82, 39.93±5.16, respectively in the control group, the difference between the two groups was statistically significant(t=4.117, 2.541, 3.613, P<0.05). At the 6th month postpartum,total scores of the Parenting Stress Index-Short Form and subscale scores of parenting distress,parent-child dysfunctional interaction,difficult child of the mothers of premature infants were 80.31±9.50, 28.62±4.54, 23.98±4.91, 26.14±5.15, respectively in the experimental group,and the scores were 87.36±8.58, 32.55±4.88, 25.95±4.15, 28.84±4.88, respectively in the control group,the difference between the two groups was statistically significant(t=-3.568-3.823, P<0.05).@*Conclusions@#Informational support can effectively improve the parenting sense of competence and relieve the parenting stress in primiparas.

The influence of self-efficacy on parenting stress among parents of children with malignant solid tumors / 中国实用护理杂志

Objective@#To explore the effect of self-efficacy on parenting stress among parents of children with malignant solid tumors.@*Methods@#Totally 100 parents of children with malignant solid tumors were investigated and analyzed by using the general questionnaire, parenting stress Index-Short Form(PSI-SF) and General Self-Efficacy Scale (GSES).@*Results@#The score of general self-efficacy for parents was 1.93±0.54, and the total score of parenting stress was 111.84±13.36. The general self-efficacy and parenting stress scores of parents with malignant solid tumors were significantly negatively correlated with the scores of parental misery, parent-child relationship and difficult children (r=-0.72, -0.65, -0.62 -0.55, all P<0.01). Hierarchical logistic regression analysis indicates that the parenting stress was influenced by self-efficacy, the gender of parents, education level and whether or not on position.@*Conclusions@#Self-efficacy is one of the most critical influencing factors on parenting stress of parents.A new approach to improve the self-efficacy is to be achieved to reduce the parenting stress level among parents of children with solid tumors.

The influence of self-efficacy on parenting stress among parents of children with malignant solid tumors / 中国实用护理杂志

Objective To explore the effect of self-efficacy on parenting stress among parents of children with malignant solid tumors. Methods Totally 100 parents of children with malignant solid tumors were investigated and analyzed by using the general questionnaire, parenting stress Index-Short Form(PSI-SF) and General Self-Efficacy Scale (GSES). Results The score of general self-efficacy for parents was 1.93±0.54, and the total score of parenting stress was 111.84±13.36. The general self-efficacy and parenting stress scores of parents with malignant solid tumors were significantly negatively correlated with the scores of parental misery, parent-child relationship and difficult children(r=-0.72,-0.65,-0.62-0.55, all P<0.01). Hierarchical logistic regression analysis indicates that the parenting stress was influenced by self-efficacy, the gender of parents, education level and whether or not on position. Conclusions Self-efficacy is one of the most critical influencing factors on parenting stress of parents.A new approach to improve the self-efficacy is to be achieved to reduce the parenting stress level among parents of children with solid tumors.

The Effectiveness of Educational Programs on Parenting Stress and Coping Mechanism among Parents of Children with Autism Spectrum Disorder: A Systematic Review

Abstract@#The aim of this systematic review was to evaluate the effectiveness of educational programs on parenting stress and coping mechanism among parents of children with Autism Spectrum Disorder. Our current review retrieved the articles from databases such as CINAHL, Springer, Ovid, PubMed, Google Scholar, and EBSCO host. Only articles published between the years of 2000 and 2018 in these databases were recruited using keywords such as Autism Spectrum Disorder, education program, parenting stress, coping mechanism, and coping strategies. The search generated 17 articles; 8 articles were relevant. This systematic review provides an important opportunity to advance our understanding of the effectiveness of the educational program for reducing parenting stress and improving coping mechanism among parents of children with Autism Spectrum Disorder. Nurses could also have a pivotal role in delivering the educational program for parents of children with ASD.

The Effect of Community-Based Parent Education Program on Parenting Stress According to Adult Attachment Styles

OBJECTIVES: The aim of this study was to measure the effect of a group-based parent education program on parenting stress and attitude and comparing the same according to adult attachment styles.

Differences in Parenting Stress, Parenting Attitudes, and Parents' Mental Health According to Parental Adult Attachment Style

OBJECTIVES: We aimed to compare the differences in parenting stress, parenting attitudes, and parents' mental health between different adult attachment styles. METHODS: Forty-four parents who completed a parental education program were enrolled in our study. They completed the Korean version of the Experience of Close Relationship Revised, Korean-Parenting Stress Index-Short Form, Maternal Behavior Research Instrument, and Symptom Checklist-90-Revised. RESULTS: The avoidant attachment score positively correlated with parenting stress. The anxious attachment score showed a positive relationship with parenting stress, hostile parenting attitude, and psychopathology, but a negative association with an affectionate parenting attitude. The secure attachment group exhibited a more autonomous, affectionate parenting style and a less hostile parenting attitude and less parenting stress than the insecure attachment group. Dismissing-avoidant attachment parents reported significantly higher parenting stress scores than secure attachment parents. Preoccupied and fearful-avoidant attachment parents displayed a more hostile parenting style than secure attachment parents. Dismissing-avoidant and preoccupied parents reported a less affectionate parenting attitude than secure attachment parents. CONCLUSION: There were differences in parenting stress, parenting attitudes, and parents' mental health depending on the adult attachment style. More specific education and interventions based on parental attachment type are necessary for parents.

Effective evaluation on informational support of the parenting sense of competence and parenting stress in primiparas / 中国实用护理杂志

Objective To evaluate the effectiveness on informational support of the parenting sense of competence and parenting stress in primiparas. Methods Ninety-five primiparas in the First Affiliated Hospital of Zhengzhou University were recruited from November 2017 to April 2018, mothers of premature infants discharged from hospital from November 2017 to January 2018 were divided into the control group,and which discharged from February 2018 to April 2018 were divided into the experimental group conveniently.Seven cases in the control group and 5 cases in the experimental group dropped out. The control group received routine nursing care, 4 times of informational support were implemented to the mothers of premature infants at the first 4 months after discharged in the experimental group,included team teaching, live demonstration, set up a wechat group, et al. All primiparas were investigated using the Chinese version of Parenting Sense of Competence Scale(C-PSOC) and the Parenting Stress Index-Short Form(PSI-SF) at the 1th,3th,6th month postpartum. Results At the 6th month postpartum, total scores of the Chinese version of Parenting Sense of Competence Scale and subscale scores of self-efficacy, satisfaction of the mothers of premature infants were 82.60 ± 4.45, 39.19 ± 3.25, 43.40 ± 3.47, respectively in the experimental group,and the scores were 76.83 ± 7.88, 36.90 ± 4.82, 39.93 ± 5.16, respectively in the control group, the difference between the two groups was statistically significant(t=4.117, 2.541, 3.613, P<0.05). At the 6th month postpartum,total scores of the Parenting Stress Index-Short Form and subscale scores of parenting distress,parent-child dysfunctional interaction,difficult child of the mothers of premature infants were 80.31 ± 9.50, 28.62 ± 4.54, 23.98 ± 4.91, 26.14 ± 5.15, respectively in the experimental group,and the scores were 87.36 ± 8.58, 32.55 ± 4.88, 25.95 ± 4.15, 28.84 ± 4.88, respectively in the control group,the difference between the two groups was statistically significant(t=-3.568-3.823, P<0.05). Conclusions Informational support can effectively improve the parenting sense of competence and relieve the parenting stress in primiparas.

Association between behavioral problems and parenting stress in preschool children / 中国实用护理杂志

Objective@#To analyze the relationship between parenting stress in parents and behavioral problems in preschool children, to provide scientific basis for prevention and intervention of preschool children′s behavioral problems.@*Methods@#A sample of 208 preschool children were selected from Changsha. Parents were invited to complete the Conners Child Behavior Checklist (Parent Question) and Parenting Stress Index (PSI).@*Results@#The proportion of preschool children with behavioral problems in this surveyed sample was 19.71% (41/208). The rate of higher level parenting stress was 19.71% (41/208). Total parenting stress scores in preschool children with behavioral problems were 83.46±16.76, which were higher than the scores 77.07±15.02 in those without behavioral problems (t=-2.38, P<0.05), and difficult child scales stress score in preschool children with behavioral problems were 29.95±6.44, which were higher than the scores 26.71±6.10 in those without behavioral problems (t=-3.02, P<0.05). Total parenting stress scores was positively related with each of dimension of behavioral problems (r=0.14-0.42, P<0.05 or 0.01).@*Conclusion@#The behavioral problems is positively related with parenting stress in preschool children. Therefore, the parents of preschool children should adjust their parenting stress, so as to create a warm growing environment for their children, thus reducing the behavioral problems of preschool children.

The Effect of Parenting Stress and Acculturative Stress on Parenting Efficacy in Vietnamese Married Immigrant Women

PURPOSE: The purpose of this study was to investigate the effect of parenting stress and acculturative stress on the parenting efficacy of Vietnamese married migrant women. METHODS: A total of 130 Vietnamese married immigrant women were recruited from the Multicultural Family Support Center in U-city. Data were collected using self-report questionnaires and analyzed using descriptive statistics of a t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis with the SPSS 21.0 program. RESULTS: The scores of parenting and acculturative stress level were 2.62 and 2.87, parenting efficacy level was 2.98. The Aculturative stress experience was positively correlated with parenting stress (r=0.547, p < 0.001), Parenting stress experience was negatively correlated with parenting efficacy (r=-0.486, p < 0.001), and, acculturative stress experience was negatively correlated with parenting efficacy (r=-0.460, p < 0.001). The multiple regression analysis of acculturative (t=-2.891, p=0.005) and parenting stress (t=-3.818, p < 0.001) showed a significant number of factors that explain parenting efficacy. The model included the two independent variables of acculturation stress and parenting stress which were statistically significant (F=24.966, p < 0.001), and had a descriptive result of 28.5%. CONCLUSION: The results of this study suggest the need for development and implementation of mediation measures such as substantial, cooperative, and systematic parenting programs for women in Vietnam to promote regional community support.

The Influences Of Parenting Stress, Children Behavioral Problems And Children Quality Of Life On Depression Symptoms Among Parents Of Children With Autism: Preliminary Findings / Jurnal Sains Kesihatan Malaysia

Taking care of children with Autism Spectrum Disorder (ASD) could be a demanding task for parents. Consequently, parentsof children with ASD may experience parenting stress and depression symptoms. This study examined parenting stressand depression symptoms among parents of children and adolescents with ASD. This study also examined the role of childcharacteristics (e.g., age, child quality of life and problem behavior) on parenting stress and depression symptoms and theeffect of parenting stress on parental depression. A total of 78 parents were examined using a questionnaire survey. Theresult indicated that parents caring a younger age group of children with ASD have higher levels of depression symptomscompared to parents caring for older group of children with ASD. The result also revealed a significant difference in levelof depression symptoms between parents with higher levels of parenting stress and parents with lower parenting stress.Only the children age significantly predicts depression symptoms in parents of children with ASD. This indicates thatchildren age is potential to affect mental health among parents of children with ASD.

Nivel Socioeconómico y conductas externalizadas en preescolares: el rol del mediador parental / Socioeconomical level and behavior in school-age children: the mediating role of parents

Un determinante de particular relevancia en el desarrollo humano es el nivel socioeconómico y, en específico, el nivel socioeconómico (NSE) bajo y la pobreza. El entorno familiar es asimismo fundamental en el desarrollo de niños y niñas, y un potencial mediador o moderador del efecto de condiciones sociales más amplias. Objetivo: Analizar el rol del estrés parental como variable mediadora de la relación del NSE con conductas externalizadas e internalizadas en niños y niñas preescolares. Sujetos y Método: Estudio descriptivo de base secundaria basado en la Encuesta Longitudinal de Primera Infancia Chilena que seleccionó una muestra estratificada, representativa por clusters, de 9.996 niños y niñas de 3 a 5 años y sus cuidadoras(es), los(as) que completaron una batería de instrumentos para la medida de las variables de NSE, estrés parental y conductas externalizadas e internalizadas. El análisis utilizó un modelo lineal con estimación por mínimos cuadrados. Como prueba de hipótesis, se usó la Dm, una adaptación de la prueba F para imputación múltiple. Resultados: El modelo de mediación del estrés parental en la relación entre NSE y conductas externalizadas e internalizadas se corroboró para las segundas; respecto de las conductas externalizadas se observó un modelo de moderación, siendo menor la influencia del estrés en el NSE bajo. Conclusiones: El estrés parental mostró una clara relación con la presencia de conductas externalizadas e internalizadas, más fuerte que el NSE; la relación entre NSE y estrés parental resulta de importancia para comprender los procesos que afectan el desarrollo de niños y niñas.

A determinant of particular relevance in human development is the socioeconomic status (SES) and, specifically, low SES and poverty. Likewise, family environment is essential in the development of children and a potential mediator or moderator of the effect of broader social conditions. Objective: To analyze the role of parenting stress as a mediating variable of the relationship between SES and both externalized and internalized behaviors in preschool children. Subjects and Method: Descriptive secondary base study based on the Longitudinal Survey of Chilean First Infancy that selected a stratified sample, representative by clusters, of 9.996 children from 3 to 5 years old and their caregivers, that completed a battery of instruments for measuring SES variables, parenting stress and externalized and internalized behaviors. The analysis used a linear model with least square estimate. As hypothesis testing, the Dm (an adaptation of the F-test for multiple imputation method) was used. Results: The mediation model of parenting stress in the relationship between SES and both externalized and internalized behaviors was confirmed for the latter; regarding externalized behaviors a model of moderation was observed, being the stress influence lower on the low SES. Conclusions: Parental stress showed a clear relationship with the presence of externalized and internalized behaviors, stronger than the SES. The relationship between SES and parenting stress is very important to understand the processes that affect children’s development.

Parenting Stress among Malaysian Parents of Children with Autism Spectrum Disorder (ASD)

Autism Spectrum Disorder (ASD) is a neurodevelopmental childhood disorder associated with cognitive and language impairments. Previous research found that children with developmental disorders increase parenting stress but parents of children with ASD, specifically have recorded higher parenting stress than any other developmental disabilities. Hence, this study investigates the difference in parenting stress levels among parents of children with ASD compared to a typical development (TD) control group. Parenting Stress Index, 3rd Edition Short Form was used to assess the parenting stress levels of 30 parents of children with ASD and 36 parents of TD children. Parents of children with ASD were sampled at Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Tangkak Hospital and National Autism Society of Malaysia (NASOM) in Muar and Segamat. Parents of children with ASD recorded significantly higher levels of parenting stress compared to the TD group (p<0.001). Parents of male children of ASD recorded significantly higher levels of parenting stress compared to the parents of male children of TD group (p<0.001). Parents of female children of ASD also recorded significantly higher levels of parenting stress compared to parents of female children of TD group (p<0.001). Intervention towards ASD children should not only focus on minimizing the core symptoms but should also pay attention to the family’s mental health as well.

Influence of different training mode on the parenting stress in mothers of children with autism / 中国实用护理杂志

Objective To explore the influence of different training mode on the parenting stress in mothers of children with autism. Methods According to the wishes of parents, 46 children with autism by first diagnosed and their mothers were divided into combination training group (23 cases) and control group (23 cases). The children in combination training group received a family rehabilitation training besides the structured institution-based teaching programme, and the children in control group only received the structured institution-based teaching programme. Comparisons were made between the two groups by the Parenting Stress Index-Short Form score after 1 year teaching. Results Before teaching, the domain score of parental distress, parent-child dysfunctional interaction, difficult child and total score of parenting stress were (37.7 ± 5.6), (35.4 ± 4.1), (38.3 ± 5.4), (111.3 ± 10.5) points in control group, while those were (37.9 ± 5.8), (34.7 ± 4.3), (38.8 ± 4.9), (112.1 ± 9.3) points in combination training group. There was no significant difference between two groups(t=0.155-0.531, all P>0.05). After 1 year teaching, the domain score of parental distress, parent-child dysfunctional interaction, difficult child and total score of parenting stress were (34.0±3.4), (30.7±2.8), (34.3±2.2), (99.0±4.7) points in control group, while those were (34.3±3.7), (28.7±3.1), (31.1±2.4), (94.1±6.8) points in combination training group. The combination training group reported a lower level than control group in the domains score of parent-child dysfunctional interaction, difficult child and total score of parenting stress (t=-2.340,-4.595,-2.890, all P0.05). Both two groups after 1 year teaching, mothers of children with autism experienced a lower level in all the domains and the total score of parenting stress than before teaching(combination training group: t=3.562-7.925, control group:t=2.534-4.768, all P<0.05). Conclusions Family rehabilitation training combined with institutions could reduce the parenting stress of mothers with autistic children and be worthy of clinical promotion and application.

Relationship between father parenting stress, marital satisfaction and father involvement / 中华行为医学与脑科学杂志

Objective To examine the effect of father parenting stress and paternal marital satisfaction on father involvement,and to explore the mediating role of maternal perceptions of father involvement in father involvement and maternal marital satisfaction.Methods 300 children's fathers and mothers from 5 kindergartens in Beijing city,Dezhou city,Wuhu city were surveyed with the Chinese version of the PSI/SF,the father involvement questionnaire and the marital satisfaction questionnaire.Results The score of paternal marital satisfaction was (3.98±0.75),(3.84±0.76) for maternal marital satisfaction,(2.26±0.50) for father parenting stress,(2.60±0.49) for father involvement,(2.50±0.50) for maternal perceptions of father involvement.Correlation analysis showed that father parenting stress was negatively correlated with father involvement(r=-0.36,P＜0.01),paternal marital satisfaction was positively correlated with father involvement (r=0.33,P＜0.01),father involvement was positively correlated with maternal marital satisfaction(r=0.36,P ＜0.01),father involvement was positively correlated with maternal perceptions of father involvement (r=0.48,P＜0.01).A structure equation model consisting of father parenting stress,father involvement and marital satisfaction had a better degree of fitting:GFI =0.99,NFI =0.99,CFI =0.99,RMSEA＜0.001.Maternal perceptions of father involvement mediated the effect of father involvement on maternal marital satisfaction (effect value:0.41,P＜0.05).Conclusion Father parenting stress and paternal marital satisfaction could significantly predict father involvement,father involvement could significantly predict maternal marital satisfaction.These studies verified the spillover effect and the crossover effect between spousal subsystem and parental subsystem.