Parental post-traumatic stress, overprotective parenting, and emotional and behavioural problems for children with critical congenital heart disease

2021 ◽  
pp. 1-8
Author(s):  
Linda G. McWhorter ◽  
Jennifer Christofferson ◽  
Trent Neely ◽  
Aimee K. Hildenbrand ◽  
Melissa A. Alderfer ◽  
...  

Abstract Objective: To examine relationships amongst parental post-traumatic stress symptoms, parental post-traumatic growth, overprotective parenting, and child emotional/behavioural problems in families of children with critical CHD. Method: Sixty parents (15 fathers) of children aged 1–6 completed online questionnaires assessing parental post-traumatic stress symptoms and post-traumatic growth, overprotective parenting, and child emotional/behavioural problems. Bivariate correlations and mediational analyses were conducted to evaluate overprotective parenting as a mediator of the association between parental post-traumatic stress symptoms and child emotional/behavioural problems. Results: Parents reported significant post-traumatic stress symptoms, with over 18% meeting criteria for post–traumatic stress disorder and 70% meeting criteria in one or more clusters. Parental post-traumatic growth was positively correlated with intrusion (r = .32, p = .01) but it was not associated with other post-traumatic stress symptom clusters. Parental post-traumatic stress symptoms were positively associated with overprotective parenting (r = .37, p = .008) and total child emotional/behavioural problems (r = .29, p = .037). Overprotective parenting was positively associated with total child emotional/behavioural problems (r = .45, p = .001) and fully mediated the relationship between parental post-traumatic stress symptoms and child emotional/behavioural problems. Conclusion: Overprotective parenting mediates the relationship between parental post-traumatic stress symptoms and child emotional and behavioural problems in families of children with CHD. Both parental post-traumatic stress symptoms and overprotective parenting may be modifiable risk factors for poor child outcomes. This study highlights the need for interventions to prevent or reduce parental post-traumatic stress symptoms and to promote effective parenting following a diagnosis of CHD.

Author(s):  
Muhammad M. Haj-Yahia ◽  
Charles W. Greenbaum

This chapter investigates the relationship between prolonged exposure to political violence (EPV) and post-traumatic stress symptoms (PTSS) among Palestinian adolescents. It also examines the moderating effect of participants’ age, gender, and parental socialization styles on the relationship between EPV and PTSS. A systematic cluster random sample of 2,934 Palestinian adolescents aged 14 to 19 years living in the West Bank and East Jerusalem responded to self-administered questionnaires. Multiple regression analysis showed a positive relationship between levels of EPV and of PTSS. Girls showed higher levels of PTSS than boys. Hostile and rejecting parenting styles, strict discipline, and negative evaluation from parents correlated positively with high PTSS, whereas intimate and loving parenting correlated with low levels of PTSS, supporting the hypotheses presented here. The chapter discusses the importance of intimate and loving parenting styles as a possible protective factor for mitigating the effects of political violence on children.


2019 ◽  
Vol 2 (2) ◽  
pp. 29-35 ◽  
Author(s):  
O Zsigmond ◽  
A Vargay ◽  
E Józsa ◽  
É Bányai

Purpose The purpose of this study was to explore the factors influencing post-traumatic growth in breast cancer patients during 3 years after diagnosis. Materials and methods Our longitudinal study involved 71 medium and high-risk breast cancer patients, who received special attention and either hypnosis or music psychological intervention while receiving the same chemotherapy protocol. The influences of the interventions, as well as the demographic (age, marital status, and educational level) and psychosocial factors (coping, post-traumatic stress, and well-being), on post-traumatic growth were explored. Results The results showed that over 97% of our patients experienced post-traumatic growth. It was positively associated with Quality of Life domains 3 years after diagnosis, and with Psychological Immune Competence cumulative scores after treatment and 3 years after diagnosis. Psychological Immune Competence, emotional severity of post-traumatic stress symptoms, and the social support scale of Quality of Life explained 33.9% of the variance of post-traumatic growth. Conclusion The results confirm that positive coping strategies, emotional severity of post-traumatic stress symptoms, and social support contribute to post-traumatic growth, and that post-traumatic growth has a weak to moderate association with quality of life.


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