The effects of parenting stress and paternal participation on the number of child in follow-up childbirth plan of mothers

Author(s):  
Minkyung Ha
2007 ◽  
Vol 10 (2) ◽  
pp. 416-421 ◽  
Author(s):  
Dawn M. Edwards ◽  
Peter H. Gray ◽  
Barbara Soong ◽  
Fung-Yee Chan ◽  
Robert Cincotta

AbstractTwin–twin transfusion syndrome (TTTS) is a severe complication of twin pregnancies with high risk for perinatal mortality and long-term morbidity. This cross-sectional cohort study aimed to determine parenting stress and psychosocial health in mothers with a pregnancy complicated by TTTS that had been managed with laser ablation of communicating placental vessels. Questionnaires were sent to the mothers for completion: Parenting Stress Index (PSI), Edinburgh Postnatal Depression Scale (EPDS) and a semi-structured questionnaire related to mental health problems and support received from health professionals. Thirty-seven mothers were sent questionnaires with 32 being returned. The results showed that 47% of women had total scores equal to or greater than the 85th percentile on the PSI, which is considered abnormally high. Twenty-six per cent of mothers had evidence of depression on the EPDS. Mothers of children with prolonged medical conditions or neurological problems had significantly higher scores (p =.011). Parenting stress was not associated with high scores on the EPDS. Medical and midwifery staff were considered to provide high levels of support, with social work providing none or low levels of support. In conclusion, women whose TTTS pregnancy was managed by laser surgery have high levels of parenting stress. As the results showed that parenting stress cannot be predicted at the time of hospitalization, it is suggested that more support should be provided in hospital with further follow-up after discharge.


2020 ◽  
Vol 26 (3) ◽  
pp. 366-375
Author(s):  
Eun Sun Ji ◽  
Ka Ka Shim

Purpose: This study was conducted to evaluate the efficacy of a community-based follow-up program on parenting stress, parenting efficacy, and coping among parents with premature infants.Methods: A non-equivalent control group pre-post quasi-experimental design was used. This program consisted of structured home visits and self-help group meetings for 6 months. The experimental group (n=29) received visits by an experienced neonatal intensive care unit (NICU) nurse and the control group (n=27) was visited by a visiting nurse. Data were analyzed using the <i>x</i><sup>2</sup> test, t-test, and analysis of covariance.Results: Parents' coping behavior significantly differed in the experimental group compared to the control group (t=3.14, <i>p</i>=.003). In particular, coping subscale I, for maintaining the family situation (t=2.63, <i>p</i>=.011), and subscale III, for understanding the infant's medical situation (t=4.30, <i>p</i><.001), showed significant differences in the experimental group. There were no significant between-group differences in parenting stress or parenting efficacy.Conclusion: The findings of this study suggest that home visits by an experienced NICU nurse provided through a community-based follow-up program were an effective intervention to improve coping behavior among parents with premature infants.


2019 ◽  
Vol 30 (7) ◽  
pp. 736-749 ◽  
Author(s):  
Moniek A. J. Zeegers ◽  
Cristina Colonnesi ◽  
Marc J. Noom ◽  
Nelleke Polderman ◽  
Geert-Jan J. M. Stams

Purpose: This study evaluated the video-feedback intervention Basic Trust in families with internationally adoptive children aged 2–12 years. The intervention aims to reduce child attachment insecurity and behavior problems by enhancing mothers’ and fathers’ sensitivity and mind-mindedness (parents’ capacity to hold in mind the mind of their child). Method: Fifty-three adoptive families participated in a pretest, posttest, and 6-month follow-up assessment. Questionnaires on parenting stress, child attachment insecurity, and behavior problems were administered. Parents’ sensitivity was assessed from free-play observations at home, and mind-mindedness was measured with a describe-your-child interview. Results: Parents reported less child behavior problems, insecure and disorganized attachment, and parenting stress at posttest and follow-up. Parents’ mind-mindedness increased from pre- to post-test but not from pretest to follow-up. Parents’ sensitivity showed an improvement at follow-up. Conclusions: Future studies should investigate whether the present study’s positive results can be replicated under conditions of strict experimental control.


2019 ◽  
Vol 22 (2) ◽  
pp. 217-225
Author(s):  
Lisa R. Roberts ◽  
G. Griffin Boostrom ◽  
Salem O. Dehom ◽  
Cameron L. Neece

Background: Many parents of children with developmental delays (DDs) experience high levels of parental stress, and young children with DDs are likely to exhibit clinical levels of behavioral problems. The reciprocal relationship between the two issues makes these families vulnerable to stress-related health risks. To address this, the current study aims to investigate the effectiveness of mindfulness-based stress reduction (MBSR) at reducing parent stress, as measured by both psychological self-report and a physiological biomarker. Method: A pretest–posttest design with a 6-month follow-up assessment was used to establish effectiveness with analyses of within-subject effects. Parents ( N = 47) of children (2.5–5 years of age) with DDs participated in a standard 8-week MBSR intervention. Measures included the Parenting Daily Hassles, a self-report measure of perceived frequency and intensity of parenting stress, and salivary samples for measurement of the cortisol awakening response (CAR), a biological marker of stress response. Results: Both self-reported parenting stress and CAR decreased following MBSR for parents of children with DDs. The greatest difference in means over time was between baseline and follow-up, where changes in effect size were even stronger for biological markers than for self-report measures. Conclusion: The MBSR intervention reduced both perceived and physiologic stress. Health-care professionals caring for these families might consider encouraging parents to participate in MBSR as both treatment and prevention of parenting stress.


2018 ◽  
Vol 31 (12) ◽  
pp. 1335-1342
Author(s):  
Karen Van Mechelen ◽  
Ilse Kessels ◽  
Annik Simons ◽  
Inge Glazemakers

Abstract Background Parents of children with metabolic diseases report more parenting stress, anxiety, depression and dysfunctional parenting styles than parents of children without metabolic diseases. In addition, their children have more behavioral problems. Beside the fact that metabolic diseases are rare, they form a relatively large proportion in the morbidity and mortality of chronically ill children. Methods In this pilot study 14 parents of children with metabolic diseases, aged between 2.5 and 13 years, participated in a quasi-experimental pre-post-follow-up study. Results After participating in the Level 4 Group Triple P-program there were small effects in decreasing child behavioral problems and large effects in decreasing dysfunctional parenting styles. There was a moderate to large reduction of parental stress and a large reduction of parental anxiety. Only the effects on the behavioral problems and the parenting style ‘laxness’ were no longer significant at 6 months follow-up. Conclusions In summary it can be said that the existing Triple P-program has good effects, with a great degree of satisfaction, for parents of children with metabolic diseases in reducing dysfunctional parenting styles, parenting stress and behavioral problems of their children. One should not wait for a specialized program to reach these parents, but further research is necessary as a greater effect can be expected when this program is adapted to these parents.


Children ◽  
2019 ◽  
Vol 6 (2) ◽  
pp. 19
Author(s):  
Inger P. Landsem ◽  
Bjørn H. Handegård ◽  
Per I. Kaaresen ◽  
Jorunn Tunby ◽  
Stein E. Ulvund ◽  
...  

The Tromsø Intervention Study on Preterms (TISP) randomized 146 preterm-born children either to the Mother-Infant Transaction Program (MITP) or to a preterm control group. Previously, significant reductions of child behavior problems and maternal stress have been reported in the intervention group. This follow-up study examines whether the MITP may have affected the longitudinal adaptation between mothers and their children from two until nine years, expressed as associations between different behavioral problems and parenting stress reported by mothers. Associations between internalizing, attentional, and social problems and different dimensions of parenting stress were analyzed in separate models that included effects of time and group status. The MITP did not influence the development of longitudinal associations as no significant three-way interaction (stress*group*time) was found. Significant stress by group interactions was only found in reports on children’s attentional problems when analyzed with parent- or interaction-related stress. Mothers who had participated in the MITP reported weaker stress–behavior associations than control mothers. This effect was moderated by two independent variables, namely children’s birthweight and years of maternal education for the parent–child difficult interaction stress.


2020 ◽  
Author(s):  
Guihua Liu ◽  
Shuo Wang ◽  
Jinhua Liao ◽  
Ping Ou ◽  
Longsheng Huang ◽  
...  

BACKGROUND During the COVID-19 pandemic, special education schools for children in most areas of China were closed between the end of January and the beginning of June in 2020. The sudden interruptions of schooling and the pandemic itself caused parents to be anxious and to even panic. Mobile parenting skills education has been proved to be an effective method in improving the psychological well-being of mothers with autistic children. However, whether it can improve the psychological states of mothers in the context of the COVID-19 pandemic is an urgent subject to be investigated. OBJECTIVE To evaluate the efficacy of WeChat-based parenting training (WBPT) on anxiety, depression, parenting stress, and hope for mothers with autistic children as well as the feasibility of the program during the COVID-19 pandemic. METHODS This was a quasi-experimental trial. A total of 125 mothers with preschool autistic children were recruited in January 2020. The participants were assigned into the control group (n=60), receiving routine care, or the intervention group (n=65), receiving the 12-week WBPT plus routine care according to their preferences. Anxiety, depression, parenting stress, hope, satisfaction, and adherence to the intervention were measured at three timepoints: the baseline (T0), post-intervention (T1), and 20 weeks follow-up (T2). RESULTS One hundred and nine mothers completed the T1 assessment and 104 mothers completed the T2 assessment. The results of the linear mixed model analysis showed statistically significant group*time interaction effects for the intervention on anxiety (F=11.520, P<.001), depression (F=19.850, P<.001), parenting stress (F=76.725, P<.001), and hope (F=198.866, P<.001). Of all mothers in the intervention group, 90.4% reported that they were extremely satisfied with the WBPT. In total, 40.0% kept the logging recordings for home training each week and 61.5% kept more than 80% for all 20 weeks. CONCLUSIONS The WBPT is acceptable and appears to be an effective approach for reducing anxiety, depression, and parenting stress and increasing hope in mothers with autistic children during the global COVID-19 pandemic. Future studies with rigorous designs and longer follow-up periods are needed to further detect the effectiveness of the WBPT. CLINICALTRIAL Chinese Clinical Trial Registry, ChiCTR2000031772; http://www.chictr.org.cn/showproj.aspx?proj=52165.


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