Do Social Timing and Gender Matter to Parental Depression Aroused by Traumatic Experience of Child Bereavement? Evidence from China

Child loss is a rare but traumatic life event that often has a detrimental effect on parental wellbeing. However, parents’ resources and strategies in coping with the stressful child bereavement event may depend on timing of the event. This study intends to examine how parental depression could be aroused by the occurrence and timing of child bereavement, and how the influences vary by child gender. Drawing on the theoretical framework of the stress and life course, and using three waves of data from the China Health and Retirement Longitudinal Study, we find that both the occurrence and timing of child bereavement are significantly associated with parental depression in later life. Bereaved parents are more likely to report depression than non-bereaved parents. Child bereavement in children’s young adulthood is more likely to spark off parental depression than that occurring in children’s midlife or later. Further analysis confirms that the timing effect of child bereavement differs by child gender. Parents whose son died during young adulthood are more likely to report depression than their counterparts whose daughter died. Future studies need to address how to build up a specific social welfare program targeting child bereavement groups in different life stages.

Distress Levels of Parents of Children with Neurodevelopmental Disorders during the COVID-19 Pandemic: A Comparison between Italy and Australia

Parents of children with a neurodevelopmental disorder (NDD) report higher levels of distress compared to those of typically developing children. Distress levels may be heightened by the restrictions associated with the COVID-19 pandemic. However, it is unclear whether distress levels of parents varied by the diagnosis of neurodevelopmental disorder in children during the COVID-19 pandemic. This study aims to investigate whether parental distress was influenced by the type of NDD. Participants were from Australia (N = 196) and Italy (N = 200); the parents of children aged 3–18 were invited to complete an online self-reported survey which included the 6-item Kessler Psychological Distress Scale (K6) to determine parental distress. The results show that intellectual or learning disorder (ILD) is a major contributor to parental distress compared to other NDDs in both Australia and Italy. Moreover, the worsening of symptomatic changes in children with NDDs was significantly associated with parental distress. The differences between the two countries in terms of the pandemic impact, however, were not statistically significant. The results suggest that intervention strategies need to be tailored for individual clinical information and factor in the society’s stringency level of anti-contagion policies to improve parental wellbeing.

Parental Happiness Associates With the Co-occurrence of Preschool-Aged Children’s Healthy Energy Balance-Related Behaviors

We examined whether parental happiness associate with preschoolers’ healthy energy balance-related behaviors (EBRBs) and with the co-occurrence of multiple healthy EBRBs. This cross-sectional study included 647 pairs of parents (88% mothers) and children (mean age 4.7, SD 0.9 years). Parents completed the Subjective Happiness Scale. In addition, ActiGraph accelerometers measured children’s physical activity, and parents reported screen time and food consumption on behalf of their children. We defined four healthy EBRBs: meeting physical activity guidelines; meeting screen time guidelines; a higher consumption of vegetables, fruits and berries; and a lower consumption of sugary foods, treats and drinks. Parental happiness scores did not associate with children’s healthy EBRBs when each behavior was analyzed separately. However, parents with higher happiness scores were more likely to have a child with 2 or 3–4 healthy EBRBs than a child with 0–1 healthy EBRBs. To conclude, parents who are happier have children with multiple healthy EBRBs. Targeting parental wellbeing should be considered when promoting children’s healthy EBRBs.

Policies Are Needed to Increase the Reach and Impact of Evidence-Based Parenting Supports

Parents can be essential change-agents in their children’s lives. To support parents in their parenting role, a range of programs have been developed and evaluated. In this paper, we provide an overview of the evidence for the effectiveness of parenting interventions for parents and children across a range of outcomes, including child and adolescent mental and physical health, child and adolescent competencies and academic outcomes, parental skills and competencies, parental wellbeing and mental health, and prevention of child maltreatment and family violence. Although there is extensive research showing the effectiveness of evidence-based parenting programs, these are not yet widely available at a population level and many parents are unable to access support. We outline how to achieve increased reach of evidence-based parenting supports, highlighting the policy imperative to adequately support the use of these supports as a way to address high priority mental health, physical health, and social problems.

Parental stress and adjustment in the context of rare genetic syndromes: A scoping review

Chromosomal abnormalities are now considered a common cause of intellectual disability. With increased genetic testing, phenotyping and technological advancements, many new syndromes have been identified. This review sought to explore parental stress and adjustment in the context of rare genetic syndromes to evaluate their clinical impact. A systematic review of English peer-reviewed literature across three databases (PsycINFO, Medline, CINAHL) was completed and 69 articles were included. Parents of children with rare genetic syndromes experienced greater distress relative to other disabilities. Differences in parental wellbeing were syndrome-specific relative to ASD thus demonstrating the need to consider the contribution of syndrome-specific phenotypes. Child emotional and behavioural difficulties were the most consistent predictor of parental distress. Research reflecting other factors such as physical health, syndrome-specific behaviours, benefit finding and, parental appraisal in the context of a rare genetic aetiology is required in order to support parental adjustment in these conditions.

An Opportunity During Antenatal Services to Strengthen Nurturing Care: Global and National Recommendations for Routine Ultrasound Before 24 Weeks Gestation

Introduction: The Healthy Pregnancy, Healthy Baby study (HPHB) augments a routine service (pregnancy ultrasound) with information about fetal and infant development and the importance of parent wellbeing and infant care, to assess whether it will improve child development and growth, parent-infant attachment, parental wellbeing and routine clinic attendance. This paper outlines the process of intervention development and implementation in a complex environment with multiple stakeholders.Methods: Study participants were recruited from pregnant women attending fetal ultrasound (US) at Chris Hani Baragwanath Hospital (CHBH), Soweto, South Africa. Partners were invited to attend all sessions. The HPHB intervention, a novel combination of a health and a parenting intervention that augments a routine service (US), is being tested through a randomized controlled trial with outcome assessments at 6 weeks and 6 months follow-up. The current study outlines the process of moving from intervention design to full implementation in a high-risk clinical setting.Results: Formative research informed the design and content of the intervention materials. Implementation is monitored through weekly reports and team meetings as well as formal and informal feedback received from staff and participants. Close collaborations with clinicians enhanced recruitment practices and provided clinical oversight of the trial procedures. Ongoing stakeholder engagement informed intervention procedures and strategies to address challenges that arise during implementation.Conclusion: This study emphasizes the importance of dynamic, inclusive and interactive approaches to intervention development and implementation, as well as the purposeful use of varied information from diverse sources in decision-making for effective implementation.

Play Specialist-Based Intervention in the COVID-19 Era

The present chapter provides insights about the play specialist-based intervention for children with a wide range of pathologies. Telematic adaptations of pedagogical interventions are needed in order to overcome the obstacles given by pandemic emergency and social isolation. The chapter offers a literature review around the role of the play specialist, providing definitions, historical evolution, and outcomes on children's wellbeing. Plus, results from a research around parental wellbeing after the telematic play specialist-based adaptation are displayed and discussed. Finally, qualitative outcomes from parent and educator interviews over the telematic intervention are presented.

Telematic Intervention based on the Play Specialist Approach in the Covid-19 Era: Benefits for Parents of Children with Clinical Conditions

Covid-19 pandemic has changed the routines of families all over the world. From March 2020 up to today, Italian families are still struggling for adaptation. Parents of children and adolescents with a clinical diagnosis are more at risk for parental burnout, depression, and anxiety, and they are now experiencing restrictions in many services families relied on. Home-based and hospital-based interventions based on the Play Specialist’s approach have been limited due to anti-covid norms. Internationally, Play Specialist intervention has been empirically demonstrated effective in diminishing children’s negative emotions in relation to medical procedures and in increasing adaptation and compliance towards medical settings. Plus, Play Specialist’s intervention indirect effect on parental wellbeing is still unexplored. In Italy, differently from UK and USA, the Play Specialist intervention is not certified in the health-care system yet. The present study tests the effects on parental psychosocial health of a telematic adaptation of the Play Specialist approach (TPS), conducted in the post-lockdown months in Italy. Two groups of parents (N=33, Mean age=43.36, SD=9.81, Female= 66% receiving the TPS intervention, and N=33 Mean age=41.84, SD=6.15, Female=78% controls) of children in clinical conditions are compared. Parental burnout, anxiety, stress, depression, social support, and parental perception of children’s emotional problems have been measured via self-report questionnaires. Analysis of covariance reveals that the TPS group is less stressed, perceives higher social support, lower parental burnout (i.e., emotional distancing, contrast with other/previous Self, fed-up feeling), lower emotional and behavioural child’s problems than the control group. These findings are addressed at encouraging both research and practice around the Play Specialist’s intervention beyond the hospital-context.