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Journal of Pain and Symptom Management Aug 2023Evidence-based interventions addressing the needs of couples co-parenting young children while facing an advanced cancer diagnosis are lacking. Thus, this study seeks to...
BACKGROUND
Evidence-based interventions addressing the needs of couples co-parenting young children while facing an advanced cancer diagnosis are lacking. Thus, this study seeks to identify parenting-related intervention needs and delivery preferences of advanced cancer patients and their spouses/co-parents.
METHODS
Twenty-one couples completed quantitative measures of cancer-related parenting concerns, relationship and family functioning, and service needs along with individual semi-structured interviews.
RESULTS
Patients (mean age=44 years, 48% female, 91% White) and spouses (mean age=45 years, 52% female, 91% White) reported family distress (62% of couples) and marital distress (29% of couples). Parenting concerns were generally high with patients revealing concerns particularly regarding the practical impact of the cancer on the child(ren). Spouses rated concerns about the co-parent significantly higher (P<.001) than patients. Parenting concerns were inversely associated with relationship (P<.001 for patients; P=.03 for spouses) and family functioning (P<.001 for patients). Themes identified through qualitative interviews include needs related to maintenance of family routines and traditions, childcare, transportation, meals, home maintenance, and finances. Couples who endorsed marital distress also indicated a need for conflict resolution skills. All patients and 89% of spouses would like to receive parenting-related education/services; up to 50% of couples preferred targeted, self-led readings without therapist support; and up to 50% desired counseling sessions indicating a preference towards dyadic and video conferenced intervention delivery.
CONCLUSIONS
The delivery of optimal supportive care involves a family-focused perspective such as screening for parenting status and referrals to social work services to address the need of tangible resources and manage parenting-related distress.
Topics: Child; Humans; Female; Child, Preschool; Adult; Middle Aged; Male; Parenting; Needs Assessment; Parents; Neoplasms; Spouses
PubMed: 37148983
DOI: 10.1016/j.jpainsymman.2023.04.027 -
Health Psychology : Official Journal of... Nov 2023The long-term psychological effects of childhood cancer vary, with childhood cancer survivors reporting depressive symptoms, fear of cancer recurrence, and benefit...
OBJECTIVE
The long-term psychological effects of childhood cancer vary, with childhood cancer survivors reporting depressive symptoms, fear of cancer recurrence, and benefit finding. As cancer is considered a family disease, investigating the parental context may provide insight into such individual differences in psychological functioning of survivors. This study examined the directionality of effects among parental sense of incompetence, parenting dimensions (responsiveness, psychological control, and overprotection), and survivor psychological functioning (depressive symptoms, fear of cancer recurrence, and benefit finding).
METHOD
This three-wave longitudinal study (covering 2 years) included 125 Dutch-speaking childhood cancer survivors (ages 14-24, 95.2% diagnosed < 18 years, and time since diagnosis 2-22 years), 114 mothers, and 91 fathers. Survivors reported (SR) about their psychological functioning and perceived parenting. Mothers reported (MR) and fathers reported (FR) about parenting and sense of incompetence. Cross-lagged panel models were estimated for each informant's perspective on parenting separately.
RESULTS
Different relations were obtained for each informant. Primarily unidirectional relations were found from parental sense of incompetence to maladaptive parenting (psychological control across informants and maternal overprotection SR) and from parenting to survivor functioning. Maternal and paternal responsiveness SR positively predicted survivors' benefit finding and negatively predicted survivors' depressive symptoms, respectively. Responsiveness MR and overprotection MR positively predicted survivors' fear of cancer recurrence and depressive symptoms, respectively. One consistent reverse pathway emerged: maternal and paternal responsiveness SR negatively predicted maternal and paternal sense of incompetence, respectively.
CONCLUSION
The results support parent-driven processes impacting survivors' psychological functioning and stress the need to focus on multiple perspectives when investigating family dynamics. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Topics: Female; Humans; Child; Male; Longitudinal Studies; Cancer Survivors; Parent-Child Relations; Neoplasms; Parents; Parenting; Mothers; Fathers
PubMed: 37603010
DOI: 10.1037/hea0001320 -
Autism : the International Journal of... Oct 2023Research shows that parents of autistic children, on average, are stressed; however, there is likely an array of factors that characterize the parenting experience in...
Research shows that parents of autistic children, on average, are stressed; however, there is likely an array of factors that characterize the parenting experience in the context of autism other than stress. Understanding the diversity in the parenting experiences of both mothers and fathers of autistic children is important in the development of family-based intervention. A total of 188 co-habiting couples with an autistic child described their parenting experiences using a series of questionnaires examining their feelings of stress, parenting competence, and parenting attitudes and behaviors. We then sorted responses into profiles-three for mothers and four for fathers. We found that children of parents who reported the least amount of stress, highest feeling of competence, and use of responsive and directive parenting strategies (the profile) had children with the least severe behavioral problems and autism symptoms. It was not necessary for both parents to be in the category for child emotional and behavioral problems to less severe. We found that children did just as well when one parent was compared with when both parents fell into this category.
Topics: Female; Child; Humans; Parenting; Autistic Disorder; Stress, Psychological; Autism Spectrum Disorder; Mothers; Parents
PubMed: 36602200
DOI: 10.1177/13623613221147399 -
BMC Pediatrics Apr 2024Recently, studies on behavioral interventions for autism have gained popularity. Naturalistic Developmental Behavior Interventions (NDBIs) are among the most effective,... (Meta-Analysis)
Meta-Analysis Comparative Study
BACKGROUND
Recently, studies on behavioral interventions for autism have gained popularity. Naturalistic Developmental Behavior Interventions (NDBIs) are among the most effective, evidence-based, and widely used behavior interventions for autism. However, no research has been conducted on which of the several NDBI methods is most effective for parents and children with autism spectrum disorders. Therefore, we conducted a network meta-analysis to compare the specific effects of each type of parental-mediated NDBI on children's developmental skills and parent fidelity.
METHODS
PubMed, Embase, Cochrane Library, Medline, Web of Science, China National Knowledge Infrastructure (CNKI), CINAHL, and Wanfang databases were searched from inception to August 30, 2023. A total of 32 randomized controlled trial studies that examined the efficacy of different NDBIs were included.
RESULTS
Parents of children with ASD who received Pivotal Response Treatment (PRT) reported significant improvements in their children's social skills (SUCRA, 74.1%), language skills (SUCRA, 88.3%), and parenting fidelity (SUCRA, 99.5%). Moreover, parents who received Early Start Denver Model (ESDM) reported significant improvements in their children's language (SMD = 0.41, 95% CI: 0.04, 0.79) and motor skills (SMD = 0.44, 95% CI: 0.09, 0.79). In terms of the efficacy of improving parent fidelity, the results showed that the Improving Parents as Communication Teachers (ImPACT) intervention significantly improved parent fidelity when compared with the treatment-as-usual group (TAU) (SMD = 0.90, 95% CI: 0.39, 1.42) and the parental education intervention (PEI) (SMD = 1.10, 95% CI:0.28, 1.91).There was a difference in parent fidelity among parents who received PRT(SMD = 3.53, 95% CI: 2.26, 4.79) or ESDM(SMD = 1.42, 95% CI: 0.76, 2.09) training compared with PEI.
CONCLUSION
In conclusion, this study revealed that parents can achieve high fidelity with the ImPACT intervention, and it can serve as an early first step for children newly diagnosed with ASD. It also showed that parent-mediated ESDM is effective in improving language and motor skills for children with ASD and can be used as part of the second stage of parent training. Parent-mediated PRT can also be used as a third stage of parent training with sufficient training intensity to further improve language, social, and motor skills.
Topics: Humans; Autism Spectrum Disorder; Parents; Network Meta-Analysis; Child; Behavior Therapy; Social Skills; Child Development; Parenting; Child, Preschool; Randomized Controlled Trials as Topic; Treatment Outcome
PubMed: 38664754
DOI: 10.1186/s12887-024-04752-9 -
Journal of Public Health (Oxford,... Nov 2023Technoference, the interference caused by excessive use of digital devices, has been shown to negatively impact parent-child relationships and children's emotional...
Technoference, the interference caused by excessive use of digital devices, has been shown to negatively impact parent-child relationships and children's emotional development. This paper explores the potential of Riau Malay culture, one of Indonesia's indigenous cultures, to offer solutions to the problem of technoference in parenting. Parents can establish closeness, develop their children's potential, and transmit cultural values by returning to cultural values and integrating the principles found in Tunjuk Ajar Melayu or Malay teachings. This approach ultimately contributes to the well-being of families and communities, fostering stronger emotional connections and supporting children's healthy development in the digital era.
Topics: Child; Humans; Child Health; Parent-Child Relations; Parenting; Parents; Technology
PubMed: 37291058
DOI: 10.1093/pubmed/fdad083 -
Prevention Science : the Official... Oct 2023There is increasing interest about the fidelity with which interventions are implemented because it is theorized that better implementation fidelity by facilitators is... (Review)
Review
There is increasing interest about the fidelity with which interventions are implemented because it is theorized that better implementation fidelity by facilitators is associated with better participant outcomes. However, in the parenting program literature, there is mixed evidence on the relationship between implementation fidelity and outcomes. This paper provides a synthesis of the evidence on the relationship between facilitator delivery and outcomes in the parenting program literature. Following PRISMA guidelines, this paper synthesizes the results of a systematic review of studies on parenting programs aiming to reduce violence against children and child behavior problems. Specifically, it examines associations between observational measures of facilitator competent adherence and parent and child outcomes. A meta-analysis was not feasible due to study heterogeneity. As a result, Synthesis Without Meta-Analysis guidelines were followed. Searches in electronic databases, reference searching, forward citation tracking, and expert input identified 9653 articles. After screening using pre-specified criteria, 18 articles were included. The review found that most studies (n = 13) reported a statistically significant positive relationship with at least one parent or child outcome. However, eight studies reported inconsistent findings across outcomes, and four studies found no association with outcomes. The results suggest that better facilitator competent adherence is generally associated with positive parent and child outcomes. However, this finding is weakened by the methodological heterogeneity of included studies and due to the wide variety of ways in which studies conceptualized competent adherence-outcome relationships.
Topics: Child; Humans; Parenting; Parents
PubMed: 36884129
DOI: 10.1007/s11121-023-01515-3 -
Clinical Child and Family Psychology... Dec 2023The impact of excessive screen use on children's health and development is a public health concern and many countries have published recommendations to limit and guide...
The impact of excessive screen use on children's health and development is a public health concern and many countries have published recommendations to limit and guide the use of screen media in childhood. Despite this, international studies report that the majority of parents and children do not adhere to screen use recommendations. Existing research aiming to understand children' screen use has largely focused on older children, and on demographic and structural aspects of the child's environment. Parents play a central role in determining young children's screen use and identify numerous barriers to developing healthy screen use practices with their children. However, no clear models exist that incorporate key parenting factors in understanding children's screen use, which presents an impediment to intervention development. Likewise, while some evidence exists for interventions to improve children's screen use behaviours, most are focused on older children and parental involvement has generally been limited. In this paper, we overview key factors associated with screen use in young children (< 5 years) and summarise the existing evidence base for interventions designed to support healthy screen use. This paper proposes a conceptual model linking aspects of parenting and the socio-ecological environment to young children's screen use. Our proposed model could be used to design longitudinal studies of screen use predictors and outcomes, and inform intervention development. Finally, the paper provides key recommendations for future research, intervention development and testing.
Topics: Child; Humans; Adolescent; Child, Preschool; Parenting; Sedentary Behavior; Parents; Longitudinal Studies; Child Behavior
PubMed: 37171529
DOI: 10.1007/s10567-023-00435-6 -
BMJ Open Oct 2023To test associations between 11 caregiver aggressive and non-aggressive discipline behaviours and outcomes (aggression, distraction and prosocial peer relations) of...
OBJECTIVES
To test associations between 11 caregiver aggressive and non-aggressive discipline behaviours and outcomes (aggression, distraction and prosocial peer relations) of children under 5 years in low-income and middle-income countries (LMICs).
PARTICIPANTS
Data came from the fourth (2009-2013) and fifth (2012-2017) rounds of the UNICEF Multiple Indicator Cluster Surveys. Analyses were restricted to households with children under 5 years, leaving a sample of 229 465 respondents across 60 LMICs. Data were analysed using Bayesian multilevel logistic regression.
RESULTS
Verbal reasoning (80%) and shouting (66%) were the most common parental discipline behaviours towards young children. Psychological and physical aggression were associated with higher child aggression and distraction. Compared with not using verbal reasoning, verbal reasoning was associated with lower odds of aggression (OR)=0.92, 95% credible interval (CI)=0.86 to 0.99) and higher odds of prosocial peer relations (OR=1.30, 95% CI=1.20 to 1.42). Taking away privileges was associated with higher odds of distraction (OR=1.09, 95% CI=1.03 to 1.15) and lower odds of prosocial peer relations (OR=0.92, 95% CI=0.87 to 0.98). Giving the child something else to do was associated with higher odds of distraction (OR=1.06, 95% CI=1.01 to 1.12). The results indicated country-level variation in the associations between parenting behaviours and child socioemotional outcomes.
CONCLUSIONS
Psychological and physical aggression were disadvantageous for children's socioemotional development across countries. Only verbal reasoning was associated with positive child socioemotional development. No form of psychological aggression or physical aggression benefited child socioemotional development in any country. Greater emphasis should be dedicated to reducing parental use of psychological and physical aggression across cultural contexts.
Topics: Humans; Child; Child, Preschool; Bayes Theorem; Aggression; Parents; Parenting; Child Development
PubMed: 37903610
DOI: 10.1136/bmjopen-2021-058439 -
Scientific Reports Jul 2023As it often applies to other mental conditions, one may posit that cognitive appraisals might be causal in the onset and maintenance of parental burnout. Recent studies...
As it often applies to other mental conditions, one may posit that cognitive appraisals might be causal in the onset and maintenance of parental burnout. Recent studies have indeed highlighted that negative cognitive appraisals are positively associated with parental burnout. Howbeit, none of these studies being experimental in design, it has-thus far-been impossible to establish causality. To shed light on the question, the present study relied on an experimental design where the perception of three known antecedents of parental burnout was manipulated: co-parenting support, emotion regulation and child-rearing practices. 313 French- and English-speaking parents took part in the study which employed a 4 (Condition: control, perceived co-parenting support, perceived emotion regulation, perceived efficacy of child-rearing practices) × 2 (Time: pre- and post-manipulation) mixed-design, with Condition as the between-subject factor and Time as the within-subject factor. Results showed that the experimental manipulation was effective in the "co-parenting support" condition solely and this effective manipulation further yielded a significant effect on the decrease of parental burnout scores, hence suggesting a causative relation between cognitive appraisals and parental burnout. Our results highlight both the complexity of manipulating parents' cognitive appraisals and the scope for relieving partnered parents from their parental burnout symptoms.
Topics: Humans; Parents; Parenting; Burnout, Professional; Emotional Regulation; Cognition
PubMed: 37463946
DOI: 10.1038/s41598-023-38587-8 -
International Journal of Environmental... Mar 2024It is well known that parental depression is correlated to adverse child mental health outcomes; but what is the effect of treating parental depression on the child?... (Review)
Review
It is well known that parental depression is correlated to adverse child mental health outcomes; but what is the effect of treating parental depression on the child? This narrative review aims to explore this question, and how certain specific interventions designed to help depressed parents affect mental health outcomes in their children. The academic database APA PsychInfo was searched for articles that broadly included interventions for parents with depression as well as child wellbeing or outcomes as of October 2023. Additional searches were conducted in the academic database PubMed in December 2023 and January 2024. Forty-nine articles met the inclusion criteria and were examined closely for this review. The studies included were divided into the following categories: psychotherapy, psychopharmacology, parenting support, and paternal interventions. We discuss the implications of our review on clinical practice and recommend further research in this area.
Topics: Child; Male; Humans; Depression; Psychotherapy; Parenting; Fathers; Wound Healing
PubMed: 38541366
DOI: 10.3390/ijerph21030367