Parenting Stress Trajectories in Parents of Children with Congenital Heart Disease.

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-07-29 DOI:10.1016/j.pedhc.2025.06.011

Laurie Tremblay, Charles Lepage, Yara Maalouf, Jade Bayard, Amélie Doussau, Natacha Paquette, Annie Bernier, Marie Noëlle Simard, Célia Matte-Gagné, Anne Gallagher

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引用次数: 0

Abstract

Objectives: This study examines parenting stress trajectories in parents of children with congenital heart disease from 4 to 60 months and identifies predictors.

Methods: Sixty-six parents completed the Parenting Stress Index-Short Form (PSI-4-SF) at 4, 24, and 60 months of child's age. The PSI-4-SF provides a score on three dimensions of parenting stress: parental distress (PD), difficult child (DC), and parent-child dysfunctional interactions (PCDI). Multilevel growth curves were modeled to characterize the intraindividual evolution of parenting stress during early childhood.

Results: PD and DC fluctuated, while PCDI decreased over time. Lower birthweight predicted higher DC at 4 months, and longer hospitalization after the first surgery predicted higher PCDI at 4 months. No predictor influenced PD.

Conclusions: Parents with high PD and DC tend to remain highly stressed, highlighting the importance of early screening. Identifying predictors of specific stress dimensions can help professionals support at-risk families.

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先天性心脏病患儿父母的养育压力轨迹

目的：本研究探讨4至60个月先天性心脏病患儿父母的育儿压力轨迹，并确定预测因素。方法：66名家长分别在孩子4、24、60月龄时填写父母压力指数简表（PSI-4-SF）。PSI-4-SF对养育压力的三个维度进行评分：父母痛苦（PD）、困难儿童（DC）和亲子功能失调互动（PCDI）。建立了多水平生长曲线模型，以表征幼儿时期父母养育压力的个体演化。结果：PD和DC随时间波动，PCDI随时间下降。较低的出生体重预示着4个月时较高的DC，第一次手术后较长的住院时间预示着4个月时较高的PCDI。没有预测因素影响PD。结论：高PD和高DC的家长往往保持高度紧张，突出了早期筛查的重要性。确定特定压力维度的预测因子可以帮助专业人员支持有风险的家庭。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.