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