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Children’s and Parents’ Factors That Affect Parenting Stress in Preschool Children With Developmental Disabilities or Typical Development

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주제분류정신과학

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Objective This study compared parenting stress in preschool children with developmental disabilities (DD) or typical development (TD). We also investigated children’s factors that affect parenting stress.Methods A total of 196 preschool children participated in the study (aged 54.8±9.2 months). There were 79 children with DD (59 with autism spectrum disorder, 61 with intellectual disability, 12 with language disorder) and 117 with TD. The high parenting stress and the low parenting stress groups were divided based on the Total Stress of Korean Parenting Stress Index Fourth Edition (K-PSI-4) with an 85-percentile cutoff score. Pearson’s correlation analysis was conducted to calculate the correlation between K-PSI-4 and the children’s or parents’ measures.Results The difference in parenting stress between DD and TD was significant in the Total Stress of K-PSI-4 (p<0.001). The Total Stress scale of K-PSI-4 represented a modest to strong correlation with cognitive development, adaptive functioning, social communication, and behavioral problems in children with DD. Our results showed that caregivers of children with DD reported higher parenting stress than those with TD. Parenting stress was strongly associated with cognitive development, adaptive functioning, social communication, and behavioral problems in children with DD. Among the children’s factors, especially social communication, attention problems, and aggressive behavior had association with caregivers’ higher parenting stress.Conclusion These findings suggest the need for early intervention for parenting stress in caregivers by assessing child characteristics, including social cognition, awareness, communication, and inattention and hyperactivity, in the evaluation of children with DD.

Abstract

Objective This study compared parenting stress in preschool children with developmental disabilities (DD) or typical development (TD). We also investigated children’s factors that affect parenting stress.Methods A total of 196 preschool children participated in the study (aged 54.8±9.2 months). There were 79 children with DD (59 with autism spectrum disorder, 61 with intellectual disability, 12 with language disorder) and 117 with TD. The high parenting stress and the low parenting stress groups were divided based on the Total Stress of Korean Parenting Stress Index Fourth Edition (K-PSI-4) with an 85-percentile cutoff score. Pearson’s correlation analysis was conducted to calculate the correlation between K-PSI-4 and the children’s or parents’ measures.Results The difference in parenting stress between DD and TD was significant in the Total Stress of K-PSI-4 (p<0.001). The Total Stress scale of K-PSI-4 represented a modest to strong correlation with cognitive development, adaptive functioning, social communication, and behavioral problems in children with DD. Our results showed that caregivers of children with DD reported higher parenting stress than those with TD. Parenting stress was strongly associated with cognitive development, adaptive functioning, social communication, and behavioral problems in children with DD. Among the children’s factors, especially social communication, attention problems, and aggressive behavior had association with caregivers’ higher parenting stress.Conclusion These findings suggest the need for early intervention for parenting stress in caregivers by assessing child characteristics, including social cognition, awareness, communication, and inattention and hyperactivity, in the evaluation of children with DD.

참고문헌 (64)

  1. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Publishing
  2. Hayes SA, "The impact of parenting stress : a meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder", J Autism Dev Disord, 43, pp.629~642 (2013)
  3. Dabrowska A, "Parenting stress and coping styles in mothers and fathers of pre-school children with autism and Down syndrome", J Intellect Disabil Res, 54, pp.266~280 (2010)
  4. Hastings RP, "Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism", J Intellect Disabil Res, 47, pp.231~237 (2003)
  5. Estes A, "Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay", Autism, 13, pp.375~387 (2009)
  6. Baker BL, "Preschool children with and without developmental delay : behaviour problems and parenting stress over time", J Intellect Disabil Res, 47, pp.217~230 (2003)
  7. Emerson E, "Emotional and behavioural difficulties in young children with and without developmental delay : a bi-national perspective", J Child Psychol Psychiatry, 51, pp.583~593 (2010)
  8. Deater-Deckard K, "Parenting stress and child adjustment: some old hypotheses and new questions", Clin Psychol(New York), 5, pp.314~332 (1998)
  9. Abidin R, "Evaluating stress: a book of resources", pp.277~291 (1997), Scarecrow Press
  10. Dardas LA, "Quality of life among parents of children with autistic disorder : a sample from the Arab world", Res Dev Disabil, 35, pp.278~287 (2014)
  11. Zaidman-Zait A, "Impact of personal and social resources on parenting stress in mothers of children with autism spectrum disorder", Autism, 21, pp.155~166 (2017)
  12. Dumas JE, "Parenting stress, child behavior problems, and dysphoria in parents of children with autism, down syndrome, behavior disorders, and normal development", Exceptionality, 2, pp.97~110 (1991)
  13. Abbeduto L, "Psychological well-being and coping in mothers of youths with autism, Down syndrome, orfragile X syndrome", Am J Ment Retard, 109, pp.237~254 (2004)
  14. Yirmiya N, "Psychiatric disorders in parents of children with autism : a meta-analysis", J Child Psychol Psychiatry, 46, pp.69~83 (2005)
  15. Griffith GM, "Using matched groups to explore child behavior problems and maternal well-being in children with Down syndrome and autism", J Autism Dev Disord, 40, pp.610~619 (2010)
  16. Baker BL, "Parenting children with mental retardation", Int Rev Res Ment Retard, 20, pp.1~45 (1997)
  17. Baker BL, "Behavior problems and parenting stress in families of three-year-old children with and without developmental delays", Am J Ment Retard, 107, pp.433~444 (2002)
  18. Briggs-Gowan MJ, "Prevalence of social-emotional and behavioral problems in a community sample of 1-and 2-year-old children", J Am Acad Child Adolesc Psychiatry, 40, pp.811~819 (2001)
  19. Abidin R, "Forensic uses of clinical assessment instruments", pp.297~328 (2006), Lawrence Erlbaum Associates
  20. Hastings RP, "Coping strategies in mothers and fathers of preschool and school-age children with autism", Autism, 9, pp.377~391 (2005)
  21. Tobing LE, "Relation of the childhood autism rating scaleparent version to diagnosis, stress, and age", Res Dev Disabil, 23, pp.211~223 (2002)
  22. Lecavalier L, "The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders", J Intellect Disabil Res, 50, pp.172~183 (2006)
  23. Osborne LA, "The relationship between parenting stress and behavior problems of children with autistic spectrum disorders", Exceptional Children, 76, pp.54~73 (2009)
  24. Tomanik S, "The relationship between behaviours exhibited by children with autism and maternal stress", J Intellect Dev Disabil, 29, pp.16~26 (2004)
  25. Aunos M, "Mothering with intellectual disabilities : relationship between social support, health and well-being, parenting and child behaviour outcomes", J Appl Res Intellect Disabil, 21, pp.320~330 (2008)
  26. Feldman MA, "Relationships between social support, stress and mother-child interactions in mothers with intellectual disabilities", J Appl Res Intellect Disabil, 15, pp.314~323 (2002)
  27. Combs-Ronto LA, "Interactions between maternal parenting and children’s early disruptive behavior : bidirectional associations across the transition from preschool to school entry", J Abnorm Child Psychol, 37, pp.1151~1163 (2009)
  28. Rodriguez G, "Transactional relations between parenting stress and child autism symptoms and behavior problems", J Autism Dev Disord, 49, pp.1887~1898 (2019)
  29. Lin YN, "Parenting stress and child behavior problems in young children with autism spectrum disorder : transactional relations across time", J Autism Dev Disord, 51, pp.2381~2391 (2021)
  30. Siu QKY, "The role of child problem behaviors in autism spectrum symptoms and parenting stress : a primary school-based study", J Autism Dev Disord, 49, pp.857~870 (2019)
  31. Yorke I, "The association between emotional and behavioral problems in children with autism spectrum disorder and psychological distress in their parents : a systematic review and meta-analysis", J Autism Dev Disord, 48, pp.3393~3415 (2018)
  32. Schwartzman JM, "Parenting stress in autism spectrum disorder may account for discrepancies in parent and clinician ratings of child functioning", Autism, 25, pp.1601~1614 (2021)
  33. Dickson KS, "Parent and teacher concordance of child outcomes for youth with autism spectrum disorder", J Autism Dev Disord, 48, pp.1423~1435 (2018)
  34. Osborne LA, "Parenting stress reduces the effectiveness of early teaching interventions for autistic spectrum disorders", J Autism Dev Disord, 38, pp.1092~1103 (2008)
  35. Alwinesh MTJ, "Psychometrics and utility of psycho-educational profile–revised as a developmental quotient measure among children with the dual disability of intellectual disability and autism", J Intellect Disabil, 16, pp.193~203 (2012)
  36. Villa S, "Further empirical data on the psychoeducational profile-revised(PEP-R) : reliability and validation with the Vineland adaptive behavior scales", J Autism Dev Disord, 40, pp.334~341 (2010)
  37. Delmolino LM, "Brief report : use of DQ for estimating cognitive ability in young children with autism", J Autism Dev Disord, 36, pp.959~963 (2006)
  38. Kim TR, "Psycholoeducational profile revised(PEP-R)" (2005), Special Education
  39. Carter AS, "The Vineland Adaptive Behavior Scales : supplementary norms for individuals with autism", J Autism Dev Disord, 28, pp.287~302 (1998)
  40. Kim SK, "Korean Vineland Social Maturity Scale" (2002), ChungAng Jeokseong Press
  41. Shin MS, "Standardization study for the Korean version of the Childhood Autism Rating Scale : reliability, validity and cut-off score", Kor J Clin Psychol, 17, pp.1~15 (1998)
  42. Constantino JN, "Social responsiveness scale(SRS-2)", Western psychological services, ~ (2012)
  43. Achenbach TM, "Manual for the ASEBA preschool forms and profiles", University of Vermont, ~ (2000)
  44. Lee H, "Clinical validity study of Korean CBCL through item analysis", J Korean Acad Child Adolesc Psychiatry, 2, pp.138~149 (1991)
  45. Aman MG, "The aberrant behavior checklist : a behavior rating scale for the assessment of treatment effects", Am J Ment Defic, 85, pp.485~491 (1985)
  46. 백종남, "문제행동 체크리스트(Aberrant Behavior Checklist: ABC)의 구성 타당성 검증", 지적장애연구, 17(4), pp.1~17 (2015), 한국지적장애교육학회
  47. Eaton WW, "The use of psychological testing for treatment planning and outcomes assessment", pp.363~377 (2004), Lawrence Erlbaum Associates
  48. 정경미, "한국판 부모 양육스트레스 검사(Korean-Parenting Stress Index: K-PSI)의 표준화 연구", Korean Journal of Clinical Psychology, 27(3), pp.689~707 (2008), 한국임상심리학회[DOI]
  49. Freund R, "SAS system for regression" (2000), John Wiley & Sons
  50. Tabachnick BG, "Using multivariate statistics" (2007), Pearson
  51. "R: A language and environment for statistical computing"[URL]
  52. White N, "Social and professional support for parents of adolescents with severe intellectual disabilities", J Appl Res Intellect Disabil, 17, pp.181~190 (2004)
  53. Estes A, "Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders", Brain Dev, 35, pp.133~138 (2013)
  54. Peters-Scheffer N, "Maternal stress predicted by characteristics of children with autism spectrum disorder and intellectual disability", Res Autism Spectr Dis, 6, pp.696~706 (2012)
  55. Eisenhower A, "Mothers of young adults with intellectual disability : multiple roles, ethnicity and well-being", J Intellect Disabil Res, 50, pp.905~916 (2006)
  56. Quintero N, "Sibling adjustment and maternal well-being : an examination of families with and without a child with an autism spectrum disorder", Focus Autism Other Dev Disabil, 25, pp.37~46 (2010)
  57. Davis NO, "Parenting stress in mothers and fathers of toddlers with autism spectrum disorders : associations with child characteristics", J Autism Dev Disord, 38, pp.1278~1291 (2008)
  58. Hodapp RM, "Less stress, more rewarding : parenting children with Down syndrome", Parenting : Science and Practice, 1, pp.317~337 (2001)
  59. Hastings RP, "Behavior problems of children with autism, parental self-efficacy, and mental health", Am J Ment Retard, 107, pp.222~232 (2002)
  60. Mello C, "Symptom severity, internalized and externalized behavioral and emotional problems : links with parenting stress in mothers of children recently diagnosed with autism", J Autism Dev Disord, 52, pp.2400~2413 (2022)
  61. Hassall R, "Parenting stress in mothers of children with an intellectual disability : the effects of parental cognitions in relation to child characteristics and family support", J Intellect Disabil Res, 49, pp.405~418 (2005)
  62. Weitlauf AS, "Relationship satisfaction, parenting stress, and depression in mothers of children with autism", Autism, 18, pp.194~198 (2014)
  63. De Los Reyes A, "Informant discrepancies in the assessment of childhood psychopathology : a critical review, theoretical framework, and recommendations for further study", Psychol Bull, 131, pp.483~509 (2005)
  64. Youngstrom E, "Patterns and correlates of agreement between parent, teacher, and male adolescent ratings of externalizing and internalizing problems", J Consult Clin Psychol, 68, pp.1038~1050 (2000)

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