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PubMed2006

Coparenting, mother-infant interaction, and infant-parent attachment relationships in two-parent families.

Coparenting behavior and the quality of mothers' parenting behavior were examined in relation to parents' perceptions of their child's attachment in 60 two-parent families with 11- to 15-month-old infants (30 boys and 30 girls). Parent-child attachment was assessed using the Attachment Q-Sort. Competitive coparenting was associated with mothers' and fathers' perception of a less secure parent-child attachment relationship, whereas maternal responsiveness was associated with mothers' perception of a more secure mother-child attachment relationship. Families with mothers who were more restrictive and those with parents who were more competitive were less likely to have mothers and fathers with similar perceptions of the quality of parent-child attachment relationships. Findings support the proposal that different levels of family functioning affect the quality of parent-child relationships.

Adult↗
PubMedDate not supplied

Parents' Evaluation of Developmental Status in the Australian day-care setting: developmental concerns of parents and carers.

OBJECTIVE: To trial the Parents' Evaluation of Developmental Status (PEDS) as an instrument for reporting developmental concerns for Australian preschool children. METHOD: A cross-sectional survey of parents and carers of 262 children attending five day-care centres and two kindergartens in Melbourne was conducted between October and November 1999. Parents and carers completed the written PEDS questionnaire, comprising 10 questions eliciting concerns about learning, development and behaviour, and answered questions about the acceptability and use of the PEDS. RESULTS: Of 445 children, 389 were eligible for inclusion. Complete parent and carer PEDS data were available for 262 children (67% response: 47% boys; 53% girls) aged from 18 months to 5 years, 9 months. Most parents found the PEDS questionnaire easy to complete (98%) and likely to be useful to health professionals (89%). Twenty-four children (9%) were classified as being at high-risk of disabilities and 49 (19%) were classified as being at medium-risk of disabilities. Parents of 125 children (48%) reported no concerns. The prevalence of parental concerns was similar to the USA norming sample. Carers reported similar prevalences of concerns. Although overall agreement was high, parent/carer kappa-values were modest, being highest for the gross motor (kappa = 0.40) and social-emotional (kappa = 0.37) domains. CONCLUSIONS: The PEDS is acceptable to parents of Australian preschool children, with a prevalence of significant concerns (i.e. children at high- and medium-risk of developmental problems) that is similar to those in the USA. Further research is needed to assess what factors differentially influence whether a concern is felt in a particular domain for a particular child.

Adult↗
PubMed2000

Revision of a parent satisfaction survey based on the parent perspective.

Parent surveys typically ask about aspects of care nurses think are important. The Parent Satisfaction Survey at a 250-bed children's hospital was revised based on what parents thought was most important for a nurse to do for themselves and their children. This report is based on a retrospective review of 1,405 self-reported parent surveys collected as a performance improvement activity over a 12-month time period. Surveys were distributed to parents of hospitalized children and were returned anonymously to mailboxes on the units. Using content analysis, a group of pediatric nurses reviewed the parents' comments to determine major themes. The themes were caring, communication, safety, environment, and appreciation. The parent survey was revised to include the themes parents identified as important.

Adult↗
PubMed2001

Hospitalized children with chronic illness: parental caregiving needs and valuing parental expertise.

Parents who care for a child with a chronic illness are forced to relinquish much of the control of the child's care when the child is hospitalized. By using the family systems theory as the underlying framework, the amount of control that parents of children with chronic illness wanted over their hospitalized child's care, and the degree to which parents felt health care professionals valued their expertise, was examined in a national sample of 50 parent caregivers. Participation in information sharing and technical care were areas over which parents wanted the most control. Nurses and attending physicians were rated highest in valuing parental expertise. Content analysis of an open-ended question on parental control revealed that parents felt a higher quality care was given at home than in the hospital; nurses were too busy or understaffed to provide optimal care in the hospital; and the child's control of care and decision making should increase as the child grew older.

Adolescent↗
PubMed1999

Methods for detection of parent-of-origin effects in genetic studies of case-parents triads.

When affected probands and their biological parents are genotyped at a candidate gene or a marker, the resulting case-parents-triad data enable powerful tests for linkage in the presence of association. When linkage disequilibrium has been detected in such a study, the investigator may wish to look further for possible parent-of-origin effects. If, for example, the transmission/disequilibrium test restricted to fathers is statistically significant, whereas that restricted to mothers is not, the investigator might interpret this as evidence for nonexpression of the maternally derived disease gene-that is, imprinting. This report reviews existing methods for detection of parent-of-origin effects, showing that each can be invalid under certain scenarios. Two new methods are proposed, based on application of likelihood-based inference after stratification on both the parental mating type and the inherited number of copies of the allele under study. If there are no maternal genetic effects expressed prenatally during gestation, the parental-asymmetry test is powerful and provides valid estimation of a parent-of-origin parameter. For diseases for which there could be maternal effects on risk, the parent-of-origin likelihood-ratio test provides a robust alternative. Simulations based on an admixed population demonstrate good operating characteristics for these procedures, under diverse scenarios.

Computer Simulation↗
PubMedDate not supplied

What do foster parents think of the natural parents? A comparative study.

By means of standardized case vignettes and rating scales, this study compared attitudes of short-term foster parents, professional social workers and parents in the general population respectively towards birth parents of abused children received into foster care. Significant differences arose between the foster parents and comparison groups on dimensions about issues relating to the desirability of foster care, restrictions on contact with birth parents and conditions under which the abused child might return to its family. Wide variation occurred both between individual foster parents and also in the degree of correspondence of views between the foster parents and each of the comparison groups on individual dimensions. Such an anomalous position, if unacknowledged, might affect outcomes of individual foster placements and hold implications for the recruitment, training and support of foster parents.

Analysis of Variance↗
PubMed1992

Determinants of recall of parental rearing behavior. The influence of age or loss of parents by separation or death.

In a study of 562 psychiatric inpatients and 251 healthy controls, relationships between age of proband and related life events (divorce of parents, death of a parent) and the perceived parental rearing have been investigated. The inverse relationships obtained could be explained by the higher number of divorced parents among younger subjects with negatively experienced parental rearing practices on the one hand and an idealization of the parents who had died on the other hand. In psychiatric patients these relationships and differences were more pronounced pointing to the importance of parental rearing as a vulnerability factor for mental problems during adulthood. The necessity to control for age in studies of perceived parental rearing became obvious by the present results.

Adult↗
PubMed1999

Parent-child relationship disorders: what do the Child Vulnerability Scale and the Parent Protection Scale measure?

While scales exist to aid clinicians in the assessment of parent-child relationship disorders, there are minimal data regarding their clinical usefulness. This study examined the ability of parent responses to questions regarding the child's health, behavior, and development to predict total scores on the Child Vulnerability Scale and the Parent Protection Scale. Of 120 potential participants, 103 parents (92% mothers, 69% white, 54% married, 44% lower socioeconomic status) with children aged 2-5 years completed the Child Health and Family Functioning Questionnaire. Logistic regression yielded a correct prediction rate of 77% for perceived child vulnerability and 76% for parental overprotection. Our data provide support for the independence of parental perceptions of increased child vulnerability and parental overprotection as well as for the content validity of the Child Vulnerability Scale and the Parent Protection Scale.

Child Behavior↗
PubMed2002

What matters to the parents? A qualitative study of parents' experiences with life-and-death decisions concerning their premature infants.

The aim of this article is to generate knowledge about parents' participation in life-and-death decisions concerning their very premature and/or critically ill infants in hospital neonatal units. The question is: what are parents' attitudes towards their involvement in such decision making? A descriptive study design using in-depth interviews was chosen. During the period 1997-2000, 20 qualitative interviews with 35 parents of 26 children were carried out. Ten of the infants died; 16 were alive at the time of the interview. The comparative method (grounded theory) was used to analyse the data. The analysis was carried out continuously and in parallel with data collection. Six categories were revealed by the analysis: indecision and uncertainty (ambivalence); information and communication; participate, but do not decide; seeming to be included; the parents' child; and individual consideration. The findings appear to indicate that parents agree that they should not have the final word in decisions concerning their infants' future life or death. Such a responsibility would put too heavy a burden on parents who lack the medical knowledge and the professional experience needed to make such a decision, and would be likely to lead to them experiencing strong feelings of guilt. The findings show that parents should be well informed and listened to during the whole decision-making process. Their primary concern was how nurses and physicians communicate with parents who are experiencing a crisis, and how this serious information is presented.

Adaptation, Psychological↗
PubMed2006

Parent-therapist communication and satisfaction with the services of a child development center: a comparison between Israeli parents-Jews and Bedouins.

This study evaluates the level of general satisfaction with the services of a child development center in 2 groups of Israeli parents, Jews and Bedouins. It also assesses which 3 dimensions of therapist-parent communication significantly explain general satisfaction with the center's services. A total of 193 parents of children ranging from 6 months to 6 years of age participated in the study (84% response rate). Parents' attitudes regarding their communication with the center's therapists were evaluated by 15 items that were clustered into 3 dimensions of communication: caring, collaboration, and interest. General satisfaction with the center's services was high in both groups. Relatively high average scores were also given to the studied dimensions of communication. Jews were more satisfied with the center's services than were Bedouins and ranked caring and collaboration significantly higher than did Bedouins. Caring and collaboration best explained the variability in general satisfaction in a multivariate analysis. Being a Jew or a Bedouin parent was not found to be a significant explanatory variable of general satisfaction with the center's services. Therapists' expressions of care and collaboration with parents seem to be key factors in explaining parents' general satisfaction with rehabilitation services in the 2 different cultural groups. These factors should therefore be nurtured in order to ensure parents' satisfaction and participation in the ongoing and demanding process of child rehabilitation. The question of whether this finding is applicable to other populations has to be further studied.

Arabs↗
PubMed2002

Coping with the stress of parental depression: parents' reports of children's coping, emotional, and behavioral problems.

Examined children's coping and involuntary responses to the stress of living with a depressed parent in relation to their symptoms of anxiety/depression and aggression. Sixty-six clinically depressed adults rated their children's (ages 7 to 17 years old; N = 101) coping and involuntary responses to parental stressors and anxiety/depressive and aggressive behavior symptoms. Based on parent report, children of depressed parents had high rates of symptoms of anxiety/depression and aggression, were exposed to moderate levels of parental stressors (parental intrusiveness, parental withdrawal), and responded to the stress of living with a depressed parent in ways that were associated with symptoms of psychopathology. Children's use of secondary control coping (e.g., positive thinking, acceptance, distraction) was associated with fewer anxiety/depression and aggression symptoms. In contrast, involuntary engagement responses (e.g., rumination, intrusive thoughts) were associated with more anxiety/depression and aggression symptoms. Path analyses revealed that a model in which secondary control coping and involuntary engagement stress responses mediated the relation between family stressors and child symptoms provided the best fit with the data. Implications of these findings for developing interventions for children to reduce the risk of psychopathology are discussed.

Adaptation, Psychological↗
PubMed1989

Do parents today need drug education programs as badly as their parents needed them?

The purpose of this article was to determine if being socialized in a drug culture has increased knowledge levels and eliminated the need for adult drug education programs. A large group of parents was surveyed and it was found that the parents of the late 1980s had knowledge levels only slightly higher than the parents of the early 1970s. Today's parents significantly lack the knowledge and resources to informatively educate their children. Parental knowledge of and attitude toward drugs and alcohol were assessed in relationship to the ages of their children, parental educational level, parent's age and parent's past drug experience.

Adult↗
PubMed2006

[Parental presence and parental coaching in non-violent resistance].

Parental Presence (PP) and Non-violent Resistance (NVR) are the core concepts to describe an approach in counselling helpless parents of children with behavioral disorders. Basically PP means the presence of the parents in the life of their child. It can get lost when escalating conflicts so much become part of the everyday life of the family that these processes can't be handled constructively any more. The escalation then follows either a pattern of complementarity--the readiness of the parents to easily give in, or a symmetric pattern of increasing mutual hostility. Parents then often withdraw and thus parental helplessness and loss of PP come along with each other. The program of systemic parental coaching in NVR has been developed by Haim Omer in Tel Aviv, Israel, and attracted increasing attention among experts in Germany in the last years. It provides an opportunity for the parents to find a "third way" between the two escalating patterns and regain their presence. The approach is described, and the interventions are explained.

Adolescent↗
PubMed1990

Parents and paediatric anaesthesia: a prospective survey of parental attitudes to their presence at induction.

Parental presence at induction of anaesthesia is controversial and of disputed value. Ninety out of 117 parents replied to a preoperative questionnaire designed to identify their preference and motivation with regard to accompanying their children to the anaesthetic room. Half the parents wished to be present at induction, irrespective of the child's age or previous surgical experience and the most commonly cited reasons for this were the child's anxiety or the parents' sense of duty; 32% of these parents changed their preference if their child were to be adequately sedated preoperatively. In addition, 18% of all parents felt that they would prefer not to be present at induction. The results suggest that in circumstances where parents are to be excluded from induction, adequate preoperative explanation and sedative premedication would contribute to allaying parental anxiety, but that a flexible policy may be most appropriate.

Anesthesia↗
PubMed1978

Grief response of parents to neonatal death and parent participation in deciding care.

We determined the grief response to neonatal death of 50 mother-father pairs by administering a questionnaire and conducting a semistructured interview during the infant postmortem review. As measured by a parent grief score, maternal grief significantly exceeded paternal grief (t = 5.89, P less than .0001). Parent grief was not significantly related to birth weight, duration of life, extent of parent-infant contact, previous perinatal loss, parent age, or distance from the hospital of birth to the regional center (Pearson product-moment correlation coefficients). However, the attitudes and behavior of family, friends, and health care personnel in the hospital of birth often adversely influenced parent grieving. Of 39 mother-father pairs whose infants required respirator support, 18 participated in a group decision with their physician to withdraw respirator support when the prospects of infant survival seemed hopeless (limited respirator care group). No significant differences in parent grief scores were found (t tests) when the limited respirator care group was compared to those parents of infants who died despite uninterrupted respirator care. Our data suggest that informed parents can participate as partners with their physician in difficult infant care decision, even when death results, and adjust to their loss with healthy grieving.

Attitude to Death↗
PubMed1983

Developmental education for parents of delayed infants: effects on parental motivation and children's development.

This study compared the effectiveness of developmental education for parents with parent education in child management and with a no-education control condition in motivating parents to participate in home treatment programs for developmentally delayed infants. 39 delayed infants, matched for age and severity of delay, and their families were randomly assigned to the 3 treatment groups. The subsequent differential effectiveness of home treatment programs, in terms of the infants' developmental gains, was then examined. Results indicated that the children in the developmental education group gained a greater number of skills, and their parents participated more in the assigned home treatment programs than did parents in the other 2 groups. At follow-up approximately 1 year later, parents who received developmental education continued to participate more than the other parents in their child's treatment program. Developmental education appears to enable parents to discriminate small developmental gains, facilitating the intrinsic motivation involved in working with their children.

Child Development↗
PubMed1975

Parents' knowledge of respiratory disease: A comparison of inner-city and suburban parents.

The difference in knowledge of common diseases between inner-city parents and suburban parents may be even greater than generally thought. Measuring this difference should serve to emphasize the general neglect of the subject of parent (or patient) education in medical schools, residency programs, and in pediatric texts and journals. The present study of parents' knowledge of respiratory disease shows that inner-city parents scored 20 points lower than suburban parents (67% vs. 87%). In the inner-city group Spanish-American parents scored 11 points lower than non-Spanish-American parents (61% vs. 72%). Thus, the urgent need for better health education, especially in the inner city, is emphasized. Several basic reviews of articles on health education show clearly that this subject is very complex and poorly understood by many investigators. Adequate controls are hard to establish, and long-term benefits are hard to prove. Hospitals are reluctant to spend additional funds on health education unless a convincing cost-benefit relationship can be shown. However, the costs of ignoring the problems of health education are probably much greater than the costs of conducting a well-organized program.

Adult↗
PubMed1996

Letter writing to parents following paediatric outpatient consultation: a survey of parent and GP views.

This study examined the practice of writing to parents following paediatric outpatients consultation (general practitioners (GPs) receive a copy of the letter to parents). One hundred and three questionnaires were sent to both parents and GPs in order to elicit their views. Fifty-one parents responded (RR 50.5%) and 56 GPs (RR 54.4%). All parents were in favour of the idea of specialists writing directly to parents/patients and none of the parents were in favour of the letter being sent to the GP alone. The majority of GPs considered that the letter(s) would improve parental satisfaction (85.7%) and improve compliance with medical advice (83.3%); 83.6% of GPs stated that the copy of the letter to parents was at least as helpful, if not more so, than the usual type of clinic letters they receive. Despite this, GPs expressed mixed feelings about the idea of all specialists writing direct to patients/parents, with 46.3% in favour of the idea and 40.7% against.

Attitude of Health Personnel↗