Toileting Concerns, Parenting Stress, and Behavior Problems in Children with Special Health Care Needs
This study examined the relationship between toileting concerns, behavior problems, and parenting stress in parents of children with special health care needs (CSHCN). Participants included parents of 99 males and 71 females aged 4 to 12 years with neural tube defects (NTD), developmental-behavioral...
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Veröffentlicht in: | Clinical pediatrics 2006-06, Vol.45 (5), p.415-422 |
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description | This study examined the relationship between toileting concerns, behavior problems, and parenting stress in parents of children with special health care needs (CSHCN). Participants included parents of 99 males and 71 females aged 4 to 12 years with neural tube defects (NTD), developmental-behavioral disabilities (DBD), or history of perinatal intraventricular hemorrhage (IVH). Parents completed the Achenbach Child Behavior Checklist (CBCL) and the Parenting Stress Index-Short Form (PSI-SF). Parents expressing toileting concerns on the CBCL reported significantly more personal distress and more externalizing problems versus those with continent children. Variation within subsamples suggested that expectations based on nature of disability may be a factor in parent adjustment. Direct assessment and intervention of toileting issues should be a high priority in secondary stress prevention with CSHCN and their families. |
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Participants included parents of 99 males and 71 females aged 4 to 12 years with neural tube defects (NTD), developmental-behavioral disabilities (DBD), or history of perinatal intraventricular hemorrhage (IVH). Parents completed the Achenbach Child Behavior Checklist (CBCL) and the Parenting Stress Index-Short Form (PSI-SF). Parents expressing toileting concerns on the CBCL reported significantly more personal distress and more externalizing problems versus those with continent children. Variation within subsamples suggested that expectations based on nature of disability may be a factor in parent adjustment. 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Participants included parents of 99 males and 71 females aged 4 to 12 years with neural tube defects (NTD), developmental-behavioral disabilities (DBD), or history of perinatal intraventricular hemorrhage (IVH). Parents completed the Achenbach Child Behavior Checklist (CBCL) and the Parenting Stress Index-Short Form (PSI-SF). Parents expressing toileting concerns on the CBCL reported significantly more personal distress and more externalizing problems versus those with continent children. Variation within subsamples suggested that expectations based on nature of disability may be a factor in parent adjustment. Direct assessment and intervention of toileting issues should be a high priority in secondary stress prevention with CSHCN and their families.</description><subject>Activities of Daily Living</subject><subject>Behavior</subject><subject>Child</subject><subject>Child Behavior Disorders - psychology</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Congenital diseases</subject><subject>Developmental disabilities</subject><subject>Developmental Disabilities - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Intelligence</subject><subject>Male</subject><subject>Needs Assessment</subject><subject>Neural Tube Defects - psychology</subject><subject>Parents & parenting</subject><subject>Parents - psychology</subject><subject>Retrospective Studies</subject><subject>Stress</subject><subject>Stress, Psychological</subject><subject>Toilet Training</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1LAzEQhoMoWqt3TxI8eHJ1kv1Kjrr4BaKF1vOSTWZtyna3JlvFf29qC4WCp2FmnnlneIeQMwbXjOX5DQBIybmAjAuZsWyPDJiMRcRzyPfJYNWOVv0jcuz9DIDFkMaH5IhlQjKeJwNSTzrbYG_bD1p0rUbX-is6Ug7bv9q4d-hDRbWG3uFUfdnO0ZHrqgbnntqWFlPbmEDTb9tP6XiB2qqGPqFqQloEHfqKaPwJOahV4_F0E4fk_eF-UjxFL2-Pz8XtS6TjjPdRrHnGMUUtUp3qRKSAkMlKmCSXWCe11NoYWSexARAyqUDyutK6TgVUuZImHpLLte7CdZ9L9H05t15j06gWu6UvM5Fz4BAH8GIHnHVL14bbSh5sSwQEI4cE1pB2nfcO63Lh7Fy5n5JBuXpAufuAMHK-0V1WczTbgY3jAYjWgFcfuF36r-AvRGaMww</recordid><startdate>20060601</startdate><enddate>20060601</enddate><creator>Macias, Michelle M.</creator><creator>Roberts, Kathryn M.</creator><creator>Saylor, Conway F.</creator><creator>Fussell, Jill J.</creator><general>SAGE Publications</general><general>Westminster Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20060601</creationdate><title>Toileting Concerns, Parenting Stress, and Behavior Problems in Children with Special Health Care Needs</title><author>Macias, Michelle M. ; 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subjects | Activities of Daily Living Behavior Child Child Behavior Disorders - psychology Child, Preschool Children & youth Congenital diseases Developmental disabilities Developmental Disabilities - psychology Female Humans Intelligence Male Needs Assessment Neural Tube Defects - psychology Parents & parenting Parents - psychology Retrospective Studies Stress Stress, Psychological Toilet Training |
title | Toileting Concerns, Parenting Stress, and Behavior Problems in Children with Special Health Care Needs |
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