Clinical Correlates of Parenting Stress in Children with Tourette Syndrome and in Typically Developing Children

Stewart, Stephanie B; Greene, Deanna J.; Lessov‐Schlaggar, Christina N.; Church, Jessica A.; Schlaggar, Bradley L.

doi:10.1016/j.jpeds.2015.01.041

Cited by 29 publications

(26 citation statements)

References 21 publications

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“…Specifically, parenting stress is more pronounced if caregivers are older (Schoeder & Remer, 2007), Caucasian (McCabe, Yeh, Lau, Garland, & Hough, 2003), psychiatrically impaired (Angold et al, 1998), with attention-deficit/hyperactivity disorder (ADHD) symptoms (Algorta et al, 2014; Wiener, Biondic, Grimbos, & Herbert, 2016), depressive symptoms (Theule, Wiener, Tannock, & Jenkins, 2013), or lower perceived social support (Schoeder & Remer, 2007). Child characteristic predictors of parenting stress include greater functional impairment (Angold et al, 1998), more severe psychiatric symptoms (Angold et al, 1998; Yatchmenoff et al, 1998), increased Tourette’s disorder symptoms (Schoeder & Remer, 2007; Stewart, Greene, Lessov-Schlaggar, Church, & Schlaggar, 2015), externalizing behaviors (Algorta et al, 2014; Anderson, 2008; Bussing et al, 2003a; Bussing et al, 2003b; Mackler et al, 2015; McDonald, Gregoire, Poertner, & Early, 1997; Stone et al, 2016; Theule et al, 2013; Tzang, Change, & Liu, 2009; Vaughan, Feinn, Bernard, Brereton, & Kaufman, 2013), and high rates of internalizing symptoms (Bussing et al, 2003a; Bussing et al 2003b; Deater-Deckard, 2004; Stone et al, 2016; Vaughan et al, 2013). …”

Section: Parenting Stress Among Caregivers Of Children With Psychiatrmentioning

confidence: 99%

Parenting Stress Among Caregivers of Children With Bipolar Spectrum Disorders

Algorta

MacPherson

Youngstrom

et al. 2017

Journal of Clinical Child & Adolescent Psychology

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Objective Caregivers of psychiatrically impaired children experience considerable parenting stress. However, no research has evaluated parenting stress within the context of pediatric bipolar spectrum disorders (BPSD). Thus, the aim of this investigation was to identify predictors and moderators of stress among caregivers in the Longitudinal Assessment of Manic Symptoms (LAMS) study. Method Participants included 640 children and their caregivers in the LAMS cohort. Children had a mean age of 9.4±1.9 years (68% male, 23% BPSD); parents had a mean age of 36.5±8.3 years (84% mothers). Results Children with BPSD had more service utilization, psychiatric diagnoses, mood and anxiety symptoms, and functional impairment, but fewer disruptive behavior disorders. Caregivers of children with BPSD were more likely than caregivers of children without BPSD to have a partner, elevated depressive symptoms, antisocial tendencies, and parenting stress (Cohen’s d=.49). For the whole sample, higher child IQ, mania, anxiety, disruptive behavior, and caregiver depression predicted increased parenting stress; maternal conduct disorder predicted lower stress. Child anxiety and disruptive behavior were associated with elevated caregiver stress only for non-BPSD children. Conclusions Caregivers of children with BPSD experience significant burden and thus require specialized, family-focused interventions. As stress was also elevated, to a lesser degree, among depressed caregivers of children with higher IQ, mania, anxiety, and disruptive behavior, these families may need additional supports as well. Though parents with conduct/antisocial problems evidenced lower stress, these difficulties should be monitored. Thus, parenting stress should be evaluated and addressed in the treatment of childhood mental health problems, especially BPSD.

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Section: Parenting Stress Among Caregivers Of Children With Psychiatrmentioning

confidence: 99%

Parenting Stress Among Caregivers of Children With Bipolar Spectrum Disorders

Algorta

MacPherson

Youngstrom

et al. 2017

Journal of Clinical Child & Adolescent Psychology

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“…There has been limited research on other psychiatric illnesses [41,42]. Specifically, caregivers of youth presenting with myriad diagnoses, such as ADHD [43], Tourette syndrome [44], and neurodevelopmental disorders [45] often experience higher parenting stress relative to caregivers of typically developing children, though stress did not always correlate directly with levels of symptom severity; some comorbid psychopathology (including OCD; [44]) was postulated to be contributing more to the increased parenting stress.…”

Section: Introductionmentioning

confidence: 99%

Quality of life and burden in caregivers of youth with obsessive-compulsive disorder presenting for intensive treatment

Hamblin

Nadeau

et al. 2018

Comprehensive Psychiatry

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Background Pediatric obsessive-compulsive disorder (OCD) is associated with deleterious familial effects; caregivers are often enmeshed in the disorder and can experience considerable burden and decreased quality of life (QoL). Consequently, this study examined burden and QoL in caregivers of youth with OCD enrolled in an intensive outpatient or partial hospitalization program. Method The relationships between caregiver QoL and burden and the following variables were investigated: OCD symptom severity, functioning (youth functional impairment, general family functioning), family (family accommodation, parental relationship satisfaction, positive aspects of caregiving), and comorbid psychopathology (caregiver anxiety and depressive symptoms, youth internalizing and externalizing behaviors). Seventy-two child and caregiver dyads completed clinician- and self-rated questionnaires. Results Components of caregiver QoL correlated with caregiver-rated functional impairment, family accommodation, youth externalizing behaviors, and caregiver psychopathology. Aspects of caregiver burden correlated with child OCD symptom severity, functional impairment related to OCD, as well as caregiver and child comorbid psychopathology. Caregiver depressive symptoms predicted caregiver QoL, and caregiver depressive symptoms and child externalizing symptoms both predicted caregiver burden. Caregiver burden did not mediate the relationship between obsessive-compulsive symptom severity and caregiver QoL. Conclusion Ultimately, elucidating factors associated with increased caregiver burden and poorer QoL is pertinent for identifying at-risk families and developing targeted interventions.

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“…The current high rate of comorbidity created complex challenges and parenting dilemmas that undermined maternal confidence and exacerbated stress, and is an experience that has been reported in the TS literature (Bitsko et al, 2014;Cohen et al, 1988;Cooper et al, 2003;Lee et al, 2007;Stewart et al, 2015;Wilkinson et al, 2008). The current high rate of comorbidity created complex challenges and parenting dilemmas that undermined maternal confidence and exacerbated stress, and is an experience that has been reported in the TS literature (Bitsko et al, 2014;Cohen et al, 1988;Cooper et al, 2003;Lee et al, 2007;Stewart et al, 2015;Wilkinson et al, 2008).…”

Section: Discussionmentioning

confidence: 98%

Youth with Tourette syndrome: Parental perceptions and experiences in the Australian context

O’Hare

Eapen

Grove

et al. 2017

Australian Journal of Psychology

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Objective: To enhance understandings of the impact of Tourette Syndrome (TS) on the parents of diagnosed youth. Specifically, the current study aimed to explore and identify the multidimensional stressors associated with parenting a child or adolescent with TS in the Australian context. Method: As part of a larger qualitative and quantitative community-based study, semistructured telephone interviews with 22 mothers of youth with TS were conducted regarding their experiences. Results: The study identified parent, child, and contextual factors that contributed to parental stress, with many mirroring the experiences of parents of children with other chronic paediatric disorders. However, several TS-specific factors also emerged from the data analysis, highlighting the unique difficulties encountered by parents of diagnosed youth. Serious deficits in professional expertise and services currently available for the TS community were also identified. Conclusions: Findings indicate the generally unacknowledged challenge of parenting a child with TS, which equates with that experienced in the context of other serious chronic paediatric disorders. Results also indicate the need for psychosocial support for both child and parent, and greatly improved access to well-informed mental health and educational services in the Australian context.

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Clinical Correlates of Parenting Stress in Children with Tourette Syndrome and in Typically Developing Children

Cited by 29 publications

References 21 publications

Parenting Stress Among Caregivers of Children With Bipolar Spectrum Disorders

Parenting Stress Among Caregivers of Children With Bipolar Spectrum Disorders

Quality of life and burden in caregivers of youth with obsessive-compulsive disorder presenting for intensive treatment

Youth with Tourette syndrome: Parental perceptions and experiences in the Australian context

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