Skip to main content

Advertisement

Log in

Family Strain Among White and Latino Parents of Children with Mental and Behavioral Health Disorders

  • Original Paper
  • Published:
Journal of Child and Family Studies Aims and scope Submit manuscript

Abstract

Caring for children with mental and behavioral health conditions can lead to family strain. Research indicates that Latino children are less likely to adhere to recommended treatment for their mental health diagnoses, increasing the potential for family strain. Little research has focused on understanding the different predictors of family strain among white and Latino families of children with mental health or behavioral health diagnoses. This paper uses a model of family strain to understand how stressors, resources, and perceptions predict family strain for white and Latino parents of children with a mental or behavioral health condition. Data from a telephone survey of 268 parents of children with a mental or behavioral health condition were analyzed to understand predictors of strain using the Family Strain Index scale. Findings indicate that family strain does differ between white and Latino families. Latino families’ strain was predicted by age of parent (β = −0.381, P < 0.001), perceptions of treatment quality (β = 0.306, P < 0.001), and child’s current symptom burden (β = −0.390, P < 0.001). White family strain was related to their child’s health status (β = −0.240, P < 0.001), symptom burden (β = −0.339, P < 0.001), and parent’s level of education (β = −0.315, P < 0.001).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Alegria, M., Polo, A., Gao, S., Santana, L., Rothstein, D., Jimenez, A., et al. (2008). Evaluation of a patient activation and empowerment intervention in mental health care. Medical Care, 46(3), 247–256. doi:10.1097/MLR.0b013e318158af5200005650-200803000-00004.

    Article  PubMed Central  PubMed  Google Scholar 

  • August, K. J., Nguyen, H., Ngo-Metzger, Q., & Sorkin, D. H. (2011). Language concordance and patient-physician communication regarding mental health needs. Journal of the American Geriatrics Society, 59(12), 2356–2362. doi:10.1111/j.1532-5415.2011.03717.x.

    Article  PubMed  Google Scholar 

  • Berg, J., Anderson, N. L. R., Tichacek, M. J., Tomizh, A. C., & Rachelefsky, G. (2007). One gets so afraid: Latino families and asthma management—An exploratory study. Journal of Pediatric Health Care, 21, 361–371.

    Article  PubMed  Google Scholar 

  • Brannan, A. M., Helfinger, C. A., & Foster, E. M. (2003). The role of caregiver strain and other family variables in determining children’s use of mental health services. Journal of Emotional and Behavioral Disorders, 11(2), 77–91.

    Article  Google Scholar 

  • Brannan, A. M., Manteuffel, B., Holden, W., & Helflinger, C. A. (2006). Use of the family resource scale in children’s mental health: Reliability and validity among economically diverse samples. Administration and Policy in Mental Health and Mental Health Services Research, 33(2), 182.

    Article  PubMed  Google Scholar 

  • Brehaut, J. C., Kohen, D. E., Garner, R. E., Miller, A. R., Lach, L. M., Klassen, A. F., et al. (2009). Health among caregivers of children with health problems: Findings from a Canadian population-based study. American Journal of Public Health, 99(7), 1254–1262.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bumbalo, J., Ustinich, L., Ramcharran, D., & Schwalberg, R. (2005). Economic impact on families caring for children with special health care needs in New Hampshire: The effect of socioeconomic and health-related factors. Maternal and Child Health Journal, 9(2), s3–s11.

    Article  PubMed  Google Scholar 

  • Bussing, R., Zima, B. T., Gary, F. A., Mason, D. M., Leon, C. E., Sinha, K., et al. (2003). Social networks, caregiver strain, and utilization of mental health services among elementary school students at high risk for ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 42(7), 842.

    Article  PubMed  Google Scholar 

  • Caregiving, National Alliance for, & AARP; American Association of Retired Persons. (2009). Caregivers of children: A focused look a those caring for a child with special needs under the age of 18. In Metlife Foundation (Ed.). Bethesda, MD.

  • CAHMI, Child and Adolescent Health Measurement Initiative. (2010). 2005/2006 National Survey of Children with Special Health Care Needs. Retrieved November 15, 2010, from Data Resource Center for Child and Adolescent Health Website www.cshcndata.org.

  • ECHO; Experience of Care and Health Outcomes. (2013). Retrieved from http://www.hcp.med.harvard.edu/echo/.

  • Flores, G., & Tomany-Korman, S. C. (2008). Racial and ethnic disparities in medical and dental health, access to care, and use of services in US children. Pediatrics, 121, e286–e298.

    Article  PubMed  Google Scholar 

  • Hinojosa, M. S., Hinojosa, R., Fernandez-Baca, D., Knapp, C., & Thompson, L. A. (2012a). Parental strain, parental health and community characteristics among children with attention-deficit/hyperactivity disorder (ADHD). Academic Pediatrics, 12(6), 502–508.

    Article  PubMed  Google Scholar 

  • Hinojosa, M. S., Hinojosa, R., Fernandez-Baca, D., Knapp, C. A., & Thompson, L. A. (2012b). Racial and ethnic variation in ADHD, comorbid illnesses, and parental strain. Journal for Health Care of the Poor and Underserved, 23(1), 273–289.

    Article  Google Scholar 

  • Hutchinson, K. C., Willard, V. W., Hardy, K. K., & Bonner, M. J. (2009). Adjustment of caregivers of pediatric patients with brain tumors: A cross-sectional analysis. Psycho-Oncology, 18, 515–523.

    Article  PubMed  Google Scholar 

  • Kuhlthau, K., Kahn, R., Hill, K. S., Gnanasekaran, S., & Ettner, S. L. (2010). The well-being of parental caregivers of children with activity limitations. Maternal Child Health, 14, 155–163.

    Article  Google Scholar 

  • McCubbin, M. A. (1998). Family stress, resources, and family types: chronic illness in children. Family Relations, 37, 203–210.

    Article  Google Scholar 

  • Newacheck, P. W., Strickland, B., Shonkoff, J. P., Perrin, J. M., McPherson, M., McManus, M., et al. (1998). An epidemiologic profile of children with special health care needs. Pediatrics, 102, 117–123.

    Article  PubMed  Google Scholar 

  • Okumura, M. J., Van Cleave, J., Gnanasekaran, S., & Houtrow, A. (2009). Understanding factors associated with work loss for families caring for CSHCN. Pediatrics, 124, s392–s398.

    Article  PubMed  Google Scholar 

  • Poor communications, cultural barriers impacting quality of health care for minorities. (2002). Quality Letter for Healthcare Leader, 14(4), 11–13, 11.

  • Porterfield, S. L., & McBride, T. D. (2007). The effect of poverty and caregiver education on perceived need an access to health services among children with special health care needs. American Journal of Public Health, 97(2), 323–329.

    Article  PubMed Central  PubMed  Google Scholar 

  • Riley, A. W., Lyman, L. M., Spiel, G., Dopfner, M., Lorenzo, M. J., Ralston, S. J., et al. (2006). The Family Strain Index (FSI): Reliability, validity, and factor structure of a brief questionnaire for families of children with ADHD. European Child and Adolescent Psychiatry, 15(S1), I72.

    Article  PubMed  Google Scholar 

  • Sanders, L. M., Thompson, V. T., & Wilkinson, J. D. (2007). Caregiver health literacy and the use of child health services. Pediatrics, 119(1), e86–e92.

    Article  PubMed  Google Scholar 

  • SPSS. (2009). PASW Statistics 18, Release Version 18.0. Chicago, IL. Retrieved from www.spss.com.

  • Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003). Is caregiving hazardous to one’s physical health?: A meta-analysis. Psychological Bulletin, 129(6), 946–972.

    Article  PubMed  Google Scholar 

  • Yu, S. M., & Singh, G. K. (2009). Household language use and health care access, unmet need, and family impact among CSHCN. Pediatrics, 124, s414–s419.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Melanie Sberna Hinojosa.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hinojosa, M.S., Knapp, C. & Woodworth, L. Family Strain Among White and Latino Parents of Children with Mental and Behavioral Health Disorders. J Child Fam Stud 24, 1575–1581 (2015). https://doi.org/10.1007/s10826-014-9961-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10826-014-9961-0

Keywords

Navigation