Abstract
Caregivers of children with sickle cell disease (SCD) experience significant physical and emotional hardship with their child’s disease management. Little is known about the potential contributors to parenting stress in pediatric SCD. The present study aimed to identify child and caregiver biopsychosocial factors associated with disease-related parenting stress in pediatric SCD. Participants included 74 caregiver-youth dyads. Parenting stress was associated with increased child pain frequency, more missed school days, and increased healthcare utilization, and inversely correlated with caregiver mental health and social-emotional functioning. Parenting stress also partially explained the relationship between child pain frequency and healthcare utilization after controlling for parent depression and anxiety. Parenting stress may play a unique and critical role in pediatric SCD and underscore the impact parenting stress may have on youth in medical and academic settings. Further research is warranted to determine risk factors and appropriate interventions for parenting stress to improve comprehensive patient care.
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Funding
The Funder was funded by National Center for Advancing Translational Sciences, UL1TR002378, National Heart, Lung, and Blood Institute, 1K23Hl133457-01A1, Soumitri Sil.
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Aspects of this work were previously presented at the Society of Pediatric Psychology Annual Conference, Dallas, TX, March 2020. Yelena L. Johnson, Kerri Woodward, Carlton Dampier, Lindsey Cohen and Soumitri Sil have no conflict of interest to report.
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Approval was obtained from the ethics committee of Emory University. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.
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Informed consent and assent were obtained from all individual participants included in the study.
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Johnson, Y.L., Woodward, K., Dampier, C. et al. Biopsychosocial Factors Associated with Parenting Stress in Pediatric Sickle Cell Disease. J Clin Psychol Med Settings 29, 365–374 (2022). https://doi.org/10.1007/s10880-021-09837-6
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DOI: https://doi.org/10.1007/s10880-021-09837-6