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Change in self-reported emotional distress and parenting among parents referred to inpatient child psychiatric family treatment.

ABSTRACT: Our aim was to examine changes in distress symptoms and parenting dimensions among parents in child psychiatry services (clinic parents) (n = 102). Parents were followed from referral and admission to 3-month and 12-month follow-ups of "treatment-as-usual" at inpatient family clinics. These measurements were compared with a sample of community parent (n = 439) standards.Standardized questionnaires measuring the child's problems, parental anxiety and depression symptoms (distress), and warmth protectiveness and authoritarianism (parenting dimensions), were distributed to parents four times (T0-T1-T2-T3). The family clinics received families whose children had long-term problems and unsatisfactory previous treatment outcomes.Clinic mothers, but not fathers, showed an improvement in distress symptoms at the 3-month (T2) and 12-month (T3) follow-ups relative to at admission (T1). Nevertheless, clinic mothers displayed distress symptoms at all measurement points compared with community parents. Parents of children with learning/developmental problems and attention disorders showed significantly higher warmth scores at the 3-month and 12-month follow-up compared with at admission, although the levels remained lower than those of community parents. In contrast, parents of children with emotional problems showed the same level of warmth as community parents and lower levels of protectiveness, but no change in these parenting dimensions T1-T2.Parental emotional distress symptoms and parenting characteristics should be addressed systematically in child psychiatry to inform evaluations of the context of the child's problems and the family's treatment needs. Systematic and effective treatment components related to parenting should be implemented.

SUBMITTER: Rimehaug T

PROVIDER: S-EPMC3469240 | biostudies-literature | 2012 Sep

REPOSITORIES: biostudies-literature

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Change in self-reported emotional distress and parenting among parents referred to inpatient child psychiatric family treatment.

Rimehaug Tormod T Berg-Nielsen Turid Suzanne TS Wallander Jan J

Nordic journal of psychiatry 20111116 4

<h4>Aims</h4>Our aim was to examine changes in distress symptoms and parenting dimensions among parents in child psychiatry services (clinic parents) (n = 102). Parents were followed from referral and admission to 3-month and 12-month follow-ups of "treatment-as-usual" at inpatient family clinics. These measurements were compared with a sample of community parent (n = 439) standards.<h4>Methods</h4>Standardized questionnaires measuring the child's problems, parental anxiety and depression sympto ...[more]

PMID: 22087555

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Project description:Parenting behaviors are commonly targeted in early interventions to improve children's language development. Accurate measurement of both parenting behaviors and children's language outcomes is thus crucial for sensitive assessment of intervention outcomes. To date, only a small number of studies have compared parent-reported and directly measured behaviors, and these have been hampered by small sample sizes and inaccurate statistical techniques, such as correlations. The Bland-Altman Method and Reduced Major Axis regression represent more reliable alternatives because they allow us to quantify fixed and proportional bias between measures. In this study, we draw on data from two Australian early childhood cohorts (N = 201 parents and slow-to-talk toddlers aged 24 months; and N = 218 parents and children aged 6-36 months experiencing social adversity) to (1) examine agreement and quantify bias between parent-reported and direct measures, and (2) to determine socio-demographic predictors of the differences between parent-reported and direct measures. Measures of child language and parenting behaviors were collected from parents and their children. Our findings support the utility of the Bland-Altman Method and Reduced Major Axis regression in comparing measurement methods. Results indicated stronger agreement between parent-reported and directly measured child language, and poorer agreement between measures of parenting behaviors. Child age was associated with difference scores for child language; however, the direction varied for each cohort. Parents who rated their child's temperament as more difficult tended to report lower language scores on the parent questionnaire, compared to the directly measured scores. Older parents tended to report lower parenting responsiveness on the parent questionnaire, compared to directly measured scores. Finally, speaking a language other than English was associated with less responsive parenting behaviors on the videotaped observation compared to the parent questionnaire. Variation in patterns of agreement across the distribution of scores highlighted the importance of assessing agreement comprehensively, providing strong evidence that simple correlations are grossly insufficient for method comparisons. We discuss implications for researchers and clinicians, including guidance for measurement selection, and the potential to reduce financial and time-related expenses and improve data quality. Further research is required to determine whether findings described here are reflected in more representative populations.

Dataset Information

Change in self-reported emotional distress and parenting among parents referred to inpatient child psychiatric family treatment.

Publications

Change in self-reported emotional distress and parenting among parents referred to inpatient child psychiatric family treatment.

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