Dissertations / Theses: 'Parent psychological distress'

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Hawkins, Julie Ellen. "Parental Divorce, Psychological Distress and Academic Achievement of College Students." Scholarly Repository, 2008. http://scholarlyrepository.miami.edu/oa_dissertations/64.

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Parental divorce is a stressful process that has been associated with long-term developmental implications for the children involved. There have been mixed results from research regarding specific effects of parents' marital status on levels of psychological distress and academic achievement in late adolescence and early adulthood. Research using a clinical sample from a college counseling center was lacking altogether. The primary goal of this study was to establish if there are relationships between parents' marital status, students'degree of psychological distress and academic achievement within a clinical sample of college undergraduates. The secondary goal was to determine if student gender interacts with parents' marital status on measures of psychological distress and academic achievement. Participants included 324 undergraduate college students aged 17-24 years who received clinical services at a student counseling center of a private university in a large metropolitan area in the Southeastern United States. Primary analyses found no statistically significant differences for self-reported GPA and therapists' perception of psychological distress by parents' marital status (married, divorced or divorced/remarried). In addition, it was found that gender did not have a statistically significant interaction with parents' marital status on psychological distress or academic achievement. Student's residential status was found to significantly covary with psychological distress, suggesting that students who lived off campus were perceived as being significantly more distressed than students who lived on campus, independent of parents' marital status. Results of this study have implications for college counseling center personnel to obtain a thorough family history at intake and monitor changes in residential status throughout the course of treatment. Results of this study also have implications for university administrators and student affairs personnel to include researching, planning and implementing interventions and programming for commuter students, and possibly expanding on-campus housing.

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Craig, Linda Shearer. "Impact of maternal psychological distress and parental bonding on mother-adolescent agreement about emotional problems." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/9729.

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Objective. To explore the impact of parent psychological distress and parental bonding on agreement between informants about adolescent emotional functioning. Methods. The study employed an observational design in which 87 pairs of mothers and their adolescent sons or daughters aged 12-17 completed proxyand self-report ratings on the Strengths and Difficulties Questionnaire. Mothers also completed the Depression, Anxiety and Stress scale as a measure of their own psychological distress, and adolescents completed the Parental Bonding Instrument as a measure of their parenting experience. Moderation analyses using multiple linear regression were used to assess whether the association between maternal psychological distress and mother-adolescent agreement changed as a factor of parental bonding. Results. Kappa values indicated that mother-adolescent agreement was ‘fair’ for emotional problems. Mothers’ psychological distress and sub-optimal parenting were both associated with greater reporting discrepancies. Maternal psychological distress and perceived maternal were unique and combined predictors of reporting discrepancies. Perceived care moderated the relationship between maternal distress and agreement such that when care was rated as low, higher levels of maternal distress predicted poor agreement, but when care was rated as high no significant relationship was found between distress and agreement. Conclusions. Increased mother-adolescent agreement was associated with lower maternal psychological distress and higher ratings of perceived care. The effect of psychological distress on informant agreement varied as a factor of perceived maternal care. Results of this study support the need for multiinformant assessment and suggest that enquiry about mothers’ own psychological functioning could facilitate accurate assessment and intervention for adolescents who present at psychology services.

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Bellon-Champel, Laura. "Dynamique familiale et stratégies d'adaptation chez les parents d'adolescents présentant un usage problématique de cannabis : facteurs associés à la détresse psychologique parentale." Thesis, Sorbonne Paris Cité, 2016. http://www.theses.fr/2016USPCB227.

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Introduction : la période de l’adolescence constitue la tranche d’âge pour laquelle les consommations de cannabis sont les plus élevées en France. L’usage problématique de cannabis à l’adolescence représente un facteur de stress important pour les parents. Cette recherche a pour premier objectif d’identifier une dynamique familiale spécifique ainsi que les stratégies de coping (individuelles et dyadiques) mobilisées par les parents dont l’adolescent est consommateur de cannabis. Le second objectif vise à investiguer les facteurs associés à la détresse psychologique en termes de dynamique familiale et de stratégies de coping (individuelles et dyadiques). Méthode : au cours de cette étude quantitative et qualitative, 50 parents consultant pour l’usage problématique de leur adolescent et 67 parents témoins ont répondu à un questionnaire sociodémographique, au Family Adaptability and Cohesion Scale (FACES IV) et au Family Relationship Index (FRI) pour évaluer la dynamique familiale, à la Brief Cope pour estimer les stratégies de coping situationnelles et au Dyadic Coping Inventory (DCI) pour relever les stratégies de coping dyadique mobilisées par les parents de l’échantillon en couple. Résultats : les parents d’adolescents consommateurs de cannabis présentaient une détresse psychologique élevée et ont obtenu des scores significativement différents aux dimensions de la dynamique familiale en comparaison des parents du groupe contrôle. Ainsi, le fonctionnement familial des parents d’adolescents consommateurs de cannabis était défini par une cohésion et des capacités de communication plus basses mais aussi une intensité de conflit élevée par rapport aux parents du groupe contrôle. Une dimension de la dynamique familiale (conflits) et quatre stratégies de coping situationnelles (expression des sentiments, blâme, utilisation de substances, désengagement comportemental) étaient positivement liées à la détresse psychologique. Les stratégies de coping dyadique (communication autour du stress, stratégies négatives, ect) étaient positivement liées à la détresse psychologique ressentie par les parents en couple. Conclusion : ces résultats montrent l’intérêt de mieux comprendre le vécu des parents confrontés à l’usage problématique de cannabis de l’adolescent et suggèrent des pistes de futures prises en charge
Introduction: the period of adolescence is the age group for which cannabis use is highest in France. Cannabis use in adolescence is an important stressor for parents. The first aim of the present study was to better identify specific family dynamics and coping strategies (individual and dyadic) mobilized by parents of adolescent cannabis users. Second, was to investigate the factors associated with psychological distress (family dynamics, coping strategies). Method: during this quantitative and qualitative study, 50 parents consult for a problematic adolescent cannabis use and 67 control parents answered at a sociodemographic questionnaire, the Family Adaptability and Cohesion Scale (FACES IV) and the Family Relationship Index (FRI) to assess family dynamics, the Brief Cope to estimate situational coping strategies and dyadic coping Inventory (DCI) to address the dyadic coping strategies mobilized by the sample's parents couple. Results: parents of adolescent cannabis users had a high psychological distress and have obtained significantly different scores on the dimensions of family dynamics, compare at parental control group. Thus, family functioning of parents of adolescent cannabis users was defined as cohesion and lower communication capabilities but also high intensity conflict from parents in the control group. A dimension of family dynamics (conflicts) and four situational coping strategies (expressing feelings, blame, substance use, behavioral disengagement) were positively related to psychological distress. Dyadic coping strategies (communication about the stress, negative strategies, ect) were positively related to psychological distress experienced by parents couple. Conclusion: these results show the interest of better understanding the experiences of parents facing the adolescent problem cannabis use and suggest directions for future supported

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Simpson-Adkins, Graham. "Parents, adverse childhood experiences and psychological distress." Thesis, Lancaster University, 2016. http://eprints.lancs.ac.uk/82613/.

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International prevalence rates of both Adverse Childhood Experiences (ACEs) and Mental Health Difficulties (MHD) are consistently high. Research has also repeatedly identified strong positive correlations between these two widespread public health issues, both of which demonstrate intergenerational continuity and broad negative health and social outcomes. Due to these intergenerational risks, this thesis attempts to contribute to the knowledge base regarding aspects of both ACEs and MHD, from a familial perspective. Chapter one synthesises qualitative literature regarding the way in which children of parents who experience MHD make sense of their parent’s MHD. The review analysed findings across 14 studies, which produced three overarching themes. Children’s understanding of their parent’s MHD seemingly operated within a biopsychosocial model. This conceptualisation had numerous effects on their life and impacted on their perception of mental health more generally. Clinical implications for services working with children, parents and families, alongside limitations and recommendations for future research are discussed. Chapter two presents a research paper that aimed to understand how parents experienced routine enquiry about their own ACEs. Thematic analysis produced three themes across eleven semi-structured interviews, from seven participants. The findings proposed a five-stage chronological model of ACE enquiry, which seemed to incorporate a process of post-disclosure behaviour change. However, results also raise important clinical issues associated with power dynamics. Theoretical contributions and clinical recommendations are presented in relation to trauma enquiry and disclosure literature. Finally, chapter three offers a summary of the research findings and reflections, presented as chapters that articulate key decision and learning points.

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Lawless, Carmel Mary. "Explorative study into psychological distress in parents of premature infants." Thesis, University of Hull, 2007. http://hydra.hull.ac.uk/resources/hull:11519.

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Background. Due to the increase in the rate of premature birth in the U.K., research into investigating psychological distress in parents of premature infants is clinically important. It has been identified that there is an absence of research in the area of psychological distress (anxiety, depression and trauma) in parents, particularly in fathers' of premature infants. Attachment theory states that templates of personal attachment are repeated from parents to children. Parents who have difficulty in forming an attachment with their newborn may be more likely to be psychologically distressed. Aims. The principle aim of the study was to understand the relationship between personal attachment style, psychological distress and trauma and the process of attachment in the postnatal period in the parents of premature infants. It aimed (1) to examine the most common personal attachment style of parents of premature infants, (2) to investigate, changes in psychological distress (anxiety, depression and trauma) for parents post birth and 3-4 months later, (3) to investigate the relationship between psychological distress (anxiety, depression and trauma) and parents own personal attachment style, (4) to investigate any changes in parents attachment to their infant post birth and 3-4 months later, and (5) to investigate the relationship between parental attachment to their infant and psychological distress (anxiety, depression and trauma). Method. Thirty-Two mothers and twenty-one fathers were recruited through neonatal intensive care units in two regional hospitals after the birth of their premature infant. Participants were also contacted 3-4 months later, twenty-two mothers and thirteen fathers completing and returning postal questionnaires. Findings. The participant group reported low scores on both the anxious and avoidant subscales of the Experience of Close Relationship-Revised (ECR-R) Questionnaire. Therefore, indicating that the participant group are securely attached. Results revealed that overall; parents of premature infants had lower levels of anxiety and depression at Time 2 (3-4 months post-partum) in relation to Time 1 (after the birth of the infant). However, parents reported higher levels of posttraumatic stress symptoms at Time 2 in comparison to Time 1. Additionally, mothers of premature infants reported higher levels of psychological distress (anxiety, depression and posttraumatic stress symptoms) at both Time periods in comparison to fathers. Mothers' anxiety scores (as measured by the HADS) reached caseness at Time 1. However, mothers' scores reduced significantly at Time 2. In relation to personal attachment style and changes in level of psychological distress, findings indicated a relationship. Mothers with lower avoidant scores reported a decrease in scores on the EPDS from Time 2 to Time 1. With respect to the relationship between changes in parental post-natal attachment and psychological distress, the overall findings suggest lower scores in three components of the Parental Post-Natal Attachment Scale (Tolerance, Pleasure in Proximity and Acceptance) at Time 2 in comparison to Time 1. However, the findings suggest higher scores on the Competence component of the Parental Post-Natal Attachment Scale at Time 2 in comparison to Time 1. Additionally, the findings highlighted a significant relationship between differences in both mothers' Competence scores and HADS depression scores. The findings also propose a significant relationship between changes in both Pleasure in Proximity scores and HADS anxiety and depression scores Conclusion. The findings highlight the importance of assessing parents' levels of psychological distress after the birth of their infant. Additionally, the findings highlight the importance of including fathers' of premature infants in the post-care of their infants to encourage positive interactions with their infant and thereby enabling them to gain from being in close proximity to their infant. Therefore, the findings highlight the importance of continued care for parents post-discharge as the findings indicate that the parents experience difficulties at both follow-up and in NICU.

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Wiley, Rachel. "Adolescent and Caregiver Identity Distress, Identity Status, and Their Relationship to Psychological Adjustment." Master's thesis, University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2466.

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The present study addresses identity distress and identity status in adolescents with clinical diagnoses, and their caregivers. There were 88 adolescent participants (43.2% female) ranging in age from 11 to 20 (mean =14.96; SD =1.85) who were recruited from community mental health centers in Volusia and Orange Counties. The 63 caregiver participants included mothers (82.5%), fathers (7.9%), grandmothers (7.9%), and grandfathers (1.6%), ranging in age from 28-70 (mean = 40.24; SD = 9.16). A significant proportion of adolescents (22.7%) met criteria for Identity Problem in the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) and 9.5% of the adolescents' caregivers met criteria for Identity Problem. Regarding identity status, 68.2% of adolescents and 27.0% of caregivers reported being in the diffused status. Additionally, 25.0% of adolescents and 54.0% of caregivers met criteria for the foreclosed status. Significant associations were found among adolescent and caregiver psychological symptoms and identity variables. Further examination of the psychological symptom variables found that obsessive-compulsive and paranoid ideation symptoms significantly predicted identity distress. In addition, caregiver identity commitment significantly predicted adolescent identity distress over and above the adolescents' identity variables. These findings and implications are discussed in further detail.
M.A.
Department of Psychology
Sciences
Psychology Clinical MS

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Summerscales, Claire. "Stress, psychological distress and social support during pregnancy : a comparison of first-time expectant parents." Thesis, University of Leicester, 2003. http://hdl.handle.net/2381/31183.

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This research thesis was based upon an exploratory study that investigated the relationships between stress, psychological distress and social support in a sample of pregnant women and their partners. The study was particularly interested in the exploration of gender differences in reported stress and distress, and the provision of new information about fathers' experiences during pregnancy. Specific hypotheses were proposed which predicted gender differences in reported levels of stress, psychological distress and linear relationships between stress, psychological distress, and social support. Thirty-eight female and twenty-nine male participants expecting their first baby took part in the study during the third trimester of pregnancy The sample was recruited from Parentcraft Groups held at the Leicester General Hospital. Participants completed a booklet of self-report measures on one occasion. Independent T Tests were undertaken to identify any gender differences. Relationships between variables were examined using bivariate correlations. The relative power of variables as predictors of psychological distress was examined using regression analysis. Significant gender differences were found with females reporting higher levels of stress, psychological distress and depression than males. Significant positive relationships were found between stress and psychological distress. No significant relationships were found between social support and stress or social support and psychological distress. Significant negative relationships were found between satisfaction with partner relationships and psychological distress. No significant gender differences in social support were identified. Stress and satisfaction with the partner relationship were the strongest predictors of psychological distress, whilst stress and the quality of social support were the strongest predictors of depression. Clinical implications were proposed in light of the findings. Sample, measurement and design limitations of the study were identified. Directions for future research were presented. For the majority of expectant parents, pregnancy was a time of good psychological adjustment. However, for a minority of expectant mothers and fathers, clinically significant levels of stress, psychological distress and depression were present during pregnancy. It is important that future service provision considers the needs of expectant mothers and fathers during pregnancy in addition to the postpartum period.

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Aguirre, Diana M. "Relationships among Latino and African American parents' SES, their children's eating behaviors and psychological distress." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10239833.

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Parent income and educational attainment (EA) influence children’s eating behaviors (EB). Psychological distress and socioeconomic disadvantage can trigger maladaptive EB that cause obesity (Hemmingson, 2014). Associations between Latino and African American (AA) parents’ income and EA with the child’s EB and psychological distress were explored. Baseline data for 79 AA and Latina 8-11 year old girls were collected via self-report surveys and 24-hour recalls; parent data was derived from demographic forms. T-tests, one-way independent ANOVA, and correlations assessed relationships. Children’s total fat intake differed by EA (p=.001) and income ( p=.022). Total sugar intake (p=.011) differed by income. Fruit intake differed by income level F(2, 47)=4.93, p=.011. Number of fruit servings was inversely correlated with children’s depressive symptoms (DS; p=.009) and trait anxiety (TA; p=.018). Emotional eating (EE) was positively related to DS ( p<.001), TA (p< .001), and perceived stress (PS; p<.001). Findings indicate that higher parent EA and income are associated with higher fat intake in children; higher income was associated with higher sugar intake. Fruit consumption seems to decrease with lower income, and higher DS and TA. Further, increased DS, TA, and PS are related to increased EE. Findings are contrary to expectations that poverty and low-education are associated with poor eating habits.

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Fotiadou, Maria. "Optimism, psychological well-being & coping in parents of children with cancer." Thesis, Coventry University, 2007. http://curve.coventry.ac.uk/open/items/8f5501c8-898e-ebd9-4fec-7d7826b1be2f/1.

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Background: Despite advances in cancer prognosis and increased survival rates for childhood cancer, having a child diagnosed with cancer can be considered one of the most stressful life events in a parent’s life. The adverse psychological impact of childhood cancer on parents has been found to be higher than in any other childhood chronic illness. Parents can find it difficult to adjust and use effective coping strategies to deal with the illness-related demands. Dispositional optimism (i.e. positive outcome expectancies for the future) has become a key theoretical component in positive and health psychological research, aiming to explain adjustment and coping in distressing life situations. However, optimism in the context of caregiving for a child with chronic illness and especially cancer has received little research attention, but may be important as optimistic people tend to show greater psychological adjustment and effective coping. Aims: To identify the characteristics of optimistic parents of children with cancer. To examine the relationship between optimism, anxiety, depression, life satisfaction, coping and subjective health perception in parents of children with cancer and parents of healthy children. Also, to provide a more in-depth understanding of the needs and experiences of parents in relation to their level of optimism/pessimism. Methods: A mixed methodological approach (quantitative and qualitative methods) was adopted to study optimism as well as the impact and the experiences of parents caring for their child with cancer. The mixed method design comprised two phases of data collection and analysis. In Phase I, quantitative methods were used. 100 parents of children with cancer were recruited during attendance at Oncology Out-patients Clinics at a UK regional Cancer Centre. A comparison group of 117 parents of healthy children were also recruited. All parents completed a questionnaire, providing demographic and medical information relating to their child, dispositional optimism, psychological distress, life satisfaction, coping and subjective health perception. Descriptive statistics, unrelated t-tests and x2 tests were used where appropriate to examine differences on optimism, psychological distress, life satisfaction and coping variables between the SG and CG. Bivariate Pearson correlations were used to identify any possible differences between the two groups. In Phase II, qualitative data were collected and analysed using Interpretative Phenomenological Analysis (IPA). 10 semi-structured interviews were conducted with 5 high optimistic and 5 high pessimistic parents of children with cancer given their optimism score in the quantitative study. Results: In the Phase I of the study, findings showed that the parents of children with cancer had higher levels of anxiety, depression, lower levels of optimism, satisfaction with life and subjective health perception than the comparison group. Optimism was significantly correlated with satisfaction with life, subjective health perception, anxiety and depression in both groups. The interviews in Phase II of the study explained better the role of optimism and pessimism in parental experience of adjusting to and coping with childhood cancer. Interviewees described the way that their child’s diagnosis of cancer had affected their lives and their journey from shock to acceptance and adjustment for the optimistic parents or despair and feelings of helplessness and inability to cope for the pessimistic parents. Regardless of level optimism/pessimism, interviews underlined the importance and parents’ need for social support, ongoing communication with health professionals and contact with other parents of children with cancer. Conclusion: The findings highlight the importance of optimism and pessimism in relationship to psychological distress in parents of children with cancer. Interventions targeting parents’ optimism are recommended as a potential source of coping with adversity within this population.

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Wright, Elizabeth Jane. "Family structure and psychological distress : moderating effects of sex of siblings in samples with separated parents." Thesis, De Montfort University, 2008. http://hdl.handle.net/2086/4114.

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Research has revealed that siblings may moderate the negative impact of parental divorce however, relatively little is known about the extent of influence siblings may have upon adjustment following parental divorce. Likewise previous research has acknowledged variations in sibling relationships as a function of sex, but little is known about the significance of sibling sex constellation upon individual outcomes, particularly following parental divorce. The relationship between the sex constellation of siblings in a family (taking sex of participants into account), psychological distress, the psychosocial correlates of distress, family environment, and family structure (intact versus non-intact) was investigated in two studies of 708 and 574 emerging adults respectively. Study 1 was a student sample of294 males and 414 females and assessed parental relationship and sibling sex constellation in relation to participants' perceptions oftheir family environment, social support, perceived control, optimism, pessimism and psychological distress. Multivariate analysis ofvariance (Manova) produced significant main effects and interactions which show that sibling sex constellation impacts on psychological distress, the psychosocial correlates of distress, and the family environment. Furthermore, sibling sex constellation appears to moderate the impact of intact versus non-intact home on these variables. These findings were further supported by multiple regression analysis (MRA). Study 2 replicated Study 1 in a general population sample of 251 males and 323 females and, in addition, explored the sibling sex constellation effects on achievement motivation, problem-solving style and coping. The majority of the effects from Study 1 were corroborated and main effects and interactions using Manova were shown for achievement motivation and problemsolving style, while results on coping were less clear. Again these findings were supported by MRA. It appears that the presence of female siblings has a positive impact upon adjustment and associated variables, while the presence of male siblings has the reverse effect. These findings have implications for family therapy and counselling and can usefully inform the practice of anyone working with families and children.

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Isik, Bilgen. "The Examination Of The Roles Of Parental Acceptancerejection/control, Personality Traits And Copingstrategies On Psychological Distress." Master's thesis, METU, 2010. http://etd.lib.metu.edu.tr/upload/12612304/index.pdf.

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The purpose of the current study was to examine the path of parental acceptancerejection/ control, personality traits, coping strategies and psychological distress consequently. For the purpose of this study, 444 adults (134 male, 308 female, and 2 unknown) between the ages of 17 and 35 (M = 21.60, SD = 2.77) participated in the current study. The data was collected by a questionnaire battery including a Demographic Variable Sheet, Mother and Father Forms of Parent Acceptance- Rejection/Control Questionnaire, Beck Depression Inventory, Trait Anxiety Inventory, The Ways of Coping Inventory, and Basic Personality Traits Inventory. The three sets of hierarchical multiple regression analyses were conducted to reveal the significant associates of psychological distress. As expected, the results of the current study revealed that parental rejection, different personality traits and different coping strategies had associated with psychological distress as depression and trait anxiety. Following findings and the relevant literature, the limitations, therapeutic implications of the current study, and the suggestion for future research were discussed.

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Barrett, Sarah. "What are the expectations and experiences of foster and adoptive parents, and what impact does adopting and fostering have on foster and and adoptive mothers' levels of parenting stress and psychological distress." Thesis, University of Oxford, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.510412.

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Gates, Shawn. "Current psychological distress of middle-aged parents relationship to grandparent-parent and spousal variables /." 2003. http://wwwlib.umi.com/cr/yorku/fullcit?pMQ82923.

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Thesis (M.A.)--York University, 2003. Graduate Programme in Psychology.
Typescript. Includes bibliographical references (leaves 95-106). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pMQ82923.

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Chow, Erika. "The longitudinal impact of parent distress and behavior on psychological and functional disability outcomes among youth with chronic pain." Thesis, 2015. https://hdl.handle.net/2144/16192.

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OBJECTIVE: To examine how parent factors assessed at a multidisciplinary pain clinic evaluation predict child psychological and functional outcomes at four-month follow-up. After controlling for child baseline functioning, we predicted that parent distress and behavior would significantly predict child pain-related psychological and functional outcomes. METHODS: Among the 321 patients with chronic pain (ages 8-17) and their parents who presented for a multidisciplinary evaluation, 195 completed measures at baseline and at four-month follow-up via REDCap surveys. Patients completed measures of pain catastrophizing, pain-related fear and avoidance, generalized anxiety, depressive symptoms, functional disability, and somatic symptoms. Parents completed measures of pain catastrophizing, pain-related fear and avoidance, protective responses to pain, and child school functioning. Associations between parent and child distress and behavior were examined cross-sectionally at the time of the pain clinic evaluation, and longitudinally (i.e., parent at evaluation and child at follow-up). Lastly, using step-wise hierarchical regression analyses, we controlled for child baseline measures and examined the degree to which parent distress and behaviors predicted child outcomes at four-month follow-up. RESULTS: As hypothesized, parent distress and behavior was correlated with child distress and functioning at the time of evaluation with many of these associations persisting at four-month follow-up. For the regression analyses, after controlling for baseline child depressive symptoms, parent avoidance of activities (b = .24, p < .01) and parent helplessness (b = -.14, p < .10) reported at baseline significantly predicted child depressive symptoms at four-month follow-up. After controlling for baseline child pain catastrophizing, only parent pain-related fear reported at baseline (b = .15, p < .05) emerged as a significant predictor of child pain catastrophizing at four-month follow-up. Lastly after controlling for child school functioning at baseline, parent avoidance of activities (b = -.27, p < .01) and parent protective behavior (b = -.18, p < .05) reported at baseline emerged as significant predictors of child school functioning at four-month follow-up. Parent distress and behavior did not significantly predict child anxiety, pain-related fear, avoidance of activities, somatic symptoms, or functional disability at follow-up, after controlling for baseline functioning. CONCLUSIONS: Across parent factors, parent helplessness, avoidance of activities, pain-related fear, and protective behavior emerged as predictors of child outcomes four months after a multidisciplinary pain clinic evaluation. The results from this study provide initial data regarding the influence of parent emotions and behavior on child function over time. In addition, the results suggest potential targets for pain treatment interventions that go beyond the typical focus on child emotions and behaviors to include influential parent factors.

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Dunn, Madeleine J. "Psychological distress in mothers and fathers of children with cancer posttraumatic stress, depression, and anxiety symptoms /." Diss., 2009. http://etd.library.vanderbilt.edu/available/etd-03262009-102136/.

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"Coping and psychological distress in parents with Down syndrome children." Chinese University of Hong Kong, 1993. http://library.cuhk.edu.hk/record=b5887747.

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by Cheng Paul.
Includes questionnaire in Chinese.
Thesis (M.Phil.)--Chinese University of Hong Kong, 1993.
Includes bibliographical references (leaves 60-66).
ABSTRACT --- p.ii
ACKNOWLEDGEMENTS --- p.iv
TABLE OF CONTENTS --- p.v
LIST OF TABLES --- p.vii
LIST OF APPENDICES --- p.viii
Chapter CHAPTER 1 - --- INTRODUCTION
Local studies on Down syndrome --- p.4
Coping and psychological distress --- p.5
Coping and psychological distress in Chinese families with mentally retarded children --- p.11
Psychological correlates of coping --- p.13
"Relationship between optimism, self-mastery, coping and psychological distress" --- p.16
Purpose of the study --- p.18
Chapter CHAPTER 2 - --- METHOD
Subjects --- p.22
Measures --- p.25
Procedures --- p.30
Chapter CHAPTER 3 - --- RESULTS
Group differences on coping --- p.31
Factor analysis of the coping --- p.34
"Internal consistency of LOT, SMS, & GHQ-30" --- p.37
Inter-correlations among major variables for the three groups --- p.37
Differences between mothers and fathers on the major variables --- p.39
Prediction of psychological distress --- p.40
Group differences on the major variables --- p.41
Differences between mothers and fathers within a single family --- p.42
Group differences on the major variables with family as the unit of analysis --- p.43
Chapter CHAPTER 4 - --- DISCUSSION --- p.45
REFERENCES --- p.60
TABLES --- p.67
FOOTNOTE --- p.83
APPENDICES --- p.84

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Almeida, Beatriz Maria Mota. "Relationship between perfectionism, parental control and levels of psychological distress in adolescents." Master's thesis, 2020. http://hdl.handle.net/10316/97803.

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Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de Medicina
INTRODUÇÃO: O perfecionismo pode ser conceitualizado e avaliado como uma combinação de duas dimensões: o adaptativo (perfecionismo auto-orientado/PAO) e o mal adaptativo (perfecionismo socialmente prescrito/PSP), Ambos, mas em particular PSP, podem influenciar a saúde mental do adolescente. O controlo parental, também, tem sido associado com alguns problemas psicológicos na adolescência. No presente estudo, o nosso objetivo foi investigar se as dimensões de controlo parental são mediadoras entre o perfecionismo e o desenvolvimento de distúrbios psicológicos nos adolescentes. MÉTODOS: 772 Estudantes portugueses de escolas públicas e privadas de Coimbra (409 raparigas, 357 rapazes e 5 de sexo indefinido), com idades de 13.20 ± 2.286, e seus pais (429 no total: 345 mães, 77 pais e 7 definidos como “outro”) responderam à versão portuguesa validada do Questionário de Pais no Contexto Social. Usámos o teste T de Student para comparar as médias das variáveis entre os géneros. Foram obtidos os coeficientes de correlação de Pearson avaliados através dos critérios de Cohen, para explorar as relações entre as variáveis. Por fim, foram analisados os modelos de mediação simples para determinar os efeitos direto, indireto e total, através do cálculo de intervalos de confiança. RESULTADOS: As pontuações médias dos distúrbios psicológicos (ansiedade, depressão e stress) foram maiores nas raparigas do que nos rapazes. PSP e o controlo parental correlacionaram, significativamente e moderadamente, com a ansiedade, a depressão e o stress. A correlação entre o perfecionismo e as dimensões de controlo parental foi também significativa. As análises de mediação mostraram que a educação pode atuar como mediadora entre o perfecionismo e os distúrbios psicológicos, cujos resultados foram relevantes nas raparigas. Em contraste com o que foi verificado com rejeição, caos e coerção que atuaram como um mediador negativo, calor e suporte operaram como um fator protetor. DISCUSSÃO E CONCLUSÃO: A relação entre o perfecionismo e o controlo parental potencia níveis de perturbação psicológica, confirmando que ambos são preditores da saúde mental dos adolescentes e, assim, devem ser considerados em contextos clínicos.
INTRODUCTION: Perfectionism can be conceptualized and assessed as a combination of two big dimensions: the adaptive (self-oriented perfectionism/SOP) and the maladaptive (socially prescribed perfectionism/SPP). Both, but particularly SPP, can influence the mental health of the adolescent. Also, parental control has been associated with some psychological problems in adolescence. In the present study, our aim was to investigate if parenting dimensions are mediators between perfectionism and psychological distress in adolescents. METHODS: 772 Portuguese students from public and private schools of Coimbra (409 girls, 357 boys and 5 undefined sex) aged 13.20 ± 2.286 and their parents (429 in total: 345 mothers, 77 fathers and 7 defined as “other”) answered the Portuguese validated version of the Parents as Social Context Questionnaire. Student’s T test was used to compare the means of the variables between genders. Pearson’s correlation coefficients were obtained to explore the relationships between variables, which was assessed by Cohen's criteria. Then, we analyzed the simple mediation models to determine direct, indirect and total effects by calculating/obtaining the confidence intervals.RESULTS: The Psychological distress scores (anxiety, depression and stress) were higher in girls than boys. SPP and parental control correlated significantly and moderately with anxiety, depression and stress. The correlation between perfectionism and parental control dimensions was also significant. In girls, the mediation analysis showed that parenting may act as a mediator between perfectionism and emotional distress. In contrast with what was verified with rejection, chaos and coercion that act as negative mediator, warmth and autonomy support operate as a protective factor.DISCUSSION AND CONCLUSION: The relationship between perfectionism and parental control potentiate levels of psychological distress, confirming that both are predictors of adolescents’ mental health and thus should be considered in clinical settings.

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Chuang, Hsiao-Ling, and 莊小玲. "The perceived stress and psychological distress of parents with premature infants in the PNICU." Thesis, 2000. http://ndltd.ncl.edu.tw/handle/09741637329080113383.

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碩士
長庚大學
護理學研究所
88
This case-control study was to explore the factors related to stress and psychological distress of parents with premature infants in the PNICU. In total, 220 subjects comparing parents without（n=110）and with（n=110） premature infants in the PNICU were recruited from Chang Gung Children’s Hospital, Lin-Ko. The study findings shown that both father and mother with preterm infants in the PNICU perceived higher stress（particularly in the total score of stress, and in the subscale of sights and sounds from the PNICU environment, appearance and behavior of infant as well as the role alternation of being parents）, more psychological distress（for example, anxiety, depression and total distress）than those with term infants. In addition, mothers with preterm infants also perceived higher stress in the communication with health staff and more somatic symptoms than those with term infants. Gender-base differences were also found in preterm parents. Mothers perceived higher stress on role alternation of being parents; more somatic complains and higher total distress than fathers. External personality was positively related to appearance and behavior of infants, anxiety, and depression; information and tangible support were negatively related to somatization in mothers. There was no relationship found between social support and stress for both parents. In addition, the overall stress was positively related to total distress for both parents. In order to examine the association between related factors and perceived stress and psychological distress in preterm parents, multiple regression method was employed. The findings were presented as follows. First, “perceived illness severity” could predict 12% of stress; and “appearance and behavior of infants” could predict 13% of psychological distress for fathers. Second, the “multiple gestation” explained 11% of stress; and “appearance and behavior of infants” and “tangible support” explained 30% of psychological distress.

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Kamkar, Katayoun. "Anxious and avoidant attachment to parents and psychological distress in early adolescence and young adulthood." Thesis, 2006. http://spectrum.library.concordia.ca/8990/1/NR23834.pdf.

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Depression increases in adolescence and reaches its highest rate in adulthood. Identifying processes operative developmentally prior to the increase is essential to understanding the causes. This research includes two studies in which processes linking adolescents' insecure attachment to parents to psychological distress are examined. The first study examined the association of insecure attachment to parents with depressive symptoms among early adolescents ( n =140) and assessed the mediating roles of attributions and self-esteem. Adolescents more anxiously attached to both mother and father reported most depressive symptoms. Anxious attachment to mother was associated with depression for adolescent girls only, and maladaptive attributions to negative events partially mediated the association. For girls, self-esteem also mediated between anxious attachment to mother and depression. The second study investigated the role of attributional processes to stressful interpersonal events as a process linking insecure attachment and psychological distress among early adolescents ( n =164) and young adults ( n =132). Because working models are hypothesized to crystallize with age and cognitive rigidity is expected to increase, the association between insecure attachment and negative attributions was expected to be stronger for young adults than for adolescents, and negative attributions were expected to mediate more strongly for the older age. More anxious attachment to mother was associated with higher dysphoria whereas more avoidant attachment to mother was associated with lower dysphoria. Negative attributions mediated between anxious attachment to mother and dysphoria. Negative attributions were more strongly associated with psychological distress for young adults than for adolescents, and thus, attributions to interpersonal stressors mediated more strongly between attachment and dysphoria at the older age. In conclusion, results of both studies support cognitive models of depression and highlight the importance of quality of attachment to mother in adolescence, in particular attachment anxiety. Attributional processes are indicated as one pathway from anxious attachment to mother to psychological distress for girls in study 1 and for both boys and girls in study 2, a pathway that the results of study 2 suggest is stronger at older ages. Study 1 found self-esteem as another pathway for adolescent girls

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AhwaliaAziza, Yulanticha Diaz, and 邱玲雅. "Psychological Distress and Unmet Supportive Care Needs of Parents as Caregiver of Children with Cancer." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/wmstrz.

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碩士
國立成功大學
護理學系
105
Background: Having children diagnosed with cancer is a stressful condition for parents, facing physical, psychosocial, and financial burdens in life. These problems parents face are frequently neglected by health care providers and people around them when in reality parents play a significant role in caregiving children with cancer. Purpose: To identify the top rank of unmet supportive care needs, the prevalence of psychological distress, and the correlation of unmet supportive care needs and psychological distress among parents of children with cancer in Indonesia. Methods: A cross-sectional study was conducted among 100 parents of children with cancer from pediatric ward of two public hospitals in Central and East Java, Indonesia. This study chose the Supportive Care Needs Survey for Partner and Caregiver (SCNS-P＆C45) Indonesian version to measure unmet supportive care needs, and Hospital Anxiety Depression Scale (HADS) Indonesian version to assessed psychological distress including anxiety and depression. Results: Of the 100 parents surveyed, 83% had more than ten unmet needs, 49% encountered anxiety, and 25% had depression. The highest need for supportive care was information needs (66.68±23.07). Anxiety not only correlated with the total score of needs (p〈.001; r=.351) but also each domain of needs including informational, health care service, psychological, work, and social needs. Conclusion and recommendation: Most common needs among parents of children with cancer were informational needs. Anxiety is strongly correlated to unmet supportive care needs. We recommend health care providers to activate support groups to decrease parents’ anxiety and depression. There is also a necessity to increase parental education to fulfill their needs of information.

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Espinoza, Leafar Francesco-Jose. "The relationship of parental overprotection and parenting stress to psychological distress in parents of children with asthma and cystic fibrosis a cross illness comparison /." 2005. http://digital.library.okstate.edu/etd/umi-okstate-1512.pdf.

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Proulx-Beaudet, Léa. "Regard croisé sur l’expérience des pères et des mères non-agresseurs à la suite du dévoilement de l'agression sexuelle de leur enfant." Thèse, 2018. http://hdl.handle.net/1866/22233.

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Dumont, Émilie. "Exploration de l’expérience du deuil parental : une étude rétrospective auprès de parents dont l’enfant est décédé d’un cancer au CHU Sainte-Justine." Thesis, 2020. http://hdl.handle.net/1866/24393.

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Objectifs : Pour les parents, vivre le deuil d'un enfant atteint d'un cancer est un cheminement complexe et douloureux dont il est difficile de comprendre tous les enjeux, en particulier ce qui influence la santé psychologique et la qualité de vie à long terme. Les objectifs étaient 1/ de décrire la qualité de vie, la détresse psychologique et les symptômes de deuil de parents endeuillés, 2/ d'explorer l’influence du sexe et du temps écoulé depuis le décès sur les résultats aux tests de santé psychologique, et 3/ d’identifier des prédicteurs de la santé psychologique actuelle des parents. Méthode : Une analyse quantitative rétrospective a été effectuée auprès de 32 mères et 14 pères d'enfants décédés du cancer au CHU Sainte-Justine. Ceux-ci ont rempli un questionnaire en ligne comportant le Medical Outcomes Study Short Form (SF-12), le Brief Symptom Inventory (BSI-18) et l’Inventory of Complicated Grief (ICG-19). Résultats : Les symptômes de deuil des parents demeurent très présents, jusqu'à 18 ans après le décès. La majorité (58 %) des parents rapportent un deuil compliqué rétrospectivement. La plupart des mères rapportent des symptômes de deuil importants, ainsi qu’un changement significatif entre la première année après le décès et maintenant comparativement aux pères. Enfin, les prédicteurs de la qualité de vie et de la détresse psychologique nous renseignent sur des modèles de vulnérabilité de la santé psychologique des parents, tel qu’être père, avoir des symptômes élevés de deuil et peu de temps écoulé entre le décès et la complétion du questionnaire. Conclusion : Cette étude permet de nous informer sur les effets du deuil. Les résultats suggèrent qu'un suivi des parents endeuillés est nécessaire, même longtemps après le décès de leur enfant.
Objectives: For parents, grieving the loss of a child from cancer is a complex and painful journey for which we do not understand all the issues, in particular, what influences psychological health and long-term quality of life and more specifically the situation of fathers. This study was conducted with parents two to twenty years after the death of their child. The objectives are 1/ to describe the quality of life, psychological distress, and bereavement symptoms of bereaved parents, 2/ to explore the influence of gender and time since death on psychological health test results, and 3/ to identify predictors of parents' current psychological health. Methods: A retrospective quantitative analysis carried out was conducted with 32 mothers and 14 fathers of children who died of cancer at Sainte-Justine UHC between 2000 and 2016 were recruited and completed a self-reported online questionnaire using Medical Outcomes Study Short Form (SF-12), Brief Symptom Inventory (BSI-18) and Inventory of Complicated Grief (ICG-19). Results: Parents’ symptoms of grief continue to be very present, even up to 18 years after death (58%). Mostly mothers recall very significant symptoms of grief. They report a significant change between the first year after death and now which is less true for fathers. Finally, the predictors of Quality of Life and distress provide us with information on vulnerability patterns: being a father, having high symptoms of grief, and short time elapsed since death. Conclusion: Understanding the differences between fathers’ and mothers’ grief is important for health professionals to better support both bereaved parents efficiently. The results suggest that a follow-up of bereaved parents is needed, even long after the death of their child.

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Dissertations / Theses on the topic 'Parent psychological distress'

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