Adaptación del Parenting Stress Index-4 Short Form en Madres Mexicanas de Preescolares / Adaptation of the Parenting Stress Index-4 Short Form in Mexican Mothers

Resumen La escala Parenting Stress Index-4-Short Form (PSI-4-SF) es uno de los instrumentos más utilizados en la medición del estrés parental en el ámbito de la investigación sobre este tema. El propósito de este estudio fue analizar la estructura factorial y confiabilidad de una versión traducida y adaptada a la población mexicana. Los reactivos de la prueba fueron traducidos y adaptados al español, utilizando el procedimiento estándar de traducción y retraducción. Participaron voluntariamente 332 mujeres entre 18 y 51 años de edad (M=34.27 D.E.=7.34) que cumplieron los criterios de inclusión; quienes contestaron individualmente la escala en línea. Mediante Análisis Factorial Exploratorio, emergieron dos factores que explicaron el 50.26% de la varianza (KMO=.848): Factor I Distrés parental (33.26% de la varianza explicada, α ordinal= .822) y Factor II Malestar por el cuidado de los hijos (17% de la varianza explicada, α ordinal= .869). En esta adaptación sólo se conservaron 20 de los 36 reactivos que constituyen la escala original. Con lo obtenido se plantea la posibilidad de una medición eficaz del estrés parental en madres de preescolares en población mexicana, lo que permite continuar con esta línea de investigación.

Abstract Some studies have pointed out that parental stress has a greater capacity to affect the upbringing and development of children, than the presence of stress in any other area of life. The most recognized theory on parental stress is the one developed by Abidin, which describes three components: "parents"; "child"; and the "parent-child relationship". The Parenting Stress Index-4-Short Form (PSI-4-SF) is one of the most widely used measures in the field of parental stress research. Despite its widespread use, no consensus has been reached on the items that make up each of the three dimensions. There is a lack of a valid and reliable version of this scale that can be use in Mexican population. The purpose of the present study was to: Culturally translate and adapt the PSI4-SF into Spanish, and to test the construct validity (factor structure) and reliability of the adapted version to the Mexican population. The test items were translated and adapted to Spanish, using a standard forward- and back-translation procedure. Voluntary participants were 332 women between 18 and 51 years of age (M=34.27 SD=7.34) who met the inclusion criteria, they answered the scale online. Internal consistency and factor structure were assessed. By Exploratory Factor Analysis two factors emerged that explained 50.26% of the variance (KMO=.848): Factor I (33.26% of the variance explained, α ordinal= .822) and Factor II (17% of the variance explained, α ordinal= .869), retaining only 20 of the 36 items that constitute the original scale. An equivalent Spanish version of the PSI-4-SF was obtained with good evidence of reliability and validity. These results suggest the possibility of an effective measurement of parental stress in mothers of preschoolers in the Mexican population.

Shared positive emotion during parent-toddler play and parent and child well-being in Mexican origin families.

OBJECTIVE: The present study aimed to examine the association between mother-child and father-child shared positive emotion and parent self-reported parenting stress, as well as parent rated child socio-emotional adjustment. METHOD: Data were collected from 107 Mexican origin families with a toddler age child (M = 17.49 months; 55 boys, 52 girls). During home visits parents completed questionnaires concerning demographic characteristics, cultural beliefs, parent well-being, and children's socio-emotional adjustment. In addition, mother-child and father-child dyads were videotaped during separate 15-min, semistructured play sessions, from which parent and child expression of emotion was coded for shared positive affect. RESULTS: Data revealed that parent endorsement of Familismo and Simpatia cultural beliefs was associated with higher levels of shared positive affect during parent-child interaction. In turn, mother-child shared positive affect was significantly associated with lower maternal self-reported parenting stress. There was no association between father-child shared positive emotion and father reported parenting stress. Nor was there an association between parent-child shared positive affect and parent rated child social competence. However, as predicted high levels of shared positive affect in both mother-child and father-child dyads was associated with lower parent-rated externalizing behavior.

Parental stress around ophthalmological health conditions: a systematic review of literature protocol.

BACKGROUND: Parents can be psychologically impacted when their children are diagnosed with eye diseases, such as blindness, strabismus, and eye cancer. Stress can reduce the quality of parental care and may be linked to the deterioration of parents' and children's mental and physical health and family dynamics. No systematic literature review on parental stress in ophthalmology has been found to provide evidence synthesis capable of stimulating and defining new studies and thereby promoting research in this field. To address this important gap, the present review aims to synthesize evidence about approaches, methods, instruments, and results from research regarding ophthalmology-related parental stress. METHODS: Primary epidemiological observational studies should be original in addressing parental stress caused by ophthalmological health conditions in children. They should present the characteristics of the study population and the clinical and ophthalmic characterizations of children. MEDLINE (via Ovid), EMBASE, PsycINFO, Google Scholar, and gray literature (PsycEXTRA, NTIS, and OpenSINGLE) will be searched. Controlled vocabulary, Boolean operators, and defined search strategies will be used. There will be no restrictions on the studies' publication language, which will be selected in two screening stages. Two reviewers will independently retrieve full-text studies, assess methodological quality, and extract data. Data available through December 2021 will be considered for inclusion. DISCUSSION: The socioeconomic characterization of the participants, the identification of which ophthalmological diseases have been studied in relation to parental stress, and the knowledge of each instrument and methodology peculiarities potentially contribute to this study. The results may promote the development or enhancement of public policies focused on this specific theme, thereby providing the means for potential improvement of the physical and mental health of parents and children with eye diseases. Systematic review registration PROSPERO CRD42018094972.

Depressive Symptomatology and Parenting Stress: Influence on the Social-Emotional Development of Pre-Schoolers in Chile.

(1) Background: The preschool stage is a period of great psychological changes that requires the support of parents and significant adults for optimal development. Studies show that maternal mental health can be a risk factor in parenting, affecting the social-emotional development of children. (2) Methods: The present study seeks to shed light on the relation between depressive symptoms, parental stress in mothers and social-emotional development of their preschool children, using a total of 123 mother-child dyads with low Social-economic Status (SES). In mothers, depressive symptomatology and level of parental stress were evaluated, as well as social-emotional development in children. A possible mediation effect between maternal depressive symptoms and parenting stress is expected. (3) Results: The results indicate that higher levels of depressive symptoms and parenting stress in mothers relate to greater difficulties in social-emotional development of their preschool children. (4) Conclusions: These results are clinically relevant from the perspective of family therapy: Parents need support to decrease their levels of parenting stress in order not to jeopardise their children's social-emotional development.

Envolvimento Paterno em Pais de Crianças em Idade Escolar: Relação com Estresse Parental, Apoio Social e Variáveis Sociodemográficas / Father Involvement in Parents of School-Aged Children: Relationship with Parenting Stress, Social Support and Sociodemographic Variables

Resumo Pretende-se averiguar se o estresse parental e o apoio social contribuem para o envolvimento paterno (EP), e analisar a relação desse envolvimento com variáveis sociodemográficas (pai/criança). Participaram do estudo 92 homens, pais de crianças em idade escolar (6 a 9 anos). Utilizou-se a Escala de Envolvimento Paterno e as adaptações portuguesas do Parenting Stress Index-Short Form e do Social Support Questionaire. Verificou-se que apenas o estresse parental (Interação e Criança) se constitui como preditor do EP (Cuidados e Disponibilidade). Verificou-se ainda uma associação entre o EP e o número de filhos. Os resultados sugerem que níveis elevados de estresse parental poderão ser prejudiciais para o envolvimento do pai em termos de cuidados e disponibilidade, sendo também relevante o maior número de filhos.

Abstract This study aims to ascertain whether parenting stress and social support contribute to father involvement (FI), and to analyze the relationship between this involvement and sociodemographic variables (parent/child). The participants were 92 men, parents of school-aged children (6 to 9 years). The Father Involvement Scale and the Portuguese adaptions of the Parenting Stress Index-Short Form and Social Support Questionaire. Only parenting stress (Interaction and Child subscales) was found to be a predictor of FI (Caring and Availability subscales). A relationship between FI and the number of children was also observed. The results suggest that high levels of parenting stress may jeopardize fathers' involvement in terms of caring and availability, while the higher number of children is also a relevant factor.

Mexican-Origin Parents' Stress and Satisfaction: The Role of Emotional Support.

Guided by a process model of parenting and the integrative model, this study examined sources of emotional support (i.e., partner, maternal, paternal) as related to stress and satisfaction resulting from the parenting role in a sample of Mexican-origin young adult parents who participated in the National Longitudinal Study of Adolescent to Adult Health (Add Health) during Wave IV. Participants were male and female parents (26-35 years of age; 59% female; N = 737) who had children and a partner. Results from structural equation modeling revealed support from mothers as salient; high levels of maternal support were associated with high levels of parenting satisfaction. Tests of indirect effects suggested that parenting satisfaction played an intervening role in the link between maternal support and parenting stress. The pattern of results held across levels of linguistic acculturation but varied by gender. Understanding the mechanisms that predict parenting stress and satisfaction within the Mexican-origin population may help in the identification of culturally sensitive intervention strategies.

Guiado por un modelo de proceso de la crianza y por el modelo integrador, el presente estudio examinó las fuentes de apoyo emocional (p. ej.: de la pareja, materno, paterno) en relación con el estrés y la satisfacción resultantes del rol de crianza en una muestra de padres adultos jóvenes de origen mexicano que participaron en el estudio nacional longitudinal de la salud adolescente a adulta durante la fase IV. Los participantes fueron padres de sexo masculino y femenino (de entre 26 y 35 años; el 59 % de sexo femenino; N = 737) que tenían hijos y una pareja. Los resultados de los modelos de ecuaciones estructurales revelaron que el apoyo de las madres fue destacado; los niveles altos de apoyo materno estuvieron asociados con niveles altos de satisfacción en la crianza. Las pruebas de los efectos indirectos sugirieron que la satisfacción en la crianza desempeñó un papel interviniente en el vínculo entre el apoyo materno y el estrés por la crianza. El patrón de resultados se mantuvo entre los niveles de aculturación lingüística pero varió por género. La comprensión de los mecanismos que predicen el estrés y la satisfacción por la crianza dentro de la población de origen mexicano puede contribuir a la identificación de estrategias de intervención respetuosas de las diferencias culturales.

Nivel Socioeconómico y conductas externalizadas en preescolares: el rol del mediador parental / Socioeconomical level and behavior in school-age children: the mediating role of parents

Un determinante de particular relevancia en el desarrollo humano es el nivel socioeconómico y, en específico, el nivel socioeconómico (NSE) bajo y la pobreza. El entorno familiar es asimismo fundamental en el desarrollo de niños y niñas, y un potencial mediador o moderador del efecto de condiciones sociales más amplias. Objetivo: Analizar el rol del estrés parental como variable mediadora de la relación del NSE con conductas externalizadas e internalizadas en niños y niñas preescolares. Sujetos y Método: Estudio descriptivo de base secundaria basado en la Encuesta Longitudinal de Primera Infancia Chilena que seleccionó una muestra estratificada, representativa por clusters, de 9.996 niños y niñas de 3 a 5 años y sus cuidadoras(es), los(as) que completaron una batería de instrumentos para la medida de las variables de NSE, estrés parental y conductas externalizadas e internalizadas. El análisis utilizó un modelo lineal con estimación por mínimos cuadrados. Como prueba de hipótesis, se usó la Dm, una adaptación de la prueba F para imputación múltiple. Resultados: El modelo de mediación del estrés parental en la relación entre NSE y conductas externalizadas e internalizadas se corroboró para las segundas; respecto de las conductas externalizadas se observó un modelo de moderación, siendo menor la influencia del estrés en el NSE bajo. Conclusiones: El estrés parental mostró una clara relación con la presencia de conductas externalizadas e internalizadas, más fuerte que el NSE; la relación entre NSE y estrés parental resulta de importancia para comprender los procesos que afectan el desarrollo de niños y niñas.

A determinant of particular relevance in human development is the socioeconomic status (SES) and, specifically, low SES and poverty. Likewise, family environment is essential in the development of children and a potential mediator or moderator of the effect of broader social conditions. Objective: To analyze the role of parenting stress as a mediating variable of the relationship between SES and both externalized and internalized behaviors in preschool children. Subjects and Method: Descriptive secondary base study based on the Longitudinal Survey of Chilean First Infancy that selected a stratified sample, representative by clusters, of 9.996 children from 3 to 5 years old and their caregivers, that completed a battery of instruments for measuring SES variables, parenting stress and externalized and internalized behaviors. The analysis used a linear model with least square estimate. As hypothesis testing, the Dm (an adaptation of the F-test for multiple imputation method) was used. Results: The mediation model of parenting stress in the relationship between SES and both externalized and internalized behaviors was confirmed for the latter; regarding externalized behaviors a model of moderation was observed, being the stress influence lower on the low SES. Conclusions: Parental stress showed a clear relationship with the presence of externalized and internalized behaviors, stronger than the SES. The relationship between SES and parenting stress is very important to understand the processes that affect children’s development.

Predictores del estrés parental en madres de familias en riesgo psicosocial / Parenting Stress Predictors in Mothers of Families at Psychosocial Risk

En este estudio se han analizado las relaciones entre el estrés parental, las competencias parentales percibidas y la contribución de factores sociodemográficos y psicológicos para la explicación del estrés parental. Participaron 80 madres portuguesas usuarias de servicios de protección a menores en riesgo. Los resultados mostraron niveles muy elevados de estrés parental -especialmente en madres con hijos adolescentes y desempleadas- y relaciones significativas entre el estrés y las competencias percibidas como madre. La satisfacción con el rol maternal y el empleo fueron los factores más robustos a la hora de explicar el estrés parental, prediciendo un 37% de la varianza.

In this study we analyzed the associations between parenting stress, parental sense of competence and the contribution of socio-demographical and psychological factors to the explanation of parenting stress. Participants were 80 Portuguese mothers, recipients of the child protection services. Results showed high levels of parenting stress, especially in unemployed mothers with adolescent children, and significant associations between parenting stress and perceived parental competences. Maternal role satisfaction and employment were the most robust factors on the explanation of parenting stress, predicting 37% of the variance.

Un análisis tipológico del estrés parental en familias en riesgo psicosocial / A typological analysis of parental stress in families at psychosocial risk

The aim of this study was to explore the level and type of both parental stress and coping strategies in a sample of 109 mothers from at-risk families attended by Social Services. A cluster analysis revealed three groups: Adapted-Strategic, Clinical-Avoidant, and Extreme-Passive. A multinomial logistic regression analysis showed that parental sense of competence, parental locus of control and family cohesion influenced the probability of inclusion of the mothers in each group. Implications for intervention strategies are discussed.

Este estudio examina el grado y tipo de estrés parental y de estrategias de afrontamiento en una muestra de 109 madres en situación de riesgo con un expediente activo en los Servicios Sociales Comunitarios. Los análisis de conglomerados realizados mostraron tres perfiles diferenciados: Ajustado-Estratégico, Clínico-Evitativo y Extremo-Pasivo. Un análisis de regresión logística multinomial indicó que el sentimiento de competencia parental, el locus de control como progenitor y la cohesión familiar influían en la pertenencia de las madres a cada uno de los grupos. Se discuten las implicaciones prácticas de estos resultados de cara a la intervención con estas familias.

Longitudinal associations among fathers' perception of coparenting, partner relationship quality, and paternal stress during early childhood.

This study examined the longitudinal and concurrent associations among fathers' perceptions of partner relationship quality (happiness, conflict), coparenting (shared decision making, conflict), and paternal stress. The sample consisted of 6,100 children who lived with both biological parents at 24 and 48 months in the Early Childhood Longitudinal Study-Birth Cohort data set. The results showed that there are significant and concurrent associations between fathers' perceptions of the coparenting relationship and paternal stress, and between partner relationship quality and paternal stress. There was also a positive direct longitudinal association between partner relationship conflict and paternal stress. However, we found only one longitudinal cross-system mediation effect: fathers' perception of coparenting conflict at 48 months mediated the association between partner relationship conflict at 24 months and paternal stress at 48 months. The family practice implications of these findings are discussed.

Development and validation of the distress thermometer for parents of a chronically ill child.

OBJECTIVE: To develop and validate a Distress Thermometer for Parents (DT-P) for chronically ill children and to determine a cutoff score for clinical distress. STUDY DESIGN: Parents of a chronically ill child (0-18 years) were recruited via announcements or were actively approached at the outpatient clinics of the Emma Children's Hospital/Academic Medical Center and Vrije Universiteit Medical Center. We modeled the development of the DT-P on the Distress Thermometer used in oncology medical care. The DT-P consists of a thermometer score from 0 (no distress) to 10 (extreme distress) and a problem list (practical, social, emotional, physical, cognitive, and parenting domains). The DT-P was validated with the Hospital Anxiety and Depression Scale (HADS) and the Parenting Stress Index. RESULTS: The mean thermometer score of the 706 participating parents was 3.7 (SD 3.0). The thermometer score and the scores in the practical, emotional, physical, and cognitive problem domains were strongly related to anxiety, depression, and the total score of the HADS (0.55 ≤ r ≤ 0.72). The thermometer score and all problem domain scores were moderately-to-strongly related to the Parenting Stress Index (0.38 ≤ r ≤ 0.63). A cutoff-score of 4 correctly identified 86% of "clinical HADS cases" (sensitivity) and 67% of "nonclinical HADS cases" (specificity). CONCLUSIONS: We developed the DT-P and examined its diagnostic utility in a large sample. The DT-P appeared to be a valid and useful short screening-tool for identifying parental distress.