Investigating Parenting Stress Across Pediatric Health Conditions - A Systematic Review

The stress parenting responsibilities place on parents increases in situations involving pediatric illness, and therefore can potentially interfere with the normal family life. The present review examines sources of parenting stress across a wide spectrum of illnesses, using three illness groups as...

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Bibliographic Details
Published in:Comprehensive child and adolescent nursing 2016-01, Vol.39 (1), p.41-79
Main Authors: Golfenshtein, Nadya, Srulovici, Einav, Medoff-Cooper, Barbara
Format: Article
Language:English
Subjects:
Autism
Autistic children
Cancer
Children
Congenital diseases
Congenital heart disease
Defects
Evidence-based medicine
Familial factors
Families & family life
Heart diseases
Illnesses
Literature reviews
Observational studies
Parental stress
parenting stress
Parents & parenting
pediatric health conditions
Pediatrics
Professional practices
Quality assessment
Social factors
Systematic review
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Summary:The stress parenting responsibilities place on parents increases in situations involving pediatric illness, and therefore can potentially interfere with the normal family life. The present review examines sources of parenting stress across a wide spectrum of illnesses, using three illness groups as exemplars: Congenital heart disease, pediatric cancer, and Autism Spectrum Disorder. A systematic review of the literature using PubMed, CINAHL, Scopus, and PsycINFO databases yielded 66 observational studies investigating sources of parenting stress in parents of young children with congenital heart defects, cancer, and Autism Spectrum Disorder. Quality assessment, using the STROBE and COREQ quality indexes, was further conducted for the included studies. Stressors were categorized, and then analyzed in light of the diagnostic characteristics of the populations in focus. Findings indicate that parents across all illness groups experience increased levels of parenting stress. Several categories were identified in accordance to the parenting stress model as follows: illness-related factors, parental factors, child characteristics, familial factors, and social factors. Further analysis has revealed distinct parental concerns within the groups deriving from the diagnostics, care demands, or social responses specific to each group. Theoretical and practical implications for Family-Systems Nursing Practice were further discussed. Future research and assessment of parenting stress should account for the illness course and address family needs within the specific context of the illness.
ISSN:2469-4193
2469-4207
2469-4207
DOI:10.3109/01460862.2015.1078423