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Parenting stress and interactive engagement behaviors in children with developmental delay
BACKGROUND: In clinical practice, the importance of interactive engagement behaviors is overlooked in children with developmental problems other than autism spectrum disorder (ASD). Parenting stress affects children’s development but lacks attention from clinicians. PURPOSE: This study aimed to iden...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Pediatric Society
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248317/ https://www.ncbi.nlm.nih.gov/pubmed/37211328 http://dx.doi.org/10.3345/cep.2023.00101 |
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author | Yeom, Jung Sook Kim, Rock Bum Cho, Jae Young Park, Ji Sook Park, Eun Sil Seo, Ji-Hyun Lim, Jae-Young Woo, Hyang-Ok |
author_facet | Yeom, Jung Sook Kim, Rock Bum Cho, Jae Young Park, Ji Sook Park, Eun Sil Seo, Ji-Hyun Lim, Jae-Young Woo, Hyang-Ok |
author_sort | Yeom, Jung Sook |
collection | PubMed |
description | BACKGROUND: In clinical practice, the importance of interactive engagement behaviors is overlooked in children with developmental problems other than autism spectrum disorder (ASD). Parenting stress affects children’s development but lacks attention from clinicians. PURPOSE: This study aimed to identify the characteristics of interactive engagement behaviors and parenting stress among non-ASD children with developmental delays (DDs). We also analyzed whether engagement behaviors affect parenting stress. METHODS: At Gyeongsang National University Hospital, between May 2021 and October 2021, we retrospectively enrolled 51 consecutive patients diagnosed with DDs in language or cognition (but not ASD) in the delayed group and 24 typically developing children in the control group. The Korean version of the Parenting Stress Index-4 and Child Interactive Behavior Test were used to assess the participants. RESULTS: The median age of the delayed group was 31.0 months (interquartile range, 25.0–35.5 months); this group included 42 boys (82.4%). There were no intergroup differences in child age, child sex, parental age, parental educational background, mother’s employment status, or marital status. Higher parenting stress (P<0.001) and fewer interactive engagement behaviors (P<0.001) were observed in the delayed group. Low parental acceptance and competence had the largest effects on total parenting stress in the delayed group. A mediation analysis revealed that DDs did not directly affect total parenting stress (β=3.49, P=0.440). Instead, DDs contributed to total parenting stress, which was mediated by children’s overall interactive engagement behaviors (β=57.30, P<0.001). CONCLUSION: Interactive engagement behaviors were significantly reduced in non-ASD children with DDs and significantly mediated parenting stress. The importance of parenting stress and interactive behaviors in children with DDs should be further examined in clinical practice. |
format | Online Article Text |
id | pubmed-10248317 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Pediatric Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-102483172023-06-09 Parenting stress and interactive engagement behaviors in children with developmental delay Yeom, Jung Sook Kim, Rock Bum Cho, Jae Young Park, Ji Sook Park, Eun Sil Seo, Ji-Hyun Lim, Jae-Young Woo, Hyang-Ok Clin Exp Pediatr Original Article BACKGROUND: In clinical practice, the importance of interactive engagement behaviors is overlooked in children with developmental problems other than autism spectrum disorder (ASD). Parenting stress affects children’s development but lacks attention from clinicians. PURPOSE: This study aimed to identify the characteristics of interactive engagement behaviors and parenting stress among non-ASD children with developmental delays (DDs). We also analyzed whether engagement behaviors affect parenting stress. METHODS: At Gyeongsang National University Hospital, between May 2021 and October 2021, we retrospectively enrolled 51 consecutive patients diagnosed with DDs in language or cognition (but not ASD) in the delayed group and 24 typically developing children in the control group. The Korean version of the Parenting Stress Index-4 and Child Interactive Behavior Test were used to assess the participants. RESULTS: The median age of the delayed group was 31.0 months (interquartile range, 25.0–35.5 months); this group included 42 boys (82.4%). There were no intergroup differences in child age, child sex, parental age, parental educational background, mother’s employment status, or marital status. Higher parenting stress (P<0.001) and fewer interactive engagement behaviors (P<0.001) were observed in the delayed group. Low parental acceptance and competence had the largest effects on total parenting stress in the delayed group. A mediation analysis revealed that DDs did not directly affect total parenting stress (β=3.49, P=0.440). Instead, DDs contributed to total parenting stress, which was mediated by children’s overall interactive engagement behaviors (β=57.30, P<0.001). CONCLUSION: Interactive engagement behaviors were significantly reduced in non-ASD children with DDs and significantly mediated parenting stress. The importance of parenting stress and interactive behaviors in children with DDs should be further examined in clinical practice. Korean Pediatric Society 2023-05-19 /pmc/articles/PMC10248317/ /pubmed/37211328 http://dx.doi.org/10.3345/cep.2023.00101 Text en Copyright © 2023 by The Korean Pediatric Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yeom, Jung Sook Kim, Rock Bum Cho, Jae Young Park, Ji Sook Park, Eun Sil Seo, Ji-Hyun Lim, Jae-Young Woo, Hyang-Ok Parenting stress and interactive engagement behaviors in children with developmental delay |
title | Parenting stress and interactive engagement behaviors in children with developmental delay |
title_full | Parenting stress and interactive engagement behaviors in children with developmental delay |
title_fullStr | Parenting stress and interactive engagement behaviors in children with developmental delay |
title_full_unstemmed | Parenting stress and interactive engagement behaviors in children with developmental delay |
title_short | Parenting stress and interactive engagement behaviors in children with developmental delay |
title_sort | parenting stress and interactive engagement behaviors in children with developmental delay |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248317/ https://www.ncbi.nlm.nih.gov/pubmed/37211328 http://dx.doi.org/10.3345/cep.2023.00101 |
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