The Association Between Parent PTSD/Depression Symptoms and Child PTSD Symptoms: A Meta-Analysis.
MENTAL depression; POST-traumatic stress disorder; FAMILIES; INTERPERSONAL relations; PARENT & child
Objective The present article presents a meta-analysis of studies examining the association between parent posttraumatic stress disorder (PTSD)/depression symptoms and child PTSD symptoms (PTSS) after a child’s exposure to a traumatic event while considering multiple moderating factors to explain heterogeneity of effect sizes. Methods 35 studies were included: 32 involving the association between parent and child PTSS and 9 involving the association between parent depression and child PTSS. Results Across existing studies, both parent and child PTSS (r = 0.31) and parent depression and child PTSS (r = 0.32) yielded significant effect sizes. Parent gender, assessment type (interview vs. questionnaire), differences in assessment type for parents and children, and study design (cross-sectional vs. longitudinal) moderated the relationship between parent and child PTSS. Conclusions The current findings confirm the associations between parental posttraumatic responses and child PTSS and highlight important moderating factors to include in future studies of child PTSS. [ABSTRACT FROM AUTHOR]
Morris Adam; Gabert-Quillen Crystal; Delahanty Douglas
Journal of Pediatric Psychology
2012
2012-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1093/jpepsy/jss091" target="_blank" rel="noreferrer noopener">10.1093/jpepsy/jss091</a>
The Indirect Effect of Positive Parenting on the Relationship Between Parent and Sibling Bereavement Outcomes After the Death of a Child.
*Bereavement; *Death; *Parent-Child Relations; Adolescence; Adolescent; Bereavement; Child; Death; Depression; family focused care; Female; Human; Humans; Male; parent distress; Parent-Child Relations; Parenting; Parenting/*psychology; Parents – Psychosocial Factors; Parents/*psychology; positive parenting; Post-Traumatic; Psychiatric Status Rating Scales; Psychological Tests; Siblings – Psychosocial Factors; Siblings/*psychology; Stress Disorders
CONTEXT: Families are referred to pediatric palliative care (PPC) programs when a child is diagnosed with a medical condition associated with less than a full life expectancy. When a child dies, PPC programs typically offer a range of bereavement interventions to these families, often focusing on parents. Currently, it is unclear which factors increase the likelihood that bereaved siblings will experience negative outcomes, limiting the development of empirically supported interventions that can be delivered in PPC programs. OBJECTIVES: The present study explored the relationship between parents' and surviving sibling's mental health symptoms (i.e., post-traumatic stress disorder [PTSD], prolonged grief disorder (PGD), and depression symptoms) after a child's death. Additionally, the extent to which parent functioning indirectly impacted sibling functioning through parenting behaviors (i.e., positive parenting and parent involvement) was also examined, with a specific focus on differences based on parent gender. METHODS: Sixty bereaved parents and siblings (aged 8-18) who enrolled in a PPC program from 2008 to 2013 completed measures of PTSD, PGD, and depression related to the loss of a child/sibling. Siblings also completed a measure of general parenting behaviors. RESULTS: Maternal, but not paternal, symptoms of PTSD and PGD were directly associated with sibling outcomes. Paternal symptoms were associated with sibling symptoms indirectly, through parenting behaviors (i.e., via decreasing positive parenting). CONCLUSION: These results underscore the importance of examining both maternal and paternal influences after the death of a child, demonstrate differential impact of maternal vs. paternal symptoms on siblings, and stress the importance of addressing postloss symptoms from a family systems perspective.
Morris Adam T; Gabert-Quillen Crystal; Friebert Sarah; Carst Nancy; Delahanty Douglas L
Journal of pain and symptom management
2016
2016-01
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.jpainsymman.2015.08.011" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2015.08.011</a>