title: Parental coping and activities during pediatric critical care.
abstract: OBJECTIVE
  To investigate the relationship of locus of control, parental age, and state anxiety to parental coping and activities performed during hospitalization of a child in a pediatric critical care center.
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  Pediatric critical care center at a university medical center.
  
  
  METHODS
  A convenience sample of 47 parents of 47 children hospitalized in a critical care center.
  
  
  METHODS
  Parental coping strategies and activities performed during hospitalization in a critical care center.
  
  
  RESULTS
  Older, more self-directed and less anxious parents were found to use coping strategies focusing on problem solving rather than on their emotional response to a child's hospitalization. Further, those who used the problem-focused coping modes were more likely to be involved in caring for the child, while parents who used emotion-focused coping modes participated less in care activities.
  
  
  CONCLUSIONS
  Appropriate strategies to bolster coping and reduce stress of parents need to be constantly reassessed because coping mechanisms vary according to parental age, locus of control, anxiety level, and parental involvement in child-care activities. More research is needed in the changes of parental coping mechanisms with time and child-care activity, to assess the benefits of interventions planned to encourage a problem-focused approach.
authors.affiliation: Vanderbilt University, School of Nursing, Nashville, TN 37240.
authors.forename: L L
authors.initials: LL
authors.lastname: LaMontagne
authors.forename: J T
authors.initials: JT
authors.lastname: Hepworth
authors.forename: R
authors.initials: R
authors.lastname: Pawlak
authors.forename: M
authors.initials: M
authors.lastname: Chiafery
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000451:nursing / Q000523:psychology*; D002648:Child; D002654:Child Care / Q000523:psychology*; D002673:Child, Hospitalized; D002675:Child, Preschool; D003422:Critical Care / Q000523:psychology*; D003430:Cross-Sectional Studies; D003674:Defense Mechanisms; D004644:Emotions; D004924:Escape Reaction; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D010290:Parents / Q000523:psychology*; D011340:Problem Solving; D012944:Social Support; D011795:Surveys and Questionnaires