title: Relationship of parental psychological distress to consequences of chronic health conditions in children.
abstract: OBJECTIVE
  To assess whether parents' self-reported psychological distress was related to consequences of chronic health conditions in their children as reflected by three domains: functional limitations, reliance on compensatory mechanisms, and service use above routine care.
  
  
  METHODS
  We used telephone survey data on children's health and parents' psychiatric symptoms from an inner-city community sample (n = 380) and a population-based national sample (n =398).
  
  
  RESULTS
  In the national sample, parents of children with functional limitations were more distressed than parents whose children experienced other types of condition consequences or none. In the inner-city sample, presence of a health condition was associated with greater parental distress, but there were no significant effects by consequence type.
  
  
  CONCLUSIONS
  Research needs to determine if parents of children with functional limitations represent a high-risk group and to identify the factors associated with their elevated distress.
authors.affiliation: Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York 10461, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Silver
authors.forename: L E
authors.initials: LE
authors.lastname: Westbrook
authors.forename: R E
authors.initials: RE
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009519:New York City; D010290:Parents / Q000523:psychology*; D012307:Risk Factors; D013315:Stress, Psychological / Q000523:psychology*; D014481:United States; D014504:Urban Health