title: Risk factors for stress in children after parental stroke.
abstract: OBJECTIVE
  To assess risk factors for stress in children 3 years after parental stroke.
  
  
  METHODS
  Questionnaires were filled in by 44 children aged 7-18 years, parents who suffered a stroke and healthy spouses from 29 families recruited in 9 participating rehabilitation centers across the Netherlands.
  
  
  METHODS
  We measured patient functioning (cognitive disorders, communicative disorders and ADL dependency), parental depression and perceived quality of marital relationship at 4 assessments, from the start of rehabilitation until 3 years post-stroke. Children assessed their stress level 3 years after parental stroke.
  
  
  RESULTS
  Girls experienced more stress than boys. Spouses' depressive symptoms during the first year after stroke were positively correlated with stress in children. Patients' depressive symptoms 2 months post-rehabilitation (2 months after discharge from the rehabilitation center), 1 year and 3 years post-stroke were also positively correlated with stress in children. The perceived quality of marital relationship decreased over time and at 2 months post-rehabilitation, it was related to stress in children. Stress was not related to patient gender and functioning.
  
  
  CONCLUSIONS
  Early prediction of long-term stress in children after parental stroke may be most accurate on the basis of children's female gender and depressive symptoms of the patient.
authors.affiliation: Research Institute of Child Development and Education, Faculty of Social and Behavioral Sciences, University of Amsterdam, Nieuwe Prinsengracht 130, Amsterdam, the Netherlands. D.S.Sieh@uva.nl
authors.forename: Dominik Sebastian
authors.initials: DS
authors.lastname: Sieh
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Meijer
authors.forename: Johanna M A
authors.initials: JM
authors.lastname: Visser-Meily
mesh_terms: D000203:Activities of Daily Living / Q000145:classification / Q000523:psychology; D000293:Adolescent; D057189:Checklist; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000523:psychology; D016241:Child of Impaired Parents / Q000523:psychology*; D003072:Cognition Disorders / Q000523:psychology / Q000534:rehabilitation; D003147:Communication Disorders / Q000523:psychology / Q000534:rehabilitation; D003866:Depressive Disorder / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009426:Netherlands; D010290:Parents / Q000523:psychology*; D011379:Prognosis; D012047:Rehabilitation Centers; D012307:Risk Factors; D012737:Sex Factors; D018454:Spouses / Q000523:psychology; D013223:Statistics as Topic; D013315:Stress, Psychological / Q000523:psychology*; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires