title: Parenting Stress Related to Behavioral Problems and Disease Severity in Children with Problematic Severe Asthma.
abstract: Our study examined parenting stress and its association with behavioral problems and disease severity in children with problematic severe asthma. Research participants were 93 children (mean age 13.4 ± 2.7 years) and their parents (86 mothers, 59 fathers). As compared to reference groups analyzed in previous research, scores on the Parenting Stress Index in mothers and fathers of the children with problematic severe asthma were low. Higher parenting stress was associated with higher levels of internalizing and externalizing behavioral problems in children (Child Behavior Checklist). Higher parenting stress in mothers was also associated with higher airway inflammation (FeNO). Thus, although parenting stress was suggested to be low in this group, higher parenting stress, especially in the mother, is associated with more airway inflammation and greater child behavioral problems. This indicates the importance of focusing care in this group on all possible sources of problems, i.e., disease exacerbations and behavioral problems in the child as well as parenting stress.
authors.affiliation: Merem Netherlands Asthma Center, Davos, Switzerland. m.verkleij@vumc.nl.|Merem Asthma Center Heideheuvel, Hilversum, The Netherlands. m.verkleij@vumc.nl.|Department of Pediatric Psychology, VU University Medical Center, Reception L, PO Box 7057, 1007 MB, Amsterdam, The Netherlands. m.verkleij@vumc.nl.
authors.forename: Marieke
authors.initials: M
authors.lastname: Verkleij
authors.affiliation: DeKinderkliniek and Flevo Hospital, Almere, The Netherlands.
authors.forename: Erik-Jonas
authors.initials: EJ
authors.lastname: van de Griendt
authors.affiliation: Department of Pediatric Psychology, Emma Children's Hospital Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Vivian
authors.initials: V
authors.lastname: Colland
authors.affiliation: Department of Clinical & Health Psychology, Utrecht University, Utrecht, The Netherlands.|Association of Dutch Burns Centers, Beverwijk, The Netherlands.
authors.forename: Nancy
authors.initials: N
authors.lastname: van Loey
authors.affiliation: Merem Asthma Center Heideheuvel, Hilversum, The Netherlands.|Department of Rehabilitation, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Anita
authors.initials: A
authors.lastname: Beelen
authors.affiliation: Department of Clinical & Health Psychology, Utrecht University, Utrecht, The Netherlands.|Department of Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Rinie
authors.initials: R
authors.lastname: Geenen
mesh_terms: D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000150:complications* / Q000523:psychology; D002648:Child; D002653:Child Behavior Disorders / Q000150:complications* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000523:psychology*; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000523:psychology*; D013557:Switzerland
keywords: Asthma; Behavioral problems; Child; Parenting stress