ArticleChildren (Basel, Switzerland)2022
The Associations of Child's Clinical Conditions and Behavioral Problems with Parenting Stress among Families of Preschool-Aged Children: 2018-2019 National Survey of Child Health.
Article in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Impact of COVID-19 on emotional and behavioral problems among preschool children: a meta-analysis.BMC pediatrics · 2024Pooled it
- Relations between mind-mindedness, stress and parent-child relationship quality in parents of children with a history of mental health or behavioural difficulties.The British journal of developmental psychology · 2026Article
- Linking Socio-Behavioral Health and Accelerometer Wear Time in Caregiver-Preschooler Dyads: The Moderating Role of Coping Strategies.Mental health and physical activity · 2026Article
- Am I wrong? I'm never wrong: the relationship between Dark Triad, child-parent conflict, parental burnout, and perceived social support in a sample of Japanese parents.Current issues in personality psychology · 2026Article
- Parenting Stress, Community Support, and Unmet Health Care Needs of Children in the US.Maternal and child health journal · 2024Article
- Examination of physical activity development in early childhood: protocol for a longitudinal cohort study of mother-toddler dyads.BMC pediatrics · 2023Article
- Parents' personality, parenting stress, and problem behaviors of children with special needs in China before and during the COVID-19 pandemic.Current psychology (New Brunswick, N.J.) · 2022Article
- The Association Between Early Family Social Stressors and Emotional Well-Being Among Infants and Toddlers.Academic pediatricsArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To understand parental stress resulting from parenting young children, the current literature has primarily focused on families of children with clinical conditions, but has placed far less attention on the general population. The aim of this study was to examine parenting stress related to children's clinical conditions and behavioral problems in a nationally representative sample of US children aged 3 to 5 years. The study sample included 8454 children aged 3 to 5 years and their parents who participated in the 2018-2019 US National Survey of Child Health (NSCH). Using online/paper NSCH questionnaires, parents reported their children's special health care needs (SHCN), clinically diagnosed mental, emotional, developmental, and behavioral (MEDB) problems (e.g., anxiety problem, developmental delay), and externalizing behaviors. Parents also reported the frequency of feeling aggravated from parenting the participating child as an indicator of elevated parenting stress. In the sample, the prevalence of elevated parenting stress was 5.1% overall (95% CI = 4.2, 6.0); however, it was significantly higher among parents of children with SHCN (20.8%; 95% CI = 16.7, 24.9), with MEDB problems (24.8%; 95% CI = 19.9, 29.8), and with externalizing behavior problems (14.7%; 95% CI = 11.8, 17.6). A multivariable logistic regression model showed that elevated parenting stress was associated with the child's SHCN (adjusted odds ratio [AOR] = 2.3; 1.3, 3.9), MEDB problems (AOR = 4.8; 95% CI = 2.5, 9.1), and externalizing behavior problems (AOR = 5.4; 95% CI = 3.1, 9.4). Even in children without SHCN or MEDB problems, externalizing behavior problems were associated with elevated parenting stress (AOR = 6.4; 95% CI = 3.3, 12.7). The findings call for greater attention to subclinical or yet to be diagnosed externalizing behavior problems among the general preschool-aged child population and their underestimated impact on parenting stress.
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