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This study aims to examine the impact that diagnostic factors such as duration of diagnostic period, number of professionals consulted and perceived social support have on parental stress during the diagnostic process of autism spectrum disorder (ASD).

Forty parents of 2–18 year-old children/adolescents with a formal ASD diagnosis recruited from five specialized private clinics in Lisbon completed a survey which included diagnostic questionnaire, parental stress scale and social support scale from April to December 2022.

Data analysis indicated that the mean age of the diagnosis was 5.6 years with a delay of 3.95 years from first concern until final diagnosis. On average, parents consulted a mean of 3.62 professionals. Other findings indicated that as age of parents increased, levels of parental stress decreased. Parents with higher levels of social support had lower levels of parental stress. Furthermore, higher age of child at first concern predicted higher affective social support.

This study reflects on the experience of obtaining the ASD diagnosis in Portugal, raising awareness on the importance of providing early detection and social support for distressed parents.

This study focused on parents' health anxiety by proxy about their children when they started learning online during the COVID-19 pandemic, to explore the impact of academic stress by parent-proxy on parents' learning support services with the mediating role of health anxiety by parent-proxy and the moderating role of parental educational level.

In total, 8,940 primary school students' parents participated in the study. Bootstrapping was performed to test the constructed model.

(1) Academic stress by parent-proxy positively predicted health anxiety by parent-proxy. (2) Health anxiety by parent-proxy significantly positively predicted learning support services. (3) Academic stress by parent-proxy also significantly positively predicted learning support services. (4) Academic stress by parent-proxy positively predicted parents' learning support services through the mediating effect of health anxiety by parent-proxy. (5) Parental educational level moderated the relationship between academic stress by parent-proxy, health anxiety by parent-proxy, and learning support services. Academics and parents will benefit from the conclusions of this study in both theory and practice.

During the COVID-19 pandemic, offline learning has been replaced with online learning, which has brought with it many physical and mental health problems, including additional academic stress. Most studies on learning support services have focused on offline learning. However, this study explored the relationships between academic stress by parent-proxy, health anxiety by parent-proxy, learning support services, and parental educational level in the context of online learning. Results show that it is necessary to pay attention to academic stress and health to provide children with appropriate learning support services.

Introduction: The birth of a preterm child requires hospitalization in a neonatal intensive care unit (NICU), which is a very stressful experience for parents. Aim: To determine the stress level of parents of preterm babies admitted to intensive and sub-intensive units in two hospitals in Northern Italy and its association with their sociodemographic variables and the clinical conditions of their newborns.

The sampling was non-probabilistic and included parents of preterm babies admitted to intensive and/or sub-intensive care for at least 10 days. Instruments: (1) information deduced from the clinical record of preterm newborns; (2) sociodemographic determinants of parents' well-being deduced from a questionnaire; (3) parental stress scale: neonatal intensive care unit (PSS:NICU), which measures the perception of parents about stressors from the physical and psychological environment of the NICU.

Results: A total of 104 parents of 59 hospitalized preterm babies participated in the study. The average parental stress level was 1.87 ± 0.837. The subscale score that got higher was parent-infant relationship subscale. Concerning the infant characteristics, the birth weight of the babies and the length of their hospitalization affected the parents' stress level. Looking at parents' sociodemographic characteristics instead, the greater predictors were gender, age and occupational social class.

The parental role alteration caused by infant premature birth and consequent hospitalization is a major stressor for parents and in particular for mothers. The variables that resulted positively associated with higher stress in parents of preterm infants hospitalized are specific parental characteristics, including not adequately or previously studied ones, and infant characteristics.

In the US, approximately 70% of mothers and 93% of fathers with children who are under 18 years are in the paid labor force, and studies have documented that employed parents with young children often experience high levels of stress as they attempt to manage or balance the demands of their work and family roles. The current study focused on factors associated with observed variability in reports about work–family stress and considered the roles of parenting stress, child characteristics, as well as conflict with the other parent. Prior research has shown that parenting a more “difficult” child is a source of parenting stress, but such studies have not focused specifically on work–family conflict as a consequential outcome, have tended to be limited to older parents, and often have focused only on mothers. We also investigated the role of partner disagreements about assistance with parenting responsibilities as a further complication to family life that may influence perceived work–family stress among co-residential parents. Drawing on data from employed young adult parents, the Toledo Adolescent Relationships Study (TARS) (n=263), we found that having a child perceived as more difficult was associated with greater work–family stress. Among co-residential parents, stress but not parenting disagreements with the other parent was associated with greater work–family stress. The findings highlight the importance of providing institutional and informal support to such parents.

The purpose of this paper is to compare the effectiveness of directive programmes led by professionals where parents were taught specific parenting knowledge and strategies (Triple P – Positive Parenting Program) and non-directive parenting programmes in the form of mutual-aid support group as a universal prevention programme.

This study employed a randomised controlled trial design. Participants included 92 Hong Kong Chinese parents with preschool children recruited from eight kindergartens and a local church. They were randomised into Group Triple P, non-directive group and control group. They completed measures on their perception of child behaviour problems and their parental stress before and after intervention.

At post-intervention, results indicated significantly greater decrease in child disruptive behaviours among participants in the Triple P group than those in the non-directive group and control group while no significant group difference was found between the latter two groups. No significant difference was found in post-intervention parental stress level among the three groups.

This study provides empirical evidence to demonstrate the effectiveness of a directive parenting programme vs a non-directive one.

Bereaved parents often face the complex situation of managing their own grief while parenting bereaved children who are at increased risk of social, emotional and behavioural difficulties. The current evaluation was a pilot study aimed at determining the feasibility of the Incredible Years (IY) BASIC parenting programme as an intervention for bereaved families.

A total of seven parents of children (aged four to 12) participated in a 12‐week IY BASIC parenting programme. Participants completed a range of pre‐intervention, post‐intervention, six month follow‐up measures and semi‐structured interviews.

The results showed statistically significant reductions in parental stress, parental wellbeing, child behaviour problems, and grief.

There is strong evidence for the effectiveness of IY with diverse parenting populations but this is the first known study of the programme with bereaved families. The findings support its use with such families where child behaviour is a concern.

In this chapter, we present the results of a study designed to investigate: (a) the family relations of children with attention-deficit hyperactivity disorder (ADHD), (b) the sources of stress parents in families of children with this disorder experience and (c) the possible modulating role that ADHD subtype and comorbid oppositional defiant disorder (ODD) have on parenting stress level. One hundred and sixty seven families, divided into two groups, an ADHD group (N=114) and a control group (N=53), participated in the study. Parents of both groups completed a Semi-Structured Interview that gathered information on socio-demographics, family structure and the presence of oppositional behaviour symptoms, as well as the Parenting Stress Index Questionnaire (Abidin, 1990) to evaluate parent stress. The results showed that the relations of children with ADHD with their parents and siblings were significantly more tense than those of children without this disorder with their families. Parenting stress was higher in parents with ADHD children than in parents of non-ADHD children in most scales relating to parent personal variables, with even more sharp differences in measures of parenting stress that are triggered by the child's behaviour. Finally, our results evidenced how the ADHD subtype and ODD comorbidity influence the level of stress in parents. The results of the study suggest that interventions focused only on the behaviour of ADHD children are not likely to improve the developmental course of the disorder in the long run.

Behavioural parent training (PT) interventions partially mediate risk factors for the development of child behavioural problems. Mindfulness skills could have benefit in alleviating the impact of these risk factors for parents who are socio-economically disadvantaged. The paper aims to discuss these issues.

A pre-post single group comparison of disadvantaged mothers attending the Mindfulness-Based Wellbeing for Parents (MBW-P) programme.

Changes were observed in facets of parental stress (Parenting Stress Index-Short Form; Abidin, 1995), depression (Beck Depression Inventory-II; Beck et al., 1996) and brooding (Ruminative Responses Scale; Nolen-Hoeksema and Morrow, 1991), with moderate to large effect sizes and incidences of clinical change.

The research design, although pragmatic, includes a small sample and no control or long-term comparison group.

Mothers considered as the “hardest to reach” group in terms of vulnerability, risk factors and being likely to gain from intervention demonstrated positive shifts post-intervention. A targeted mindfulness-based intervention, delivered pragmatically within a health service context, may have benefit in reducing the impact of risk factors on parental wellbeing.

To the authors’ knowledge, this is the first evaluation of a targeted mindfulness group delivered within routine health care settings, in identified “high risk” areas, by routine staff.

The main aim of this study is to explore characteristics of parents who signed up for parenting classes offered to the universal population and their reasons for participation.

Data were obtained from parents in a study on parent training for children aged two to eight years (n=189), and a follow up survey on these parents (n=118).

Parents had high education, were married, and employed in full time jobs. The mean age of the children was under four years, and their Intensity and Problem scores on ECBI were higher than the Norwegian mean scores for their age group. Parent stress, parental concern, and parenting practices predicted the ECBI Intensity scores to a rather large extent.

Parents with high SES risk factors may not come forward to participate in face‐to‐face mental health promotion interventions even if the parenting intervention is offered in a non‐stigmatising way.

By offering a universal health promoting and preventive parent training service in the community, a large proportion of children with behaviour problems were identified and referred to treatment. This demonstrates how parent training services, offered to the universal population, may contribute to increase the reach for the youngest children in need of treatment.

Behavior problems are common in toddlers and preschoolers. Richman, Stevenson, and Graham (1975) identified difficulties with eating, sleeping, toileting, temper, fears, peer relations, and activity as typical in this young population. While all young children should be expected to experience behavior problems as part of their normal development, an ongoing challenge in the field has been to determine when these “normal” developmental problems rise to the level of being considered “clinical” behavior problems (Keenan & Wakschlag, 2000). For example, when does a two-year-old child's tantrum behavior, a three-year-old's urinary accidents, and a four-year-old's defiance become clinically significant? To answer these questions, clinicians must examine the frequency, intensity, and durability of these difficulties, their potential to cause injury to the child or others, the extent to which they interfere with the child development, and the degree to which they disrupt the lives of their siblings, caregivers, peers, teachers, and others.