Parental Stress in a Pediatric Ophthalmology Population
Sachin Kalarn, MD; Osamah Saeedi, MD; Clare DeLaurentis, BS; Janet Alexander, MD; Mary Louise Collins, MD; Allison Jensen, MD; Kristin Williams, RN; Saman Bhatti, CO; Justyna Szmolda, MS; Moran Levin, MD
Department of Ophthalmology and Visual Sciences; University of Maryland
Introduction: The purpose of our study was to characterize the impact of pediatric ophthalmic conditions on parental stress.
Methods: Parents who presented to pediatric ophthalmology were administered the Parental Stress Index Short Form. Demographic information and self-reported depression/anxiety were collected. Univariate analysis was performed.
Results: 116 parents were recruited. Mean percentiles for the total parental stress and subsections were: Total Stress 40.2 ± 25.6, Parental Distress (PD) 41.9 ± 25.5, Parent Child Dysfunctional Interaction (PCDI) 41.5 ± 25.1, and Difficult Child (DC) 42.5 + 26.6. Total Stress and PD percentiles of nonmarried vs married parents was 46.8 ± 23.6 vs 36.5 ± 26.0; 52.6 ± 24.6 vs 36.1 ± 24.1; p<0.05. Total stress, PD, and DC percentiles of parents with depression/anxiety vs those without was 47.0 ± 24.4 vs 36.9 ± 25.6; 51.8 ± 23.3 vs 37.2 ± 25.2; 49.3 ± 27.8 vs 39.2 ± 25.5; p <0.05. PD percentiles of parents with a high school education vs those with higher education was 48.9 ± 25.6 vs 39.4 ± 25.0; p<0.05.
Discussion: While our population did not reach the significant stress cutoff of 85%, we found that unmarried parents, those with depression/anxiety, or parents with lower education had significantly higher stress levels. These groups likely have underlying predisposition to increased stress. |
Conclusion: This study suggests that there is no significant difference in parental stress between the parents of pediatric ophthalmology patients and the general population. Providers of children with pediatric ophthalmic conditions should be aware of groups with potentially higher stress identified in this study.
References: Kim US, Park S, Yoo HJ, Hwang J-M. Psychosocial distress of part-time occlusion in children with intermittent exotropia. Graefes Arch Clin Exp Ophthalmol. 2013;251(1):315-319.
Johnson AO. Test Review: Abidin, R. R. (2012) “Parenting Stress Index, Fourth Edition” (“PSI-4”). Lutz, Florida: Psychological Assessment Resources. J Psychoeduc Assess. 2015;33(7):698-702.
Cousino MK, Hazen RA. Parenting Stress Among Caregivers of Children With Chronic Illness: A Systematic Review. J Pediatr Psychol. 2013;38(8):809-828.