Parental Stress and Parenting Patterns among Parents of Children and Adolescents with Psychiatric Disorders at Nakhon Nayok Hospital
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Abstract
Objective: To study the level of stress, parenting patterns, and factors associated with stress among parents of children and adolescent psychiatric patients at Nakhon Nayok Hospital.
Methods: This is a cross-sectional descriptive survey. Data were collected from parents of outpatients aged 6 - 18 at the child and adolescent psychiatry clinic, Nakhon Nayok Hospital, between June and December 2023. A total of 96 parents participated. Data on demographics of parents and their children as well as their family and treatment history were collected. The parental stress scale and the Alabama parenting questionnaire (Thai version) were used to assess stress levels and parenting patterns. Data was analyzed using t-tests, Pearson’s correlation, and multiple linear regression.
Results: Most of the parents were mothers (55.2%), and 60.4% were parents of children and adolescents diagnosed with attention deficit hyperactivity disorder (ADHD). The average parental stress score was 41.1 points. The most common parenting problem was parental involvement (56.1%). Factors associated with parental stress included having an underlying illness (p = 0.026). Moreover, negative parenting patterns were positively correlated with stress, whereas positive parenting patterns were inversely correlated with stress levels. In the multiple analysis, positive parenting paterrns, particularly positive parenting practices (p = 0.010) and parental involvement (p = 0.011), were significantly associated with lower parental stress.
Conclusion: Parents attending the child and adolescent psychiatry clinic should be screened for stress, especially those with underlying illnesses, as parental stress is associated with parenting patterns.
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