Custodial grandparenting: stresses, coping skills, and relationships with grandchildren.

This cross-sectional study compared three groups of custodial grandparents, those raising problematic grandchildren, those raising "normal" grandchildren, and noncustodial grandparents to identify the unique challenges and expectations faced by custodial grandparents due to their nontraditional roles while attempting to disentangle grandparental role demands from child-specific problems as sources of distress. Those grandparents raising grandchildren demonstrating neurological, physical, emotional, or behavioral problems exhibited the most distress, the most disruption of roles, and the most deteriorated grandparent-grandchild relationships. Although custodial grandparents raising apparently normal grandchildren demonstrated less distress, less disruption of roles, and less deterioration of the grandparent-grandchild relationship than those grandparents raising grandchildren displaying problems, in these respects, they still demonstrated higher such levels than did traditional grandparents.