Sherrie H Kaplan1,2, Marilou Shaughnessy3, Michelle A Fortier4,5,6, Marla Vivero-Montemayor7, Sergio Gago Masague8, Dylan Hayes9, Hal Stern10, Maozhu Dai11, Lauren Heim12, Zeev Kain13,12,5,14. 1. Health Policy Research Institute, University of California, 100 Theory Ste 110, Irvine, CA, 92697, USA. skaplan@uci.edu. 2. Department of Medicine, University of California, Irvine, USA. skaplan@uci.edu. 3. Newton Wellesley Hospital, Newton, MA, USA. 4. Sue & Bill Gross School of Nursing, University of California, Irvine, USA. 5. UCI Center on Stress & Health, University of California, Irvine, Irvine, USA. 6. Department of Pediatric Psychology, Children's Health Orange County, Orange, USA. 7. Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA. 8. Donald Bren School of Information and Computer Sciences, University of California, Irvine, USA. 9. Independent Animation Consultant, New York, NY, USA. 10. Department of Statistics, University of California, Irvine, USA. 11. Microsoft, Bellevue, WA, USA. 12. Department of Anesthesiology & Perioperative Care, University of California, Irvine, USA. 13. Health Policy Research Institute, University of California, 100 Theory Ste 110, Irvine, CA, 92697, USA. 14. Department of Pediatrics, Children's Health Orange County, Orange, USA.
Abstract
PURPOSE: The purpose of the study was to examine the contributions of parents' health and distress to parent's and children's assessments of children's health. METHODS: We used baseline data from a longitudinal study of 364 children (ages 4-12) about to undergo surgery and their parents in a Southern California pediatric hospital. We used the 20-item child self-reported CHRIS 2.0 general health and the parallel parent-reported measure of the child's health, along with a measure of parental distress about the child's health were administered in the perioperative period. Other measures included parents' physical and mental health, quality of life, distress over their child's health, and number and extent of other health problems of the child and siblings. RESULTS: On average, parents' reports about the child were consistently and statistically significantly higher than children's self-reports across all sub-dimensions of the CHRIS 2.0 measure. Parents' personal health was positively associated with their reports of the child's health. More distressed parents were closer to the child's self-reports, but reported poorer personal health. CONCLUSION: Parent-child differences in this study of young children's health were related to parental distress. Exploring the nature of the gap between parents and children in assessments of children's health could improve effective clinical management for the child and enhance family-centered pediatric care. Future studies are needed to assess the generalizability of CHRIS 2.0 to other health settings and conditions and to other racial/ethnic groups.
PURPOSE: The purpose of the study was to examine the contributions of parents' health and distress to parent's and children's assessments of children's health. METHODS: We used baseline data from a longitudinal study of 364 children (ages 4-12) about to undergo surgery and their parents in a Southern California pediatric hospital. We used the 20-item child self-reported CHRIS 2.0 general health and the parallel parent-reported measure of the child's health, along with a measure of parental distress about the child's health were administered in the perioperative period. Other measures included parents' physical and mental health, quality of life, distress over their child's health, and number and extent of other health problems of the child and siblings. RESULTS: On average, parents' reports about the child were consistently and statistically significantly higher than children's self-reports across all sub-dimensions of the CHRIS 2.0 measure. Parents' personal health was positively associated with their reports of the child's health. More distressed parents were closer to the child's self-reports, but reported poorer personal health. CONCLUSION: Parent-child differences in this study of young children's health were related to parental distress. Exploring the nature of the gap between parents and children in assessments of children's health could improve effective clinical management for the child and enhance family-centered pediatric care. Future studies are needed to assess the generalizability of CHRIS 2.0 to other health settings and conditions and to other racial/ethnic groups.
Authors: S Greenfield; S H Kaplan; R A Silliman; L Sullivan; W Manning; R D'Agostino; D E Singer; D M Nathan Journal: Diabetes Care Date: 1994-06 Impact factor: 19.112
Authors: David M Janicke; Kristen K Marciel; Lisa M Ingerski; Wendy Novoa; Kelly W Lowry; Bethany J Sallinen; Janet H Silverstein Journal: Obesity (Silver Spring) Date: 2007-07 Impact factor: 5.002