Ong L C, Chandran V, Boo N Y
Department of Paediatrics, Faculty of Medicine, University Kebangsaan Malaysia, Jalan Raja Muda, Kuala Lumpur.
Acta Paediatr. 2001 Dec;90(12):1464-9. doi: 10.1080/08035250152708905.
A study was carried out to compare parenting stress between 116 mothers of very low birthweight (VLBW) children and 96 mothers of normal birthweight (NBW) children at 4 y of age, using the Parenting Stress Index (PSI). Multiple regression analysis was used to determine factors associated with child-domain stress (CDS) and parent-domain stress (PDS). There was a significantly higher proportion (39.7%) of mothers of VLBW children with high CDS scores >90th percentile than mothers of NBW children (20.8%). No significant differences were observed for PDS scores. Lower intelligence quotient (IQ) scores and adverse child behaviour, as evidenced by higher Child Behavior Checklist (CBCL) scores, were significantly associated with higher CDS scores (p < 0.001). Factors associated with higher PDS scores were higher CBCL scores (p < 0.001), mothers who were the primary caregivers (p < 0.001), male sex (p = 0.018) and lower level of maternal education (p = 0.048). These factors remained statistically significant even when physically and cognitively impaired children were excluded from the analysis.
Specific child characteristics and the social environment appear to have a greater impact on parenting stress than the biological risk of VLBW birth per se.
采用育儿压力指数（PSI）对116名极低出生体重（VLBW）儿童的母亲和96名正常出生体重（NBW）儿童的母亲在孩子4岁时的育儿压力进行了比较。多元回归分析用于确定与儿童领域压力（CDS）和父母领域压力（PDS）相关的因素。VLBW儿童的母亲中CDS得分高于第90百分位数的比例（39.7%）显著高于NBW儿童的母亲（20.8%）。PDS得分未观察到显著差异。较低的智商（IQ）得分和不良儿童行为（以较高的儿童行为检查表（CBCL）得分证明）与较高的CDS得分显著相关（p<0.001）。与较高PDS得分相关的因素包括较高的CBCL得分（p<0.001）、作为主要照顾者的母亲（p<0.001）、男性（p=0.018）和较低的母亲教育水平（p=0.048）。即使在分析中排除身体和认知受损的儿童，这些因素在统计学上仍具有显著意义。
特定的儿童特征和社会环境似乎比VLBW出生本身的生物学风险对育儿压力的影响更大。
