“…Two distinct groups of custodial grandparents exist: those whose difficulties primarily stem from the demands of the parenting role and those whose difficulties relate to a grandchild with developmental, emotional, or behavioral difficulties, the majority of which are male (Emick & Hayslip, 1999;Hayslip, Shore, Henderson, & Lambert, 1998;. Among this latter group, such difficulties are likely to exacerbate the challenges such grandparents face beyond those described previously (McKinney, McGrew, & Nelson, 2003;Kolomer, McCallion, & Overeynder, 2003), placing many at increased risk for depression, often to the detriment of their own physical health.…”