Parental Expressed Emotion, Parenting Stress, and Behavioral Problems of Young Children with 22q11.2 Deletion Syndrome and Idiopathic Autism Spectrum Disorder

Serur, Yaffa; Sher‐Censor, Efrat; Sofrin-Frumer, Dafna; Daon, Keren; Sobol-Havia, Dolly; Weinberger, Ronnie; Shulman, Cory; Gothelf, Doron

doi:10.1007/s10578-021-01310-7

Cited by 9 publications

(5 citation statements)

References 62 publications

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“…Families who have prominent levels of anxiety, nervousness, unpleasant feelings, and expressed emotions experience cycles of sadness and dissatisfaction and perceive their caring situation as more stressful; all of these can cause a higher level of stress. These results are consistent with Seruret et al [7], who reported an association between parents' expressed emotions and their stress levels. Also, De Clercq et al [22] reported that more emotional over-involvement, more criticism, and fewer expressions of warmth were associated with higher levels of parenting stress.…”

Section: Discussionsupporting

confidence: 93%

“…These results are consistent with Seruret et al . [ 7 ], who reported an association between parents’ expressed emotions and their stress levels. Also, De Clercq et al .…”

Section: Discussionmentioning

confidence: 99%

“…The levels of EE in families with children with ASD have been linked to the behavioral problems of children, with negative dimensions of EE being associated with increased maladaptive behavior and decreased social interaction and communication. In contrast, positive dimensions of EE are associated with increased social interaction and communication and decreased maladaptive behavior [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Effect of counselling intervention on stress and expressed emotions among family caregivers of children with autism

Mahmoud,

Mourad,

Zaki

et al. 2023

JMedLife

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Parenting a child with autism represents an extraordinary challenge for families, resulting in prominent levels of stress and burden that subsequently affect their expressed emotions. This study aimed to evaluate the effect of counseling intervention on stress and expressed emotions among family caregivers of children with autism. The research used a pre-post interventional design, to evaluate 40 family caregivers of children with autism. The interviewing questionnaire assessed socio-demographic data, expressed emotions, and parenting stress, revealing that 57.5% of the evaluated family caregivers had severe stress pre-counseling, compared to 25% post-counseling intervention. Additionally, 80% of them had elevated levels of expressed emotions pre-counseling, compared to 32.5% during the post-counseling intervention. Most family caregivers of children with autism experienced significant levels of expressed emotions, and over half of them had severe levels of stress. However, these levels decreased following the implementation of the counseling interventions. Furthermore, there were highly statistically significant correlations between the total levels of expressed emotions and total stress levels among family caregivers before and after the implementation of the counseling intervention.

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Section: Discussionsupporting

confidence: 93%

“…These results are consistent with Seruret et al . [ 7 ], who reported an association between parents’ expressed emotions and their stress levels. Also, De Clercq et al .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of counselling intervention on stress and expressed emotions among family caregivers of children with autism

Mahmoud,

Mourad,

Zaki

et al. 2023

JMedLife

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“…While Jensen showed that DS caregivers increasingly feel they are not understood by their families [ 11 ], Desnous et al reported that 89% of DS parents declared that their children’s fever and seizures damaged their social interactions, and for 84% they had detrimental effect on their professional life [ 48 ]. Thus, although many caregivers of children with other neuro-developmental disorders also report that caregiving seriously affects their relationships with spouse/partner, healthy children and members of the extended family, it was suggested that in case of DS children these proportions are similar or even higher [ 41 , 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Caring for Children with Dravet Syndrome: Exploring the Daily Challenges of Family Caregivers

Domaradzki,

Walkowiak

2023

Children

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While Polish studies focus on the symptoms, causes and treatment of people suffering from Dravet syndrome (DS), much less is known about the situation of the family caregivers of DS children. This study was designed to explore the experiences, daily challenges and needs related to caring for DS children. An anonymous self-administered online questionnaire was developed. The survey was completed by 75 family caregivers affiliated with the Association for People with Severe Refractory Epilepsy DRAVET.PL on Facebook. Most caregivers felt burdened by their children’s reduced mobility (57.3%), mood swings (57.3%), lack of access to rehabilitation and medicine (56%) and healthcare expenses (50.7%). Caregivers also complained of a lack of time to themselves (76%) and work restrictions resulting from caregiving (72%). They consequently reported experiencing fatigue (84%), a deterioration of mental health (60%) and intimacy problems with their spouse/partner (53.4%). An important source of strain was a prolonged diagnostic odyssey and the constant struggle over the healthcare services for DS children. Since DS caregivers’ problems and needs are often overlooked, they may be described as the forgotten people in DS. Healthcare professionals should be educated about the challenges related to caring for DS child, psycho-social status and coping resources of DS caregivers, and should focus on identification, monitoring and supporting caregivers’ physical and mental well-being and needs.

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“…The other group of studies has employed the gene-environment interaction (GxE) approach, with an interaction term between 22q11DS status and specific environmental factors, in case-control samples. These studies have investigated the moderating effects of activity-related stress on cortisol reactivity [ 38 ], parental expressed emotions on children’s behavioural problems [ 36 ], SES on cognition [ 37 ], and daily-life stressors on affective and psychotic reactivity [ 18 ]. However, among these studies, only one had a significant interaction effect.…”

Section: Between-group Studiesmentioning

confidence: 99%

Environmental Influences on the Relation between the 22q11.2 Deletion Syndrome and Mental Health: A Literature Review

Snihirova

Linden

Amelsvoort

et al. 2022

Genes

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22q11.2 deletion syndrome (22q11DS) is a clinically heterogeneous genetic syndrome, associated with a wide array of neuropsychiatric symptoms. The clinical presentation is likely to be influenced by environmental factors, yet little is known about this. Here, we review the available research literature on the role of the environment in 22q11DS. We find that within-patient design studies have mainly investigated the role of parental factors, stress, and substance use, reporting significant effects of these factors on the clinical profile. Case-control studies have been less successful, with almost no reports of significant moderating effects of the environment. We go on to hypothesize which specific environmental measures are most likely to interact with the 22q11 deletion, based on the genes in this region and their involvement in molecular pathways. We end by discussing potential reasons for the limited findings so far, including modest sample sizes and limited availability of environmental measures, and make recommendations how to move forward.

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Parental Expressed Emotion, Parenting Stress, and Behavioral Problems of Young Children with 22q11.2 Deletion Syndrome and Idiopathic Autism Spectrum Disorder

Cited by 9 publications

References 62 publications

Effect of counselling intervention on stress and expressed emotions among family caregivers of children with autism

Effect of counselling intervention on stress and expressed emotions among family caregivers of children with autism

Caring for Children with Dravet Syndrome: Exploring the Daily Challenges of Family Caregivers

Environmental Influences on the Relation between the 22q11.2 Deletion Syndrome and Mental Health: A Literature Review

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