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<p>The study investigated the associations between psychosocial difficulties in Danish children with cerebral palsy (CP) and parental and family factors (stress, relationship attachment style, caregiver burden, social participation and perceived parental competence). Parents (<i>N</i> = 42; 27 mothers and 15 fathers) of 21 children with CP participated in a survey. Psychosocial difficulties were assessed using the Strengths and Difficulties Questionnaire (SDQ), while parental and family factors were measured using various scales including the Parenting Sense of Competence Scale (PSOC) and the Experiences in Close Relationships Scale (ECR-S). Analyzed were associations and mediating effects on the association between children´s psychosocial difficulties and parental and family factors. Abnormal total SDQ scores were reported by 18 (43.9%) and borderline scores by 13 (31.7%) of participants. Significant associations were found between SDQ scores and parental and family factors. Mediation analysis indicated that relationship attachment style and caregiver burden mediated the association between perceived parental competence and SDQ scores. Children with CP were at risk of psychosocial difficulties, which were linked to increased parental stress and caregiver burden, decreased social support, insecure relationship attachment styles, and lower perceived parental competence. The study suggests that family-focused interventions might be useful.</p>

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Associations between Psychosocial Difficulties among Children with Cerebral Palsy and Parental and Family Factors

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月23日

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  • Jesper Dammeyer,
  • Sofie Moen,
  • Louise Bøttcher

摘要

The study investigated the associations between psychosocial difficulties in Danish children with cerebral palsy (CP) and parental and family factors (stress, relationship attachment style, caregiver burden, social participation and perceived parental competence). Parents (N = 42; 27 mothers and 15 fathers) of 21 children with CP participated in a survey. Psychosocial difficulties were assessed using the Strengths and Difficulties Questionnaire (SDQ), while parental and family factors were measured using various scales including the Parenting Sense of Competence Scale (PSOC) and the Experiences in Close Relationships Scale (ECR-S). Analyzed were associations and mediating effects on the association between children´s psychosocial difficulties and parental and family factors. Abnormal total SDQ scores were reported by 18 (43.9%) and borderline scores by 13 (31.7%) of participants. Significant associations were found between SDQ scores and parental and family factors. Mediation analysis indicated that relationship attachment style and caregiver burden mediated the association between perceived parental competence and SDQ scores. Children with CP were at risk of psychosocial difficulties, which were linked to increased parental stress and caregiver burden, decreased social support, insecure relationship attachment styles, and lower perceived parental competence. The study suggests that family-focused interventions might be useful.