Abstract
Abstract
Background
Parental stress often arises when parenting demands exceed the expected and actual resources available for parents to succeed in the parenting role. Parental stress is an important contributor to parent-child relationships. This, in turn, affects opportunities to engage their children in stimulating activities which could improve their development outcomes. However, limited evidence exists from sub-Saharan Africa (SSA) on the association between parental stress, caregiving practices, and child developmental outcomes.
Methods
The findings reported in this paper were derived from data collected through previous longitudinal work on nurturing care evaluation studies in Kisumu and Nairobi Counties in Kenya, and Chisamba District in Zambia. A total of 341 caregivers and their children who participated in the three rounds of data collection were included in this study. The children’s mean age was 9.3 (SD = 8.2) months pre-intervention, 25.5 (SD = 8.6) months in mid-intervention, and 36 (SD = 10.0) months post-intervention. The Ages and Stages Questionnaire (ASQ), Parental Stress Scale (PSS), and caregiving tools were used to assess children’s developmental outcomes, parental stress, and stimulation practices, respectively. A Random Intercept Cross-Lagged Panel model (RI-CLPM) was used to determine the association between caregivers’ parenting stress, child stimulation practices, and child developmental outcomes.
Results
The findings showed that caregiver stimulation practices were positively associated with developmental outcomes. Findings on the associations between parental stress and caregivers’ stimulation practices and children’s developmental outcomes were not universally supported.
Conclusion
The findings show that improved caregiver stimulation practices are likely to improve children’s developmental outcomes. The policy implications of the findings from this study focus on improving parenting practices by addressing the predictors of parental stress. This includes subsidising childcare services to reduce costs.
Trial registration
Pan African Clinical Trials Registry (https://pactr.samrc.ac.za/) database (ID number: PACTR20180774832663 Date: 26/July/2018.
Funder
the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie
Baily Thomas Charitable Fund
the Data Driven Innovation and the UK Economic and Social Research Council
Publisher
Springer Science and Business Media LLC
Subject
General Psychology,General Medicine
Reference56 articles.
1. Abidin R, Flens JR, Austin WG. The parenting stress index. Forensic uses of clinical assessment instruments. edn. Mahwah, NJ, US: Lawrence Erlbaum Associates Publishers; 2006. pp. 297–328.
2. Lo CKM, Chen MT, Chen QQ, Chan KL, Ip P. Social, Community, and Cultural Factors Associated with parental stress in fathers and mothers. Int J Env Res Pub He 2023, 20(2).
3. Schroder M, Seker S, D’Huart D, Izat Y, Bolten M, Schmeck K, Schmid M. The relationship of temperament and character, parental stress, and Mental Health problems with attachment disorders among children. Int J Env Res Pub He 2022, 19(23).
4. Malaspina D, Corcoran C, Kleinhaus KR, Perrin MC, Fennig S, Nahon D, Friedlander Y, Harlap S. Acute maternal stress in pregnancy and schizophrenia in offspring: a cohort prospective study. BMC Psychiatry 2008, 8.
5. Wadhwa PD, Entringer S, Buss C, Lu MC. The contribution of maternal stress to Preterm Birth: issues and considerations. Clin Perinatol. 2011;38(3):351–.