African-American Grandmother Carers of Children with Disabilities

Abstract

Estimates are that one in ten grandparents will take on the role of primary carer to a grandchild for at least six months before the child is age 18, including a child with a developmental delay or disability. This article reviews the current literature on grandparent caregiving with particular attention to African-American grandmother carers and discusses stressors and reports of elevated symptoms of depression among them. The demographics of a sample of 145 African-American grandmothers of children with a developmental disability are reported here as well as the result of a logistic regression analysis of a model of predictors of elevated (above a score of 16 on the CES-D) symptoms of depression. Being younger than age 60, not working outside of the home, not being married, and having no further than secondary school education, were all found to be significant predictors of elevated symptoms of depression in this sample of African-American grandmothers. Interventions for this group of carers must take into account their potential for depression and health problems, economic circumstances, and lack of knowledge of financial and other assistive resources.     

Factors associated with the positive well-being of grandparents caring for their grandchildren

Prior research on grandparent caregivers has focused on stress, depression, and other negative outcomes. This paper describes research on factors that are associated with grandparents' positive well-being. In particular, it investigated the extent to which the perception of grandparental stress and grandparents' resources are associated with grandparents' well-being, after controlling for sociodemographic and health factors. A sample of 129 grandparents had individual interviews. Using a hierarchical block multiple regression analysis, the authors found that a low perception of stress related to caring for grandchildren and resources were responsible for a high level of wellbeing. The findings of this study suggest that social workers can best help grandparent caregivers by lowering their perception of stress and enhancing their informal supports and community resources. This can be incorporated into supportive, strengths-based individual or family counseling.     

Contributors to well-being of Chinese left-behind families: A dyadic perspective from family resilience and grandparent–grandchild relationship

There is evidence that grandchildren and grandparents in Chinese left-behind families (CLBF) suffer from immense life stressors. The well-being of both generations is of great concern. Guided by the family adjustment and adaptation response model and ecological model of well-being, the present study aimed to investigate the dyadic associations between family resilience and subjective well-being (SWB) of left-behind grandchildren and grandparents. Furthermore, we explored the extent to which relationship quality accounts for such reciprocal associations. A sample of 130 left-behind grandparent–grandchild (GP–GC) pairs completed self-reported questionnaires. Actor–partner interdependence model (APIM) revealed that both grandchildren's and grandparents' reported family resilience positively associated with their own SWB but not the other's SWB. Grandchildren's and grandparents' perceived relationship quality mediated the association between their perceived family resilience and their own SWB. Moreover, grandchildren-perceived relationship quality mediated the association between grandchildren-perceived family resilience and grandparents' SWB. Meanwhile, grandparent-perceived relationship quality mediated the association between grandparent-perceived family resilience and grandchildren's SWB. The findings highlighted the significance of family resilience and relationship quality in boosting the two generations' SWB in CLBF. The results also suggested that left-behind grandchildren and their grandparents depend on each other. Future intervention programs could be benefitted from integrating the enhancement of family resilience and improvement of grandparent–grandchild relationship quality to promote the well-being of left-behind family members.     

Parenting a 6-Year Old Is Not What I Planned in Retirement: Trauma and Stress among Grandparents Due to the Opioid Crisis

ABSTRACT

There is little research about trauma, financial stress, and social service needs emanating from the experience of parenting grandchildren caused by the opioid crisis in the United States. We conducted a qualitative study with 15 grandparents who currently or in the past had custodial care of their grandchildren. We also interviewed nine issue-related stakeholders in Eastern Massachusetts. Specific inquiries centered on events leading up to a change in guardianship, stressors related to legal, financial, and family issues, and system-wide response to the grandparents’ needs. Results indicate that the opioid crisis presents distinct challenges for the grandparent-led families and for the systems that serve the new family arrangement. Crisis triggers a change in guardianship and continues throughout the years. The continued crises stem from events related to the parent’s opioid use disorder (OUD) and from expenses related to raising a young family, especially when the grandchild has adverse childhood experiences. Our analysis shows that systems break down on a number of levels, and the fluidity of custodial arrangements due to parents’ OUD status does not map onto existing support or benefit systems. Policy responses must focus on the immediate and long-term needs of grandparent caretakers, especially since the opioid crisis is likely to continue.     

What factors may assist social workers to promote life satisfaction and personal growth among first‐time grandfathers?

Drawing on positive psychology and the perception of families as systems, the current study examined the contribution of variables regarding first‐time grandfathers and their sons, who have become first‐time fathers, to grandfathers' life satisfaction and personal growth. In addition, the association between the frequency of meetings between grandfather and grandchild to grandfathers' life satisfaction and personal growth was examined. The sample consisted of 106 pairs of first‐time Jewish Israeli grandfathers and their sons (n = 212). The grandfathers completed questionnaires relating to personal variables such as narcissism, family relations and frequency of meetings with the grandchild, and reported on their sense of life satisfaction and personal growth. The fathers completed questionnaires relating to personal variables, narcissism and family relations. Higher levels of grandfathers' life satisfaction were associated with their own perception of good family relations; higher levels of grandfathers' personal growth were related to their narcissism. The grandfather's perception of the frequency of meetings with the grandchild was found to moderate between the father's narcissism and the grandfather's life satisfaction and personal growth. The findings point to the crucial role social workers may play in enhancing life satisfaction and enabling personal growth through dedicated intergenerational interventions.     

Grandparents raising grandchildren: negotiating the complexities of role‐identity conflict

The purpose of this qualitative study was to better understand the experience of grandparents who are raising their grandchildren in New South Wales, Australia. In‐depth interviews were conducted with 34 grandparents and their narratives transcribed and studied using paradigmatic analysis to reveal common themes among the stories told. Identity theory further informed the discussion of these findings. Woven throughout the grandparent narratives is a story of paradox – of experience simultaneously made up of pain/pleasure, myth/reality, inclusion/exclusion, being deserving/undeserving, visible/invisible and voiced/silenced. The findings signal a significant role‐identity conflict for grandparents who are parenting grandchildren. This study points to the need for policy and practice that more closely reflects the complexity of experience associated with the grandparent‐as‐parent role.     

Perceptions of Caregiving Role by Son's Caring for a Parent with Alzheimer's Disease

Abstract

In this qualitative study, 18 sons were interviewed about the factors that led them to assume the role of primary caregiver for a parent with progressive memory loss, such as Alzheimer's disease, as well as the personal challenge that they experienced in this role. The analysis demonstrated that sons experience a range of emotional reactions, personal and professional conflict, as well as learn about new roles and responsibilities as they attempt to access the needed services for their parent. Clinical recommendations for geriatric social workers are discussed.     

Pacific Islands Families Study: Factors associated with living in extended families one year on from the birth of a child*

Abstract

Using data from the “Pacific Islands Families: the first two years of life (PIF) study”, this paper explores the factors associated with the living arrangements of mothers with a one‐year‐old Pacific child. Three living arrangements are considered: (1) those children who live with immediate family members only; (2) children who live with extended family members including at least one of their grandparents; and (3) children who live with extended family members but do not live with any of their grandparents. Findings of interest include: mothers who were born in New Zealand are much more likely to live in an extended family with the child's grandparent(s) compared to those who came to New Zealand as an adult; and mothers with high New Zealand identity and low Pacific identity being more likely to live with extended family members other than the child's grandparent(s) relative to those with low New Zealand and high Pacific identity.     

Marital Conflict and Children's Adjustment: Parental Hostility and Children's Interpretations as Mediators

The associations between marital conflict, maternal and paternal hostility, children's interpretations of marital conflict, and children's adjustment were examined in a sample of 136 school‐aged children and their parents. Observational measures were collected from videotapes of marital interaction and family interaction. Self‐report data were collected from parents and children. Results showed that mothers’ and fathers’ hostility mediated the association between martial conflict and children's internalizing and externalizing behavior problems. Children's feelings of being to blame for marital conflict and being threatened by it mediated between marital conflict and children's internalizing problems but not their externalizing problems.     

Child well-being in the context of family harmony: Parental marital relationship as mediator and parent–child attachment style as moderator

Extant research in Western countries have indicated that children's well-being may be influenced by children's own resilience, parent–child attachment, and parental marital relationship. Yet, there is very little research in Malaysia on how these factors may influence well-being among children in middle childhood. The aim of this study, therefore, was to explore the relationships among children's self-efficacy—a resilience factor—and well-being, parental marital relationship, and parent–child attachment style. The study used a quantitative, cross-sectional survey method. Participants were 955 Malay-Malaysian children aged 11 years from intact families. They responded to a questionnaire on demographic background, self-efficacy, well-being, parental harmony and conflict, and parent–child attachment style. Moderated mediation analysis indicated that (i) parental harmony was a significant mediator for the relationship between children's self-efficacy and well-being; (ii) parental conflict was not a significant mediator for the relationship between children's self-efficacy and well-being; and (iii) parent–child attachment style was a significant moderator for the relationship between children's self-efficacy and well-being. These findings are discussed within the frameworks of optimal child development and family relationship. These findings may also inform policies such as Malaysia's Sustainable Development Goal 3 (SDG 3) and National Family Policy.     

Identifying Mother–child Interaction Styles Using a Person‐centered Approach

Parent–child conflict in the context of a supportive relationship has been discussed as a potentially constructive interaction pattern; the current study is the first to test this using a holistic analytic approach. Interaction styles, defined as mother–child conflict in the context of maternal sensitivity, were identified and described with demographic and stress‐related characteristics of families. Longitudinal associations were tested between interaction styles and children's later social competence. Participants included 814 partnered mothers with a first‐grade child. Latent profile analysis identified agreeable, dynamic, and disconnected interaction styles. Mothers' intimacy with a partner, depressive symptoms, and authoritarian childrearing beliefs, along with children's later conflict with a best friend and externalizing problems, were associated with group membership. Notably, the dynamic style, characterized by high sensitivity and high conflict, included families who experienced psychological and relational stressors. Findings are discussed with regard to how family stressors shape parent–child interaction patterns.     

Relationships with Grandparents and the Emotional Well-Being of Late Adolescent and Young Adult Grandchildren

We investigated whether and under what family conditions young adult grandchildren psychologically benefit from having close and supportive grandparent relations. Relying on parental absence and family systems perspectives, we hypothesized that grandparents will be most effective in reducing depressive symptoms and increasing self-esteem of grandchildren who were raised in single-parent and step-parent families, as well as those with poorer quality relations with their parents. We analyzed data from a sample of grandchildren aged 18–23 years who were surveyed in the 1992–1994 wave of the National Survey of Families and Households (n = 925). Hierarchical multiple regressions with interaction terms found that greater cohesion with grandparents decreased depressive symptoms, particularly among grandchildren raised in single-parent families. However, cohesive grandparent relations reduced depressive symptoms more in the presence of stronger ties to parents. The model partially supports the long reach of grandparents as compensatory resources for mature grandchildren whose families of origin were absent a parent. Implications for future research on the role of grandparents in family systems are discussed.     

Maternal Religiosity,Family Resources and Stressors,and Parent–Child Attachment Security in Northern Ireland

This study explores the associations between mothers' religiosity, and families' and children's functioning in a stratified random sample of 695 Catholic and Protestant mother–child dyads in socially deprived areas in Belfast, Northern Ireland, a region which has experienced centuries of sectarian conflict between Protestant Unionists and Catholics Nationalists. Findings based on mother and child surveys indicated that even in this context of historical political violence associated with religious affiliation, mothers' religiosity played a consistently positive role, including associations with multiple indicators of better family functioning (i.e., more cohesion and behavioral control and less conflict, psychological distress, and adjustment problems) and greater parent–child attachment security. Mothers' religiosity also moderated the association between parent–child attachment security and family resources and family stressors, enhancing positive effects of cohesion and mother behavioral control on mother–child attachment security, and providing protection against risks associated with mothers' psychological distress. Findings are discussed in terms of implications for understanding the role of religiosity in serving as a protective or risk factor for children and families.     

Predictors of behavioural and emotional problems of children placed in children's homes in Croatia

Since children's homes in Croatia and elsewhere nowadays deal with children who have more problems than in the past, there is a need to identify predictors of the children's behavioural and emotional problems in order to provide adequate interventions and an appropriate developmental environment. This research was carried out in all children's homes in Croatia. The sample consisted of 263 children aged 10–14. Standardized instruments (Youth Self‐Report and Child Behaviour Check‐List) were used as outcome measures of children's psychosocial functioning. The results showed significantly more behavioural and emotional problems in children in children's homes than in the comparison group of children living with their families. Child care‐workers assessed fewer behavioural and emotional problems than did the children themselves. Multiple regression analyses were used to determine predictors for well‐being scores. The level of everyday stress in children's homes, coping strategies, perception of social support and school achievements proved to be the most significant predictors. Since those variables belong to mediating variables within the suggested model of research, it is argued that positive changes in these areas can facilitate a better psychosocial functioning of the children in children's homes.     

Paternal and Maternal Experiences in Caring for Chinese Children with Attention Deficit Hyperactivity Disorder in Hong Kong

This paper reports the results of an exploratory study that (i) identified parental stress and competence, parents’ perception of their children's attention deficit hyperactivity disorder (ADHD) symptoms, and the parent‐child relationship in caring for children with ADHD; (ii) compared paternal and maternal experiences in these areas; and (iii) examined the effect of children's ADHD behavior on paternal and maternal experiences in Hong Kong Chinese parents. Seventy‐two (59.5%) mothers and 49 (40.5%) fathers participated in the study, in which data were collected using a structured questionnaire. The results showed that: (i) mothers’ level of parental stress was higher than fathers’, but paternal and maternal competence in child‐rearing did not significantly vary; (ii) mothers perceived the child's ADHD behavior more seriously than fathers; (iii) both mothers and fathers had positive perceptions of their parent‐child relationship; and (iv) gender, employment, ADHD symptoms, and parental satisfaction explained the significant variance in parental stress but did not explain the significant variance in parental competence. Implications for social work practice and service development are discussed.     

Empathic Action and Family Resilience: A Narrative Examination of the Benefits of Helping Others

ABSTRACT

Empathy is identified as a protective factor that has been helpful for children considered at high risk for poor mental health and social functioning due to experiencing stressful circumstances such as family violence, substance abuse of a parent, or poverty. Yet, little is known about its relevance to a family's ability to overcome adversity. This study examined the narratives of 20 resilient families who maintained family functioning despite experiencing a multitude of risk factors including poverty, death of a child, significant health problems, or substance abuse problems. Narrative analysis was used to identify the ways families situated empathic actions within their stories of resilience. Findings suggest families developed increased compassion for others as a result of their own experiences with loss, trauma, or stress and discussed how helping others increased their ability to cope with the challenges they faced. Future research and practice implications are outlined and support the usefulness of strengths-based concepts and interventions.     

The Effects of Parenting Stress,Perceived Mastery,and Maternal Depression on Parent–Child Interaction

ABSTRACT

The purpose of this study was to test a model that delineated the interrelationships among parenting stress, perceived mastery (defined as the belief that one's life chances are under one's own control), maternal depression, and parent–child interaction. A secondary data analysis of the Fragile Family and Child Well-Being Study was conducted, using a sample of 2,650 mothers. Results suggest that parenting stress undermines one's sense of perceived mastery which, in turn, resulted in depression. Moreover, the results also indicated that parenting stress directly affected maternal depression and parent–child interaction. There was no support for the hypothesis that parenting stress undermines one's sense of perceived mastery which, in turn, resulted in depression, which affected one's parent–child interaction. Implications of these findings for professionals working with mothers of young children are discussed. Future research should test this model using other forms of parenting behavior.     

Marital Conflict, Child Emotional Security about Family Relationships and Child Adjustment

Addressing a gap in process‐oriented understanding of relations between marital conflict and children's adjustment, propositions of the emotional security hypothesis from a family‐wide perspective were tested in a longitudinal research design. Participants were 181 families and their 11–12 year‐old‐child (115 boys, 76 girls) living in Wales, in the United Kingdom. Relations between marital conflict, children's emotional security about marital conflict and parenting, respectively, and children's adjustment were assessed based on reports by mothers, fathers, and children and videotaped analogue procedures completed by children. Structural equation modelling indicated that children's emotional security about interparental conflict (emotional regulation, cognitive representations and behavioural regulation) mediated the relation between marital conflict and children's security about parenting. Processes pertaining to children's security in multiple family systems (i.e., interparental and parent–child) provided an indirect mechanism through which interparental conflict affected children's symptoms of psychological distress (internalising and externalising problems) assessed 12 months later. Future directions for further tests of comprehensive, theoretically based models for the effects of marital conflict on children are discussed.     

Hope and subjective well‐being among parents of children with special needs

The current study examined subjective well‐being (SWB) in parents who raise children with special needs. Previous studies that focused on parenting children with special needs stressed increased risk of depression. This study examined parental level of hope, the significance of being involved in a partner relationship and parental perception of the seriousness of their child's disability, each a factor that may influence parental SWB. A random sample of 92 parents raising children with special needs in Israel participated in the study. They completed three questionnaires, examining parent's perception of the severity of their child's disability, parental SWB and parents' level of hope. Results revealed that a high level of hope, being in a partnered relationship, and perception of the child's disability as having some positive influence on central aspects of the parents' life, are all significant contributors to raising parental SWB. Study findings show that ‘agency’, a component of the concept of ‘hope’, is a significant factor in predicting SWB in parents of a child with special needs. Perhaps awareness of how they can improve their SWB by using certain aspects of their lifestyle to their advantage can help improve quality of life for parents of children with special needs.