{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T12:23:43Z","timestamp":1793276623820,"version":"4.5.0"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951121002912_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To examine relationships amongst parental post-traumatic stress symptoms, parental post-traumatic growth, overprotective parenting, and child emotional\/behavioural problems in families of children with critical CHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951121002912_as2\">\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Sixty parents (15 fathers) of children aged 1\u20136 completed online questionnaires assessing parental post-traumatic stress symptoms and post-traumatic growth, overprotective parenting, and child emotional\/behavioural problems. Bivariate correlations and mediational analyses were conducted to evaluate overprotective parenting as a mediator of the association between parental post-traumatic stress symptoms and child emotional\/behavioural problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951121002912_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Parents reported significant post-traumatic stress symptoms, with over 18% meeting criteria for post\u2013traumatic stress disorder and 70% meeting criteria in one or more clusters. Parental post-traumatic growth was positively correlated with intrusion (\n                      <jats:italic>r<\/jats:italic>\n                      = .32,\n                      <jats:italic>p<\/jats:italic>\n                      = .01) but it was not associated with other post-traumatic stress symptom clusters. Parental post-traumatic stress symptoms were positively associated with overprotective parenting (\n                      <jats:italic>r<\/jats:italic>\n                      = .37, p = .008) and total child emotional\/behavioural problems (\n                      <jats:italic>r<\/jats:italic>\n                      = .29,\n                      <jats:italic>p<\/jats:italic>\n                      = .037). Overprotective parenting was positively associated with total child emotional\/behavioural problems (\n                      <jats:italic>r<\/jats:italic>\n                      = .45,\n                      <jats:italic>p<\/jats:italic>\n                      = .001) and fully mediated the relationship between parental post-traumatic stress symptoms and child emotional\/behavioural problems.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951121002912_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Overprotective parenting mediates the relationship between parental post-traumatic stress symptoms and child emotional and behavioural problems in families of children with CHD. Both parental post-traumatic stress symptoms and overprotective parenting may be modifiable risk factors for poor child outcomes. This study highlights the need for interventions to prevent or reduce parental post-traumatic stress symptoms and to promote effective parenting following a diagnosis of CHD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951121002912","type":"journal-article","created":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T04:35:05Z","timestamp":1628483705000},"page":"738-745","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":39,"title":["Parental post-traumatic stress, overprotective parenting, and emotional and behavioural problems for children with critical congenital heart disease"],"prefix":"10.1017","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4546-0591","authenticated-orcid":false,"given":"Linda G.","family":"McWhorter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Christofferson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trent","family":"Neely","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee K.","family":"Hildenbrand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa A.","family":"Alderfer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Randall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne E.","family":"Kazak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8817-4213","authenticated-orcid":false,"given":"Erica","family":"Sood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"key":"S1047951121002912_ref42","unstructured":"42. US Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Healthy People 2020 [Internet]. 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Weathers, FW , Litz, BT , Keane, TM et\u00a0al. The posttraumatic stress disorder Checklist for DSM-5. 2013; Scale available at www.ptsd.va.gov."},{"key":"S1047951121002912_ref45","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-015602"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951121002912","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T04:22:03Z","timestamp":1652761323000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951121002912\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,9]]},"references-count":48,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["S1047951121002912"],"URL":"https:\/\/doi.org\/10.1017\/s1047951121002912","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,9]]},"assertion":[{"value":"\u00a9 The Author(s), 2021. 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