{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T02:49:47Z","timestamp":1771296587266,"version":"3.50.1"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T00:00:00Z","timestamp":1594684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100015677","name":"Medical Psychiatry Alliance","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015677","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010523","name":"Centre for Addiction and Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010523","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006126","name":"Hospital for Sick Children","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006126","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Trillium Health Partners"},{"DOI":"10.13039\/501100000226","name":"Ontario Ministry of Health and Long-Term Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000226","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The Response to Stress Questionnaire-Brain Injury (RSQ-BI) was adapted utilizing a patient-oriented approach, exploring parental stress, coping, and associated mental health outcomes in parents of children with neonatal brain injury. The contributions of social risk, child adaptive functioning, and brain injury severity were also explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a mixed-method design, this study explored adapted stressor items on the RSQ-BI. Parents and clinicians engaged in semistructured interviews to examine key stressors specific to being a parent of a child with neonatal brain injury. The adapted RSQ-BI was piloted in a parent sample (N\u2009=\u200977, child mean age 1\u2009year 7\u2009months) with established questionnaires of social risk, child adaptive functioning, severity of the child\u2019s injury, coping style, and parent mental health. Descriptive statistics and correlations examined parent stress, coping, and their association with parent mental health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The final RSQ-BI questionnaire included 15 stressors. Factor analysis showed stressors loaded onto two factors related to (a) daily role stressors and (b) brain injury stressors. Using the RSQ-BI, parents reported brain injury stressors as more stressful than daily role stressors. When faced with these stressors, parents were most likely to engage in acceptance-based coping strategies and demonstrated lower symptoms of parent depression and anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The RSQ-BI provides a valuable adaptation to understand both stressors and coping specific to being a parent of a child with neonatal brain injury. Relevant interventions that promote similar coping techniques are discussed for future care and research.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jpepsy\/jsaa059","type":"journal-article","created":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T19:10:39Z","timestamp":1594408239000},"page":"1005-1015","source":"Crossref","is-referenced-by-count":2,"title":["The Response to Stress Questionnaire for Parents Following Neonatal Brain Injury"],"prefix":"10.1093","volume":"45","author":[{"given":"Kyla P","family":"McDonald","sequence":"first","affiliation":[{"name":"Division of Neurology, Department of Psychology, The Hospital for Sick Children"},{"name":"Department of Psychology, York University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Connolly","sequence":"additional","affiliation":[{"name":"Department of Psychology, York University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha D","family":"Roberts","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Psychology, The Hospital for Sick Children"},{"name":"Department of Psychology, York University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan K","family":"Ford","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Psychology, The Hospital for Sick Children"},{"name":"Medical Psychiatry Alliance, The Hospital for Sick Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn","family":"Westmacott","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Psychology, The Hospital for Sick Children"},{"name":"Department of Pediatrics, The University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nomazulu","family":"Dlamini","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Psychology, The Hospital for Sick Children"},{"name":"Department of Pediatrics, The University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily W Y","family":"Tam","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, The University of Toronto"},{"name":"Division of Neurology, Department of Pediatrics, The Hospital for Sick Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tricia","family":"Williams","sequence":"additional","affiliation":[{"name":"Division of Neurology, Department of Psychology, The Hospital for Sick Children"},{"name":"Medical Psychiatry Alliance, The Hospital for Sick Children"},{"name":"Department of Pediatrics, The University of Toronto"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,7,14]]},"reference":[{"key":"2020092823545201500_jsaa059-B2","first-page":"143","article-title":"Prediction of neuromotor outcome in perinatal asphyxia: Evaluation of MR scoring systems","volume":"19","author":"Barkovich","year":"1998","journal-title":"American Society of Neuroradiology"},{"key":"2020092823545201500_jsaa059-B3","first-page":"1","article-title":"Parent and family impact of raising a child with perinatal stroke","volume":"14","author":"Bemister","year":"2014","journal-title":"BioMed Centrals Pediatrics"},{"key":"2020092823545201500_jsaa059-B4","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: A practical and powerful approach to multiple testing","volume":"57","author":"Benjamini","year":"1995","journal-title":"Journal of the Royal Statistical Society"},{"key":"2020092823545201500_jsaa059-B5","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"2020092823545201500_jsaa059-B6","volume-title":"Scales of independent behavior: Interviewer\u2019s manual","author":"Bruininks","year":"1984"},{"key":"2020092823545201500_jsaa059-B7","volume-title":"Scales of independent behavior\u2014Revised","author":"Bruininks","year":"1996"},{"key":"2020092823545201500_jsaa059-B8","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.brat.2015.07.001","article-title":"Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? 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