{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:45:07Z","timestamp":1789051507588,"version":"build-2803163510"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2017,10,27]],"date-time":"2017-10-27T00:00:00Z","timestamp":1509062400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/academic.oup.com\/journals\/pages\/about_us\/legal\/notices"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["R01 NR016235"],"award-info":[{"award-number":["R01 NR016235"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01 HD048629"],"award-info":[{"award-number":["R01 HD048629"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,6,1]]},"DOI":"10.1093\/jpepsy\/jsx133","type":"journal-article","created":{"date-parts":[[2017,10,11]],"date-time":"2017-10-11T19:10:56Z","timestamp":1507749056000},"page":"513-524","source":"Crossref","is-referenced-by-count":12,"title":["Parental Perceptions of Child Vulnerability in Families of Youth With Spina Bifida: the Role of Parental Distress and Parenting Stress"],"prefix":"10.1093","volume":"43","author":[{"given":"Colleen F Bechtel","family":"Driscoll","sequence":"first","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexa","family":"Stern","sequence":"additional","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Ohanian","sequence":"additional","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nerissa","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Autumn N","family":"Crowe","sequence":"additional","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S Samaduddin","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grayson N","family":"Holmbeck","sequence":"additional","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,10,26]]},"reference":[{"key":"key\n\t\t\t\t20180626080745_jsx133-B1","volume-title":"Parenting stress index short form","author":"Abidin","year":"1990"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B2","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1080\/02739615.2011.537938","article-title":"Parental perceptions of child vulnerability and parent stress as predictors of pain and adjustment in children with chronic arthritis","volume":"40","author":"Anthony","year":"2011","journal-title":"Children\u2019s Health Care"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B3","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1093\/jpepsy\/jsg005","article-title":"Brief report: Parental perceptions of child vulnerability in children with chronic illness","volume":"28","author":"Anthony","year":"2003","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B4","doi-asserted-by":"crossref","first-page":"26.","DOI":"10.1186\/s12887-016-0774-8","article-title":"Long-time sickness absence among parents of pre-school children with cerebral palsy, spina bifida, and down syndrome: A longitudinal study","volume":"17","author":"Brekke","year":"2017","journal-title":"BMC Pediatrics"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B5","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1207\/s15374424jccp3504_10","article-title":"The inclusion of fathers in the empirical investigation of child psychopathology: An update","volume":"35","author":"Cassano","year":"2006","journal-title":"Journal of Clinical Child and Adolescent Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B6","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1002\/pbc.21577","article-title":"The relationship of parental overprotection, perceived vulnerability, and parenting stress to behavioral, emotional, and social adjustment in children with cancer","volume":"51","author":"Colletti","year":"2008","journal-title":"Pediatric Blood Cancer"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B7","doi-asserted-by":"crossref","DOI":"10.1038\/nrdp.2015.7","article-title":"Spina bifida","volume":"1","author":"Copp","year":"2015","journal-title":"Nature Reviews Disease Primers"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B8","article-title":"Parenting stress","author":"Deater-Deckard","year":"2015","journal-title":"Oxford Bibliographies Online"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B9","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1192\/bjp.128.3.280","article-title":"The SCL-90 and the MMPI: A step in the validation of a new self-report scale","volume":"128","author":"Derogatis","year":"1976","journal-title":"The British Journal of Psychiatry"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B10","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1093\/jpepsy\/jsr083","article-title":"Individual adjustment, parental functioning, and perceived social support in Hispanic and non-Hispanic white mothers and fathers of children with spina bifida","volume":"37","author":"Devine","year":"2012","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B11","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1093\/jpepsy\/jsq093","article-title":"Mother-adolescent agreement regarding decision-making autonomy: A longitudinal comparison of families of adolescents with and without spina bifida","volume":"36","author":"Devine","year":"2011","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B12","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/s10880-007-9069-4","article-title":"Correlates of maternal and paternal adjustment to chronic childhood disease","volume":"14","author":"Dewey","year":"2007","journal-title":"Journal of Clinical Psychology in Medical Settings"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B13","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1093\/jpepsy\/21.1.89","article-title":"The child vulnerability scale: An instrument to measure parental perceptions of child vulnerability","volume":"21","author":"Forsyth","year":"1996","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B14","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1037\/0893-3200.18.4.609","article-title":"Parent functioning in families of preadolescents with spina bifida: Longitudinal implications for child adjustment","volume":"18","author":"Friedman","year":"2004","journal-title":"Journal of Family Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B15","article-title":"Parental perception of child vulnerability among mothers of very low birth weight infants: Psychological predictors and neurodevelopmental sequelae at 2 years","author":"Greene","year":"2016","journal-title":"Journal of Perinatology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B16","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1542\/peds.34.1.58","article-title":"Reactions to the threatened loss of a child: A vulnerable child syndrome","volume":"34","author":"Green","year":"1964","journal-title":"Pediatrics"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B17","doi-asserted-by":"crossref","first-page":"34.","DOI":"10.1186\/1546-0096-12-34","article-title":"Health related quality of life and parental perceptions of child vulnerability among parents of a child with juvenile idiopathic arthritis: Results from a web-based survey","volume":"12","author":"Haverman","year":"2014","journal-title":"Pediatric Rheumatology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B18","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1093\/jpepsy\/jsu101","article-title":"Observed differences in social behaviors exhibited in peer interactions between youth with spina bifida and their peers: Neuropsychological correlates","volume":"40","author":"Holbein","year":"2015","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B19","volume-title":"Four Factor Index of Social Status","author":"Hollingshead","year":"1975"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B20","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1002\/ddrr.90","article-title":"Psychosocial and family functioning in spina bifida","volume":"16","author":"Holmbeck","year":"2010","journal-title":"Developmental Disabilities Research Reviews"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B21","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1093\/jpepsy\/22.2.167","article-title":"Maternal, paternal, and marital functioning in families of preadolescents with spina bifida","volume":"22","author":"Holmbeck","year":"1997","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B22","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1037\/0022-006X.71.4.782","article-title":"A multimethod, multi-informant, and multidimensional perspective on psychosocial adjustment in preadolescents with spina bifida","volume":"71","author":"Holmbeck","year":"2003","journal-title":"Journal of Clinical and Consulting Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B23","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1093\/jpepsy\/24.6.499","article-title":"Condition severity and psychosocial functioning in pre-adolescents with spina bifida: Disentangling proximal functional status and distal adjustment outcomes","volume":"24","author":"Hommeyer","year":"1999","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B24","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1177\/1367493514530954","article-title":"Parental perceptions of child vulnerability in a community-based sample","volume":"19","author":"Houtzager","year":"2015","journal-title":"Journal of Child Health Care"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B25","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1093\/jpepsy\/jsv033","article-title":"Resilience and disruption in observed family interactions in youth with and without spina bifida: An eight-year, five-wave longitudinal study","volume":"40","author":"Lennon","year":"2015","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B26","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/s10882-009-9133-0","article-title":"Thinking styles and coping when caring for a child with severe spina bifida","volume":"21","author":"Liminana Gras","year":"2009","journal-title":"Journal of Developmental and Physical Disabilities"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B27","doi-asserted-by":"crossref","first-page":"65.e1","DOI":"10.1016\/j.jpurol.2014.09.009","article-title":"Mental health and parenting characteristics of caregivers of children with spina bifida","volume":"11","author":"Malm-Buatsi","year":"2015","journal-title":"Journal of Pediatric Urology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B28","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1093\/jpepsy\/jsw106","article-title":"Fathers\u2019 perceptions of change following parenting intervention: Randomized controlled trial of Triple P for parents of children with asthma and eczema","volume":"42","author":"Morawska","year":"2017","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B29","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1207\/s15326888chc3301_2","article-title":"The relationship of parental overprotection and perceived child vulnerability to depressive symptomatology in children with Type 1 Diabetes Mellitus: The moderating influence of parenting stress","volume":"33","author":"Mullins","year":"2004","journal-title":"Children\u2019s Health Care"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B30","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1093\/jpepsy\/jsm044","article-title":"The relationship of parental overprotection, perceived child vulnerability, and parenting stress to uncertainty in youth with chronic illness","volume":"32","author":"Mullins","year":"2007","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B31","author":"National Birth Defects Prevention Network","year":"2010"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B32","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1177\/0022146513498511","article-title":"Racial-ethnic disparities in maternal parenting stress: The role of structural disadvantages and parenting values","volume":"54","author":"Nomaguchi","year":"2013","journal-title":"Journal of Health and Social Behavior"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B33","doi-asserted-by":"crossref","first-page":"S28.","DOI":"10.1186\/1743-8454-7-S1-S28","article-title":"A comparison of parenting stress between mothers of children with spina bifida and able bodied controls","volume":"7","author":"Ong","year":"2010","journal-title":"Cerebrospinal Fluid Research"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B34","first-page":"355","article-title":"Is my child normal yet? Correlates of vulnerability","volume":"83","author":"Perrin","year":"1989","journal-title":"Pediatrics"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B35","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1037\/fam0000201","article-title":"A micro-developmental view of parental well-being in families coping with chronic illness","volume":"30","author":"Queen","year":"2016","journal-title":"Journal of Family Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B36","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.paid.2008.03.004","article-title":"Interactive effects of attributional styles for positive and negative events on psychological distress","volume":"45","author":"Sanjuan","year":"2008","journal-title":"Personality and Individual Differences"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B37","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1002\/j.2048-7940.2003.tb02057.x","article-title":"The experience of parenting an adolescent with spina bifida","volume":"28","author":"Sawin","year":"2003","journal-title":"Rehabilitation Nursing"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B38","doi-asserted-by":"crossref","first-page":"e957","DOI":"10.1542\/peds.2014-2576","article-title":"Sociodemographic attributes and spina bifida outcomes","volume":"135","author":"Schechter","year":"2015","journal-title":"Pediatrics"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B39","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1093\/jpepsy\/23.1.5","article-title":"Relationship of parental psychological distress to consequences of chronic health conditions in children","volume":"23","author":"Silver","year":"1998","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B40","volume-title":"Using multivariate statistics","author":"Tabachnick","year":"2013"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B41","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1093\/jpepsy\/jsv010","article-title":"Systematic and meta-analytic review: Triggering agents of parental perception of child\u2019s vulnerability in instances of preterm birth","volume":"40","author":"Tallandini","year":"2015","journal-title":"Journal of Pediatric Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B42","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1023\/A:1022631914576","article-title":"Parental perceptions of child vulnerability, overprotection, and parental psychological characteristics","volume":"28","author":"Thomasgard","year":"1998","journal-title":"Child Psychiatry and Human Development"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B43","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1037\/h0080237","article-title":"Parental overprotection and its relation to perceived child vulnerability","volume":"67","author":"Thomasgard","year":"1997","journal-title":"American Journal of Orthopsychiatry"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B44","doi-asserted-by":"crossref","DOI":"10.1037\/10188-000","volume-title":"Adaptation to chronic childhood illness","author":"Thompson","year":"1996"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B45","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1002\/nur.20452","article-title":"Factors associated with parental perception of child vulnerability 12 months after abnormal newborn screening results","volume":"34","author":"Tluczek","year":"2011","journal-title":"Research in Nursing & Health"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B46","doi-asserted-by":"crossref","first-page":"32.","DOI":"10.1186\/1471-2431-5-32","article-title":"Parents\u2019 psychological adjustment in families of children with spina bifida: A meta-analysis","volume":"5","author":"Vermaes","year":"2005","journal-title":"BMC Pediatrics"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B47","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1111\/j.1365-2214.2008.00868.x","article-title":"Parents\u2019 personality and parenting stress in families of children with spina bifida","volume":"34","author":"Vermaes","year":"2008","journal-title":"Child: Care, Health, and Development"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B48","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1038\/bmt.2009.309","article-title":"Parental stress and perceived vulnerability at 5 and 10 years after pediatric SCT","volume":"45","author":"Vrijmoet-Wiersma","year":"2010","journal-title":"Bone Marrow Transplantation"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B49","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1037\/0022-006X.58.6.818","article-title":"Child functional independence and maternal psychosocial stress as risk factors threatening adaptation in mothers of physically or sensorially handicapped children","volume":"58","author":"Wallander","year":"1990","journal-title":"Journal of Consulting and Clinical Psychology"},{"key":"key\n\t\t\t\t20180626080745_jsx133-B50","volume-title":"WASI: Wechsler Abbreviated Scale of Intelligence Manual","author":"Wechsler","year":"1999"}],"container-title":["Journal of Pediatric Psychology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jpepsy\/article-pdf\/43\/5\/513\/25091212\/jsx133.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T08:42:48Z","timestamp":1659602568000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jpepsy\/article\/43\/5\/513\/4566559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,26]]},"references-count":50,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2017,10,26]]},"published-print":{"date-parts":[[2018,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jpepsy\/jsx133","relation":{},"ISSN":["0146-8693","1465-735X"],"issn-type":[{"value":"0146-8693","type":"print"},{"value":"1465-735X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2018,6]]},"published":{"date-parts":[[2017,10,26]]}}}