{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T02:46:14Z","timestamp":1785206774696,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000156","name":"Fonds de Recherche du Qu\u00e9bec - Sant\u00e9","doi-asserted-by":"publisher","award":["BF2\u2010324756"],"award-info":[{"award-number":["BF2\u2010324756"]}],"id":[{"id":"10.13039\/501100000156","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001804","name":"Canada Research Chairs","doi-asserted-by":"publisher","award":["950\u2010232661"],"award-info":[{"award-number":["950\u2010232661"]}],"id":[{"id":"10.13039\/501100001804","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Having a child with congenital heart disease (CHD) is stressful for parents, but research on the impact this stress can have on child development has been lacking. We investigated the associations between parenting stress when children were infants and neurodevelopmental outcomes in toddlers with CHD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was carried out at the Neurocardiac Clinic at the Sainte\u2010Justine University Hospital in Montr\u00e9al, Canada. Patients born from 2012 to 2019 and followed up to 24\u2009months of age were recruited. Parenting stress levels were measured when the child was 4\u20136\u2009months and 24\u2009months and the child's neurodevelopment was assessed at 24\u2009months. Multiple linear regressions analyses were carried out.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We studied 100 children (56% boys) with CHD. Most of the parenting stress scores were below the clinical threshold. However, they accounted for a significant part of the variance in the children's cognitive (15%\u201316%), receptive language (14%\u201315%) and gross motor outcomes (15%\u201318%). They had no impact on the children's expressive language or fine motor outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Higher parenting stress was associated with poorer neurodevelopmental outcomes in toddlers with CHD. Early screening of parenting stress in CHD clinics is necessary to provide individualised intervention for parents and optimise neurodevelopmental outcomes in children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.17421","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T11:11:00Z","timestamp":1726139460000},"page":"164-172","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Parenting stress in infancy was associated with neurodevelopment in 24\u2010month\u2010old children with congenital heart disease"],"prefix":"10.1111","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6105-8958","authenticated-orcid":false,"given":"Charles","family":"Lepage","sequence":"first","affiliation":[{"name":"Research Centre of the CHU Sainte\u2010Justine  Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Psychology, Faculty of Arts and Sciences University of Montr\u00e9al  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