{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:25Z","timestamp":1786649425660,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Developmental delay refers to children who experience significant variation in the achievement of expected milestones for their actual or adjusted age. Delays may occur in the areas of motor function, speech and language, cognitive, play, and social skills. Caregivers of these children feel stressed and limit their participation in society. This study was designed to assess the parental stress experienced by caregivers, their social participation, and the coping strategies they adopt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>An observational study was carried out on 100 caregivers of children with developmental delay who were enrolled in a rural rehabilitation center. Caregivers were interviewed and assessed for stress, coping strategies, and social participation using specific questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Conclusions:<\/jats:title>\n                    <jats:p>\n                      The mean age of the caregivers was 32.9 \u00b1 7.76 years, and mainly women (64%). The age of the children ranged from 8 months to 18 years, and most were boys (57%). The proportion of total parental stress was 34%, with the \u201cdysfunctional interaction\u201d subscale at 63%, \u201cparental distress\u201d at 49%, and the \u201cdifficult child\u201d subscale at 4%. Only 35% of the participants had no participation restriction, and a significant association between parental distress and social participation was noted (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004). Though the caregivers used all forms of coping strategies, caregivers with stress used the \u201cavoidant emotional\u201d strategy more compared to those without stress (mean score: 2 \u00b1 0.41 vs 1.65 \u00b1 0.34;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001). Caregivers without stress mainly adopted the \u201cproblem-focused\u201d coping strategy (mean score: 3.19 \u00b1 0.54 vs 2.86 \u00b1 0.62;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_966_25","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:00:46Z","timestamp":1776679246000},"page":"1388-1393","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Stress, social participation, and coping strategies in caregivers of children with developmental delay \u2013 An observational study"],"prefix":"10.4103","volume":"15","author":[{"given":"J","family":"Nishanth","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Bangalore Baptist Hospital, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirupama N.","family":"Franklyn","sequence":"additional","affiliation":[{"name":"Department of Community Health, Bangalore Baptist Hospital, Hebbal, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin E.","family":"George","sequence":"additional","affiliation":[{"name":"Department of Community Health and Palliative Care Division, Bangalore Baptist Hospital, Hebbal, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"R2-20260424","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s13312-010-0077-3","article-title":"Developmental delay:Timely identification and assessment","volume":"47","author":"Poon","year":"2010","journal-title":"Indian Pediatr"},{"key":"R3-20260424","first-page":"1","article-title":"A qualitative study of psychosocial 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