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Research Article

Developing a conceptual framework to identify and classify sources of parental stress following pediatric concussion

ORCID Icon, ORCID Icon &
Pages 1149-1157 | Received 09 Jan 2021, Accepted 02 Aug 2022, Published online: 10 Aug 2022
 

ABSTRACT

Objectives

To create a conceptual framework that classifies the various stresses parents experience following their child’s concussion.

Methods

Twelve parents of children with concussion completed a semi-structured interview with the lead author. Questions broadly focused on post-concussion stress, with specific probes for caregiving responsibilities, concussion knowledge, and athletic participation. Data were analyzed using thematic analysis.

Results

Ten mothers and 2 fathers participated. Five themes stemmed from our analysis: 1) Concussion Knowledge (central theme): stressors related to sources of concussion information; 2) Child Health Factors: stressors related to injury and illness, including concussion; 3) Activity Factors: stressors related to academic and athletic performance; 4) Parent-Injured Child Relationship Factors: stressors related to providing care to the child; and 5) Personal Factors: stressors unrelated to the concussion (e.g. family, social, career, etc.). Child Health Factors was most frequently identified as the primary stressor (n = 9).

Conclusions

Sources of parental stress were varied following pediatric concussion. Issues relating to the child’s post-injury dysfunction and the uncertain recovery from concussion were key stressors identified by parents. Moving forward, this framework can be used to ground the development of specific parental stress screening tools and interventions, which may benefit the parent’s mental health and the child’s clinical recovery.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This study is funded by the Toronto Dominion Bank Post-Doctoral Fellowship in Child Health Research Excellence through the McGill University Health Centre (ET), Fonds de recherche du Québec- Santé. 256290 (ET), and the Réseau Provincial de Recherche en Adaptation-Réadaptation (ET).

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