eprintid: 10191139 rev_number: 9 eprint_status: archive userid: 699 dir: disk0/10/19/11/39 datestamp: 2024-04-23 09:40:45 lastmod: 2024-04-23 09:40:45 status_changed: 2024-04-23 09:40:45 type: article metadata_visibility: show sword_depositor: 699 creators_name: Suonpera, Emmi creators_name: Lanceley, Anne creators_name: Ni, Yanyan creators_name: Marlow, Neil title: Parenting stress and health-related quality of life among parents of extremely preterm born early adolescents in England: a cross-sectional study ispublished: pub divisions: UCL divisions: B02 divisions: D11 divisions: D01 divisions: G14 divisions: G15 divisions: G16 note: Copyright © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. abstract: Objective: To determine whether extremely preterm (EP) birth exerts persisting effects on parents in early adolescence. // Design: Cross-sectional survey conducted between March 2017 and October 2018. // Setting: Evaluation of a longitudinal population-based birth cohort in England at 11 years of age (EPICure2@11 Study). // Participants: Parents of EP (<27 weeks of gestation) adolescents and control parents of term born (≥37 weeks of gestation) classmates of similar age and sex. // Main outcome measures: The Parenting Stress Index Short Form (PSI-4-SF) and the Short Form Health Survey (SF-12v1). // Results: The 163 EP and 125 comparison respondents were most commonly mothers in their mid-40s. EP parents reported higher total parenting stress scores compared with controls, overall (adjusted difference in means: 14 (95% CI 9 to 20)) and after exclusion of moderate and severe child disability and multiples (9 (95% CI 3 to 15). Average physical and mental health-related quality of life scores were similar in the two groups (adjusted difference in means physical health: −2 (95% CI −4 to 1) and mental health: −1 (95% CI −4 to 1)). Among EP parents, 12% (20/164) reported the combination of high parenting stress and low mental health scores. With increasing child age, parenting stress scores for preterm parents were lower in contrast to controls who reported increasing parenting stress. // Conclusions: In early adolescence, compared with parents of term-born children, EP parents experience increased levels of parenting stress that are particularly high among a proportion of parents and associated with lower mental health-related quality of life. Practitioner awareness of this continuing risk throughout childhood is important to support parental abilities and well-being. date: 2024-05 date_type: published publisher: BMJ PUBLISHING GROUP official_url: http://dx.doi.org/10.1136/archdischild-2023-325429 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2102982 doi: 10.1136/archdischild-2023-325429 medium: Electronic pii: archdischild-2023-325429 lyricists_name: Marlow, Neil lyricists_name: Suonpera, Emmi lyricists_name: Ni, Yanyan lyricists_name: Lanceley, Elizabeth lyricists_id: NMARL26 lyricists_id: EMSUO59 lyricists_id: NIXXX24 lyricists_id: ALANC29 actors_name: Suonpera, Emmi actors_id: EMSUO59 actors_role: owner funding_acknowledgements: MR/N024869/1 [Medical Research Council] full_text_status: public publication: Archives of Disease in Childhood - Fetal and Neonatal Edition volume: 109 number: 3 pagerange: 253-260 pages: 8 event_location: England issn: 1359-2998 citation: Suonpera, Emmi; Lanceley, Anne; Ni, Yanyan; Marlow, Neil; (2024) Parenting stress and health-related quality of life among parents of extremely preterm born early adolescents in England: a cross-sectional study. Archives of Disease in Childhood - Fetal and Neonatal Edition , 109 (3) pp. 253-260. 10.1136/archdischild-2023-325429 <https://doi.org/10.1136/archdischild-2023-325429>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10191139/1/Suonpera_253.full.pdf