Family Functioning and Parental Stress Among Caregivers of Individuals with Spina Bifida

Autores

DOI:

https://doi.org/10.24265/

Palavras-chave:

family functioning, parental stress, spina bífida, caregivers

Resumo

Background: Spina bifida is a congenital malformation that places significant demands on care, affecting not only the affected individual but also their family environment, particularly primary caregivers. Objective: To analyze the relationship between family functioning—specifically family cohesion and adaptability—and parental stress among caregivers of individuals with spina bifida in Metropolitan Lima. Method: An explanatory design with latent variables and convenience sampling was used, involving 80 caregivers. The Family Adaptability and Cohesion Scale (FACES III) and the Parental Stress Index-Short Form (PSI-SF) were administered. Data analysis included descriptive statistics, Pearson correlations, and a structural equation model (SEM). Results: Negative associations were found between family functioning and dimensions of parental stress, with cohesion emerging as the most significant component. The structural model showed that family functioning significantly predicts parental stress (β = -.59, p < .029), explaining 34.5 % of its variance, with adequate fit indices (CFI = 1.00, TLI = 1.00, RMSEA = .000, SRMR = .009). Conclusion: These findings support the protective role of family functioning, especially emotional bonding, in the face of caregiving demands. The study concludes that family cohesion and organization are associated with reduced parental stress in this group. Furthermore, the study highlights the importance of developing psychoeducational interventions focused on family dynamics.

Downloads

Os dados de download ainda não estão disponíveis.

Biografia do Autor

  • Andrea Esther Salinas Rosas, Universidad Nacional Mayor de San Marcos, Lima, Perú

    Licenciada en Psicología y maestrante en Psicología Clínica y de la Salud. Psicóloga en el Ministerio de la Mujer y Poblaciones Vulnerables, Lima, Perú. Sus intereses de investigación se centran en las relaciones interpersonales y la salud mental.

Referências

Abidin, R. R. (1992). The determinants of parenting behavior. Journal of Clinical Child Psychology, 21(4), 407–412. https://doi.org/10.1207/s15374424jccp2104_12

Álvarez, A., Ayala, A., Nuño, A., & Efrén, M. (2005). Estudio sobre el nivel de funcionalidad en un grupo de familias que tienen un hijo con parálisis cerebral infantil (PCI). Revista Mexicana de Medicina Física y Rehabilitación, 17(3), 71–76. https://hdl.handle.net/20.500.14330/PER01000244313

Ato-García, M., & Vallejo-Seco, G. (2015). Diseños de investigación en psicología. Pirámide

Argimon, J., & Jiménez, J. (2013). Métodos de investigación clínica y epidemiológica. Elsevier.

Avilés-Cura, M. A., Morales-Ramírez, M., Benavides-Ibarra, M. C., Reyna-Salazar, L. L., Riquelme-Heras, H., Ramírez-Aranda, J. M., Barrón-Garza, F., & Gutiérrez-Herrera, R. (2014). Impacto de la parálisis cerebral en la carga y funcionalidad familiar. Revista Médica del Hospital General de México, 77(2), 51–92. https://www.elsevier.es/en-revista-revista-medica-del-hospital-general-325-articulo-impacto-paralisis-cerebral-carga-funcionalidad-X0185106314365233

Bazo-Alvarez, J. C., Bazo-Alvarez, O. A., Aguila, J., Peralta, F., Mormontoy, W., & Bennett, I. M. (2016). Propiedades psicométricas de la escala de funcionalidad familiar FACES-III: un estudio en adolescentes peruanos. Revista Peruana de Medicina Experimental y Salud Pública, 33(3), 462–470. https://doi.org/10.17843/rpmesp.2016.333.2299

Bódalo-Lozano, E. (2010). Cambios en los estilos de vida de las cuidadoras de personas dependientes. Portularia, 10(1), 85–97.

Botero, P. (2013). Discapacidad y estilos de afrontamiento: Una revisión teórica. Revista Vanguardia Psicológica Clínica Teórica y Práctica, 3(2), 196–214.

Cumming, G. (2014). The new statistics: Why and how. Psychological Science, 25(1), 7–29. https://doi.org/10.1177/0956797613504966

Delgado, W. (2001). Niños y niñas con espina bífida: discapacidad y calidad de vida. Revista de Trabajo Social, 26(61). https://www.binasss.sa.cr/revistas/ts/v26n612001/art02.pdf

Fernández-Sánchez, H., Enríquez-Hernández, C. B., Castellanos-Contreras, E., & Martínez-Jiménez, L. (2021). Estrés percibido en madres mexicanas de niños con necesidades especiales: un estudio etnográfico. Enfermería universitaria, 18(2).

Holmbeck, G. N., & Devine, K. A. (2010). Psychosocial and family functioning in spina bifida. Developmental Disabilities Research Reviews, 16(1), 40–46. https://doi.org/10.1002/ddrr.90

Kim, K., Yun, H., Lee, H., Song, K., Van Riper, M., & Choi, E. K. (2026). Factors affecting the quality of life of parents of children with spina bifida: The mediating role of family resilience. Journal of Advanced Nursing, 82(2), 1371–1381. https://doi.org/10.1111/jan.17014

Kishimoto, T., Liu, S., Zhang, L., & Li, S. (2023). How do autistic severity and family functioning influence parental stress in caregivers of children with autism spectrum disorder in China? The important role of parental self-efficacy. Frontiers in Psychology, 14, 956637. https://doi.org/10.3389/fpsyg.2023.956637

Kline, R. (2016). Principles and practice of structural equation modeling (4th ed.). The Guilford Press.

Kritikos, T. K., & Holmbeck, G. N. (2020). Family functioning guidelines for the care of people with spina bifida. Journal of Pediatric Rehabilitation Medicine, 13(4), 535–542. https://doi.org/10.3233/PRM-200720

Lazarus, R. S., & Folkman, S. (1986). Estrés y procesos cognitivos. Martínez Roca.

Maldonado, R., Suárez, R., Rojas, A., & Gavilanes, Y. (2017). La funcionalidad familiar: una determinante de la conducta de los adolescentes. Revista Electrónica de Portales Medicos.com. https://www.revista-portalesmedicos.com/revista-medica/funcionalidad-familiar-conducta-de-los-adolescentes/

Malm-Buatsi, E., Aston, C. E., Ryan, J., Tao, Y., Palmer, B. W., Kropp, B. P., Klein, J., Wisniewski, A. B., & Frimberger, D. (2015). Mental health and parenting characteristics of caregivers of children with spina bifida. Journal of Pediatric Urology, 11(2), e657. https://doi.org/10.1016/j.jpurol.2014.09.009

Murray, C. B., Holmbeck, G. N., Ros, A. M., Flores, D. M., Mir, S. A., & Varni, J. W. (2015). A longitudinal examination of health-related quality of life in children and adolescents with spina bifida. Journal of Pediatric Psychology, 40(4), 419–430. https://doi.org/10.1093/jpepsy/jsu098

Oblitas, L. (2008). Psicología de la salud: Una ciencia del bienestar y la felicidad. Avances en Psicología: Revista de la Facultad de Psicología y Humanidades, 16(1), 9–38. https://doi.org/10.33539/avpsicol.2008.v16.2733

Ong, L. C., Norshireen, N. A., & Chandran, V. (2011). A comparison of parenting stress between mothers of children with spina bifida and able-bodied controls. Developmental NEUROREhabilitation, 14(1), 22–28. https://doi.org/10.3109/17518423.2010.523057

Olson, D. H., Portner, J., & Lavee, Y. (1985). Manual de la Escala de Cohesión y Adaptabilidad Familiar (FACES III Manual). Life Innovation.

Olson, D. H. (2000). Circumplex model of marital and family systems. Journal of Family Therapy, 22(2), 144–167. https://doi.org/10.1111/1467-6427.00144

Park, M., Choi, E. K., Lyu, C. J., Han, J. W., & Hahn, S. M. (2022). Family resilience factors affecting family adaptation of children with cancer: A cross-sectional study. European Journal of Oncology Nursing, 56, 102078. https://doi.org/10.1016/j.ejon.2021.102078

Rocque, B., Bishop, E., Scogin, M. A., Hopson, B., Arynchyna, A. A., Boddiford, C. J., Shannon, C., & Blount, J. P. (2015). Assessing health-related quality of life in children with spina bifida. Journal of Neurosurgery, 15(2), 144–149. https://doi.org/10.3171/2014.10.PEDS1441

Salinas-Rosas, A., & Paucar-Yangua, R. (2017). Comprendiendo el afrontamiento y la calidad de vida en adolescentes con Espina bífida. CASUS. Revista de Investigación y Casos en Salud, 2(3), 139–146. https://doi.org/10.35626/casus.3.2017.9

Sanabria, H., Tarqui-Mamani, C., Arias, J., & Lam, N. (2013). Impacto de la fortificación de la harina de trigo con ácido fólico en los defectos del tubo neural, en Lima, Perú. Anales de la Facultad de Medicina, 74(3). https://doi.org/10.15381/anales.v74i3.2631

Sánchez, G. (2016). Cuestionario de estrés parental: características psicométricas y análisis comparativo del estrés parental en padres de familia con hijos e hijas de 0 a 3 años de edad de Lima Moderna [Tesis para optar el título de licenciado en psicología, Universidad de Lima]. https://doi.org/10.26439/ulima.tesis/3384

Sotero, L., Fernandez, F. A., Bezerra, P., Queiroz, J., Pontes, F. A., & Silva, S. S. (2026). Resilience, parental stress, and family functioning associated with quality of life: a study with caregivers of children and adolescents with Cerebral Palsy. Frontiers in Education, 10. https://doi.org/10.3389/feduc.2025.1671097

Taha, A. A., Eisen, A. M., Abdul-Rahman, H. Q., Abdul-Rahman, T. Q., La, S., Hanes, D., & Zouros, A. (2021). Spirituality and quality of life among parents of adolescents with spina bifida. Western Journal of Nursing Research, 43(8), 742–750. https://doi.org/10.1177/0193945920976407

Torres, A. L., Rojas, J. S., & Fernández, M. F. (2024). Factores asociados a la funcionalidad familiar cuando algún miembro de la familia tiene una condición de discapacidad física. Ciencia Latina Revista Científica Multidisciplinar, 8(2), 8120–8135. https://doi.org/10.37811/cl_rcm.v8i2.11245

Universidad Nacional Mayor de San Marcos. (2023). Código de ética en investigación de la Universidad Nacional Mayor de San Marcos (Resolución Rectoral Nº 012648-2023-R/UNMSM). https://letras.unmsm.edu.pe/wp-content/uploads/2023/11/2023_Codigo-de-etica-del-investigador.pdf

Vermaes, I. P., Janssens, J. M., Mullaart, R. A., Vinck, A., & Gerris, J. R. (2008). Parents' personality and parenting stress in families of children with spina bifida. Child: Care, Health and Development, 34(5), 665–674. https://doi.org/10.1111/j.1365-2214.2008.00868.x

Yamaguchi, C., Takeshi, E., Hosokawa, R., Futamura, M., Ohya, Y., & Asano, M. (2019). Factors determining parenting stress in mothers of children with atopic dermatitis. Allergology International, 68(2), 185–190. https://doi.org/10.1016/j.alit.2018.08.006

Yang, S., Yun, H., Lee, H., Kim, K., Park, C., & Choi, E. (2026). Mediating effects of family and clinical characteristics on the quality of life of children with spina bifida and their parents. Journal of Advanced Nursing, 82(3), 2165–2176. https://doi.org/10.1111/jan.17052

Publicado

2026-09-15

Edição

Seção

Artigos Originais

Como Citar

Family Functioning and Parental Stress Among Caregivers of Individuals with Spina Bifida. (2026). LIBERABIT. Revista Peruana De Psicología, 32(2), e1344. https://doi.org/10.24265/