Context-Specific Resilience Through a Cultural Lens: Social-Ecological Factors Among Chinese Families of Children with Neurodevelopmental Disabilities.
Xiaolu Dai, Yves Cho Ho Cheung, Xiaoyu Zhuang and 2 others
PMID 39436517WHAT IT FOUND
Parents of children with neurodevelopmental disabilities reported more stress and less emotional flexibility, coping, self-kindness, family support and social support.
Emotional flexibility and family support were linked to lower stress and fewer child difficulties.
Key findings
01Among 447 parents, 242 had a child with NDD and 205 did not; parents of children with NDDs had higher parenting stress and their children had more total, internalising and externalising difficulties.
02In the whole sample, the six resilience factors accounted for 28% of child difficulties and 36% of parenting stress; emotional flexibility, self-kindness, family support and social support were linked to fewer child difficulties, while emotional flexibility, coping, self-kindness, family support and social support were linked to lower parental stress.
03Emotional flexibility and family support were linked to both child difficulties and parental stress in both groups; self-kindness was linked to outcomes only among parents of children with NDDs, and coping was linked to parental stress only among parents of children without NDDs.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study is cross-sectional, so it cannot show that resilience causes lower stress or fewer child difficulties. It did not account for NDD type, time since diagnosis, or child gender. The resilience factors accounted for only part of the variation in stress and child difficulties. All measures were parent-reported, so child difficulties and resilience were not observed independently. No intervention was tested, so the paper cannot show that any programme works. Participants were recruited through one Hong Kong nonprofit, and the sample was mainly mothers, so results may not apply to other settings or fathers.
Declared interests
The paper names Hong Kong Baptist University as funder. It does not report other conflicts of interest.
The easy way to misread this
Do not read these resilience links as proof that building emotional flexibility, self-kindness, family support or social support will reduce parent stress or child difficulties. The study was cross-sectional and parent-reported, and it tested no intervention.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →