How do exhausted parents experience their interactions with their children? A qualitative and participative study

Introduction

Parental burnout, known as a state of physical and psychological exhaustion, results in an imbalance between the parent's perceived stressors in relation to parenting, and the resources available to the parent to cope with such stressors. The causes and consequences of parental burnout for the parents themselves have been studied from the parents' point of view, but the perception of parents regarding the impact of parental burnout on the parent-child relationship has not yet been documented.

Methods

We conducted a qualitative study through semi-structured interviews with exhausted parents (n=21). We aimed to better understand their general interactions with their children, as well as the way they communicate with them about their state of exhaustion, knowing that dealing with parental suffering can have a long-term impact on the child.

Results

Our results reveal that exhausted parents experience a widespread loss of control in all areas of their lives, particularly in their interaction with their children, which generates feelings of guilt and shame. Communicating their experience to their children can create various difficulties for both parents and children. This may complicate the process of seeking help and reinforce the feeling of isolation.

Discussion

An emerging result from our analysis leads us to identify a need for the parents to be heard and validated in their suffering who took part in this research.

Cognitive behavioral stress management for parents: Prevention and reduction of parental burnout

Context

Parental burnout increases the risk of deleterious consequences on parents', couples', and children's physical and mental health.

Methods

The current study (N = 134) aimed to assess the effectiveness of a Cognitive Behavioural Stress Management (CBSM) group programme in terms of parental burnout reduction. In total 67 parents attended the 8-week CBSM intervention groups, and another 67 parents were assigned to the waiting-list control group. We compared the effectiveness of the CBSM intervention with a waiting-list control group directly after the end of the programme and at three-months follow-up.

Results

The results showed that compared to the control group the CBSM programme contributed to the reduction of parental burnout symptoms with statistically significant and small effect size. Moreover, the contrast analyses showed that the reduction in parental burnout severity was maintained at 3 month-follow-up. The reduction in parental burnout scores was mediated by the decrease in stress and the increase in unconditional self-kindness.

Conclusions

These results highlight the potential benefits of the CBSM programme for parental burnout prevention and reduction.

Impact of emotional competence on physicians' clinical reasoning: a scoping review protocol

INTRODUCTION

Clinical reasoning (CR) is a key competence for physicians and a major source of damaging medical errors. Many strategies have been explored to improve CR quality, most of them based on knowledge enhancement, cognitive debiasing and the use of analytical reasoning. If increasing knowledge and fostering analytical reasoning have shown some positive results, the impact of debiasing is however mixed. Debiasing and promoting analytical reasoning have also been criticised for their lack of pragmatism. Alternative means of increasing CR quality are therefore still needed. Because emotions are known to influence the quality of reasoning in general, we hypothesised that emotional competence (EC) could improve physicians' CR. EC refers to the ability to identify, understand, express, regulate and use emotions. The influence of EC on CR remains unclear. This article presents a scoping review protocol, the aim of which will be to describe the current state of knowledge concerning the influence of EC on physicians' CR, the type of available literature and finally the different methods used to examine the link between EC and CR.

METHOD AND ANALYSIS

The population of interest is physicians and medical students. EC will be explored according to the model of Mikolajczak et al, describing five major components of EC (identify, understand, express, regulate and use emotions). The concept of CR will include terms related to its processes and outcomes. Context will include real or simulated clinical situations. The search for primary sources and reviews will be conducted in MEDLINE (via Ovid), Scopus and PsycINFO. The grey literature will be searched in the references of included articles and in OpenGrey. Study selection and data extraction will be conducted using the Covidence software. Search and inclusion results will be reported using the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review model (PRISMA-ScR).

ETHICS AND DISSEMINATION

There are no ethical or safety concerns regarding this review.

REGISTRATION DETAILS

OSF Registration DOI: https://doi.org/10.17605/OSF.IO/GM7YD.

The effect of maternal empathy on infants' attachment security: Moderation by maternal emotion regulation and infant temperament

This study examined the relationship between maternal empathy and infants' attachment security and tested the moderating effects of maternal emotion regulation and infant negative emotional temperament. Participants were sampled from 215 families whose infants were 6 months old (T1) and from 170 families of the same cohort whose infants were 14 months old (T2). At T1, mothers were measured for their empathy (empathic concern and perspective taking), emotion regulation (reappraisal and suppression), and infant negative emotional temperament (sadness, falling reactivity, fear, and distress to limitations). At T2, mothers were again measured for their emotion regulation, and infant attachment was measured using the Strange Situation Procedure. Maternal empathic concern (EC) and perspective taking (PT) were found to be positively related to infant attachment security, while maternal reappraisal and infant temperamental sadness moderated the relationship between maternal PT and infant attachment security. No significant moderation effects were found between maternal EC and infant attachment security. Simple slope results showed that for infants with higher maternal reappraisal or infant sadness, maternal PT could positively predict infant attachment security. These findings highlight the importance of how the individual characteristics of mothers and infants may interact with maternal empathy during the critical period of infant attachment formation.

Convergent Validity Analysis between the Profile of Emotional Competences Full-Form and the Trait Emotional Intelligence Questionnaire Full-Form

Emotional dispositions have been found to influence outcomes and have applications in many areas, such as in the clinical, health, social, educational, and organizational domains. Specifically, they may influence individuals’ addictive behaviour tendencies. The aim of this study was to investigate the convergent validity between two questionnaires measuring individual differences linked to emotional dispositions, the Profile of Emotional Competences (PEC) full-form, and the Trait Emotional Intelligence Questionnaire (TEIQue) full-form. Examining the convergent validity will identify the similarities and the unique aspects of each questionnaire. Our hypotheses were based on relationships displaying large effect sizes (r > .50). A sample of 1026 participants took part in this study (Mage = 21.35 years old, age range = 18–30). Participants completed both the PEC and the TEIQue in a counterbalanced order. Results indicated large overlaps between the two questionnaires; however, two main differences emerged: first, the PEC allows capturing precisely the emotional dispositions at the intrapersonal and interpersonal levels, while the TEIQue mixes both levels; second, the competence “using emotions”, both for one’s own emotions and for others’ emotions, is not comprehensively reflected in the TEIQue. Overall, the PEC may help to capture more specifically the distinction between intrapersonal and interpersonal emotional competences. Future research should investigate comparatively the criterion validity of both questionnaires with specific outcome variables. Future research and applied work with addiction aiming at clarifying the implication of both intrapersonal and interpersonal emotional competences may consider to rather use the PEC than the TEIQue.