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      Parenting stress in parents with and without a mental illness and its relationship to psychopathology in children: a multimodal examination

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          Abstract

          Objective

          Children of parents with a mental illness are at heightened risk to develop a mental illness themselves due to genetics and environmental factors. Although parenting stress (PS) is known to be associated with increased psychopathology in parents and children, there is no study investigating PS multimodally in a sample of parents with a mental illness. This study aims to compare PS of parents with and without a mental illness and further to examine the relationship between PS and psychopathology of children.

          Methods

          Participants were parents with a mental illness and parents without a mental illness and their children aged four to sixteen years. We assessed PS multimodally using a questionnaire, parents’ evaluation of children’s behavior (relational schemas) and psychophysiological arousal of parents during free speech task.

          Results

          Self-reported PS was increased, and evaluation of children’s behavior was more negative and less positive in parents with a mental illness compared to parents without a mental illness. Children’s psychopathology was associated with self-reported PS and relational schemas of parents. Regarding psychophysiological arousal, parents with a mental illness showed reduced reactivity in heart rate from baseline to free speech task in comparison to parents without a mental illness.

          Conclusions

          Our findings highlight the importance of implementing intervention programs to reduce PS for parents and children. In particular, parents with a mental illness might benefit from specific intervention programs in order to interrupt the transgenerational transmission of mental disorders.

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          Most cited references118

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          An Overview of Heart Rate Variability Metrics and Norms

          Healthy biological systems exhibit complex patterns of variability that can be described by mathematical chaos. Heart rate variability (HRV) consists of changes in the time intervals between consecutive heartbeats called interbeat intervals (IBIs). A healthy heart is not a metronome. The oscillations of a healthy heart are complex and constantly changing, which allow the cardiovascular system to rapidly adjust to sudden physical and psychological challenges to homeostasis. This article briefly reviews current perspectives on the mechanisms that generate 24 h, short-term (~5 min), and ultra-short-term (<5 min) HRV, the importance of HRV, and its implications for health and performance. The authors provide an overview of widely-used HRV time-domain, frequency-domain, and non-linear metrics. Time-domain indices quantify the amount of HRV observed during monitoring periods that may range from ~2 min to 24 h. Frequency-domain values calculate the absolute or relative amount of signal energy within component bands. Non-linear measurements quantify the unpredictability and complexity of a series of IBIs. The authors survey published normative values for clinical, healthy, and optimal performance populations. They stress the importance of measurement context, including recording period length, subject age, and sex, on baseline HRV values. They caution that 24 h, short-term, and ultra-short-term normative values are not interchangeable. They encourage professionals to supplement published norms with findings from their own specialized populations. Finally, the authors provide an overview of HRV assessment strategies for clinical and optimal performance interventions.
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            Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research – Recommendations for Experiment Planning, Data Analysis, and Data Reporting

            Psychophysiological research integrating heart rate variability (HRV) has increased during the last two decades, particularly given the fact that HRV is able to index cardiac vagal tone. Cardiac vagal tone, which represents the contribution of the parasympathetic nervous system to cardiac regulation, is acknowledged to be linked with many phenomena relevant for psychophysiological research, including self-regulation at the cognitive, emotional, social, and health levels. The ease of HRV collection and measurement coupled with the fact it is relatively affordable, non-invasive and pain free makes it widely accessible to many researchers. This ease of access should not obscure the difficulty of interpretation of HRV findings that can be easily misconstrued, however, this can be controlled to some extent through correct methodological processes. Standards of measurement were developed two decades ago by a Task Force within HRV research, and recent reviews updated several aspects of the Task Force paper. However, many methodological aspects related to HRV in psychophysiological research have to be considered if one aims to be able to draw sound conclusions, which makes it difficult to interpret findings and to compare results across laboratories. Those methodological issues have mainly been discussed in separate outlets, making difficult to get a grasp on them, and thus this paper aims to address this issue. It will help to provide psychophysiological researchers with recommendations and practical advice concerning experimental designs, data analysis, and data reporting. This will ensure that researchers starting a project with HRV and cardiac vagal tone are well informed regarding methodological considerations in order for their findings to contribute to knowledge advancement in their field.
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              Heart rate variability as an index of regulated emotional responding.

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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2571015Role: Role: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/2516515Role: Role:
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                URI : https://loop.frontiersin.org/people/990726Role: Role: Role:
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                URI : https://loop.frontiersin.org/people/546870Role: Role: Role: Role: Role:
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                05 February 2024
                2024
                : 15
                : 1353088
                Affiliations
                [1] 1 Department of Clinical Child and Adolescent Psychology, Justus Liebig University Giessen , Giessen, Germany
                [2] 2 Department of Rehabilitation Sciences, Technical University Dortmund , Dortmund, Germany
                [3] 3 Department of Psychotherapy and Systems Neuroscience, Justus-Liebig University Giessen , Giessen, Germany
                [4] 4 Department of Psychology, Clinical Child and Adolescent Psychology, Philipps-University Marburg , Marburg, Germany
                [5] 5 Institute of Medical Biometry, University of Heidelberg , Heidelberg, Germany
                [6] 6 Department of Work and Organizational Psychology, Philipps-University Marburg , Marburg, Germany
                [7] 7 Department of Psychology, Ludwig-Maximilians-Universität München , Munich, Germany
                [8] 8 Department of Psychology, Technical University Dortmund , Dortmund, Germany
                [9] 9 Clinical Child and Adolescent Psychology, Department of Psychology, Technische Universität Dresden , Dresden, Germany
                Author notes

                Edited by: Geneviève Piché, University of Quebec in Outaouais, Canada

                Reviewed by: André Luiz Monezi Andrade, Pontifical Catholic University of Campinas, Brazil

                Mark C. M. Tsang, Tung Wah College, Hong Kong SAR, China

                *Correspondence: Vanessa Seipp, vanessa.seipp@ 123456psychol.uni-giessen.de
                Article
                10.3389/fpsyt.2024.1353088
                10875068
                38374978
                00966906-f3e2-493c-aab5-7e3b4c3c8a12
                Copyright © 2024 Seipp, Hagelweide, Stark, Weigelt, Christiansen, Kieser, Otto, Reck, Steinmayr, Wirthwein, Zietlow, Schwenck and the COMPARE-Family Research Group

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 09 December 2023
                : 18 January 2024
                Page count
                Figures: 1, Tables: 7, Equations: 0, References: 110, Pages: 16, Words: 10376
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Federal Ministry of Education and Research (BMBF) under grant # 01GL1748B, # 01GL1748C and # 01GL1748E.
                Categories
                Psychiatry
                Original Research
                Custom metadata
                Public Mental Health

                Clinical Psychology & Psychiatry
                parents with a mental illness,parenting stress,multimodal,relational schema,psychopathology of children,psychophysiological arousal,fundamental frequency,heart rate

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