Previous research has found that religiosity is associated with psychological well-being (i.e., depressive symptoms, perceived stress, and life satisfaction), and this study sought to improve our understanding of this relation by examining two mediators: gratitude and social support. Additionally, this study sought to examine the effect of having been a custodial grandparent on social support and psychological well-being. These issues were examined using Structural Equation Modeling (SEM) and two subsets of participants from national samples (i.e., participants from the MIDUS II and MIDUS Refresher who completed outcome questionnaires with the Biomarker follow-up). Consistent with previous research, religiosity was associated with psychological well-being. Gratitude and social support, which themselves covaried, mediated that relation. Former or current status as a custodial grandparent was not associated with poor psychological well-being or less social support. These findings served as a replication and extension of previous research that showed gratitude may mediate the relation between religiosity and psychological well-being. Implications and limitations to this study are discussed.

There are currently 2.7 million grandparents raising grandchildren in the United States. As grandparenting has become more prevalent, concerns have surfaced regarding the effect of additional caregiving responsibilities placed on an aging population. The following study uses an existing dataset that interviewed individuals who graduated from Wisconsin high schools in 1957. The present study examined the impact of grandparenting on measures of cognitive ability, both cross-sectionally and longitudinally, which had yet to be examined. Findings from the cross-sectional analysis show that custodial grandparents outperformed their non-custodial grandparent counterparts on the cognitive tests of word recall, category fluency, letter fluency, and cognitive similarities. Findings from the longitudinal analysis show that though custodial grandparents had initially performed worse on the digit ordering task, their scores declined at a much slower rate over-time when compared to non-custodial grandparents. This study provides a unique opportunity to examine the impact of custodial grandparenting on cognition.

As the structure of the American family changes, it is becoming more common for children to be raised by their grandparents. In fact, over the past 40 years, there has been a 50% increase in grandparent-headed homes in the US (Ellis and Simmons, 2014). Custodial grandparents, who provide primary caregiving responsibilities for their grandchildren, often become responsible for their grandchildren due to distressing situations and report many social-emotional, physical, and psychological difficulties (e.g., Hayslip and Kaminski, 2005). Additionally, children of custodial grandparents have been found to have significantly more emotional and behavioral problems than non-custodial grandchildren (Smith and Palmieri, 2007). The main parenting resource for this population is often support-groups, which often do not provide needed assistance with discipline and behavior management. The overall purpose of this study was to adapt Parent Child Interaction Therapy (PCIT) to custodial grandparents, using a consumer-oriented approach. The study was completed in three discrete stages. During Stage 1, qualitative interviews with custodial grandparents were completed to collect further information about custodial grandparents' experience parenting their grandchildren, use of parenting resources, and opinion of parenting strategies and PCIT. Findings from this stage indicated that custodial grandparents were amenable to PCIT procedures, but experienced significant barriers in accessing parenting services. Due to these barriers, a service delivery adaptation was developed and an online intervention was created (Stage 2) to transcend treatment barriers. Finally, during Stage 3, this online intervention was tested in a small single-subject design pilot study. Multiple metrics supported the feasibility, accessibility, satisfaction, and initial treatment efficacy of this intervention. All participants demonstrated clinically significant reductions in at least two symptom measures and reported satisfaction with the online intervention. Overall, results provide preliminary support for the use of online interventions to teach PCIT strategies and support future research on online interventions for this population. / Ph. D.

This cross-sectional study compared three groups of grandparents, two custodial and one noncustodial, to identify and delineate the unique challenges and expectations faced by custodial grandparents due to their nontraditional roles while attempting to disentangle grandparental role demands from child-specific problems as sources of distress. Those grandparents raising grandchildren demonstrating neurological, physical, emotional, or behavioral problems exhibited the most distress, the most disruption of roles, and the most deteriorated grandparent-grandchild relationships. Although the custodial grandparents raising apparently normal grandchildren demonstrated less distress, less disruption of roles, and less deterioration of the grandparent-grandchild relationship than those grandparents raising grandchildren displaying problems, they still demonstrated higher levels than did traditional grandparents. Those grandparents who reported fewer resources, demonstrated poor attitudes regarding seeking mental health services, and reported raising grandchildren displaying problems had the lowest levels of adjustment.

Master of Science / Department of Human Nutrition / Mary L. Higgins / Purpose: Skipped-generation households are increasing both nationally and in Kansas. This qualitative study explored the nutrition-related practices and attitudes of Kansas older skipped-generation caregivers and the children under their care. Design and Methods: Twenty-three Kansas caregivers representing 19 households were interviewed about a range of topics using a semi-structured approach. Interview transcriptions were content analyzed. Results: Nutrition-related practices and attitudes changed over time. Compared to when they were parenting the first time, skipped-generation caregivers reported that they are more nutrition and food safety conscious and have shifted in their parenting style. Their grandchildren appeared to be adversely affected by an on-the-go lifestyle and the use of more electronics. Caregiver sources of child feeding advice are based mostly on tradition. Caregivers believed that nutrition and safe food handling are important; they held beliefs that nutritious food is expensive; and most did not believe they would use population-specific nutrition education materials. The preferred distribution of nutrition education materials was through grandparent support groups. Implications: Research was exploratory in nature with a limited sample size. This population could benefit from education incorporating topics on infant, child, adolescent, and sports nutrition; healthful recipes and snack ideas; quick and inexpensive healthful meals that are low in fat, sugar, and salt; healthful fast food and packaged food options; the importance of checking the internal temperatures of meat when cooking; ways to feed "picky eaters;" benefits of eating together as a family; tips to limit children's sedentary time; and intergenerational gardening and cooking.

The purpose of this study was to explore the following relationships: (a) how moderating factors (gender, age, ethnicity, social support, marital status, reason for role assumption and number of grandchildren in the home) can influence the mediating role of resiliency, and (b) how resiliency may mediate the negative effects of raising grandchildren (role demands, life disruptions, and difficulties with grandchildren) on grandparent adjustment over time. Resiliency was hypothesized to have the greatest effect on custodial grandparents who experienced the most stress (i.e., older, single, Caucasian males lacking social support and raising more than one grandchild). Mediation was assessed using structural equation modeling. Results indicated resilience mediated the relationship between role assumptions (i.e., role demands and life disruptions) and grandparent adjustment; however, resilience did not mediate the relationship between grandchild characteristics and grandparent adjustment. Due to the small number of custodial grandfathers (n = 14), non-married grandparents (n = 29), non-Caucasian grandparents (n = 10), the small number of grandparents who assumed the custodial role for less ambiguous reasons (n = 24), and the number of custodial grandparents with more than one grandchild residing in the home (n = 29) participating within the study, hierarchical multiple regressions were only conducted to test for moderated mediation for perceived social support and the age of the grandparent. Results indicated resilience mediates the relationship between life disruption and grandparent well-being for younger custodial grandparents and for custodial grandparents with perceived high social support.

The occurrence of custodial grandparents is increasing greatly. These grandparents face added stress and many adversities that arise from caregiving. Findings of current research tends to be mixed on the effects of grandparents raising grandchildren experience. Much research concludes that grandparent caregivers experience negative declines in overall health and well-being, while other research points out that the caregiving role may actually be a positive experience for the grandparent. The current study hypothesizes that mixed research may be a result of varying levels of resilience in the custodial grandparent population. The model proposed in this study looks at resilience as a mediator between several variables that effect custodial grandparenting. The current sample consisted of 239 custodial grandparents. A regression/correlation analysis was conducted on the data, and it was found that resilience levels were significant in mediating the effects of grandparent caregiving.

Grandparent-headed families are diverse in nature and represent a rapidly growing family type. While challenges facing grandparent caregivers are well documented, less is known about the well-being of their grandchildren, with many early studies relying on small samples of convenience. This study used an existing large national database, the National Survey of America's Families (NSAF), to compare differences in well-being of both children and grandparent caregivers across the independent variables of family type, ethnicity, gender, and age. Findings suggested better mental health and less parental aggravation for caregivers in traditional two parent intact families as compared to grandparents co-parenting in a multi-generation home, skipped generation grandparents (raising their grandchild with no parent present) or single parents. Skipped generation grandparents in particular reported most caregiver aggravation. Child physical health was reported to be worse by skipped generation grandparent caregivers. Behavior problems were reported to be worse for children in grandparent headed households than those in traditional families, particularly for teenagers raised in skipped generation households by their grandmothers. Specific results, limitations and future directions for research on grandparent-headed households were discussed.

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