Biopsychosocial Factors Associated with Parenting Stress in Pediatric Sickle Cell Disease

Caregivers of children with sickle cell disease (SCD) experience significant physical and emotional hardship with their child’s disease management. Little is known about the potential contributors to parenting stress in pediatric SCD. The present study aimed to identify child and caregiver biopsychosocial factors associated with disease-related parenting stress in pediatric SCD. Participants included 74 caregiver-youth dyads. Parenting stress was associated with increased child pain frequency, more missed school days, and increased healthcare utilization, and inversely correlated with caregiver mental health and social-emotional functioning. Parenting stress also partially explained the relationship between child pain frequency and healthcare utilization after controlling for parent depression and anxiety. Parenting stress may play a unique and critical role in pediatric SCD and underscore the impact parenting stress may have on youth in medical and academic settings. Further research is warranted to determine risk factors and appropriate interventions for parenting stress to improve comprehensive patient care.

     

Kali's child and Krishna's lover: An anatomy of Ramakrishna's Caritas Divina

The famous 19th‐century Bengali saint Shri Ramakrishna Paramahamsa has almost universally been regarded as a Shakta (sometimes confused with Tantrika) devotee of the Mother Goddess Kali. His association with the Kali temple at Daksineshvar, in the northern suburb of Calcutta, has no doubt been a powerful argument behind his Shakta/Tantrika affiliation. This paper argues that Ramakrishna was essentially a bhakta (devotee) in the Vaisnava tradition and his cultural and family inheritance. His idea of the divine and his career and logia as a priest and a saint provide ample justification to consider him essentially a Vaisnava whose spiritual battle‐cry was to demand to have dalliance with God.