Journal of Child and Family Studies

, Volume 28, Issue 10, pp 2762–2771 | Cite as

Family Stress Moderates Emotional and Behavioral Symptoms in a Child Partial Hospital Setting

  • Mona YaptangcoEmail author
  • Teresa M. Preddy
  • Katharine E. Musella
  • Stephanie H. Parade
  • Stephanie Umaschi
  • Anne Walters
Original Paper



Partial hospitalization programs are an increasingly utilized, multidisciplinary treatment for children with social, emotional, and behavioral needs. Although previous work suggests these programs improve children’s mental health functioning, outcomes research has been limited. This study examines moderators of emotional and behavioral outcomes in children with serious mental illness, with particular focus on demographic (age, race, insurance type, and gender) and family (stressors and supports) factors.


The study includes 287 children ages 7–13. Children completed standardized questionnaires at admission and discharge including the Behavior Assessment System for Children-2 the Child Depression Inventory 2, and the Screen for Child Anxiety Related Disorders while caregivers completed the Strengths and Difficulties Questionnaire.


Results indicate improvements in children’s anxiety, depressive symptoms, psychological adjustment, and emotional symptoms. Furthermore, children with private insurance reported significant decreases in depressive (p < 0.001) and emotional symptoms (p< 0.001) compared to children with state funded insurance. Females reported sharper decreases in depressive symptoms (p< 0.001) compared to males (p= 0.019). Finally, children in families with no stressors in the past month demonstrated sharper declines in depressive symptoms (p< 0.001) compared to children in families with one or more stressors in the past month (p= 0.001). Family support did not moderate these outcomes.


This study suggests partial hospitalization programs may be effective in improving emotional and behavioral problems. This study suggests family stressors are important to consider and emphasize in treatment.


Partial hospitalization Treatment outcomes Child psychology Family stressors 



We are grateful to the children and families who have participated in our program. We would also like to thank the clinical team for their dedication and service to our patients.


This study was conducted without external grant funding.

Author Contributions

MY: developed research question, created database, conducted data analyses, wrote the paper. TP: collaborated with the design, writing, and data analysis of the study. KM: assisted with the creation of the database, assisted with data collection for record review, reviewed and provided feedback on manuscript and revisions. SP: assisted with the database, assisted with conducting data analyses, provided edits on the manuscript and revisions SU: assisted with literature review, assisted with analysis and interpretation of data associated with measures. AW: collaborated with the design of the study, provided edits on the manuscript and revisions.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of institutional and/or national research committee through Lifespan- Rhode Island Hospital IRB, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required. This article does not contain any studies with animals performed by any of the authors. Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Mona Yaptangco
    • 1
    • 2
    Email author
  • Teresa M. Preddy
    • 1
    • 2
  • Katharine E. Musella
    • 1
    • 2
  • Stephanie H. Parade
    • 1
    • 2
  • Stephanie Umaschi
    • 1
    • 2
  • Anne Walters
    • 1
    • 2
  1. 1.Warren Alpert Medical School of Brown University, Department of Psychiatry and Human BehaviorProvidenceUSA
  2. 2.Emma Pendleton Bradley HospitalEast ProvidenceUSA

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