BACKGROUND: @entity5785 ( @entity5785 ) has been found to be high in families with @entity1 suffering from @entity9054 as well as a variety of @entity146 . @entity5785 has been associated with high levels of stress in carers. However, behavioural problems in @entity1 do not automatically lead to stress in carers. Carers' beliefs and behaviour could affect how they appraise and cope with their @entity1 's behaviour. Furthermore, the perceived adequacy of social support can also be an important factor in determining the family's level of stress. The study investigates the relationship between @entity5785 variables and carers' appraisal and coping with the @entity1 's behaviour, stress and social support. METHODS: Forty-seven carers were recruited from schools for moderate to severe @entity4207 . Carers filled in questionnaires and took part in the Camberwell Family Interview for @entity5785 status. Carers' @entity5785 status was determined by a rater blind to the carers' questionnaires scores. RESULTS: There was no difference between high and low @entity5785 groups in the descriptive information of the @entity1 's independence, communication skills, or the frequency of behavioural problems. However, high @entity5785 carers appraised more of their @entity1 's behaviour as definite problems and their available social support to be less adequate. High warmth was found to relate to more positive reappraisal and less escape-avoidance coping. A multiple regression analysis indicated that carers' @entity5785 , psychological well-being, appraisal of their @entity1 's behaviour, their @entity1 's communication skills and respite usage predicted 62% of the variance in their perceived stress scores. CONCLUSION: It is important to consider optimal use of respite care and psychosocial intervention to encourage positive appraisal and problem solving.

Carers' expressed emotion, appraisal of behavioural problems and stress in @entity1 attending schools for XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'child'] @entity146 :: ('MESH:D001523', 'Disease') :: ['childhood psychiatric disorders'] @entity5785 :: ('MESH:D001039', 'Disease') :: ['Expressed emotion', 'EE'] @entity4207 :: ('MESH:D007859', 'Disease') :: ['learning disabilities'] @entity9054 :: ('MESH:D019955', 'Disease') :: ['conduct disorder']
@entity4207 :: (MESH:D007859,Disease) :: ['learning disabilities']
