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 XXXX attending schools for @entity4207 .

@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']
@entity1 :: (9606,Species) :: ['children']
