HIGHLIGHTS
SUMMARY
The parental stress analysis showed that, in the sample, parental stress levels were already high at baseline in all the scales of the Parenting Stress Index (Parental Distress, Parent-Child Dysfunctional Interaction, Difficult Child, and Total Stress), highlighting that there were different stress factors related to the parental role, to the parent-child relationship, and finally, to the individual characteristics of the child. Analysis of parental stress over time showed an increase in parental stress after both 6 and 12 months of the ketogenic diet, although only the latter variation was statistically significant. This . . .
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