The authors examined the associations between parental variables and child
syncope (fainting). Children ages 7 to 18 years undergoing tilt-table testi
ng for neurocardiogenic syncope (NCS) at a pediatric cardiac center served
as participants (N = 56). Results revealed that fathers' shortness of breat
h and overall psychological distress were significantly related to syncope
frequency and emergency room (ER) visits for girls, Mothers' overall psycho
logical distress, depressive symptoms, and shortness of breath were associa
ted with boys' frequency of syncope and ER visits. Fathers' psychological f
actors were highly correlated with syncope for the children diagnosed negat
ive for NCS. The frequency of children's syncope was higher in stepfamilies
than in homes with both biological parents, and the correlations between c
hildren's syncope and the stepfathers' psychological symptoms were greater
than for the children and their biological fathers in intact families. The
role of parental psychological factors on child syncope is supported.