Parents' attributions for achieving compliance from attention-deficit-disordered children

Ninety-one parents provided reasons for the compliance and noncompliance of either their attention-deficit-disordered, hyperactive (ADDH) or non-ADDH child in six different situations. These attributions were rated on Weiner's (1979) dimensions of locus, stability, and controllability. While parents used the same categories to explain the reasons for their children's complaince behavior, they used different dimensional ratings for these explanations. Mothers rated attributions for noncompliance as more external than did fathers. Mothers of ADDH children viewed the causes of their children's behavior to be more unstable than did mothers of control children. Also, ADDH parents had lower expectations of achieving future compliance from their child than did non- ADDH parents. Results were discussed in terms of parental experiences, the need to consider an idiosyncratic approach to attributional meaning, and treatment implications.     

Effects of Stimulant Medication Treatment on Mothers' and Children's Attributions for the Behavior of Children with Attention Deficit Hyperactivity Disorder

Participants were 55 children with attention deficit hyperactivity disorder (ADHD) who were receiving ongoing treatment with stimulant medications and their mothers, and 31 children with ADHD who were beginning stimulant medication and their mothers. Mothers and children offered attributions for child behaviors that occurred when the child was medicated and not medicated. Mothers rated child compliance and prosocial behavior as more global and stable when the child was medicated and rated noncompliance, ADHD symptoms, and oppositional behavior as more externally caused, less global and stable, but more controllable by the child when the child was medicated. Children rated both their compliance and noncompliance as more controllable in the medicated condition. On a forced-choice measure, both mothers and children selected ability, effort, and task attributions for compliance more in the not-medicated condition, and pill-taking attributions more in the medicated condition. This was reversed for noncompliance, which was attributed more to effort, task, or ability in the medicated condition and more to not taking a pill in the not-medicated condition. The potential risks and benefits for parent–child interactions and children's self-perceptions of these medication-related differences in attributions are discussed.     

Mothers’ Attributions About Child Misbehavior: Can Situational Suggestions Change General Perceptions?

Mothers’ attributions about children’s misbehavior were experimentally manipulated to examine causal relationships among attributions, mood, and behavior and assess whether suggestion can change mothers’ general perceptions. Forty mothers of children aged 33 to 71 months were primed with dysfunctional child-referent (child responsible) or environment-referent (situation caused) attributions before a parent-child interaction. Mothers in the dysfunctional child-referent condition placed greater responsibility on children, reported less positive mood and endorsed more overly reactive discipline, and their children displayed more negative mood and misbehavior. The experimental manipulation also affected mothers’ general child attributions. Understanding how attributions form and change has implications for parenting interventions.     

Parenting cognitions and treatment beliefs as predictors of experience using behavioral parenting strategies in families of children with attention-deficit/hyperactivity disorder

We tested a model of mothers' parenting efficacy and attributions for child ADHD behaviors as predictors of experiences with behavioral treatment. The model proposed that mothers' beliefs regarding the acceptability and effectiveness of behavioral strategies would intervene between mothers' cognitions about parenting and child behavior and their treatment experiences. Participants were 101 mothers of 5- to 10-year-old children (82% male) with ADHD. Mothers reported their parenting efficacy and attributions for child behavior, and then received a single session of treatment teaching 2 behavior management strategies. Then, mothers reported their beliefs regarding the acceptability and effectiveness of these strategies. A follow-up phone interview 1 week later assessed mothers' experiences in using the behavioral strategies. The overall model fit the data. Attributions of child ADHD behavior as more pervasive, enduring, and within the child's control were related to seeing behavioral treatment as more acceptable, but neither attributions nor treatment acceptability predicted treatment experience. However, mothers with higher parenting efficacy viewed the behavioral strategies as more likely to be effective, and this pathway significantly predicted positive treatment experience. Implications for understanding the variables that contribute to parental decision-making and treatment participation for childhood ADHD are considered.     

Correlates of Regimen Adherence in Cystic Fibrosis

The present investigation studied psychological and familial factors associated with self-care adherence in a sample of 50 children (ages 9 to 17 years) with cystic fibrosis (CF). Children and their parents were recruited through an outpatient pediatric pulmonary medicine clinic at a metropolitan children's hospital. Participants were interviewed and administered measures of family behavior and child psychological variables. Regimen adherence was measured using a telephone interview approach across three occasions per participant. Hierarchical multiple regression with age, perceived family behaviors, health locus of control, and self-competency as predictors, accounted for 53.8% of the variance in regimen adherence. Findings suggest that higher self-esteem and younger age are related to higher rates of regimen adherence among children with CF.     

Perceptions of mothers' and fathers' responsibility for children's behavior

Mother-blaming has been well documented in research related to the etiology and maintenance of child psychopathology and family dysfunction. However, there has been almost no research that investigates the differential attributions of maternal and paternal blame for different types of problems or attributions of responsibility for prosocial child behaviors. In the current study, young adult participants (primarily Caucasians from the middle class) were asked to rate their perceptions of mothers' and fathers' responsibility for children's internalizing, externalizing, and prosocial behavior. Mothers were rated as more responsible for their children's internalizing behavior problems, and fathers were rated as more responsible for their children's externalizing behavior problems. Perceptions of mothers' and fathers' responsibility for their children's prosocial behaviors did not differ. Ramifications of mother-blaming and father-blaming are discussed.     

Examining Influences on Problem Recognition and Help-Seeking for Child Externalizing Behaviors Among African American Mothers

Childhood behavior problems are one of the most common clinical referrals. If left untreated, these behaviors can result in detrimental consequences to the child’s development (Wehmeier et al., 2010; Scholtens et al., 2012). Behavior parent training has been identified as first-line treatment for oppositional behavior; however, many racial minority families fail to enroll in behavior parent training. The current study examines maternal help-seeking for children displaying oppositional behavior in hopes to delineate variables that might influence parent training enrollment among African American families. Participants were 112 African American mothers who were provided child behavior vignettes and completed measures assessing factors related to problem recognition, parental attributions, child rearing values, mental health stigmatization, racial identity, and treatment utilization. Results found that when presented with a child displaying clinically significant externalizing child behaviors, slightly more than half of African American mothers recognized clinically significant child behavior problems. Mothers were more likely to engage in behavioral parent training if problematic behavior was recognized. Additionally, mothers’ attributions of child behavior, cultural values, and mental health stigmatization were influential to help seeking. This study supports the importance of considering cultural variables that impact problem recognition and subsequent treatment utilization among African American families.     

Parent Management of Attendance and Adherence in Child and Adolescent Therapy: A Conceptual and Empirical Review

There have been impressive, recent advances in the development of efficacious treatments for child and adolescent behavior problems. However, specific methods for delivering these treatments in a way that amplifies their efficacy have not been well articulated. Although many factors may be involved, attendance and adherence to treatment are arguably the most basic necessities for effective treatment delivery. We provide a conceptual and empirical review of past research on attendance and adherence to child and adolescent therapy, with a special focus on the importance of parents/guardians in managing treatment participation. Our review demonstrates that attendance and adherence are associated with a range of significant methodological, clinical, and financial outcomes. Several pretreatment predictors of attendance and adherence have been identified; however, to date only 12 controlled, clinical trials have evaluated strategies for enhancing attendance and adherence to child therapy. We conclude with an agenda for advancing research on the prediction and enhancement of attendance and adherence to child therapy as a means of improving the efficiency and effectiveness of child treatments.     

Implications of Mothers' Personality for Their Parenting and Their Young Children's Developmental Outcomes

ABSTRACT Using.a recent model (Watson, Clark, & Harkness, 1994), we examined implications of mothers' personality ( N = 103) for parenting and children's developmental outcomes, using multiple personality self-reports, lengthy, repeated naturalistic observations, and mothers' reports about-parenting and their child. Mothers high in negative emotionality and disagreeable-ness showed more negative affect and their chidren were more defiant and angry; they also reported more power assertive and less nurturant parenting, as well as less secure attachment, more behavioral problems, and.lower internalizatton of rules in their children. Mothers high in constraint and California Psychological Inventory (CPI) socialization reported more secure attachment and better internalization of rules; CPI socialization also correlated negatively with observed maternal verbal power assertion and children's defiance and anger, and positively with compliance. Regression analyses indicated that mothers' personality, particularly negative emotionality and socialization, influenced broadly conceptualized adaptive child outcomes, even after the influence of parenting was controlled.     

Mothers' attributions and expectancies regarding their conduct-disordered children

As an extension of Patterson's family coercion model, we hypothesized that parental attributions about the causes of child misbehavior and parental expectancies concerning the effectiveness of parenting techniques are involved in the establishment and maintenance of coercive exchanges. Mothers of 40 conduct-disordered children and 40 matched control children completed questionnaires measuring their attributions regarding the causes of their children's misbehavior and their expectations concerning the general and personal effectiveness of parenting techniques. Results supported the hypotheses: parents of conduct-disordered children were more likely to regard their children's misbehavior as intentional and to attribute it to stable, global causes beyond the parents' control. They also were less likely to see their own parenting as effective. We speculate that these parents hold cognitive stances of blame and helplessness that contribute to aversive parent behavior as well as to parent withdrawal in the face of escalating child aggressiveness.This article is based on a doctoral dissertation conducted by Anne Davison Baden while at Peabody College of Vanderbilt University, and was presented in part at the annual meeting of the American Psychological Association, New Orleans, August 1989.     

Parenting Disruptive Preschoolers: Experiences of Mothers and Fathers

This study examined parental functioning and interactions with young children with Oppositional Defiant Disorder (ODD), with emphasis on differences between mothers and fathers in their responses to their child and in their unique contributions to the prediction of child disruptive behavior. Participants were 53 3- to 6-year olds with ODD who presented for treatment with two parents. Mothers reported more severe disruptive behavior and higher parenting stress than fathers. During parent-child interactions, mothers showed more responsiveness than fathers, even though children were more compliant during interactions with fathers. Regression analyses showed that fathers' parent-related stress was predictive of both mothers' and father's reports of disruptive child behavior; mothers' marital satisfaction was predictive of behavioral observations of child compliance with both mothers and fathers. This study revealed several important differences in the experiences of mothers versus fathers of disruptive children and indicates the importance of including the father in the child's assessment and treatment.     

The Effects of Parent Training and Ritalin on the Parent-Child Interactions of Hyperactive Boys

Using a multiple baseline across subjects design, the present study assessed the effects of parent training alone and combined with methylphenidate on the social interactions of three mothers with their hyperactive boys. Two mothers received instruction in child behavior management while their sons remained off medication. Subsequently, these boys returned to medication to evaluate whether the drug further enhanced the effects of parent training. The third child received the drug treatment first and then remained on medication while his mother underwent the same parent training program. Results indicated that both treatments alone decreased the amount of commands given by the mother as well as parent ratings of deviant child behavior in the home, but produced variable improvements in child compliance to commands. More reliable improvements in child compliance to commands. More reliable improvements from each treatment occurred in the duration of compliance per command. the combination of treatments failed to produce any further improvements in mother-child interactions than that achieved by either treatment alone. Contrary to earlier research, only parent training resulted in increases in the mothers' use of positive attention following child compliance.     

Predicting Treatment Success in Child and Parent Therapy Among Families in Poverty

Behavior problems are prevalent in young children and those living in poverty are at increased risk for stable, high-intensity behavioral problems. Research has demonstrated that participation in child and parent therapy (CPT) programs significantly reduces problematic child behaviors while increasing positive behaviors. However, CPT programs, particularly those implemented with low-income populations, frequently report high rates of attrition (over 50%). Parental attributional style has shown some promise as a contributing factor to treatment attendance and termination in previous research. The authors examined if parental attributional style could predict treatment success in a CPT program, specifically targeting low-income urban children with behavior problems. A hierarchical logistic regression was used with a sample of 425 families to assess if parent- and child-referent attributions variables predicted treatment success over and above demographic variables and symptom severity. Parent-referent attributions, child-referent attributions, and child symptom severity were found to be significant predictors of treatment success. Results indicated that caregivers who viewed themselves as a contributing factor for their child's behavior problems were significantly more likely to demonstrate treatment success. Alternatively, caregivers who viewed their child as more responsible for their own behavior problems were less likely to demonstrate treatment success. Additionally, more severe behavior problems were also predictive of treatment success. Clinical and research implications of these results are discussed.     

家庭游戏中的母亲控制策略与儿童顺从行为

以42个3岁儿童及其母亲为被试,考察在家庭自由游戏中母亲的控制策略和儿童的顺从行为之间的关系。结果表明：（1）在亲子交往中,母亲使用直接命令的频次最多,间接命令次之,否定控制最少。（2）3岁儿童对母亲控制的顺从率为56．1％;在儿童的不顺从行为中,无技巧不顺从占优势,其中消极不顺从的频次最多。（3）母亲的弱控制策略与儿童的顺从行为相关最高;强控制策略与儿童的无技巧不顺从相关最高。（4）在儿童不顺从时,母亲的弱控制策略容易导致儿童的顺从行为,强控制策略则容易导致儿童的情境性顺从行为。     

Reinforcement of compliance with respiratory treatment in a child with cystic fibrosis.

An 8-year-old boy with cystic fibrosis (CF), mental retardation, and autism exhibited noncompliance with respiratory treatments that were essential for the management of his CF. A treatment involving shaping cooperation while still allowing escape for aggression and avoidance behavior resulted in increases compliance with respiratory treatments and decreases in problem behavior. Treatment gains were maintained over 3 months.     

A thematic analysis of attributions to others for the origins and ongoing nature of pain in community pain sufferers

Research suggests that pain sufferers can attribute their pain to others. However, this work is scarce, lacking in detail and does not focus on any particular time during the pain experience. To understand how these attributions operate in pain, this study sought to examine as an exclusive focus the types, context of, and rationale for attributions made to others for the origins and ongoing nature of pain. A community pain sample was voluntarily recruited into the study to gain a comprehensive understanding of these attributions and minimise potential group-specific bias. Sixty-two participants were interviewed using semi-structured questions about cause, responsibility and blame for pain. Data were analysed using a thematic analysis. Attributions to others emerged across interview questions. Acquaintances, professionals and strangers were implicated in pain onset for reasons including negligence, accident and attack. Few additional attributions were made for pain now. Those made were mostly to medical professionals for perceived poor treatment of an original pain condition encompassing issues related to compliance, diagnosis and treatment and searching for alternative pain solutions. This research provides insight into the social context in which pain attributions to others are reported, and provides the basis for research into largely untapped areas including the implications particular attributions have for adjustment to pain and relationships with others.     

Child care before 6 months of age: a qualitative study of mothers' decisions and feelings about employment and non‐maternal care

Employment of women while their children are infants has increased in the UK in the last decade. This study of 57 employed mothers of infants less than seven months old examined their retrospective reports of planning child care and their contemporaneous feelings about the child care they were using, based on qualitative interviews. Issues addressed included mothers' reasons for returning to employment at that time, their theoretical preferences among a range of child care types and providers and the process of making actual choices, including the range and types of advice received and the involvement of fathers. Mothers were also encouraged to discuss their feelings about how child care was working out once the infant was settled. Continuing concerns expressed by mothers included the importance of open communication with caregivers, their desire to keep control over infants' daily lives and upbringing, worries about infants' safety and concerns about the levels of cognitive stimulation they received. Copyright © 2006 John Wiley & Sons, Ltd.     

Differing Perceptions of Mothers,Fathers, and children Concerning Children's Academic Performance

This study examined the hypothesis that mothers' views of their child's performance on an academic task are more synchronous with those of their child than are fathers' views. Parents of 30 sixth-grade children were asked to predict their child's memory spans on a recall and a recognition task given to each child. Parents and children were also asked to judge the importance for the child's performance on 10 attribution factors created for use with memory tests. In line with the hypothesis, mothers predicted the child's memory span more accurately than fathers, and the mothers' attributions were more congruent with those of their children. Mothers were also more aware than fathers of the different demands of the two memory tasks. These findings suggest that mothers may be more aware than fathers of their child's academic progress and that mothers' attitudes and expectations may be more influential in determining the child's path of development.