Efficacy and social support as predictors of parenting stress among families in poverty

Using a sample of low‐income mothers enrolled in Early Head Start (n = 65), this study tested the hypothesis that parenting stress is affected by social support and self‐efficacy, in addition to family risk status and family income. Specifically, it was proposed that social support and self‐efficacy are psychological resources that are associated with lower parenting stress levels, and would moderate the impact of family income on parenting stress. A significant proportion of variance in parenting stress was explained by self‐efficacy, family risk, and the interaction of self‐efficacy and family income; family income alone was not a significant predictor of parenting stress levels. Mothers higher in self‐efficacy had lower levels of parenting stress, and income was less associated with parenting stress levels for mothers high in self‐efficacy. Social support was not associated with lower parenting stress levels, nor did social support moderate the effect of income on parenting stress. Family risk was also a strong and reliable predictor of parenting stress, suggesting that family circumstances are perhaps better predictors of parenting stress levels than income alone. These findings suggest that parenting stress among low‐income parents should be viewed as a function of psychological, as well as financial, resources.     

A structural modeling approach to the understanding of parenting stress

Tested and cross-validated a multidimensional model of predictors of parenting stress on data from a population-based sample of Swedish mothers (N = 1,081) with children ages 6 months to 3 years. The study was a cross-sectional questionnaire study, focusing on the explanation of variance in parenting stress. Structural equation modeling procedures permitted disentanglement of total, direct, and indirect effects. A Swedish instrument based on parts of the Parent Domain in the Parenting Stress Index was used as a measure of stress. The results provided general support for the proposed model. High workload, low social support, perception of the child as fussy-difficult, negative life events, child caretaking hassles, more children in the family, and high maternal age related directly to more stress. Child irregularity contributed indirectly to mother's experienced stress. No buffering effects of social support were found. Forty-eight percent of the variance in the parenting stress measure was explained by the model. Implications for interventions were discussed.     

Leveraging Healthcare to Promote Responsive Parenting: Impacts of the Video Interaction Project on Parenting Stress

We sought to determine impacts of a pediatric primary care intervention, the Video Interaction Project, on 3-year trajectories of parenting stress related to parent–child interactions in low socioeconomic status families. A randomized controlled trial was conducted, with random assignment to one of two interventions Video Interaction Project (VIP); Building Blocks or control. As part of VIP, dyads attended one-on-one sessions with an interventionist who facilitated interactions in play and shared reading through review of videotaped parent–child interactions made on primary care visit days; learning materials and parenting pamphlets were also provided to facilitate parent–child interactions at home. Parenting stress related to parent–child interactions was assessed for VIP and Control groups at 6, 14, 24, and 36 months using the Parent–Child Dysfunctional Interaction subscale of the Parenting Stress Index—Short Form, with 378 dyads (84 %) assessed at least once. Group differences emerged at 6 months with VIP associated with lower parenting stress at three of four ages considered cross-sectionally and an 17.7 % reduction in parenting stress overall during the study period based on multi-level modeling. No age by group interaction was observed, indicating persistence of early VIP impacts. Results indicated that VIP, a preventive intervention targeting parent–child interactions, is associated with decreased parenting stress. Results therefore support the expansion of pediatric interventions such as VIP as part of a broad public health strategy to address poverty-related disparities in school-readiness.     

The relationships between parenting stress,parenting behaviour and preschoolers' social competence and behaviour problems in the classroom

Young children develop social and emotional competence through interactions with others in the two major contexts in which they spend time: home and preschool. This study examined whether parenting stress in the home context is related to the children's behaviour while in preschool. Previous research has suggested that parenting stress negatively influences parenting behaviour, which in turn has been shown to impact children's development. This study examined the direct relationship between parenting stress and children's behaviour in two types of preschool programmes: private day care centres and Head Start. Parenting stress was significantly related to teacher ratings of social competence, internalizing behaviours, and externalizing behaviours, and the effects of parenting behaviour do not appear to mediate this relationship. Parenting stress was most strongly related to children's social competence. Parents' reports of expectations for their child's behaviour appear to weakly moderate the relationship between externalizing behaviour and parenting stress. This study suggests that examination of a parent's level of stress, in addition to parenting practices, may be important in research and interventions with preschool children's behaviour and social competence. Copyright © 2005 John Wiley & Sons, Ltd.     

Externalizing behavior trajectories: The role of parenting, sibling relationships and child personality

Based on longitudinal multilevel modeling and using a multi-informant strategy, this study examines trajectories of externalizing problem behavior (EPB) in childhood as predicted by parental behavior (absolute level of parenting [ALP] and parental differential treatment [PDT]), parental self-efficacy (PSE), child personality and sibling relationships. Besides main effects, several interactions were tested. The effects of changes in parenting on changes in EPB were also examined. A total of 119 families from the French-speaking area of Belgium rearing a child (3- to 5-year-olds at the onset of the study) referred for EPB were studied. The effects of both level-of and changes-in mothers' ALP were partially confirmed, but for fathers, only ALP was predictive. There were some significant interactions between ALP and PDT for both parents. Mothers' PSE explained some variance in EPB, additional to that explained by the parenting measures. Some parenting by personality and by sibling relationship interactions were found.     

The association between parenting stress, depressed mood and informant agreement in ADHD and ODD

OBJECTIVE: In Attention Deficit Hyperactivity Disorder (ADHD) agreement between parents and teachers is often low. Parental depressed mood and parenting stress are considered to decrease informant agreement. This study examined informant agreement in children with ADHD and the association between parental depressed mood, parenting stress and agreement in the ratings of ADHD, ODD and CD symptoms. METHOD: 65 parents completed questionnaires on ADHD behavior of their child, parenting stress and depressed mood, teachers reported on ADHD behavior. RESULTS: Low agreement was found for hyperactive and moderate agreement for inattentive, ODD and CD symptoms. Stepwise regression analyses showed that parenting stress, and not parental depressed mood accounted for 12% of the variance in inattention symptoms disagreement, 14% of the variance in hyperactive symptoms disagreement and 9% in oppositional behavior disagreement. No significant predictors were found for CD disagreement. The found effect was independent of stimulant medication use. CONCLUSION: Parenting stress, but not parental depressed mood, was associated with the disagreement between parents and teachers on both ADHD and ODD symptoms. These results emphasize the importance of considering parenting stress in diagnosing ADHD and comorbid ODD.     

Dysfunctional Parenting Behaviors and Parenting Stress Among Mothers of Aggressive Boys

ABSTRACT

The present investigation examined the relationship between dysfunctional parenting and parenting stress in a sample of 54 mothers of aggressive boys in Singapore. Overall dysfunctional parenting at Time 1 significantly predicted Time 2 maternal parenting stress in two subdomains of unrewarding mother-child interactions and poor attachment, over and above the variance accounted for by initial Time 1 maternal parenting stress in these respective subdomains. Additionally, maternal laxness at Time 1 predicted Time 2 maternal stress arising from unrewarding mother-child interactions, while maternal overreactivity at Time 1 predicted Time 2 maternal stress arising from poor attachment. Maternal verbosity at Time 1 did not add unique variance to the prediction of Time 2 maternal stress from both subdomains. These findings have implications for prevention and intervention efforts that attempt to improve parent-child interaction quality and modify coercive operant contingencies within families.     

Mother and father interaction with their 3-month-old infants: Similarities and differences in parenting behaviour in well-resourced parents

Infancy is characterized by intensive parenting which may affect later child development. However, little is known about similarities and differences in maternal and paternal parenting behaviour, as the majority of the studies have mainly focused on mothers. The present study investigated similarities and differences in mothers’ and fathers’ parenting behaviour during parent-infant interaction in 56 mothers and 56 fathers of 3-months-old infants in a good-resourced sample. Parent-child interactions were videotaped and coded by the Global Rating Scales. Results suggested similar parenting behaviour in terms of maternal and paternal sensitivity, intrusiveness and remoteness. Moreover, regardless of sex infant’s behaviour was similar during interactions with mothers and fathers. The low-risk and non-clinical nature of our sample may have had a positive influence on mother-child and father-child dyadic exchanges. These findings suggest including family system models in research and clinical practice.     

Inventoried and observed stress in parent-child interactions

It has been hypothesized that parental stress results in poor parent-child interactions. However, this has not been adequately researched due to the difficulty in measuring and quantifying parenting stress and parent-child interaction quality. Two measures were employed in the present study to evaluate the parent-child relationship. The Marschak Interaction Method (MIM) was used to provide a context in which to assess the quality of parent-child interactions, and the Parenting Stress Index (PSI) was used as a measure of stress in the family system. The present study (1) developed a standardized behavioral rating system for the MIM, (2) tested 46 parent-child dyads with the MIM and PSI, and (3) assessed which subscales of the PSI were the best predictors of parent-child behavior observed during the MIM. Parents reporting more stress on the PSI were rated as displaying significantly lower quality (more negative) parentchild interactions. In addition, parents’ socioeconomic status accounted for 65 % of the variance, and parental stress accounted for an additional 9% of the variance, in MIM behavior ratings.     

Anticipated Regret and Precautionary Sexual Behavior1

This study investigated the impact of anticipated regret on precautionary sexual behavior. Results show that anticipated regret predicts a significant and independent proportion of variance in expectations about future contraceptive behavior. A simple model combining attitudes, subjective norms, perceived behavioral control, and anticipated regret explained 65% of the variance in behavioral expectations. Behavioral expectations explained 34% of the variance in contraceptive behavior of respondents who had casual sex in the 4 weeks following the first session of the study. Implications for our understanding of precautionary sexual behavior and for campaigns aiming to increase safer sexual practices are discussed.     

Confidant support and maternal distress: Predictors of parenting practices for divorced mothers

Following divorce, mothers may seek support for their parenting efforts. This study investigates confidant support from friends, family, and intimate partners, along with maternal distress, as predictors of parenting practices for divorced women. In a multimethod study of 138 mothers and their support confidants, we employed a measure of observed support that included emotional support, supportive behaviors, and likability of the support provider. These qualities were scored from dyadic problem-solving discussions of the mother's personal and parenting problems. Our main hypothesis was supported: Controlling for maternal distress and confidant negativity, observed confidant support predicted higher levels of effective parenting practices. Confidant negativity was associated with maternal distress, and we found a marginal relationship between maternal distress and parenting. Confidant negativity had an indirect association with parenting by predicting lower levels of observed support. Overall, 36% of the variance in parenting practices and 24% of the variance in observed support was explained in a multimethod structural equation model specified with minimal overlap.     

Effects of Early Parenting Interventions on Parents and Infants: A Meta-Analytic Review

This systematic review evaluates the efficacy of parenting interventions on parent, infant and parent-infant relationship outcome measures for parents of infants under 12 months old. Parent outcomes examined included competence, and confidence; baby outcomes included infant behaviours of crying, settling, and sleeping problems and parent-infant relationship outcomes included parental responsiveness. Systematic searches of five databases were carried out. In total, 36 randomised controlled trials over the past 35 years were included in the meta-analyses, with a total of 4880 participants. Interventions were carried out either during pregnancy or within the first 12 months after birth and involved teaching specific strategies and provision of information on infant development and behaviour. Mean effect sizes were obtained using a structural equation modelling (SEM) approach to meta-analysis. Heterogeneity was found on parent responsiveness and infant sleep. Potential moderator variables were assessed for these two outcomes using the SEM approach. Results showed that early parenting interventions are effective in improving parental responsiveness (d?=?0.77), and improving or preventing infant sleep problems (d?=?0.24), but not crying problems (d?=?0.27) possibly due to low power. No conclusions could be drawn in regards to parental competence or confidence. Moderator analysis showed that for interventions aimed at improving responsiveness, briefer interventions were more effective than longer ones; and studies published more recently reported smaller effects than older studies. No other moderators influenced the assessed intervention outcomes. The findings of this study provide further evidence for the positive effects of early parenting interventions for infants under 12 months of age, however future research is needed to assess intervention effects on parental competence and confidence.     

Psychosocial Predictors of Psychological Distress in Taiwanese Secondary School Boys and Girls

This study was designed to investigate predictors of psychological distress in secondary school boys (n =779) and girls (n = 893) in Taiwan. Participants completed anxiety and depression scales as part of a larger study. Gender, GPA, parenting practices, self-esteem, and personality/satisfaction were significantly correlated with psychological distress. Significant gender differences were found in students' psychological distress, GPA, stereotyped thinking, academic self-expectations, parental expectations, parenting practices, and mother's education level. Stepwise regressions revealed that self-esteem was the only significant predictor for boys; it accounted for 40.9% of the variance in their psychological distress. GPA, family income, self-esteem, and parenting practices were significant predictors for girls; they accounted for 42.6% of the variance in girls' psychological distress. Research recommendations and educational implications are discussed.     

Pediatric Parenting Stress and Its Relation to Depressive Symptoms and Fear of Hypoglycemia in Parents of Young Children with Type 1 Diabetes Mellitus

Parents of young children with type 1 diabetes (T1DM) maintain full responsibility for their child’s daily diabetes self-care and thus may be vulnerable to experiencing parenting stress. This study examined several psychological correlates of pediatric parenting stress in parents of young children with T1DM. Parents of 39 young children with T1DM (ages 2–7 years) completed measures of pediatric parenting stress, mealtime behavior problems, depressive symptoms, and fear of hypoglycemia. For parents of young children, higher stress frequency and difficulty were associated with higher parental depressive symptoms and fear. Regression analyses identified that 58% of the variance in stress frequency was associated with parental depressive symptoms. For stress difficulty, 68% of the variance was associated with parental depressive symptoms and fear. Pediatric parenting stress is common in parents of young children with T1DM. Stress and the psychological correlates measured in this study are amenable to intervention and should be regularly assessed in parents of young children with T1DM.     

3~5岁儿童母亲抚养压力类型特点及其影响因素

通过对6021名3~5岁儿童母亲抚养压力进行潜在剖面分析,探讨母亲抚养压力的类型特点及其影响因素.结果表明:(1)3~5岁儿童母亲的抚养压力可以分为五类:低压力型(22.31%,指来自儿童发展和自身承担母亲角色的压力均最低)、适度压力型(38.17%,指来自两方面的压力均处于平均水平)、高儿童侧面压力型(26.39%,指来自儿童发展的压力较高)、高家长侧面压力型(8.62%,指来自母亲角色的压力较高)和高综合压力型(4.52%,指来自两方面的压力均最高);(2)生育年龄和家庭收入较低的母亲更可能属于高儿童侧面压力型,对儿童期望较高的母亲更可能属于高家长侧面压力型;学历较低、夫妻关系较差的母亲更可能属于高儿童侧面、高家长侧面和高综合压力型.     

General self-efficacy,dental anxiety and multiple fears among 20-year-olds in Norway

This paper examines the extent to which low general self-efficacy and painful dental and medical experiences are related to dental anxiety, multiple fears and to avoidance of dental care. A total of 754 20-year-olds completed a series of questionnaires, including the General Self-efficacy Scale (GSE), Geer Fear Scale (GFS) and Dental Fear Survey (DFS). Females had lower self-efficacy, higher dental anxiety and higher scores on the GFS than males. Multivariate analyses (linear stepwise regression) indicated that painful dental experiences, a high score on the GFS and negative opinions about own dental health explained 37% of the variance in DFS scores. Self-efficacy had no predictive power for dental anxiety, and only dental anxiety had predictive power for dental avoidance behavior. Thirty-eight percent of the total variance in GFS scores was explained by the following variables: being a female, high dental anxiety (DFS), low general self-efficacy (GSE) and low educational level of the mother.     

Biopsychosocial Factors Associated with Parenting Stress in Pediatric Sickle Cell Disease

Caregivers of children with sickle cell disease (SCD) experience significant physical and emotional hardship with their child’s disease management. Little is known about the potential contributors to parenting stress in pediatric SCD. The present study aimed to identify child and caregiver biopsychosocial factors associated with disease-related parenting stress in pediatric SCD. Participants included 74 caregiver-youth dyads. Parenting stress was associated with increased child pain frequency, more missed school days, and increased healthcare utilization, and inversely correlated with caregiver mental health and social-emotional functioning. Parenting stress also partially explained the relationship between child pain frequency and healthcare utilization after controlling for parent depression and anxiety. Parenting stress may play a unique and critical role in pediatric SCD and underscore the impact parenting stress may have on youth in medical and academic settings. Further research is warranted to determine risk factors and appropriate interventions for parenting stress to improve comprehensive patient care.

     

Communication in early infancy: an arena of intersubjective learning

The present essay summarizes experimental, video-microanalytic and clinical aspects of the Papouseks' approach to early preverbal communication. The first section summarizes some of their video-microanalytic research on intuitive parenting and preverbal parent-infant communication. It describes the naturalistic preverbal learning context where infants learn and integrate experiences about themselves, the parent, their interrelatedness, and interactions with objects and events in the environment. The second section recapitulates research involving various kinds of experimental manipulations of the parents' communicative behavior and its effects on infant responses. The final section draws a bow to individual differences and what can be learned from the application of the still-face paradigm in clinical assessments of dysfunctional parent-infant communication.     

Parenting Perfectionism and Parental Adjustment

The parental role is expected to be one of the most gratifying and rewarding roles in life. As expectations of parenting become ever higher, the implications of parenting perfectionism for parental adjustment warrant investigation. Using longitudinal data from 182 couples, this study examined the associations between societal- and self-oriented parenting perfectionism and new mothers’ and fathers’ parenting self-efficacy, stress, and satisfaction. For mothers, societal-oriented parenting perfectionism was associated with lower parenting self-efficacy, but self-oriented parenting perfectionism was associated with higher parenting satisfaction. For fathers, societal-oriented parenting perfectionism was associated with higher parenting stress, whereas higher levels of self-oriented parenting perfectionism were associated with higher parenting self-efficacy, lower parenting stress, and greater parenting satisfaction. These findings support the distinction between societal- and self-oriented perfectionism, extend research on perfectionism to interpersonal adjustment in the parenting domain, and provide the first evidence for the potential consequences of holding excessively high standards for parenting.     

John Lind memorial symposium

John Lind, Professor of Pediatrics at the Karolinska Institute, emphasized that “the family is born in the maternity hospital.” He had a warm concern for all parents and infants and was extremely influential in both pediatric and child-rearing practices in Sweden and in the promotion of infant and caregiver-infant interaction research. Lind initiated and/or stimulated the scientific study of the infant's cry, parent-infant interactions, the role of the father in the perinatal environment, fetal and neonatal perception, and perinatal hospital practices. In many respects, his work predated contemporary emphases on perinatal coaching programs, social support (doula) during labor and delivery, parent education on childrearing, the use of ethnographic data for contemporary perinatal practices, interdisciplinary team approaches to study of infant care and development, changes in newborn nursery practices, and, above all, care and sensitivity to the initial synchronization of the parent-infant interaction system. This paper honors John Lind's contributions to our knowledge of infant development and parent-infant interaction, his influences on the field of pediatrics and the interdisciplinary study of infancy, and his commitment to enhancement of the quality of life for infants and their families. Although his life has ended, his ideas will continue to inspire and challenge the study of early human development for many years to come.