Youth adjustment to parental illness or disability: the role of illness characteristics, caregiving, and attachment

This study aimed to (1) examine relations between youth adjustment and three sets of predictors: parental illness/disability characteristics, caregiving, and parent-child attachment, and (2) explore differences on these variables between youths of parental physical illness/disability and youths of parental mental illness. Eighty-one youths between 10 and 25 years of a parent with a physical illness/disability (35%) or a mental illness (43%) completed a series of self-report measures assessing perceived characteristics of the parent's illness/disability, caregiving experiences, and adjustment outcomes. Results revealed a set of predictors of poorer youth adjustment: gradual illness/disability onset, being male, isolation, lower perceived maturity, and less choice in caregiving. Youths of parental mental illness differed from youths of parental physical illness/disability on emotional distress (worry and discomfort) dimensions of caregiving. Youth-parent attachment security was associated with youth caregiving and there was a trend for attachment to vary according to parental illness/disability type. Findings highlight young caregiving as an important target for service and policy planning.     

The emotional adjustment of children with Tourette's syndrome

We investigated the predictive value of family reaction and illness severity with respect to the emotional adjustment of Tourette's syndrome patients. The subjects included 30 children with Tourette's syndrome and 30 control subjects matched on age, sex, race, and socioeconomic status. The predictor variables included the child's perception of parental behavior, family adaptability as perceived by the mother, mother's self-concept, and illness severity. The results indicated that the children's perceptions of their parents' behavior explained the most variance in children's self-concepts and anxiety for both groups. These findings highlight the importance of the parent-child interaction in predicting the child's emotional adjustment to Tourette's syndrome.     

Caregiver Demand and Parent Distress in Juvenile Rheumatic Disease: The Mediating Effect of Parent Attitude Toward Illness

Parents of youth with juvenile rheumatic diseases (JRD) often take on illness management responsibilities that can become burdensome, potentially resulting in poor parent adjustment outcomes. However, not all caregivers will experience increased distress as a result of variability in stress appraisals. The current study examined the role of parent illness attitudes in the relation between perceived caregiver demand and parental distress. Youth (N = 70) ages 7–18 years diagnosed with a JRD and their parents were recruited from a pediatric rheumatology clinic. Parents completed measures of caregiver demand, parental distress, and illness attitudes. Hierarchical regression revealed a relationship between caregiver demand and parental distress. A significant relationship was also found between caregiver demand and parent illness attitudes, as well as parent illness attitudes and parental distress. Thus, parent illness attitudes mediated the relationship between caregiver demand and parental distress. Techniques aimed at altering negative illness attitudes may help parents cope with their caregiving responsibilities.     

Children of Mentally Ill Parents Participating in Preventive Support Groups: Parental Diagnoses and Child Risk

In the Netherlands, preventive support groups are offered to children of mentally ill parents. Given the variety of parental diagnoses it might be questionable if offering a standardized program for all these children is the most effective response. While no overall knowledge exists about the type of parental disorder and varying risk levels and support needs among the participating children, we examined whether there are differences between these children that are related to their parents’ diagnoses. With questionnaires we assessed risk factors in 122 mentally ill parents and their children: high parental illness severity, low perceived parental competence, parent–child interaction problems, poor family functioning, difficult child temperament, and low child competence. We also assessed the children’s psychosocial problems and negative cognitions about their parent’s illness. Results showed that most parents had co-morbidity (multiple diagnoses) and/or personality disorders. Children of parents with either of these conditions were more likely to be exposed to the risk factors: high parental illness severity, low perceived parental competence, problematic parent–child interaction, and low perceived child competence, compared to children of parents without these conditions. They were also faced with more risk factors and had more psychosocial problems and negative cognitions. From these results we may conclude that children of parents with co-morbidity and/or personality disorders require more extensive support than children of parents without these conditions. We suggest strengthening the children’s competence and involving parents as important focuses of preventive interventions for children at high risk. Longitudinal studies should test these assumptions.     

Direct and Indirect Pathways between Parental Constructive Behavior and Adolescent Affiliation with Achievement-Oriented Peers

We investigated the direct and indirect pathways through which parental constructive behavior may influence the adolescent’s affiliation with achievement-oriented peers. Using a longitudinal survey data set from nine California and Wisconsin high schools (from 9th through 12th grades, with an approximate age range from 14 through 18) structural equation models were estimated. Our longitudinal analyses confirmed an indirect effect from Time 1 parental constructive behavior and a direct effect from Time 2 parental constructive behavior on an increase in the perceived achievement orientation of friends at Time 2, net of the stability effect from the prior values of the perceived achievement orientation of friends at Time 1. A point to be emphasized is that parental influence on peer affiliation in late adolescence remains significant even as parental involvement in adolescents’ lives diminishes. In addition, the direct effect from Time 2 parental constructive behavior on the perceived achievement-orientation of friends appears stronger for boys than for girls.     

The moderating role of empathy in the association between parental support and adolescent aggressive and delinquent behavior

The present two‐wave longitudinal study addressed the role of affective empathy and parental support in aggressive and delinquent behavior in a sample of 323 adolescents (158 boys, 165 girls). Self‐report questionnaires were used to assess affective empathy, perceived support from parents, delinquency, and aggression. Guided by theories on children's differential susceptibility to socialization, we expected adolescents with different levels of empathy to vary in their responsiveness to parental support. In agreement with our hypothesis, empathy moderated the relation of perceived parental support with aggressive and delinquent behavior. Controlling for the effect of gender and for the stability of aggression and delinquency, higher perceived parental support was predictive of lower levels of aggression at age 15, but only for adolescents high in empathy. Remarkably, adolescents low in empathy not only appeared to benefit less from parental support, but even showed more aggression and delinquency at age 15 when they perceived their parents to be more supportive at age 14. Aggr. Behav. 38:368‐377, 2012. © 2012 Wiley Periodicals, Inc.     

Parentification,Stress, and Problem Behavior of Adolescents who have a Parent with Mental Health Problems

When adolescents live with a parent with mental illness, they often partly take over the parental role. Little is known about the consequences of this so‐called parentification on the adolescents' internalizing and externalizing problems. This survey study examined this effect cross‐sectionally and longitudinally in a sample of 118 adolescents living with a parent suffering from mental health problems. In addition, the study examined a possible indirect effect via perceived stress. Path analyses were used to examine the direct associations between parentification and problem behavior as well as the indirect relations via perceived stress. The results showed that parentification was associated with both internalizing and externalizing problems cross‐sectionally, but it predicted only internalizing problems 1 year later. An indirect effect of parentification on adolescent internalizing and externalizing problems via perceived stress was found, albeit only cross‐sectionally. These findings imply that parentification can be stressful for adolescents who live with a parent with mental health problems, and that a greater awareness of parentification is needed to prevent adolescents from developing internalizing problems.     

Parenting and adolescent problem behavior: an integrated model with adolescent self-disclosure and perceived parental knowledge as intervening variables

Parental monitoring, assessed as (perceived) parental knowledge of the child's behavior, has been established as a consistent predictor of problem behavior. However, recent research indicates that parental knowledge has more to do with adolescents' self-disclosure than with parents' active monitoring. Although these findings may suggest that parents exert little influence on adolescents' problem behavior, the authors argue that this conclusion is premature, because self-disclosure may in itself be influenced by parents' rearing style. This study (a) examined relations between parenting dimensions and self-disclosure and (b) compared 3 models describing the relations among parenting, self-disclosure, perceived parental knowledge, and problem behavior. Results in a sample of 10th- to 12th-grade students, their parents, and their peers demonstrated that high responsiveness, high behavioral control, and low psychological control are independent predictors of self-disclosure. In addition, structural equation modeling analyses demonstrated that parenting is both indirectly (through self-disclosure) and directly associated with perceived parental knowledge but is not directly related to problem behavior or affiliation with peers engaging in problem behavior.     

The Relation of Parental Qualities to Psychological Well-being,School Adjustment,and Problem Behavior in Chinese Adolescents with Economic Disadvantage

Adolescents with economic disadvantage ( N = 229) were asked to respond to instruments measuring their perceptions of parental qualities, psychological well-being, school adjustment, and problem behavior. Measures of parental qualities include perceived parenting styles, support and help from parents, and conflict and relationship with the parents. Results showed that perceptions of parental qualities were in general related to better adolescent psychological well-being (including existential well-being, life satisfaction, mastery, self-esteem, and general psychiatric morbidity), school adjustment (perceived academic performance and school conduct), and problem behavior (substance abuse and delinquency). Relative to maternal parenthood qualities, paternal parenthood qualities were found to have stronger relationships with measures of well-being and problem behavior in adolescents with economic disadvantage.     

Perceived Parental Monitoring and Online Deviant Behavior Among Chinese Adolescents: a Moderated Mediation Model

Previous studies uncovered that perceived parental monitoring, personality, and self-control were three important external and internal factors that influenced adolescents’ online deviant behaviors. However, as the dark side of personality, the Dark triad, which implies a disagreeable disposition, lack of humility, belief of being able to predict future outcomes and an opportunistic life strategy, has rarely been used to explore its relationship with online deviant behaviors. Based on problem behavior theory, general aggression model, and models of risk factors and protective factors on problem/deviant behaviors, the current study investigated the relationship among perceived parental monitoring, the Dark Triad, and self-control on online deviant behaviors. A total of 1921 middle and high school students (aged 11–18 years) from China reported their online deviant behaviors (cyberbullying behavior, Internet rumors, deception on the Internet, and cyber obscenity/pornography), perceived parental monitoring, and the Dark Triad as well as the self-control level of individuals. The results of the Pearson correlation showed there were significant correlations among perceived parental monitoring, the Dark Triad, and self-control on online deviant behaviors. The results of the structural equation model (SEM) indicated that the Dark Triad partially mediated the relationship between perceived parental monitoring and online deviant behaviors. Self-control moderated the mediation effect of the Dark Triad. Specifically, self-control weakened the positive relationship between the Dark Triad and online deviant behaviors, and increased the negative relationship between perceived parental monitoring and online deviant behaviors. Our findings expand the applicable environment of the Dark Triad and emphasize its association with online deviant behaviors. Attention should be paid to the interaction of internal traits (e.g., personality and self-control) and explicit family environment (e.g., perceived parental monitoring) in online deviant behavior interventions.

     

The Impact of Managing School-aged Children’s Diabetes: The Role of Child Behavior Problems and Parental Discipline Strategies

Models of diabetes management in children emphasize family relationships, particularly parent–child interactions. In adolescents, parental involvement in disease-specific management relates to better health and adherence. However, information about parental involvement in disease management for young children is limited and mixed. This study investigated behavior problems of school-aged children with Type 1 Diabetes Mellitus (T1DM) in association with parent discipline strategies and parents’ perceptions of (1) time spent managing diabetes and (2) the impact their child’s diabetes has on their discipline strategies. Parents of children ages 5–12 with T1DM completed standardized measures of child misbehavior, parent discipline strategies, and responded to questions regarding perceived time spent managing diabetes, and perceived impact of diabetes on ability to discipline. Results showed child mealtime misbehavior was common and associated with overreactive parental discipline. Further, overreactive discipline was also associated with reports of less time spent managing child’s illness. Child misbehavior was positively associated with parents’ perceived amount of time spent managing diabetes and with the impact of child diabetes on discipline. Findings suggest the importance of considering parent discipline strategies and child misbehavior when working with young children with diabetes.     

Parental Control and Junk‐Food Consumption: A Mediating and Moderating Effect Analysis1

This cross‐sectional study examined the mediating effect of the theory of planned behavior (TPB) and the moderating role of perceived parental control within the context of adolescents' junk‐food consumption. Adolescents (N = 739) were selected using a cluster‐stratified randomized sampling method. Social cognitions, perceived parental control, and junk‐food consumption were assessed through self‐administered questionnaires. Results revealed both direct and indirect effect of perceived parental control within TPB. Additionally, impact of intention was not moderated by perceived parental control. TPB explained 28% and 12% of the variance in intention and junk‐food consumption, respectively. This study identified somewhat both the why and how of junk‐food consumption in Iranian female adolescents.     

Parent-child sexual discussion: perceived communicator style and subsequent behavior

The purpose of this study was to investigate the relationship between perceived parental sexual communicator style and adolescent sexual behavior and information accuracy. Two hundred thirty-four college students provided data on their perceptions of parental sexual communicator style as well as self-reports of sexual behavior and knowledge across three time frames (junior high school, high school, and college). Significant relationships were found between perceived parental sexual communicator styles and sexual activity, contraceptive use, and sexual knowledge accuracy. In addition, significant differences were found between males and females on their sexual knowledge accuracy (females reported a higher level of sexual knowledge than did males). The findings are discussed, and recommendations for future research in the area of parent-adolescent sexual communication are offered.     

The Role of Family Processes and Coping Strategies in the Relationship Between Parental Chronic Illness and Childhood Internalizing Problems

Sixty-nine families (father, mother, and one child) in which the father had hemophilia, approximately half of whom were HIV positive, were assessed in an examination of the relationship between parental chronic illness, family functioning, child coping strategies, and child adjustment. Latent variable path analyses with partial least-squares estimation procedures (PLS) were used to test a model of the relationship between parental chronic illness, family process variables, child coping strategies, and child internalizing behavior problems. The severity of the father's illness predicted family process variables, which predicted the coping style of the child. The use of more avoidant coping strategies was associated with more internalizing problems.     

Latina Adolescent Suicide Ideations and Attempts: Associations with Connectedness to Parents,Peers, and Teachers

Associations between suicidal behavior and social‐ecological variables were examined among 1,618 Latina high school students (mean age = 15) from the nationally representative Add Health sample (68% were U.S.‐born). Ideations were associated with having a suicidal friend, lower perceived father support, and overall parental caring. Attempts were associated with having a suicidal friend, and lower perceived teacher and parental support. Peer and mother relationship variables were not predictors of ideations or attempts. The protective role of father and teacher support has not previously been emphasized in the literature. Strengthening connections to parents and teachers may reduce suicidal behavior in adolescent Latinas.     

自闭症和智力障碍儿童行为问题与父母焦虑的关系:育儿压力的中介作用与领悟社会支持的调节作用

为探讨自闭症和智力障碍儿童行为问题与其父母焦虑的关系及其内在作用机制,研究采用问卷法对1023名自闭症和智力障碍儿童父母进行调查。结果表明：(1)自闭症和智力障碍儿童行为问题对父母焦虑具有正向预测作用;(2)育儿压力在儿童行为问题和父母焦虑间起中介作用;(3)儿童行为问题与育儿压力的关系受到领悟社会支持水平的调节,调节作用只在智力障碍儿童父母群体中显著。研究结果有助于揭示自闭症和智力障碍儿童行为问题对父母焦虑的影响及作用机制,对改善自闭症和智力障碍儿童父母育儿压力与焦虑具有一定指导意义。     

Does Problem Behavior Elicit Poor Parenting?: A Prospective Study of Adolescent Girls

This study tested the hypothesis that perceived parenting would show reciprocal relations with adolescents' problem behavior using longitudinal data from 496 adolescent girls. Results provided support for the assertion that female problem behavior has an adverse effect on parenting; elevated externalizing symptoms and substance abuse symptoms predicted future decreases in perceived parental support and control. There was less support for the assertion that parenting deficits foster adolescent problem behaviors; initially low parental control predicted future increases in substance abuse, but not externalizing symptoms, and low parental support did not predict future increases in externalizing or substance abuse symptoms. Results suggest that problem behavior is a more consistent predictor of parenting than parenting is of problem behavior, at least for girls during middle adolescence.     

Childhood Experiences of Parenting and Causal Attributions for Criminal Behavior Among Young Offenders and Non-Offenders

This study examined the relationships between childhood experiences of parenting and causal attributions for criminal behavior among offenders against the person, property offenders, and non-offenders. Analysis showed that non-offenders perceived their fathers to be warmer and more overprotecting than did person offenders. Person offenders perceived their mothers to be less warm than did property offenders and non-offenders, and less overprotecting than non-offenders. Mothers were perceived to be more overprotecting and warmer than fathers by all 3 groups. All 3 samples viewed a range of explanations to be important in explaining criminal behavior. No significant associations were revealed between perceptions of parenting and causal attributions for crime. Group membership was predicted by home area crime level and perceived parental emotional warmth.     

Motivational Antecedents and Consequences of the Mother–Adolescent Communication

Communication between parents and their children represents an important factor of family socialization. Nevertheless, little is known about why parents communicate in different ways and how these qualitative differences in parent–child communication may affect the child. Building on self-determination theory, the present study focuses on motivational antecedents of need-supportive communication as a function of parental child-related beliefs (i.e., long-term goals that parents have set for their children’s future, and parental child-related behavior expectations in terms of parental dissatisfaction or satisfaction with child behavior). Moreover, the effect of perceived need-supportive communication on children’s prosocial behavior and (externalizing and internalizing) behavioral difficulties will be addressed. Three waves of data from 1125 mothers and adolescents aged between 10 and 17 years were analyzed using growth-curve modeling. We found linearly increasing trajectories in extrinsic parental goals for children and dissatisfaction with child behavior, and decreasing trajectories of need-supportive communication. Individual differences do not vary significantly over time. In addition, holding extrinsic parental goals for children positively predicts parents’ dissatisfaction with their child’s behavior and negatively predicts need-supportive communication. Parents’ dissatisfaction with their child’s behavior also contributes to decreasing need-supportive communication. As expected, need-supportive communication predicts prosocial behavior and externalizing behavioral difficulties. When need-supportive communication decreases over time, both externalizing and internalizing behavioral difficulties increase. Furthermore, the effect of mothers beliefs on adolescents socioemotional development was mediated through perceived mother’s communication quality. These results suggest that parental child-related beliefs are important motivational antecedents of parent–child communication that may prevent behavioral difficulties.