The Impact of Parent Empowerment in Children’s Mental Health Services on Parenting Stress

Emotional and behavioral (EB) problems in children are associated with increased perceptions of strain in parenting. Among children receiving services, parenting stress has been linked to initiating services for their children, and may strain the relationship between parent and child. In contrast, parental engagement and empowerment in services is an important quality indicator for positive treatment outcomes. However, no known studies have examined the association between parent empowerment in their child’s services and their perceptions of stress related to parenting a child with significant mental health needs. Further, no studies have explored whether empowerment moderates the relationship between the child’s symptoms and parental perceptions of stress. The current study examined the impact of child EB problems and parent empowerment on parenting stress. Among a sample of 525 parents of children receiving school-based services for disruptive behavior disorders, child EB problems significantly predicted parenting stress. Parent empowerment also correlated with lower parenting stress, as hypothesized. Although parent empowerment was not found to moderate the relationship between child symptomatology and parenting stress, the relationship between parent empowerment and parenting stress differed based on child gender and age. Parent empowerment was associated with lower parenting stress more for parents of females and younger children than for parents of males and older children.     

Psychometric Evaluation of the Parent Anger Scale

This study assessed the factor structure and psychometric properties of the Parent Anger Scale in a sample of 326 parents of children ages 2–18 years. Exploratory factor analysis identified a two-factor solution: parent anger experience and parent anger expression. Subscales based on the items of each factor demonstrated excellent internal consistency and concurrent validity with measures of other negative affect and parent discipline. The Parent Anger Scale subscales also evidenced incremental validity, predicting discipline behaviors uniquely above that predicted by parents’ general anger and general anxiety. Specifically, analyses indicated that the Parent Anger Scale experience and expression scores were each unique predictors of inconsistent and punitive parental discipline after controlling for the influences of general anger and anxiety. However, only the Parent Anger Scale expression score had a significant incremental effect in negatively predicting positive parenting above the effects of parents’ general anger and anxiety. Results suggest that the Parent Anger Scale is a valid and useful measure for assessing anger specific to the parent-child context. However, additional research exploring the factor analytic structure and predictive value of the Parent Anger Scale in a clinical sample is needed.     

Parenting Behaviors and Childhood Anxiety: A Psychometric Investigation of the EMBU-C

Parent rearing behaviors, including both behavioral modeling and parent–child interactions, are associated with anxiety in children. Patterns of overprotection or rejecting behavior from parents may lead children to develop behavioral avoidance, lower self-confidence, and higher symptoms of anxiety. Additional research is needed to further elucidate the role that parenting behavior plays in the development of childhood anxiety. Unfortunately, few measures of parenting behavior exist. The EMBU-C is a 40-item child-report measure of these behaviors, but empirical data supporting the psychometric properties of the EMBU-C are limited. The current investigation examined the psychometric properties of the EMBU-C in the context of childhood anxiety. Participants were 213 children with an anxiety disorder and 150 recruited from the community (all aged 8–13 years). Overall, the EMBU-C demonstrated promising psychometrics. In terms of convergent validity, parent rearing behaviors described on the EMBU-C were significantly related to children’s anxiety symptoms, anxiety-related disability, parenting stress, family functioning and children’s externalizing behaviors. Further, the overprotection and anxious-rearing subscales discriminated between clinical and community participants. Finally, parental overprotection significantly predicted increases in child anxiety and anxiety-related disability 1 year later. Thus, the EMBU-C appears to have value as a clinical tool for assessing parental factors that may contribute to anxiety in children. Recommendations for further item development and measure improvement are offered.     

Effects of PMTO in Foster Families with Children with Behavior Problems: A Randomized Controlled Trial

The present randomized controlled trial examined the effectiveness of Parent Management Training Oregon for foster parents with foster children (aged 4–12) with severe externalizing behavior problems in long-term foster care arrangements. Foster children’s behavior problems are challenging for foster parents and increase the risk of placement breakdown. There is little evidence for the effectiveness of established interventions to improve child and parent functioning in foster families. The goal of Parent Management Training Oregon, a relatively long and intensive (6–9 months, with weekly sessions) parent management training, is to reduce children’s problem behavior through improvement of parenting practices. We specifically investigated whether Parent Management Training Oregon is effective to reduce foster parenting stress. A significant effect of Parent Management Training Oregon, compared to Care as Usual was expected on reduced parenting stress improved parenting practices, and on reduced child behavior problems. Multi-informant (foster mothers, foster fathers, and teachers) data were used from 86 foster families (46 Parent Management Training Oregon, 40 Care as Usual) using a pre-posttest design. Multilevel analyses based on the intention to treat principle (retention rate 73?%) showed that Parent Management Training Oregon, compared to Care as Usual, reduced general levels of parenting stress as well as child related stress and parent-related stress (small to medium effect sizes). The clinical significance of this effect was, however, limited. Compared to a decrease in the Care as Usual group, Parent Management Training Oregon helped foster mothers to maintain parental warmth (small effect size). There were no other effects of Parent Management Training Oregon on self-reported parenting behaviors. Child behavior problems were reduced in both conditions, indicating no additive effects of Parent Management Training Oregon to Care as Usual on child functioning. The potential implication of reduced foster parenting stress for placement stability is discussed.     

Family involvement for children with disruptive behaviors: The role of parenting stress and motivational beliefs

Children with disruptive behaviors are at risk for adverse outcomes. Family involvement is a significant predictor of positive child behavior outcomes; however, little research has investigated parent psychological variables that influence family involvement for children with disruptive behaviors. This study investigated the role of parental motivational beliefs (i.e., role construction and efficacy) as a potential mechanism by which parenting stress impacts family involvement for families of children with disruptive behaviors. Results indicated that parent role construction mediated the relation between parenting stress and all aspects of family involvement examined (i.e., home-based involvement, school-based involvement, and home-school communication). Parent efficacy mediated the relation between parenting stress and home-based involvement only. Parents of children with disruptive behaviors reporting stress may experience negative beliefs about their role and efficacy to support their child's education, which may thereby negatively influence their actual involvement. Therefore, parent motivational beliefs may serve as an important point for intervention to support involvement of families of children with disruptive behavior.     

Parenting Cognition and Affective Outcomes Following Parent Management Training: A Systematic Review

Parent management training (PMT) is considered the gold standard in the treatment of child behavior problems. The secondary effects of these interventions, particularly on parent well-being, are infrequently studied, despite evidence that parents of children with behavior problems often experience personal difficulties. This narrative review examined the affective and parenting cognition outcomes of PMT for mothers and fathers of children ages 2–13 years, across 48 controlled treatment studies. Substantial support was found for reductions in parenting stress, and increases in perceived parenting competence following PMT. Evidence indicated fewer improvements in domains more distal from parenting, including parent depressive symptoms and marital relationship dysfunction. A number of studies suggested parent gender as a moderator of parent outcomes of PMT; however, the underrepresentation of fathers in existing research limits conclusions in this regard. Avenues for future research are highlighted to address current gaps in the literature, and to further our understanding of the ways in which both children and parents may benefit from PMT.     

The Parenting and Family Adjustment Scales (PAFAS): an Indonesian Validation Study

Understanding parenting risk and protective factors can help clinicians and researchers to develop effective family interventions. To have knowledge of these risk and protective factors, validated assessment tools are required. Validation studies for parenting measures with Indonesian parents are lacking, despite the need for access to parenting interventions among Indonesian families. This study aimed to validate the Parenting and Family Adjustment Scales (PAFAS), a brief parenting and family adjustment measure developed in Australia that has been validated with Panamanian and Chinese parents. A sample of 210 Indonesian parents with children aged 2–12 years old completed the Indonesian version of the PAFAS and Child Adjustment and Parent Efficacy Scale (CAPES). Confirmatory Factor Analysis (CFA) and Structural Equation Modelling (SEM) were used for analyses. CFA resulted a four-factor PAFAS Parenting scale (15 items) and three-factor PAFAS Family adjustment scale (8 items). SEM analyses with PAFAS and CAPES revealed a good fit of the model of relationships between parent, family and child constructs to the data. The internal consistencies of PAFAS were good or acceptable, with the exception of Parental consistency. Overall, PAFAS had satisfactory psychometric properties. It is a promising measure that can potentially be used to study parenting risk and protective factors among Indonesian families. Item improvement and further validation with more diverse samples are suggested.     

A randomized controlled trial evaluating the efficacy of Triple P Online with parents of children with early-onset conduct problems

ObjectiveThis study examined the efficacy of Triple P Online (TPOL), an eight-module intensive online positive parenting program for parents of children with early-onset disruptive behavior problems.MethodOne hundred and sixteen parents with 2–9-year-old children displaying early-onset disruptive behavior difficulties were randomly assigned to either the intervention condition (N = 60) or an internet-use-as-usual control group (N = 56).ResultsAt post-intervention assessment, parents receiving the internet intervention TPOL had significantly better outcomes on measures of problem child behavior, dysfunctional parenting styles, parents’ confidence in their parenting role, and parental anger. At 6-month follow-up assessment intervention gains were generally maintained, and in some cases enhanced. Consumer satisfaction ratings for the program were high.ConclusionsInternet-delivered self-help parenting programs appear to make a valuable contribution to a comprehensive public health approach to parenting support.     

The Relation of Parent and Child Gender to Parental Tolerance of Child Disruptive Behaviors

Parental tolerance has been defined as the degree to which a parent tends to be annoyed by his or her child’s disruptive behavior. The purpose of the current study is to examine the relation of both parent and child gender to parental tolerance of child disruptive behaviors. Participants were 150 parents with 3–6 year-old at-risk children (47.5 % girls) who sought help with parenting of their child’s oppositional defiant behaviors. Tolerance was measured by the difference between parent ratings of intensity on 36 disruptive behaviors and whether each behavior was identified as a problem (resulting in a score of either high, expected, or low tolerance). A 2 (child gender) by 2 (parent gender) analysis of variance was conducted on the tolerance score. A significant interaction between child and parent gender emerged: Mothers were equally tolerant of boys’ and girls’ oppositional defiant behavior but fathers were more tolerant of boys’ than girls’ oppositional behavior. Exploratory analyses suggested that this interaction may be qualified by clinical status of the child. Implications and future directions are discussed.     

Development and Validation of a Short Form of the Alabama Parenting Questionnaire

Brief assessments of parenting practices can provide important information about the development of disruptive behavior disorders in children. We examined the factor structure of a widely used assessment of parenting practices, the Alabama Parenting Questionnaire, and produced a 9-item short scale around its three supported factors: Positive Parenting, Inconsistent Discipline and Poor Supervision. The short scale was then validated in independent community samples using confirmatory factor analysis and measures of disruptive behavioral disorders in children. The scale showed good fit to a three-factor model and good convergent validity by differentiating parents of children with disruptive behavioral disorders and parents of children without such disorders. Results indicated that this new measure is an informative tool for researchers and clinicians whom require brief assessments of parenting practices relating to disruptive behavioral disorders in children.     

Development of the Parent Emotion Regulation Scale (PERS): Factor Structure and Psychometric Qualities

This study aims to develop a self-report measure based on a multidimensional conceptualization of the regulation of negative emotions in the context of parenting. We examined the factor structure, factorial invariance, internal consistency and construct validity of the newly developed measure, the Parent Emotion Regulation Scale (PERS). The sample was composed of 254 mothers of children aged 3 to 15 years old (M?=?8.54, SD?=?3.53) who participated in an online study. Exploratory factor analysis of the PERS yielded a four-factor structure with the following factors: parents’ orientation to the child’s emotions, parents’ avoidance of the child’s emotions, parents’ lack of emotional control and parents’ acceptance of the child’s and their own emotions. Confirmatory factorial analysis supported the four-factor model, showing an adequate fit for this structure. Additionally, the model displayed configural, metric, scalar and residual invariance across the children’s sex groups. Cronbach’s alpha values and mean inter-item correlations indicated an adequate internal consistency. Correlations between the PERS scale and the Coping with Children’s Negative Emotions Scale (CCNES) indicated that the different dimensions of parents’ emotion regulation were significantly associated with both positive and negative reactions to the children’s negative emotions. Furthermore, the emotion regulation dimensions showed incremental validity in the prediction of the child’s adjustment. This study provides preliminary support for the adequacy of this newly developed measure, although further studies are needed to establish its psychometric qualities in more diverse populations.     

Parental enabling attitudes and locus of control of at-risk and honors students

Parental enabling attitudes and behavior interfere with the child's ability to take responsibility for his or her behavior. Enabling is expressed in overprotectiveness and manipulation in which parents insulate their children from unpleasant circumstances and from making mistakes. Unfortunately, these are the very situations in which most children learn self-control, independence, and strategies to correct aberrant behavior. Children of enabling parents often fail to learn that their actions have consequences. The Lynch Enabling Survey for Parents (LESP), a forty-item questionnaire designed to assess the enabling behavior of parents, was evaluated to establish its psychometric properties. In Experiment 1, 416 parents responded to the LESP. The instrument was determined to be reliable (rs = .84 and .92 for split-half and test-retest reliability, respectively) and valid. Factor analysis established four factors, assessing Direct Enabling Parent Involvement, Indirect Nonenabling Parent Involvement, Direct Nonenabling Parent Involvement, and Indirect Enabling Parent Involvement. In Experiment 2, the LESP and the Nowicki-Strickland Locus of Control Scale were used to assess the differences between ninth-grade at-risk and honors students and their parents. The responses of parents of at-risk students on the LESP were significantly more enabling than were the responses of the parents of honors students. At-risk and honors students were also significantly different in their locus of control. Lastly, there was a significant relationship between parents' LESP scores and their children's locus of control scores.     

中职生家长投入与子女学业投入的关系：教养风格的调节作用

中职生的家庭资源是影响其学业发展的重要因素。本研究调查了国内8个省市1185名中职生和高中生,探讨了中职生家长投入的现状特点及其与教养风格、学业投入的关系。结果发现：中职生家长投入水平显著低于高中生家长;家长教养风格（自主支持/控制）调节了家长投入对中职生学业投入的预测作用。在自主支持的教养风格条件下,家长的在家辅导、参与决策能显著预测学生学业投入的水平,而在控制的教养风格条件下则不成立。     

Assessing Parental Readiness to Change: A Psychometric Evaluation of the READI-SF in a Community Sample

Engagement in behavioral parent training programs continues to be a barrier to service delivery. Parental readiness is an important construct for understanding parental engagement in parent training services, as these programs place a high level of action-oriented demands on caregivers. The present study examines the performance of one parental readiness measure, the Readiness, Efficacy, Attributions, Defensiveness, and Importance Scale—Short Form (READI-SF) in a community-based sample. Participants included 103 families of children ages three to seven recruited from an urban charter school. Mothers completed an abbreviated version of the READI as well as indices of child disruptive behavior and a second measure of parental readiness. The psychometric properties and factor structure of the READI-SF are explored as well as indices of reliability and validity. Exploratory factor analysis revealed a three-factor model of readiness to change, treatment readiness, and perceived importance of the problem. Analyses also supported the validity and clinical utility of the measure, as READI-SF scores were found to predict attendance at a one-time parenting group. Lastly, the study examines the relationship between parental readiness and child disruptive behavior. Limitations and future directions are discussed.     

Factors Associated with 3-Year Stability and Change in Parenting Behavior of Abusive Parents

We sought to examine the stability of parenting behaviors among physically abusive parents in the 3-year period between their children’s preschool and first grade years. The second purpose of the study was to identify factors that predicted the levels and rates of change in parenting behaviors. 54 parent/child dyads were recruited following substantiated physical abuse of the child and were assessed in preschool, kindergarten, and first grade. Parenting behaviors were measured by observations during Parent–Child Interactions, self-reports from parents, and child reports using a puppet interview. Potential predictors of stability and change examined were demographic factors (SES, child gender, and ethnicity) and parent characteristics (depressive symptomatology, perceptions of child behavior problems, and life stress). Multilevel modeling indicated significant fluctuations in parenting among abusive parents, and these fluctuations were generally attributable to within-person rather than between-person differences. Linear change over time was evidenced in observed positive regard, flat affect, sensitivity, and child-reported structure; changes generally were in the direction of deterioration of parenting over time. Parents’ perceptions of the severity of their children’s behavior problems predicted changes over time in parenting behaviors related to intrusiveness and structure in the home. Demographic factors and parental depression predicted change in select parenting behaviors. Overall, findings indicate instability in parenting during the developmental transition to kindergarten and wide individual differences in patterns of change in parenting. Further, parenting behavior tends to deteriorate rather than improve following substantiation of physical abuse by the child protection system.     

Why Do Parents Seek Help When Their Children’s Behavior Is Within Normative Levels?

The purpose of this study was to address the following question: Why do parents first seek help with parenting when they report their child’s disruptive behaviors are within normative levels? Two groups were selected for study from a sample of 91 parents of 3- to 6-year-olds who sought help with parenting: Parents reporting disruptive behavior problems in the normative range (n?=?22) or above a clinical cutoff (n?=?19). Logistic regression was used to examine two competing hypotheses about family variables which may account for why parents seek help when reporting normative levels of disruptive behaviors: Alternative family stress (i.e., high levels of family stress other than child disruptive behavior) and parent enhancement and validation (i.e., enhance and validate parenting although child behavior is in normal range). No support emerged for the alternative family stress hypothesis whereas multiple indicators (better use of disciplinary strategies, seeking services for a first born child, and being more highly educated) provided support for the parent enhancement and validation hypothesis.     

ADHD and Depression Symptoms in Parent Couples Predict Response to Child ADHD and ODD Behavior

Parents of children with attention-deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) often have elevated ADHD and depressive symptoms, both of which increase the risk of ineffective parenting and interparental discord. However, little is known about whether child ADHD/ODD behavior and parent ADHD or depressive symptoms uniquely or synergistically predict the quality of parenting and interparental communication during triadic (mother-father-child) interactions. Ninety parent couples, including 51 who have children diagnosed with ADHD, were randomly assigned to interact with a 9–12 year-old confederate child (84 % male) exhibiting either ADHD/ODD-like behavior or typical behavior. Parents reported their own ADHD and depressive symptoms, and parents and observers rated the quality of parenting and interparental communication during the interaction. Actor-partner interdependence modeling indicated that child ADHD/ODD behavior predicted less positive and more negative parenting and communication, independent of adult ADHD and depressive symptoms. Parent couples including two parents with elevated ADHD communicated more positively while managing children exhibiting ADHD/ODD behavior than couples managing children behaving typically or couples with only one parent with elevated ADHD symptoms. Couples including one parent with, and one parent without, elevated ADHD or depressive symptoms parented less positively and more negatively, and communicated more negatively, when managing children exhibiting ADHD/ODD behavior than when managing children behaving typically. Taken together, depending on the similarity of ADHD and depressive symptom levels in parent couples, adults managing children exhibiting ADHD/ODD behavior may parent or communicate positively or negatively. Findings highlight the need to consider the psychopathology of both parents when treating children with ADHD in two-parent homes.     

Therapist Focus on Parent Involvement in Community-Based Youth Psychotherapy

Parent involvement in the treatment of childhood disruptive behavior problems is a critical component of effective care. Yet little is known about the amount of time therapists are involving parents in treatment and factors that predict therapists' efforts to involve parents in routine care. The purpose of this study is to examine therapists' within-session involvement of parents in community-based outpatient mental health treatment. The data are from a larger longitudinal observational study of psychotherapy for children ages 4-13 with disruptive behavior problems and include videotaped psychotherapy sessions coded for the therapeutic strategies delivered as well as measures of child, parent/family, and therapist characteristics at baseline. Parent involvement is defined as the proportion of time in the session that therapists direct treatment strategies towards parents. Results indicated that therapists directed treatment strategies towards parents an average of 44% of the time within a session. Multilevel modeling was used to examine client-level (child, parent, and family functioning) and provider-level (therapist experience and background) predictors of parent involvement. Therapists involved parents more when the child had higher levels of behavior problems, when the parent reported higher levels of internalized caregiver strain, and when the therapist was more experienced. The results highlight potential areas to target in efforts to increase parent involvement, including training less experienced therapists to increase their focus on directing strategies towards parents.     

Parent Behavior Importance and Parent Behavior Frequency Questionnaires: Psychometric Characteristics

This study examined the psychometric characteristics of two parenting measures: the Parent Behavior Importance Questionnaire (PBIQ) and Parent Behavior Frequency Questionnaire (PBFQ). Both research questionnaires are based on the parent development theory (PDT) and offer parent as well as non-parent respondents the opportunity to rate 38 parenting behaviors in terms of importance or frequency, respectively. The parenting behaviors correspond to one of six PDT parenting characteristics (i.e., bonding, discipline, education, general welfare and protection, responsivity, sensitivity); according to the PDT, these characteristics vary in importance and frequency according to children’s developmental levels as well as unique characteristics and needs. Psychometric examination of these questionnaires reveals that the scales have strength in terms of reliability and validity. Results are discussed relative to reliability and validity, the PDT, and current parenting research.