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Steiner EM, Dahlquist L. Intolerance of uncertainty and protective parenting: the mediating role of maternal appraisals and the moderating role of child health status. CHILDRENS HEALTH CARE 2021. [DOI: 10.1080/02739615.2021.2007771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Emily M. Steiner
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, USA
| | - Lynnda Dahlquist
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, USA
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2
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Venard G, Pina Brito V, Eeckhout P, Zimmermann G, Van Petegem S. Quand le parent veut trop bien faire : état de la littérature sur le phénomène de surprotection parentale. PSYCHOLOGIE FRANCAISE 2021. [DOI: 10.1016/j.psfr.2021.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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3
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Bitencourt N, Kramer J, Bermas BL, Solow EB, Wright T, Makris UE. Clinical Team Perspectives on the Psychosocial Aspects of Transition to Adult Care for Patients With Childhood-Onset Systemic Lupus Erythematosus. Arthritis Care Res (Hoboken) 2020; 73:39-47. [PMID: 32976698 DOI: 10.1002/acr.24463] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 09/17/2020] [Indexed: 01/04/2023]
Abstract
OBJECTIVE The transition from pediatric to adult care for youth with childhood-onset systemic lupus erythematosus (SLE) is a vulnerable period. Adverse outcomes during this transition include gaps in care, unscheduled health care utilization, loss of insurance, and high disease activity. The objective of this study was to examine the clinical care teams' perspective on the psychosocial factors associated with transition outcomes, which are poorly understood in this population. METHODS We conducted in-depth interviews with clinical care team members who interact with childhood-onset SLE patients during transfer from pediatric to adult rheumatology. A semistructured interview guide was used to prompt participants' perspectives about the psychosocial factors associated with the transition process for patients with childhood-onset SLE. Audio recordings were transcribed and analyzed using the constant comparative method. We stopped conducting interviews once thematic saturation was achieved. RESULTS Thirteen in-depth interviews were conducted. Participants included pediatric rheumatologists (n = 4), adult rheumatologists from both academic and private practice settings (n = 4), nurses (n = 2), a nurse practitioner, a social worker, and a psychologist. We identified several themes deemed by clinical care teams as important during the transition, including the impact of the family, patient resilience and coping mechanisms, the role of mental health and emotional support, and the need for education, peer support, and social connectedness. CONCLUSION We identified several psychosocial themes that clinical team members believe impact the transition of patients with childhood-onset SLE into adult care. The role of parental modeling, youth resilience, mental health and emotional care, improved childhood-onset SLE education, and structured peer support and social connectedness are highlighted, which may be amenable to interventions.
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Affiliation(s)
| | - Justin Kramer
- University of Texas Southwestern Medical Center, Dallas
| | | | - E Blair Solow
- University of Texas Southwestern Medical Center, Dallas
| | - Tracey Wright
- University of Texas Southwestern Medical Center and Texas Scottish Rite Hospital for Children, Dallas
| | - Una E Makris
- University of Texas Southwestern Medical Center and Veterans Administration North Texas Health Care System, Dallas
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Andonian C, Langer F, Beckmann J, Bischoff G, Ewert P, Freilinger S, Kaemmerer H, Oberhoffer R, Pieper L, Neidenbach RC. Overweight and obesity: an emerging problem in patients with congenital heart disease. Cardiovasc Diagn Ther 2019; 9:S360-S368. [PMID: 31737542 DOI: 10.21037/cdt.2019.02.02] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Due to technological and medical advances the population of adults with congenital heart disease (ACHD) is constantly growing. Worldwide, congenital heart disease (CHD) affects 1.35-1.5 million children each year and the number of ACHD meanwhile exceeds the number of CHD children. It has been found that a substantial number of ACHD present problematic health behaviors, such as physical inactivity and bad nutritional habits. Recent studies document alarming rates of overweight and obesity among CHD patients which may consequently lead to further health complications in this population. The present article focuses on the distinct psychosocial effects resulting from the diagnosis of CHD and their impact on developing disordered eating patterns and excess weight. It seeks to identify unique risk factors and relevant explanations associated with the increasing prevalence of obesity among CHD patients. This review suggests a vital need to establish clinical guidelines for nutrition and weight management in this patient population as part of a holistic treatment approach.
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Affiliation(s)
- Caroline Andonian
- Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University Munich, Munich, Germany.,Technical University Munich, Munich, Germany.,Sigmund Freud University, Vienna, Austria
| | - Fabian Langer
- Department of Clinical Nutrition and Preventive Medicine, Hospital Barmherzige Brüder, Munich, Germany
| | - Jürgen Beckmann
- Technical University Munich, Munich, Germany.,University of Queensland, Brisbane, Australia
| | - Gert Bischoff
- Department of Clinical Nutrition and Preventive Medicine, Hospital Barmherzige Brüder, Munich, Germany
| | - Peter Ewert
- Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University Munich, Munich, Germany
| | - Sebastian Freilinger
- Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University Munich, Munich, Germany
| | - Harald Kaemmerer
- Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University Munich, Munich, Germany
| | - Renate Oberhoffer
- Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University Munich, Munich, Germany.,Technical University Munich, Munich, Germany
| | - Lars Pieper
- Department of Behavioral Epidemiology, Technische Universität Dresden, Dresden, Germany
| | - Rhoia Clara Neidenbach
- Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University Munich, Munich, Germany.,Technical University Munich, Munich, Germany
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5
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Steiner EM, Dahlquist LM, Power TG, Bollinger ME. Intolerance of uncertainty and protective parenting in mothers of children with food allergy. CHILDRENS HEALTH CARE 2019. [DOI: 10.1080/02739615.2019.1650362] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Emily M. Steiner
- Department of Psychology, University of Maryland, Baltimore County
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How Do Parents Influence Child Disruptive Behavior After Acquired Brain Injury? Evidence From a Mediation Model and Path Analysis. J Int Neuropsychol Soc 2019; 25:237-248. [PMID: 30864536 DOI: 10.1017/s1355617718001236] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES Children with acquired brain injury (ABI) can present with disruptive behavior, which is often a consequence of injury and parent factors. Parent factors are associated with child disruptive behavior. Furthermore, disinhibition in the child also leads to disruptive behavior. However, it is unclear how these factors interact. We investigated whether parental factors influence child disruptive behavior following ABI and how these factors interact. METHODS Parents of 77 children with ABI participated in the study. Parent factors (executive dysfunction, trait-anxiety), potential intervention targets (dysfunctional parenting practices, parental stress, child disinhibition), and child disruptive behavior were assessed. A hypothetical model based on the literature was tested using mediation and path analysis. RESULTS Mediation analysis revealed that child disinhibition and dysfunctional parenting practices mediated the association of parent factors and child disruptive behavior. Parents' executive dysfunction mediated the association of dysfunctional parenting practices, parental stress and parent trait-anxiety. Parenting practices mediated the association of executive dysfunction and child disruptive behavior. Path analysis indices indicated good model adjustment. Comparative and Tucker-Lewis Index were >0.95, and the root mean square error of approximation was 0.059, with a chi-square of 0.25. CONCLUSIONS A low level of parental trait-anxiety may be required to reduce dysfunctional parenting practices and child disinhibition. Impairments in child disinhibition can be exacerbated when parents present with high trait-anxiety. Child disinhibition is the major contributor of disruptive behavior reported by parents and teachers. The current study provides evidence of parent anxiety and child disinhibition as possible modifiable intervention targets for reducing child disruptive behavior. (JINS, 2019, 25, 237-248).
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Staba Hogan MJ, Ross WL, Balsamo L, Mitchell HR, Kadan-Lottick NS. Parental perception of child vulnerability in childhood cancer survivors. Pediatr Blood Cancer 2018; 65:e27364. [PMID: 30024087 DOI: 10.1002/pbc.27364] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Revised: 06/08/2018] [Accepted: 06/23/2018] [Indexed: 11/09/2022]
Abstract
BACKGROUND Parents' perception of their children's vulnerability to illness following cancer treatment is largely unknown, but is important to understand given known challenges of transitioning survivors to postcancer care. We investigated the frequency of and factors associated with perceived vulnerability by parents of childhood cancer survivors attending a regional survivorship clinic. PROCEDURE This cohort study was offered to all parents of pediatric patients (currently ≤18 years) attending the Yale childhood cancer survivorship clinic January 2010 to October 2016 who were ≥1 year postcurative cancer therapy. Participating parents (one per patient) completed the standardized Child Vulnerability Scale at the beginning of the clinic visit (cutoff score ≥10 for perceived vulnerability). Patient sociodemographics, cancer history, and posttherapy complications were abstracted from medical records. RESULTS Overall, 116 parents participated (98% participation rate) consisting of 89% mothers; survivors were 46% female, had a current mean age of 12.7 ± 3.9 years, and were a mean of 6.4 ± 3.8 years posttherapy. Twenty-eight percent (n = 33) of parents perceived their children as vulnerable. Survivor sociodemographics (age, sex, race/ethnicity, family income, insurance, parental marital status, number of siblings), cancer diagnosis, years off-therapy, survivorship visit number, treatment intensity, and late complications (number, type, severity) were not associated with perception of vulnerability. CONCLUSIONS A sizeable proportion of parents continue to perceive their children as vulnerable even years after cancer therapy completion independent of current health status or past cancer history. Our data suggest the need to educate all parents of childhood cancer survivors regarding health risk, including those at lower risk for late complications.
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Affiliation(s)
- Mary-Jane Staba Hogan
- Section of Pediatric Hematology/Oncology, Yale School of Medicine, New Haven, Connecticut.,Yale Cancer Center, New Haven, Connecticut
| | - Wilhelmenia L Ross
- Section of Pediatric Hematology/Oncology, Yale School of Medicine, New Haven, Connecticut
| | - Lyn Balsamo
- Section of Pediatric Hematology/Oncology, Yale School of Medicine, New Haven, Connecticut.,Yale Cancer Center, New Haven, Connecticut
| | | | - Nina S Kadan-Lottick
- Section of Pediatric Hematology/Oncology, Yale School of Medicine, New Haven, Connecticut.,Yale Cancer Center, New Haven, Connecticut
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8
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Sertçelik T, Alkan F, Sapmaz ŞY, Coşkun Ş, Eser E. Life quality of children with congenital heart diseases. Turk Arch Pediatr 2018; 53:78-86. [PMID: 30116128 DOI: 10.5152/turkpediatriars.2018.6428] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Accepted: 02/21/2018] [Indexed: 11/22/2022]
Abstract
Aim We aimed to evaluate the effects of the severity and symptoms of congenital heart disease and the emotional and behavioral problems of affected children on their quality of life. Material and Methods The study was performed by interviewing 80 children aged between 6 and 16 years (40 with cyanotic heart disease and 40 with acyanotic disease) and their mothers. A sociodemographic data form, quality of life questionnaire, strength and difficulties questionnaire, and family life and parenting attitudes scale were used in the research. Life quality was the dependent variable of this research. Results No significant relation was found between age, sex, and education level of the parents and all quality of life subscale scores (p>0.05). In terms of quality of life, total quality of life subscale, emotional well-being and self-esteem subscales were significantly lower in children with cyanotic congenital heart disease (p=0.02, p=0.007, p=0.006, respectively). The total quality of life subscale was significantly lower in children with a medical treatment and surgical history. In terms of clinical symptoms, self-esteem, friendship and school life quality subscales were affected in the presence of dyspnea. As scores from strength and difficulties questionnaire increased, which is used for the assessment of children's psychological symptoms, all quality of life scores were significantly lowered except for school and family subscales. Conclusion It was found that symptoms of congenital heart disease affected the psychosocial quality of life subscales rather than the physical subscales. In addition, it was observed that mental symptoms in both the mother and child negatively affected quality of life rather than disease-related parameters.
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Affiliation(s)
- Tamay Sertçelik
- Department of Pediatrics, Celal Bayar University School of Medicine, Manisa, Turkey
| | - Fatoş Alkan
- Department of Pediatrics, Division of Pediatric Cardiology, Celal Bayar University School of Medicine, Manisa, Turkey
| | - Şermin Yalın Sapmaz
- Department of Child Psychiatry, Celal Bayar University School of Medicine, Manisa, Turkey
| | - Şenol Coşkun
- Department of Pediatrics, Division of Pediatric Cardiology, Celal Bayar University School of Medicine, Manisa, Turkey
| | - Erhan Eser
- Department of Public Health, Celal Bayar University School of Medicine, Manisa, Turkey
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Akre C, Suris JC, Belot A, Couret M, Dang TT, Duquesne A, Fonjallaz B, Georgin-Lavialle S, Larbre JP, Mattar J, Meynard A, Schalm S, Hofer M. Building a transitional care checklist in rheumatology: A Delphi-like survey. Joint Bone Spine 2017; 85:435-440. [PMID: 28965941 DOI: 10.1016/j.jbspin.2017.09.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Accepted: 09/13/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES To design a transitional care checklist to be used by and facilitate the work of health professionals in providing transitional care for children with a chronic rheumatologic disease and their families. METHODS A Delphi-like study among an international expert panel was carried out in four steps: (1) a working group of 6 specialists established a draft; (2) a web-survey among a panel of international experts evaluated it; (3) a 2-day consensus conference with an expert panel discussed items not reaching agreement; (4) a web-survey among the panel of international experts with the list of reformulated items. RESULTS The first draft of the checklist included 38 items in 3 phases of transition and 5 age groups. Thirty-three international experts evaluated the checklist reaching≥80% agreement for 26 items and ≤80% for 12. The consensus conference of 12 experts discussed and redefined the 12 items. Twenty-five international experts filled out the web-survey and all items reached a minimum of 80% agreement except one. The final checklist was reached. CONCLUSIONS This Delphi-like study defined what themes should be included and at what age they need to be addressed with patients with a chronic rheumatology disease and their families during transition. This checklist reached a strong international and interdisciplinary consensus while examining transition in a broad way. It should now be spread widely to health professionals to be used by all those who care for adolescents aged≥12 years at times of transition. It could be transposed to most chronic conditions. Recommendations for further research are given.
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Affiliation(s)
- Christina Akre
- Institute of social and preventive medicine, Lausanne university hospital, 10, route de la Corniche, 1010 Lausanne, Switzerland.
| | - Joan-Carles Suris
- Institute of social and preventive medicine, Lausanne university hospital, 10, route de la Corniche, 1010 Lausanne, Switzerland
| | - Alexandre Belot
- Pediatric nephrology, rheumatology, dermatology unit, hospices civils de Lyon, Institut national de la santé et de la recherche médicale, 69002 Lyon, France
| | - Marie Couret
- Adult rheumatology unit, Lausanne university hospital, 1011 Lausanne, Switzerland
| | - Thanh-Thao Dang
- Department of paediatrics, Geneva university hospital, 1211 Geneva, Switzerland
| | - Agnès Duquesne
- Pediatric nephrology, rheumatology, dermatology unit, hospices civils de Lyon, Institut national de la santé et de la recherche médicale, 69002 Lyon, France
| | - Béatrice Fonjallaz
- Rheumatology and pediatric immunology, Geneva League against rheumatism, 1207 Geneva, Switzerland
| | - Sophie Georgin-Lavialle
- Internal medicine department, National reference center of familial mediterranean fever and inflammatory amyloïdosis, Tenon hospital, 75020 Paris, France; Université Pierre-et-Marie-Curie, 75020 Paris, France
| | - Jean-Paul Larbre
- Rheumatology department, Lyon Sud hospital, hospices civils Lyon, 2016 Lyon, France
| | | | - Anne Meynard
- Primary care unit, faculty of medicine, Geneva university hospital, 1211 Geneva, Switzerland
| | - Susanne Schalm
- Dr. von Hauner children's hospital, Ludwig Maximilian university, Rheumatology at Endokrinologikum, 80539 Munich, Germany
| | - Michaël Hofer
- Unité romande d'immuno-rhumatologie pédiatrique, Lausanne university hospital, Geneva university hospital, 1011 Lausanne, Switzerland
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Goldberg A, Scharf M, Wiseman H. Sense of Coherence and Parenting Representation among Parents of Adolescents with Type 1 Diabetes. J Pediatr Nurs 2017; 35:3-7. [PMID: 28728765 DOI: 10.1016/j.pedn.2017.01.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2016] [Revised: 01/29/2017] [Accepted: 01/29/2017] [Indexed: 11/19/2022]
Abstract
INTRODUCTION This study examines the association between parental sense of coherence (SOC) and maternal and paternal representations of parents of adolescents diagnosed with type 1 diabetes (IDDM). METHOD Seventy five mothers and fathers of adolescents (age 13-18) diagnosed with IDDM, were recruited. Data were gathered from a demographic and SOC questionnaires, and the Parenting Representations Interview (PRI-A). RESULTS A significant association was found between mothers' and fathers' SOC and a more balanced description of parenting, and positive correlations between mothers' and fathers' SOC and their representations of the self as parent, representations of the adolescent, and relationships representations. Furthermore, a negative correlation was found between parents' SOC and less differentiated relationships. CONCLUSIONS SOC may promote well-being in spite of exposure to challenging circumstances as parenting an adolescent with IDDM. It appears that fathers and mothers need to and can be addressed as significant caregivers in any treatment or clinical intervention, as they have a relative involvement in taking care of children and therefore sharing the caregiving responsibilities and functioning as co-primary caregivers.
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Affiliation(s)
- Alon Goldberg
- Tel-Hai College, Department of Education, Upper Galilee 12210, Israel.
| | - Miri Scharf
- University of Haifa, Faculty of Education, Department of Counseling and Human Development, Haifa, Israel
| | - Hadas Wiseman
- University of Haifa, Faculty of Education, Department of Counseling and Human Development, Haifa, Israel
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Wright J, Elwell L, McDonagh JE, Kelly DA, Wray J. Parents in transition: Experiences of parents of young people with a liver transplant transferring to adult services. Pediatr Transplant 2017; 21. [PMID: 27460440 DOI: 10.1111/petr.12760] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/16/2016] [Indexed: 11/26/2022]
Abstract
Predictors of successful transition from pediatric to adult services include ability to self-manage and engage with healthcare services. Parents have a key role in healthcare management throughout childhood and adolescence including encouraging development of self-management skills in their children. Transition to adult services can be challenging for parents and young people, yet parents' views regarding transition remain largely unexplored. Nine parents of pediatric liver transplant recipients (15.2-25.1 yr) participated in semistructured interviews. Interviews were analyzed using IPA. Analysis revealed three key themes: "emotional impact of transplantation," "protection vs. independence," and "ending relationships and changing roles." Parents expressed the dichotomous nature of the desire to promote independence in their child while still maintaining control and protection, and discussed how changing roles and relationships were difficult to navigate. Parents are important facilitators of young people's development of self-management skills for successful transfer to adult services. Parents should be supported to move from a "managerial" to a "supervisory" role during transition to help young people engage independently with the healthcare team. Findings support the development of interventions for parents to emphasize their role in transition and guide the transfer of self-management skills from parent to young person.
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Affiliation(s)
- J Wright
- Liver Unit, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
| | - L Elwell
- Liver Unit, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK.,University of Birmingham, Birmingham, UK
| | - J E McDonagh
- Centre for Musculoskeletal Research, University of Manchester, Manchester, UK
| | - D A Kelly
- Liver Unit, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
| | - J Wray
- Critical Care and Cardiorespiratory Division, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
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12
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Goldberg A, Wiseman H. Parental resolution and the adolescent's health and adjustment: The case of adolescents with type 1 diabetes. SOCIAL WORK IN HEALTH CARE 2015; 55:87-100. [PMID: 26684497 DOI: 10.1080/00981389.2015.1073209] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This study examines the association between parents' resolution of their adolescent child's diagnosis of type 1 diabetes and the health and mental adjustment of the adolescents themselves. Parents of 75 adolescents with type 1 diabetes were interviewed using the Reaction to Diagnosis Interview. Parents and adolescents completed questionnaires regarding the child's physical health, self-management of the disease, and behavioral and emotional problems. Physicians reported adolescents' HbA1c levels. Results showed that adolescents whose fathers were resolved with the diagnosis exhibited better diabetes self-management and adolescents whose mothers were resolved with the diagnosis exhibited fewer internalizing and externalizing problems. The findings highlight the different role of mothers and fathers in the treatment of adolescents with diabetes and provide a basis for clinical intervention that focuses not only on adolescent health, but also on parental state of mind regarding the resolution with the disease.
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Affiliation(s)
- Alon Goldberg
- a Faculty of Education, Department of Counseling and Human Development , University of Haifa , Haifa , Israel
| | - Hadas Wiseman
- a Faculty of Education, Department of Counseling and Human Development , University of Haifa , Haifa , Israel
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13
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Mohammadi S, Dehghani M, Khatibi A, Sanderman R, Hagedoorn M. Caregivers' attentional bias to pain: does it affect caregiver accuracy in detecting patient pain behaviors? Pain 2015; 156:123-130. [PMID: 25599308 DOI: 10.1016/j.pain.0000000000000015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Attentional bias to pain among family caregivers of patients with pain may enhance the detection of pain behaviors in patients. However, both relatively high and low levels of attentional bias may increase disagreement between patients and caregivers in reporting pain behaviors. This study aims to provide further evidence for the presence of attentional bias to pain among family caregivers, to examine the association between caregivers' attentional bias to pain and detecting pain behaviors, and test whether caregivers' attentional bias to pain is curvilinearly related to patient and caregiver disagreement in reporting pain behaviors. The sample consisted of 96 caregivers, 94 patients with chronic pain, and 42 control participants. Caregivers and controls completed a dot-probe task assessing attention to painful and happy stimuli. Both patients and caregivers completed a checklist assessing patients' pain behavior. Although caregivers did not respond faster to pain congruent than pain incongruent trials, caregiver responses were slower in pain incongruent trials compared with happy incongruent trials. Caregivers showed more bias toward pain faces than happy faces, whereas control participants showed more bias toward happy faces than pain faces. Importantly, caregivers' attentional bias to pain was significantly positively associated with reporting pain behaviors in patients above and beyond pain severity. It is reassuring that attentional bias to pain was not related to disagreement between patients and caregivers in reporting pain behaviors. In other words, attentional bias does not seem to cause overestimation of pain signals.
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Affiliation(s)
- Somayyeh Mohammadi
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands Families with Special Needs Department, Family Research Institute, Shahid Beheshti University, Tehran, Iran Laboratory of Research on Neuropsychophysiology of Pain, CRIUGM, University of Montreal, Montreal, QC, Canada Department of Psychology, Health and Technology, University of Twente, Enschede, the Netherlands
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14
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Dahlquist LM, Power TG, Hahn AL, Hoehn JL, Thompson CC, Herbert LJ, Law EF, Bollinger ME. Parenting and independent problem-solving in preschool children with food allergy. J Pediatr Psychol 2015; 40:96-108. [PMID: 25326001 PMCID: PMC4288307 DOI: 10.1093/jpepsy/jsu087] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2014] [Revised: 09/14/2014] [Accepted: 09/15/2014] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To examine autonomy-promoting parenting and independent problem-solving in children with food allergy. METHODS 66 children with food allergy, aged 3-6 years, and 67 age-matched healthy peers and their mothers were videotaped while completing easy and difficult puzzles. Coders recorded time to puzzle completion, children's direct and indirect requests for help, and maternal help-giving behaviors. RESULTS Compared with healthy peers, younger (3- to 4-year-old) children with food allergy made more indirect requests for help during the easy puzzle, and their mothers were more likely to provide unnecessary help (i.e., explain where to place a puzzle piece). Differences were not found for older children. CONCLUSIONS The results suggest that highly involved parenting practices that are medically necessary to manage food allergy may spill over into settings where high levels of involvement are not needed, and that young children with food allergy may be at increased risk for difficulties in autonomy development.
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Affiliation(s)
- Lynnda M Dahlquist
- Department of Psychology, University of Maryland, Baltimore County, Department of Human Development, Washington State University, and Department of Pediatrics, University of Maryland School of Medicine
| | - Thomas G Power
- Department of Psychology, University of Maryland, Baltimore County, Department of Human Development, Washington State University, and Department of Pediatrics, University of Maryland School of Medicine
| | - Amy L Hahn
- Department of Psychology, University of Maryland, Baltimore County, Department of Human Development, Washington State University, and Department of Pediatrics, University of Maryland School of Medicine
| | - Jessica L Hoehn
- Department of Psychology, University of Maryland, Baltimore County, Department of Human Development, Washington State University, and Department of Pediatrics, University of Maryland School of Medicine
| | - Caitlin C Thompson
- Department of Psychology, University of Maryland, Baltimore County, Department of Human Development, Washington State University, and Department of Pediatrics, University of Maryland School of Medicine
| | - Linda J Herbert
- Department of Psychology, University of Maryland, Baltimore County, Department of Human Development, Washington State University, and Department of Pediatrics, University of Maryland School of Medicine
| | - Emily F Law
- Department of Psychology, University of Maryland, Baltimore County, Department of Human Development, Washington State University, and Department of Pediatrics, University of Maryland School of Medicine
| | - Mary Elizabeth Bollinger
- Department of Psychology, University of Maryland, Baltimore County, Department of Human Development, Washington State University, and Department of Pediatrics, University of Maryland School of Medicine
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15
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Dunford E, Thompson M, Gauntlett-Gilbert J. Parental behaviour in paediatric chronic pain: a qualitative observational study. Clin Child Psychol Psychiatry 2014; 19:561-75. [PMID: 23814172 DOI: 10.1177/1359104513492347] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES Parental behaviour appears to influence the adjustment of children with chronic pain. However, research in this area has failed to produce consistent evidence. Studies have tended to rely on self-report measures derived from adult pain populations. This qualitative, observational research provides descriptive data of parental behaviour in a clinical environment. DESIGN A qualitative observational study was made of parents and adolescents in a physically stressful setting. Modified grounded theory was used to analyse verbal and non-verbal behaviours. METHODS Eight parent-adolescent dyads seeking treatment for chronic pain were videoed during physical exercise sessions. Verbal and non-verbal behaviours were recorded and transcribed. RESULTS Four overarching categories emerged: 'monitoring', 'protecting', 'encouraging' and 'instructing'. These often had both verbal and non-verbal aspects. Within these categories, more precise behavioural groups were also identified. CONCLUSIONS This research identifies categories of parental behaviour that were derived directly from observation, rather than imposed on the basis of results from different populations. Four categories of behaviour were derived, which clarify and extend dimensions used in existing self-report instruments. Careful description of parental behaviours showed features that past research has neglected, and highlighted potential drawbacks of apparently positive parental actions.
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Affiliation(s)
- Emma Dunford
- Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases NHS Foundation Trust, UK Centre for Pain Research, University of Bath, UK
| | - Miles Thompson
- Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases NHS Foundation Trust, UK
| | - Jeremy Gauntlett-Gilbert
- Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases NHS Foundation Trust, UK Centre for Pain Research, University of Bath, UK
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Akre C, Suris JC. From controlling to letting go: what are the psychosocial needs of parents of adolescents with a chronic illness? HEALTH EDUCATION RESEARCH 2014; 29:764-772. [PMID: 24997206 DOI: 10.1093/her/cyu040] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
While one of the main objectives of adolescence is to achieve autonomy, for the specific population of adolescents with a chronic illness (CI), the struggle for autonomy is accentuated by the limits implied by their illness. However, little is known concerning the way their parents manage and cope with their children's autonomy acquisition. Our aim was to identify the needs and preoccupations of parents of adolescents with CI in coping with their children's autonomy acquisition and to determine whether mothers and fathers coped differently. Using a qualitative approach, 30 parents of adolescents with CI participated in five focus groups. Recruitment took place in five specialized pediatric clinics from our university hospital. Thematic analysis was conducted. Transcript analyses suggested four major categories of preoccupations, those regarding autonomy acquisition, giving or taking on autonomy, shared management of treatment and child's future. Some aspects implied differences between mothers' and fathers' viewpoints and ways of experiencing this period of life. Letting go can be hard for the father, mother, adolescent or all three. Helping one or the other can in turn improve family functioning as a whole. Reported findings may help health professionals better assist parents in managing their child's acquisition of autonomy.
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Affiliation(s)
- Christina Akre
- Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Route de la Corniche 10, 1010 Lausanne, Switzerland
| | - Joan-Carles Suris
- Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Route de la Corniche 10, 1010 Lausanne, Switzerland
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Goldberg A, Wiseman H. Parents' sense of coherence and the adolescent's health and emotional and behavioral adjustment: the case of adolescents with diabetes. J Pediatr Nurs 2014; 29:e15-21. [PMID: 24486127 DOI: 10.1016/j.pedn.2014.01.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2013] [Revised: 01/04/2014] [Accepted: 01/07/2014] [Indexed: 10/25/2022]
Abstract
INTRODUCTION This study examines parental sense of coherence (SOC) as a resource to health and well-being among adolescents with diabetes. METHOD Participants were recruited by the Juvenile Diabetes Research Foundation and a major pediatric diabetes clinic. Parents of 75 adolescents with type 1 diabetes completed the SOC Questionnaire. Parents and adolescents completed questionnaires regarding the child's physical health, disease self-management, and behavioral problems. Parents and physicians reported adolescent's HbA1c level. RESULTS Results showed that parents' SOC was positively correlated to adolescents' physical health and negatively to internalizing problems. CONCLUSIONS Findings highlight the place of parents in the wellness of adolescents with disease and provide a basis for interventions that enhance adolescents' health and psychological adjustment.
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Affiliation(s)
- Alon Goldberg
- University of Haifa, Faculty of Education, Department of Counseling and Human Development, Haifa, Israel.
| | - Hadas Wiseman
- University of Haifa, Faculty of Education, Department of Counseling and Human Development, Haifa, Israel
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Mawani N, Amine B, Rostom S, El Badri D, Ezzahri M, Moussa F, Shyen S, Gueddari S, Wabi M, Shkirat B, Hassouni NH. Moroccan parents caring for children with juvenile idiopathic arthritis: positive and negative aspects of their experiences. Pediatr Rheumatol Online J 2013; 11:39. [PMID: 24138932 PMCID: PMC3854764 DOI: 10.1186/1546-0096-11-39] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2013] [Accepted: 10/13/2013] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Juvenile idiopathic arthritis (JIA) can lead to serious disability in children and adolescents, requiring intensive home care usually provided by parents .These parents must also cope with physical, familial, social and financial constraints.The aim of this study is to evaluate the positive and negative impacts of caregiving on parents to children with JIA, and identify diseases-related variables that affect these outcomes. METHODS Cross-sectional study including 47 patients diagnosed with JIA defined by the International League of association for Rheumatology (ILAR) 2001 classification. Socio-demographic, clinical and biological data related to patient and disease were collected. Positive and negative effects of caregiving on parents of children with JIA were assessed via a validated instrument; the Caregiver Reaction Assessment (CRA).The CRA assesses parent's self-esteem, financial problems, health problems, disrupted schedule and lack of family support. All parents completed the CRA questionnaire. A statistical analysis was conducted to determine the influence of disease-related variables on caregivers. RESULTS Forty-seven patients were included with 40.4% female. The average patient age was 11 years, and a mean patient body mass index (BMI) was 18. Forty patients were in school. Median disease duration of JIA was 4 years. The most frequent arthritis subtype was persistent oligoarthritis in 12-patients. Nearly 15% had extra-articular manifestations most frequently ocular involvement (6.4%). Median of global Visual analogic scale (VAS) was 20 and median Child health assessment questionnaire (CHAQ) was 0. The primary caregiver was the mother for all patients. Mean maternal age was 38 years, 42% of mothers were illiterate, and nearly all (95%) were without employment. The mean values of different dimensions of the CRA were respectively: self-esteem 3.5, financial problems 3.7, health problem 2.4, disrupted schedule 3.6 and familial support 2.9. Disrupted schedule of parents was correlated with disease severity assessed by physician VAS (p = 0.02). Financial problems of parents were significantly associated with disease duration (p = 0.04). There was no significant association between the type of JIA, activity or severity of the disease and other dimensions of the CRA. CONCLUSION This study suggests that the management of children with JIA has a high negative impact among caregiving parents, represented mainly by the disruption of their activities, the lack of family support, financial problems and health problems. However, caregiving often also improves caregiver's self-esteem (feeling of gratification to be helping).
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Affiliation(s)
- Nada Mawani
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco.
| | - Bouchra Amine
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco
| | - Samira Rostom
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco
| | - Dalal El Badri
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco
| | - Majda Ezzahri
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco
| | - Fanata Moussa
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco
| | - Siham Shyen
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco
| | - Sanae Gueddari
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco
| | - Moudjibou Wabi
- Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco
| | - Bouchra Shkirat
- Department of Pediatrics Children Hospital, University Hospital of Rabat, Rabat, Morocco
| | - Najia Hajjaj Hassouni
- LIRPOS, URAC30, Mohammed V. Souissi University, Rabat, Morocco,Department of Rheumatology, El Ayachi hospital, University Hospital of Rabat-Sale, PO Box: 10000, Salé, Morocco,Laboratory of Biostatistics, Clinical Research and Epidemiology (LBRCE), Faculty of Medicine and Pharmacy, Rabat, Morocco
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Quality of life of children with juvenile idiopathic arthritis and its relationship with parental stress. INDIAN JOURNAL OF RHEUMATOLOGY 2013. [DOI: 10.1016/j.injr.2013.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Tong A, Jones J, Craig JC, Singh-Grewal D. Children's experiences of living with juvenile idiopathic arthritis: a thematic synthesis of qualitative studies. Arthritis Care Res (Hoboken) 2012; 64:1392-404. [PMID: 22504867 DOI: 10.1002/acr.21695] [Citation(s) in RCA: 95] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVE To describe the experiences and perspectives of children and adolescents living with juvenile idiopathic arthritis (JIA). METHODS We conducted a systematic review of qualitative studies that explored the experiences of children living with JIA. We searched electronic databases (to week 2 of July 2011) and reference lists of relevant articles. RESULTS Twenty-seven studies that reported the experiences of more than 542 participants were included. Six major themes were identified: aversion to being different (unrelenting and unpredictable pain, disablement, internal disfigurement, differential treatment, and forced dependency on others); striving for normality (preserving social identity, resourcefulness, sense of community, focus on remission, and mastery over body and pain); stigma and misunderstanding (trivialization of disease, invisible pain, and discrimination); suspension in uncertainty (control versus powerlessness, hope versus disappointment); managing treatment (benefits of taking medicines, respect and involvement in health care, and motivation for physical therapy); and desire for knowledge (medical treatment and advances, lifestyle management). CONCLUSION JIA disrupts a child's sense of normality and impairs his or her capacity for social participation. Children with JIA have a sense of being misunderstood and stigmatized, and they feel perpetually caught between having hope and control over their bodies and overwhelming pain and despair. To increase their confidence, the ability to manage pain, and their resourcefulness for self-management, children need ongoing information about treatments and lifestyle management, strong social support, community advocacy, and active involvement in their own health decision making.
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Affiliation(s)
- Allison Tong
- University of Sydney, Sydney, New South Wales, Australia.
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Connelly M, Anthony KK, Schanberg LE. Parent perceptions of child vulnerability are associated with functioning and health care use in children with chronic pain. J Pain Symptom Manage 2012; 43:953-60. [PMID: 22285288 PMCID: PMC4104198 DOI: 10.1016/j.jpainsymman.2011.05.009] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2011] [Revised: 05/13/2011] [Accepted: 05/18/2011] [Indexed: 01/01/2023]
Abstract
CONTEXT The extent to which parent variables are associated with the level of disability experienced by children with persistent pain has been an area of increasing research. OBJECTIVES To evaluate the extent to which parent perceptions of their child's vulnerability are associated with functioning and health care utilization among children with persistent pain. We also evaluated whether perceptions of child vulnerability contribute to an indirect relationship between parent distress and child functioning and/or child health care utilization. METHODS The study sample comprised 87 patients aged 6-18 years and a parent attending a chronic pain clinic. Children completed questionnaires on functional limitations, and parents completed questionnaires on parent distress, perceptions of child vulnerability, and extent of the child's pain-related health care utilization. Hierarchical regression and bootstrapping mediation analyses were used to test study hypotheses. RESULTS Perceptions of child vulnerability were found to be clinically elevated in nearly half (46%) of parents/caregivers, and average child functional ability for the sample was substantially lower than healthy norms. Parent perceptions of greater child vulnerability were significantly associated with poorer child functioning and more child pain-related health care utilization regardless of child age, sex, and duration of persistent pain. Parent distress was found to be indirectly related to child health care utilization through parent perceptions of child vulnerability but directly related to child functioning. CONCLUSION Parent perceptions of child vulnerability appear important for understanding levels of child functional limitations and health care utilization among children with chronic pain.
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Affiliation(s)
- Mark Connelly
- Children's Mercy Hospitals and Clinics, Kansas City, Missouri 64108, USA.
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Wray J, Lunnon-Wood T, Smith L, Orrells C, Iguchi A, Burch M, Brown K. Perceived quality of life of children after successful bridging to heart transplantation. J Heart Lung Transplant 2012; 31:381-6. [DOI: 10.1016/j.healun.2011.11.014] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2010] [Revised: 11/14/2011] [Accepted: 11/25/2011] [Indexed: 11/28/2022] Open
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Page MC, Fedele DA, Pai ALH, Anderson J, Wolfe-Christensen C, Ryan JL, Mullins LL. The relationship of maternal and child illness uncertainty to child depressive symptomotology: a mediational model. J Pediatr Psychol 2011; 37:97-105. [PMID: 21856763 DOI: 10.1093/jpepsy/jsr055] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVE To examine the relationship of parent and child ratings of illness uncertainty to depressive symptomotology in children with a chronic illness using a mediational model framework. METHOD Mother-child dyads (N = 103 pairs) each completed measures of perceived illness uncertainty, while youth also completed a measure of depressive symptomotology. RESULTS Maternal uncertainty was directly related to child depressive symptoms; however, this relationship was mediated by child uncertainty. CONCLUSION It would appear that a key mechanism by which parent-related uncertainty influences child depressive symptoms is through child uncertainty, underscoring the importance of examining cognitive appraisal variables and means of transmission in parent-child interactions.
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Affiliation(s)
- Melanie C Page
- Department of Psychology, Oklahoma State University, Stillwater, OK 74078, USA.
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Jenerette CM, Valrie CR. The influence of maternal behaviors during childhood on self-efficacy in individuals with sickle cell disease. JOURNAL OF FAMILY NURSING 2010; 16:422-434. [PMID: 21051757 DOI: 10.1177/1074840710385000] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Little is known about the influence of maternal behaviors during childhood on the self-efficacy of individuals with sickle cell disease (SCD).This study retrospectively investigated the relationship between maternal overprotection and caring during childhood and self-efficacy in adulthood. Using a cross-sectional survey design, 32 adults with SCD completed questionnaires about demographics, maternal parenting behaviors, and self-efficacy. On average, adults with SCD reported moderate levels of SCD self-efficacy, high levels of overprotection, and high levels of caring. Self-efficacy was significantly related to educational level ( r = .39, p = .04), number of SCD crises per year (r = -.41, p = .04), and caring (r = .48, p = .01). Using simultaneous regression modeling, maternal caring was significantly predictive of self-efficacy (β = .44, p = .03). Results suggest that maternal caring during childhood may promote the development of self-efficacy in adults with SCD.
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Affiliation(s)
- Coretta M Jenerette
- School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA.
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The relationship between parental overprotection and health-related quality of life in pediatric cancer: the mediating role of perceived child vulnerability. Qual Life Res 2010; 19:1373-80. [PMID: 20571917 DOI: 10.1007/s11136-010-9696-3] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2010] [Indexed: 10/19/2022]
Abstract
PURPOSE The current study sought to examine the relation of parental overprotection and perceived child vulnerability to parent-reported health-related quality of life in parents of children with cancer. METHODS Parents (N = 89) of children who had been diagnosed with cancer completed measures of parental overprotection, perceived child vulnerability, and parent-proxy report of health-related quality of life. RESULTS After controlling for theoretically relevant covariates, parental overprotection and perceived child vulnerability were both found to be significantly related to child health-related quality of life. Additional analyses revealed that perceived child vulnerability mediated the relationship between overprotective parenting behaviors and the child's health-related quality of life. CONCLUSION The findings highlight the need to assess for these discrete parenting variables in parents of children with cancer and to develop interventions to target parental perceptions of vulnerability.
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Fedele DA, Grant DM, Wolfe-Christensen C, Mullins LL, Ryan JL. An examination of the factor structure of parenting capacity measures in chronic illness populations. J Pediatr Psychol 2010; 35:1083-92. [PMID: 20484329 DOI: 10.1093/jpepsy/jsq045] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To examine and confirm the factor structure of three widely used measures of parenting capacity: the Child Vulnerability Scale, Parenting Stress Index-Short Form, and Parental Protection Scale. METHOD Caregivers (N = 457) of children with cancer, asthma, diabetes, sickle cell disease, or cystic fibrosis completed each scale. Separate exploratory and confirmatory factor analyses were conducted on each measure. RESULTS The Child Vulnerability Scale and Parenting Stress Index-Short Form maintained their proposed factor structure; however, several items on the Parenting Stress Index-Short Form were not retained. Finally, multiple items were not retained on the Parental Protection Scale resulting in a proposed unidimensional structure. CONCLUSION Continued use of the Child Vulnerability Scale and a modified Parenting Stress Index-Short Form appears appropriate in a pediatric chronic illness population. However, further factor analytic studies are needed to examine the Parental Protection Scale. Future clinical and research implications are discussed.
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Affiliation(s)
- David A Fedele
- Department of Psychology, Oklahoma State University, Stillwater, OK 74078, USA.
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Connelly M, Anthony KK, Sarniak R, Bromberg MH, Gil KM, Schanberg LE. Parent pain responses as predictors of daily activities and mood in children with juvenile idiopathic arthritis: the utility of electronic diaries. J Pain Symptom Manage 2010; 39:579-90. [PMID: 20303032 PMCID: PMC4049627 DOI: 10.1016/j.jpainsymman.2009.07.013] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2009] [Revised: 07/24/2009] [Accepted: 08/03/2009] [Indexed: 11/23/2022]
Abstract
The present study used electronic diaries to examine how parent responses to their child's pain predict daily adjustment of children with juvenile idiopathic arthritis (JIA). Nine school-aged children with JIA along with one of their parents completed thrice-daily assessments of pain-related variables, activity participation, and mood using handheld computers (Palm pilots) for 14 days, yielding a potential of 42 child and parent assessments for each dyad. Children provided information on current pain level, mood, and participation in social, physical, and school activities. Parents independently rated their own mood as well as their behavioral responses to their child's pain at the same time points using a separate handheld computer. Results of multilevel modeling analyses demonstrated that use of "protective" pain responses by parents significantly predicted decreases in child activity and positive mood, with an even stronger inverse relationship between protective pain response and positive mood observed in children with higher than average disease severity. Protective pain responses were not found to be significantly predictive of daily negative mood in children. The use of "distracting" responses by parents significantly predicted less child activity restrictions but only in children having higher disease severity. There also was an unexpected trend in which parent use of more distracting pain responses tended to be associated with lower child positive mood. These preliminary findings suggest the importance of the parent in influencing adjustment in children with JIA and lend support to the incorporation of parents into comprehensive pain management approaches. The potential benefits of using electronic daily diaries as a strategy to examine pain and adjustment in children with JIA pain are discussed.
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Affiliation(s)
- Mark Connelly
- Children's Mercy Hospitals and Clinics, Kansas City, Missouri 64108, USA.
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Colletti CJM, Wolfe-Christensen C, Carpentier MY, Page MC, McNall-Knapp RY, Meyer WH, Chaney JM, Mullins LL. The relationship of parental overprotection, perceived vulnerability, and parenting stress to behavioral, emotional, and social adjustment in children with cancer. Pediatr Blood Cancer 2008; 51:269-74. [PMID: 18454464 DOI: 10.1002/pbc.21577] [Citation(s) in RCA: 94] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
BACKGROUND To examine the relationship of self-reported parental overprotection, perceived child vulnerability, and parenting stress to parent-reported behavioral, emotional, and social adjustment of children currently on treatment for cancer. PROCEDURE Parents of 62 children (34 boys, 28 girls) currently on treatment for cancer were recruited from an outpatient pediatric cancer clinic. Children ranged in age from 2 to 12 years; age at diagnosis ranged from 1.33 to 11.83 years. RESULTS Higher levels of parenting stress, but not parental overprotection or perceived child vulnerability, were associated with poorer behavioral and social adjustment. Higher levels of perceived child vulnerability and parenting stress, but not parental overprotection, were independently associated with poorer emotional adjustment. CONCLUSIONS Specific parenting variables appear to be related to specific adjustment outcomes in children with cancer. Longitudinal follow-up of these children is necessary to determine the developmental trajectory of parent variables and long-term child outcomes.
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Ellis DA, Templin TN, Naar-King S, Frey MA. Toward conceptual clarity in a critical parenting construct: parental monitoring in youth with chronic illness. J Pediatr Psychol 2008; 33:799-808. [PMID: 18467352 DOI: 10.1093/jpepsy/jsn044] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Parental monitoring has been defined as "a set of correlated parenting behaviors involving attention to and tracking of the child's whereabouts, activities, and adaptations." This construct is of significant interest due to its relatedness to a broad range of youth risk behaviors, including risky sexual behavior, substance abuse, and poor adherence. However, to date, measures of parental monitoring are largely absent from the chronic illness literature. The present article focuses upon two key problems in the operationalization of the monitoring construct to date: (a) poor conceptual specificity in parenting constructs such as monitoring, overprotection, and over-involvement when used to date among youth with chronic conditions and (b) the confounding of existing measures of parental monitoring with items evaluating parental knowledge of youth activities, which has resulted in a lack of data regarding the mechanisms by which parents obtain their information. Recommendations for the future development of monitoring measures are discussed.
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Affiliation(s)
- Deborah A Ellis
- Carman and Ann Adams Department of Pediatrics, Wayne State University, USA.
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Wightman A, Schluchter M, Drotar D, Andreias L, Taylor HG, Klein N, Wilson-Costello D, Hack M. Parental protection of extremely low birth weight children at age 8 years. J Dev Behav Pediatr 2007; 28:317-26. [PMID: 17700084 DOI: 10.1097/dbp.0b013e3180330915] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To examine parent protection and its correlates among 8-year-old ELBW children compared with normal birth weight (NBW) controls. METHODS The population included 217 eight-year-old ELBW children born 1992-1995 (92% of the surviving birth cohort; mean birth weight, 811 g; mean gestational age, 26.4 weeks) and 176 NBW controls. The primary outcome measure, the Parent Protection Scale (PPS), included a total score and four domains including Supervision, Separation, Dependence, and Control. Multivariate analyses were performed to examine the predictors of parental protection and overprotection. RESULTS After adjusting for socioeconomic status (SES), race, sex, and age of the child, parents of ELBW children reported significantly higher mean total Parent Protection Scale scores (31.1 vs 29.7, p = .03) than parents of NBW children and higher scores on the subscale of Parent Control (8.0 vs 7.5, p = .04). These differences were not significant when the 36 children with neurosensory impairments were excluded. Parents of ELBW children also reported higher rates of overprotection than controls (10% vs 2%, p = .001), findings that remained significant even after excluding children with neurosensory impairments (8% vs 2%, p = .011). Multivariate analyses revealed lower SES to be associated with higher total Parent Protection Scale scores in both the ELBW (p < .001) and NBW (p < .05) groups. Additional correlates included neurosensory impairment (p < .05) and functional limitations (p < .001) in the ELBW group and black race (p < .05) and maternal depression (p < .01) in the NBW group. Lower child IQ was significantly associated with higher PPS scores only in the neurosensory impaired subgroup of ELBW children. CONCLUSIONS Longer term follow-up will be necessary to examine the effects of the increased parent protection on the development of autonomy and interpersonal relationships as the children enter adolescence.
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Affiliation(s)
- Aaron Wightman
- Department of Pediatrics, Case Western Reserve University, Cleveland, OH, USA
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Carpentier MY, Mullins LL, Wagner JL, Wolfe-Christensen C, Chaney JM. Examination of the Cognitive Diathesis-Stress Conceptualization of the Hopelessness Theory of Depression in Children With Chronic Illness: The Moderating Influence of Illness Uncertainty. CHILDRENS HEALTH CARE 2007. [DOI: 10.1080/02739610701335027] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Wagner J, Chaney J, Hommel K, Andrews N, Jarvis J. A Cognitive Diathesis-Stress Model of Depressive Symptoms in Children and Adolescents With Juvenile Rheumatic Disease. CHILDRENS HEALTH CARE 2007. [DOI: 10.1080/02739610701316878] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Reid GJ, McGrath PJ, Lang BA. Parent-child interactions among children with juvenile fibromyalgia, arthritis, and healthy controls. Pain 2005; 113:201-10. [PMID: 15621381 DOI: 10.1016/j.pain.2004.10.018] [Citation(s) in RCA: 53] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2004] [Revised: 10/08/2004] [Accepted: 10/18/2004] [Indexed: 11/25/2022]
Abstract
Parent-child interactions during pain-inducing exercise tasks among children (11-17 years old) with fibromyalgia, juvenile rheumatoid arthritis, and pain-free controls were examined and the contribution of parent-child interactions to disability was tested. Fifteen children in each of the three diagnostic groups and their parents completed 5-min exercise tasks and completed questionnaire measures of disability (Functional Disability Inventory) and coping (Pain Coping Questionnaire). There were few group differences in parent-child interactions. After controlling for children's ratings of pain evoked by the exercise, group differences in interactions during exercise tasks were no longer significant. Sequential analyses, controlling for group and exercise task, revealed that when parents made statements discouraging coping following children's negative verbalizations about the task or pain, children were less likely to be on task, compared to when parents made statements encouraging coping or when parents made any other statements. Children's general pain coping strategies were not related to parent-child interactions. Parent-child interactions were generally not related to disability. Across the groups, more pain and less time on task during the exercises were related to Functional Disability Inventory scores and more school absences. Parent-child interaction patterns influence children's adaptation to pain during experimental tasks. Parents' discouragement of coping in response to their children's negative statements related to the pain or the pain-evoking task are counter productive to children's ability to maintain activity in a mildly painful situation.
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Affiliation(s)
- Graham J Reid
- Psychology, IWK Health Centre and Dalhousie University, Halifax, NS, Canada.
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Abstract
UNLABELLED PURPOSE OF THIS ARTICLE: To review recent publications examining psychosocial adjustment to and coping with a pediatric rheumatic disease. RECENT FINDINGS The articles discussed illustrate important areas of psychological vulnerability and potential risk for disturbance in affected children and adolescents within their environment. SUMMARY Children and adolescents with rheumatic diseases and their families face a multitude of psychosocial challenges. Some of these are related to the illness directly, some to treatment. There is need for more systematic research, including multicenter studies, to identify psychosocial needs of patients and their families.
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Affiliation(s)
- Daniel Kietz
- Children's Hospital of Pittsburgh, Pennsylvania 15213, USA.
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Mullins LL, Fuemmeler BF, Hoff A, Chaney JM, Van Pelt J, Ewing CA. The Relationship of Parental Overprotection and Perceived Child Vulnerability to Depressive Symptomotology in Children With Type 1 Diabetes Mellitus: The Moderating Influence of Parenting Stress. CHILDRENS HEALTH CARE 2004. [DOI: 10.1207/s15326888chc3301_2] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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