More than Mental Health: Parent Physical Health and Early Childhood Behavior Problems
Tóm tắt
Caring for young children is a physically demanding task, and some evidence suggests parental physical limitations may impact the parent-child relationship and child behavioral development, but research examining this dynamic is nascent.
This study aims to explicate the role of general parent physical health problems in child disruptive behavior outcomes. A model that included physical and mental health, parenting style and self-efficacy, and child behavior symptom ratings was derived. The tenability of the model was assessed using Pearson's correlations, followed by structural equation modeling using data from 375 parents with a child between 18 months and 5 years.
After several modifications to the initial model, findings revealed that higher levels of parent self-reported physical and mental health concerns indirectly influence child behavior symptoms through different pathways. Impaired parent physical health was associated with poorer parental self-efficacy and more disruptive child behavior, whereas increased parent mental health concerns were associated with a more negative parenting style and lower self-efficacy, which was related to more child behavior symptoms.
Findings elucidate the need for increased awareness and screening of parent physical health limitations in pediatric primary care. Furthermore, appropriate interventions among parents with physical health problems may target different aspects of parenting than routinely discussed.
Từ khóa
Tài liệu tham khảo
Shaw, 2017, New directions and challenges in preventing conduct problems in early childhood, Child Dev Perspect., 11, 85, 10.1111/cdep.12212
Kerker, 2016, Identifying maternal depression in pediatric primary care: changes over a decade, J Dev Behav Pediatr., 37, 113, 10.1097/DBP.0000000000000255
BeLue, 2015, Maternal health status and parenting stress in low-income, ethnic-minority mothers of children with conduct disorder problems: the role of daily parenting hassles, J Racial Ethn Disparities, 2, 501, 10.1007/s40615-015-0098-7
Mensah, 2011, Maternal general health and children's cognitive development and behaviour in the early years: findings from the Millennium Cohort Study, Child Care Health Dev., 37, 44, 10.1111/j.1365-2214.2010.01150.x
Goodman, 1997, The Strengths and Difficulties Questionnaire: a research note, J Child Psychol Psychiatry., 38, 581, 10.1111/j.1469-7610.1997.tb01545.x
Wilson, 2015, Parenting in the context of chronic pain: a controlled study of parents with chronic pain, Clin J Pain., 31, 689, 10.1097/AJP.0000000000000157
Coleman, 2003, Maternal self-efficacy beliefs, competence in parenting, and toddlers' behavior and developmental status, Infant Ment Health J., 24, 126, 10.1002/imhj.10048
Raghupathi, 2018, An empirical study of chronic diseases in the United States: a visual analytics approach, Int J Environ Res Public Health., 15, 431, 10.3390/ijerph15030431
Harris, 2009, Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support, J Biomed Inform., 42, 377, 10.1016/j.jbi.2008.08.010
Funderburk, 2003, Further psychometric evaluation of the Eyberg and Behar rating scales for parents and teachers of preschoolers, Early Educ Dev., 14, 67, 10.1207/s15566935eed1401_5
Burns, 2001, Normative data on the Eyberg Child Behavior Inventory and Sutter-Eyberg Student Behavior Inventory: parent and teacher rating scales of disruptive behavior problems in children and adolescents, Child Fam Behav Ther., 23, 15, 10.1300/J019v23n01_02
Parent, 2017, The Multidimensional Assessment of Parenting Scale (MAPS): development and psychometric properties, J Child Fam Stud., 26, 2136, 10.1007/s10826-017-0741-5
Van Rijen, 2014, Psychometric qualities of the short form of the Self-Efficacy for Parenting Tasks Index-Toddler Scale, Child Psychiatry Hum Dev., 45, 443
Hays, 2018, PROMIS®-29 v2.0 profile physical and mental health summary scores, Qual Life Res., 27, 1885, 10.1007/s11136-018-1842-3
Deyo, 2015, Performance of a patient reported outcomes measurement information system (PROMIS) short form in older adults with chronic musculoskeletal pain, Pain Med., 17, 314
Hill, 2001, Relationships between parenting environment and children's mental health among African American and European American mothers and children, J Marital Fam Ther., 63, 954
Everett, 2005, The contributions of eye contact and contingent praise to effective instruction delivery in compliance training, Educ Treat Child., 28, 48
Bandura, 2004, Health promotion by social cognitive means, Health Educ Behav., 31, 143, 10.1177/1090198104263660
McDonald, 2018, Risk factors for delayed social-emotional development and behavior problems at age two: results from the all our babies/families (AOB/F) cohort, Health Sci Rep., 1, e82, 10.1002/hsr2.82
Sanders, 2014, The triple P-positive parenting program: a systematic review and meta-analysis of a multi-level system of parenting support, Clin Psychol Rev., 34, 337, 10.1016/j.cpr.2014.04.003
Olson, 2002, Primary care pediatricians' roles and perceived responsibilities in the identification and management of maternal depression, Pediatrics, 110, 1169, 10.1542/peds.110.6.1169
Scholer, 2006, Gaps in pediatricians' advice to parents regarding early childhood aggression, Clin Pediatr., 45, 23, 10.1177/000992280604500104
Coleman, 1998, Self-efficacy and parenting quality: findings and future applications, Developmental Rev., 18, 47, 10.1006/drev.1997.0448